Cardio Flashcards

1
Q

fever and pleuritic chest pain relieved by sitting up and leaning foreward

A

pericarditis

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2
Q

irregularly irregular

A

AF

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3
Q

saw tooth base line on ECG

A

Atrial flutter

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4
Q
Alveolar bat wings
Kerly B lines
Cardiomegaly
Dilated prominent upper lobe vessels
Pleural effusion
A

pulmonary oedema (left sided heart failure)

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5
Q

Raised JVP and hepatjugular reflex

A

right sided heart failure

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6
Q

Sense of impending doom

A

MI

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7
Q

saddle shaped ST elevation

A

pericarditis

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8
Q

Broad complex tachycardia

A

ventricular problem

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9
Q

Mid diastolic murmur with undisplaced apex beat

A

mitral stenosis (bicuspid valve)

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10
Q

Broad QRS with slurred upstroke on R wave (delta wave)

A

WPW syndrome

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11
Q

Tall tented T waves

A

Hyperkalaemia (wide QRS)

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12
Q

Pericarditis 4-6 weeks post MI

A

dresslers syndrome

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13
Q

blurred yellow vision headache

A

digoxin toxicity

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14
Q

Janeway lesions, osler’s nodes

A

sub acute bacterial endocarditis

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15
Q

machine like heart murmur

A

patent ductus arteriosus (pulmonary artery to descending aorta)

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16
Q

rib notching on CXR

A

coarctation of the aorta

deformation of the inferior surface of the rib due to trauma or masses

17
Q

Radio-femoral delay

A

coarctation of the aorta

18
Q

Radio-radio delay

A

coartcation of aorta

aortic dissection

19
Q

MRS ASS

A

mitral regurgitation systolic

aortic stenosis systolic

20
Q

Sudden tearing/ripping chest pain radiating to the back

A

aortic dissection

21
Q

Chest leads and artery for inferior MI

A

II, III, aVF

right coronary artery

22
Q

Leads and artery for lateral MI

A

I, aVL, 5, 6

circumflex

23
Q

Leads and artery for anterior MI

A

3, 4

left main stem

24
Q

Leads and artery for septal MI

A

1, 2

Left anterior descending

25
Q

Correct paper speed of ECG

A

25mm per second

26
Q

How many seconds in small box?

A

0.04

27
Q

How many seconds in a large box?

A

0.2

28
Q

How many large boxes in a second?

A

5

29
Q

How many large boxes in a minute?

A

300

30
Q

What ECG changes are seen in hypothermia?

A

J waves

31
Q

Chest pain radiating to jaw investigations?

A

ECG & troponin

32
Q

When does st depression occur?

A

subendocardial damage (ischaemic damage to only the inner layer of the heart)

33
Q

When does ST elevation occur?

A

transcardial damage (ischaemic damage to all the layers of the heart)

34
Q

Management of stable angina?

A

aspirin + statin
GTN
BBlock or CCB (verapamil if a mono, nifidepine if combined therapy)

35
Q

Why should BBlocker and verapamil not be co-prescribed?

A

increased risk of heart block