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Medicine Year 3 > Cardiology > Flashcards

Cardiology Flashcards

1
Q

Give an example of a thiazide diuretic and a side effect

A

Indapamide

Erectile dysfunction

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2
Q

Treatment of a false lumen aortic dissection

A

IV labetaolol

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3
Q

Diagnosis of a PE

A

CTPA

V/Q if renal impairment or pregnant

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4
Q

Can you prescribe a statin and eryth/clarithrymycin together

A

NOOOO

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5
Q

What type of murmur would a VSD give

A

Pansytolic

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6
Q

Treatment of bradycardia (e.g. MT2)

A
  1. atropine

2. adrenaline/isoprenaline

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7
Q

Treatment of torsades de points

A

Magnesium sulphate

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8
Q

1st and 2nd line for angina

A

1st: Atenolol
2nd: Ca Blocker (nifedipine)

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9
Q

Which vein runs past the anterior medial malleolus

A

Great saphenous vein

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10
Q

Side effect of adenosine

A

flushin

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11
Q

Side effect of amidarone

A

GREY

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12
Q

Management of broad complex tachycardia

A

VF: DC cardiovert
Broad: amiodarone
narrow: vagal/adenosine

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13
Q

Secondary prevention of a STEMI

A

2 antiplatelet (clopidogrel/aspirin)
ACEi
Statin

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14
Q

3 features of the murmur in ASD

A

Ejection systolic
On inspiration
Splitting of the second heart sound

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15
Q

4 features of the murmur in tricuspid regurg

A

High pitched
Pansystolic
Left sternal edge
Inspiration

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16
Q

ECG in tension pneumo

A

Pulseless electrical activity

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17
Q

ECG in PE

A

Sinus tachy

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18
Q

Medication if AF and asthma

A

Diltazepem

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19
Q

2 features of sydenhams chorea

A

Infection (rheumatic fever)

Child

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20
Q

Which drug is contraindicated in ventricular tachycardia

A

Verapamil

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21
Q

3 features of a left ventricular aneurysm

A

ST elevation 4 weeks post MI
Bibasal crackles
3rd and 4th heart sound

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22
Q

MI in leads II, III, aVF

A

Right coronary (inferior)

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23
Q

What does p mitrale cause and give an example

A

left atrial hypertrophy /strain

e.g. mitral stenosis

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24
Q

Imaging for dissection

A

1st: CT
2nd: transoesopahgeal echo

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25
Q

What can thiazide diuretics do to the heart

A

Cause hypokalaemia

1st heart block ‘u waves’

26
Q

Management of ACS if you treat with fibrinolysis

A

Repeat ECG 60-90 mins

PCI if still ST elevation

27
Q

What ECG change can a dissection cause

A

ST elevation

28
Q

4 features of Takayasus arteritis and who is it most common in?

A

Renal artery stenosis
Headache
Claudication
Unequal BP

Asian

29
Q

Global T wave inverstion

A

NOT an MI

30
Q

Creatinine in ACEi

A

Increase to 30% of normal

31
Q

Side effect of amiodarone

A

Thrombophlebitis

32
Q

At what blood pressure do you start getting end organ damage

A

BP above 180/120

33
Q

Infection in IV drug users

A

Infective endocarditis in the tricuspid valve

34
Q

If the INR is 5-8 with no bleeding

A

Without 1/2 dose and reduce the main dosage

35
Q

Management of a witnessed cardiac arrest on the monitor

A

3 shocks

36
Q

Side effect of macrolide ABx e.g. erythromycin

A

Increase QT interval

37
Q

Subclavian steal syndrome

A

Dizzy and vertigo on exertion of the arm

38
Q

If patient in VF

A

1 shock

2 min CPR

39
Q

Side effect of ACEi

A

Angioedema

40
Q

Management of new onset AF

A

Cardiovert in 48 hrs

41
Q

Heart sound in pulmonary hypertension

A

Loud S2

42
Q

Do you give ABx prophylaxis for infective endocarditis e.g. at the dentist

A

NO

43
Q

If the pt is hypotensive in an MI what would you not give them

A

Nitrate

44
Q

Imaging for an aortic dissection

A

CT angio

45
Q

Antiarrhythmic for heart failure

A

Class 3 amiodarone

46
Q

Acute pericarditis ECG and presentation

A

Widespread ST elevation

Pain worse when sitting forward

47
Q

Treatment of acute pericarditis

A

NSAID and colchine

48
Q

Heart defect in coarctation of the aorta

A

Bicuspid aortic valve

49
Q

Medication for fibronolysis in STEMI

A

Fondaparinux (antithrombin)

50
Q

Pulmonary stenosis murmur

A

Mid ejection systolic loudest on inspiration

51
Q

When would you anticoagulate after a stroke caused by AF

A

2 weeks after

52
Q

Murmur in aortic regurg

A

Early diastolic

Right sternal edge

53
Q

Tall R waves in V1-2 - which MI

A

Posterior MI

54
Q

When would you replace the aortic valve

A

Increased 40mmHg
Sx
Severe dysfunction

55
Q

What ECG change does citalopram cause

A

Long QT (SSRI)

56
Q

What would you give if a patient was unable to tkake amiodarone

A

Lidocaine

57
Q

Atenolol and verapamil together =

A

HEART BLOCK

58
Q

1st line anti anginal in heart failure

A

Bisoprolol

59
Q

DO patients build up a tolerance to nitrate?

A

Yes

60
Q

4 features of pulsus paradoxus

A

Tamponade
Reduced bp
Increased JVP
Reduced heart sounds

61
Q

Non shockable rhythm

A

Give adrenaline

62
Q

Features of a non-shockable rhythm

A

pulseless organised electrical activity

Medicine Year 3 (8 decks)

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