Cardio

Question 1

Fever + pleuritic chest pain relieved by sitting up and forward

Answer 1

Pericarditis

Question 2

irregularly irregular pulse

Answer 2

a-fib

Question 3

ECG- saw tooth baseline + 150bpm

Answer 3

atrial flutter

Question 4

alveolar bat wings, Kerley B lines, cardiomegaly, dilated/prominent upper lobe vessels, pleural effusion

Answer 4

pulmonary oedema

Question 5

raised JVP + hepatojugular

Answer 5

right heart failure

Question 6

sense of impending doom

Answer 6

MI

Question 7

saddle-shaped ST elevation

Answer 7

pericarditis

Question 8

broad complex tachycardia

Answer 8

ventricular problem

Question 9

mid-diastolic murmur with a tapping, undisplaced apex

Answer 9

mitral stenosis

Question 10

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

Answer 10

Wolf-Parkinson White syndrome (WPW)

Question 11

tall, tented T waves (and broad QRS complexes?)

Answer 11

hyperkalaemia

Question 12

pt gets pericarditis 4-6 weeks post-MI

Answer 12

Dressler’s syndrome

Question 13

blurred yellowing vision headache

Answer 13

digoxin toxicity

Question 14

Janeway lesions/Osler’s nodes

Answer 14

subacute bacterial endocarditis

Question 15

continuous machine-like heart murmur

Answer 15

patent ductus arteriosus

Question 16

rib notching on CXR

Answer 16

coarctation of the aorta

Question 17

crescendo-decrescendo murmur

Answer 17

aortic stenosis

Question 18

diminished/absent lower limb pulses

Answer 18

coarctation of the aorta

Question 19

MRS ASS

Answer 19

mitral regurgitation systolic, aortic stenosis systolic