Cardiology

Question 1

Treatment of distal unprovoked DVT

Answer 1

Apixaban 10mg bdd for 1wk then 5mg bd (for CrCl>25)
Rivaroxaban 15mg bd for 21 days then 10mg od 20mg bd

Continue for 3 months

Question 2

Treatment of distal unprovoked DVT

Answer 2

Apixaban 10mg bdd for 1wk then 5mg bd (for CrCl>25)
Rivaroxaban 15mg bd for 21 days then 10mg od 20mg bd

Continue for 3 months

Question 3

Treatment of provoked DVT (non-pregnant, non-cancer)

Answer 3

Apixaban 10mg bdd for 1wk then 5mg bd (for CrCl>25)
Rivaroxaban 15mg bd for 21 days then 10mg od 20mg bd

Continue for 6 weeks

Question 4

Features of Wolf-Parkinson-White

Answer 4

Small % of pt have an arrhythmia and experience:
- palpitation’s syncope, or sudden cardiac death
Short pr interval
Delta wave (early upstroke in QRS)
Wide QRS

Question 5

Features of aortic stenosis

Answer 5

Classic Sx. Heart failure, syncope, angina
Common sx. decreased exercise tolerance, SOBOE, dizziness
Systolic ejection murmur
ECG findings of LVH

Question 6

Treatment to prevent angina

Answer 6

Short acting GTN - SL tab 300-60mcg or 400mcg spray
THEN: B-Blocker - atenolol 25mg daily
PLUS: Amlodipine 2.5-10mg or nifedipine 30-60mg

Long acting GTN patch 5-15mg for 14 hours daily
Nicorandil 5mg bd

Question 7

Medications that DO NOT interfere with renin:aldosterone ratio (screening for primary aldosteronism)

Answer 7

verapamil SR
moxonodine
prazosin
hydralazine hydrochloride

Question 8

Hypertensive urgency (definition, investigation, management)

Answer 8

BP >180/110 PLUS symptoms (headache, dizziness, mild to most. non-acute end organ damage)

Refer to hospital for ix. and mgmt
- ECG, LFT, UEC, urinalysis

If not on meds usually, start:
- prazosin, captopril, or clonidine at low dose