Cardiology Flashcards

1
Q

Valve affected in IE in IVDU

A

Tricuspid

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2
Q

Anticoagulation for elective CV in AF

A

Lifelong

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3
Q

Verapamil is CI in what arrhythmia?

A

VT

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4
Q

Angina: Management (3 steps)

A
  1. BB or CBB
  2. BB & CBB
  3. Nitrate, ivabradine, nicorandil, ranolazine
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5
Q

AR: features (5)

A

EDM
Collapsing pulse
Wide pulse pressure
Quinckes sign (pulsating nailbed)
De Mussets sign (head bobbing)

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6
Q

AS: features (5)

A

ESM
Narros pulse pressure
Slow rising pulse
Soft/absent S2
Thrill

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7
Q

BNP: Increase (7)

A

<eGFR>70
Liver cirrhosis
</eGFR>

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8
Q

BNP: Decrease (6)

A

Obesity
Diuretics
ACEi
BB
ARB
Aldosterone antagonists

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9
Q

CHF: First line

A

ACEi & BB

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10
Q

CHF: Second line

A

ACEi & BB
& aldosterone antagonist (spironolactone / eplerenone)

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11
Q

CHF: AF

A

digocxin

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12
Q

CHF: non-medical

A

Cardiac resynchronisation therapy
- biventricular pacing

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13
Q

DVLA: elective angioplasty

A

1 week

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14
Q

DVLA: CABG

A

4 weeks

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15
Q

DVLA: PPM

A

1 week

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16
Q

ECG: anteroseptal

A

V1-4
LAD

17
Q

ECG: inferior

A

II, III, aVF
RCA

18
Q

ECG: anterolateral

A

V1-6, I aVL
Proximal LAD

19
Q

ECG: lateral

A

I, aVLA, V5-6
Left circumflex

20
Q

HOCM: Echo

A

MR
SAM (systolic anterior motion of mitral valve)
ASH (asymmetric hypertrophy)

21
Q

Long QTc: Drugs

A

1a anti-arrhythmic
TCAs citalopram
Erythromycin
Haloperidol
Ondansetron

22
Q

Long QTc: other

A

Electrolytes (low Ca, K, Mg)
MI
Myocarditis
Hypothermia
SAH

23
Q

Post MI: bradycardia

A

Following inferior MI

24
Q

Dressler’s syndrome

A

2-6 weeks post MI
Fever, pleuritic pain, effusion and raised ESR
Mx: NSAIDs

25
Q

LV aneurysm

A

Persistent ST elevation and LV failure

26
Q

WPW: ECG

A

Short PR
Wide QRS