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mrcp part 1 > cardio1 > Flashcards

cardio1 Flashcards

1
Q

Streptococcus bovis endocarditis is associated with

A

colorectal cancer

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2
Q

Aortic dissection type A - ascending aorta - mgt

A

control BP(IV labetalol) + surgery

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3
Q

Young man with AF, no TIA or risk factors,

A

no treatment is now preferred to aspirin

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4
Q

Ventricular tachycardia - ?is contraindicated

A

verapamil

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5
Q

Turner’s syndrome - most common cardiac defect is

A

bicuspid aortic valve

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6
Q

Tachycardia with a rate of 150/min ?

A

atrial flutter

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7
Q

Sudden death, unusual collapse in young person - ?

A

HOCM

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8
Q

Second heart sound (S2)reversed split:

A

LBBB

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9
Q

Second heart sound (S2)fixed split:

A

ASD

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10
Q

soft: s2

A

AS

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11
Q

first-line for pregnancy-induced hypertension

:

A

Labetalol

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12
Q

Second heart sound (S2)

loud

A

hypertension

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13
Q

Prosthetic heart valves younger patients

A

mechanical valves last longer

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14
Q

Prosthetic heart valves - antithrombotic therapy:bioprosthetic:

A

aspirin

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15
Q

Prosthetic heart valves - antithrombotic therapy mechanical:

A

warfarin + aspirin

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16
Q

Patients with established CVD should take

A

atorvastatin 80mg on

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17
Q

Methadone is a common cause of

A

QT prolongation

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18
Q

Most common cause of endocarditis:

A

Streptococcus viridans

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19
Q

collapsing pulse

A

Patent ductus arteriosus -

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20
Q

Most common cause of endocarditis:if

A

Staphylococcus epidermidis

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21
Q

?rises first following a myocardial infarction

A

Myoglobin

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22
Q

biggest risk factor PCI: stent thrombosis -

A

withdrawal of antiplatelets

23
Q

Aortic stenosis - marker of severity

24
Q

JVP: in tricuspid regurgitation

A

giant v waves

25
JVP closure of the tricuspid valve
: C wave -
26
right coronary artery lesion leads to ? location MI?
Inferior MI -
27
Infective endocarditis - strongest risk factor is
previous episode of infective endocarditis
28
Infective endocarditis ?carries a good prognosis
- streptococcal infection
29
Aortic stenosis - most common cause: | younger patients
bicuspid aortic valve
30
Hypertension - step 4 | K+
spironolactone
31
Hypertension - step 4K+ > 4.5
higher-dose thiazide-like diuretic
32
HOCM - poor prognostic factor on echo =
septal wall thickness of > 3cm
33
Aortic stenosis management: if symptomatic,
AVR
34
an early sign of LVF
Gallop rhythm (S3)
35
Flash pulmonary oedema, U&Es worse on ACE inhibitor, asymmetrical kidneys
renal artery stenosis - do MR angiography
36
DVLA advice following angioplasty - cannot drive for
1 week
37
DVLA advice post MI - cannot drive for
4 weeks
38
Atrial fibrillation - mgt
cardioversion: amiodarone + flecainide
39
acyanotic Congenital heart disease most common cause
VSD
40
Congenital heart disease | cyanotic most common at birth
TGA
41
Congenital heart disease | cyanotic most common overall
Fallot's
42
Atrial fibrillation: rate control -
beta blockers preferable to digoxin
43
Complete heart block following an inferior MI is an indication for pacing,
NOT
44
Complete heart block following an anterior MI is an indication for pacing,
T
45
Bosentan -
endothelin-1 receptor antagonist
46
treatment of hypertension DRUG PREFERRED?
Calcium channel blockers are now preferred to thiazides
47
Clopidogrel inhibits
ADP binding to platelet receptors
48
?causes a variable intensity of S1
Complete heart block
49
Complete heart block following a MI? - CAUSED BY?
right coronary artery lesion
50
asymptomatic AS treatment criteria
otherwise cut-off is gradient of 50 mmHg
51
Aortic stenosis - most common cause: | older patients > 65 years:
calcification
52
Aortic dissection type B - descending aorta mgt | -
control BP(IV labetalol)
53
drowsy with a tachycardia,prolongation of QT - | Many drugs can cause a prolonged QT interval.
diphenhydramine and methadone.collapsed and is the most likely option is diphenhydramine as the tachycardia is more typical.
54
nervous system stimulant long QT
Amphetamines

mrcp part 1 (2 decks)

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