cardio and resp

Question 1

somebody with asthma and already on SABA and steroid inhaler. but still needing to use SABA 4 times a day. what do you give them

Answer 1

LABA

Question 2

J waves on ECG

aka Osborn wave

Answer 2

hypothermia

Question 3

U waves

Answer 3

hypokalaemia

Question 4

tall tented P waves

Answer 4

hyperkalaemia

Question 5

woman who has angina pain with history of knee OA, what investigation

Answer 5

myocardial perfusion scan

Question 6

best way to measure BP in GP surgery

Answer 6

validated arm cuff (semi-automatic)

Question 7

if somebody has white coat hypertension, what shoudl you do

Answer 7

24hr ambulatory care

Question 8

best way to check response to BP lowering therapy

Answer 8

use clinic BP measurements to monitor the response to the antihypertnesive treatment with lifestytle modifications or drugs

Question 9

man with chest pain radiating to jaw, what investigations would you do?

Answer 9

ECG AND TROPONIN

Question 10

man with chest pain relieved by sitting forward, sharp. post MI. what investigations

Answer 10

if less then 1 week=ECG- its pericarditis. typically shows ST elevation in all leads

if over 1 week- do echo.- somehting like mmyocardial effusion might be suspected

Question 11

pneumocystis jirovecci

Answer 11

pneumonia in HIV patientd

can have normal X RAY

Question 12

heart failure patient. on ACEi and diurteic, what else do they need?

Answer 12

beta blcoker

Question 13

on ACEi and get hyperkalaemia, what can you give?

Answer 13

isosorbide mononitrate

Question 14

personw ith CAP. CRBB65= 0. allergic to penicillin, what do you give

Answer 14

doxycycline

Question 15

sore throat, asmathic , on inhalers, what can you give them?

Answer 15

nystatin liquid

Question 16

67 year old on amlidipine, BP still not controlled, what can you give?

Answer 16

ACEi