Cardiology

Question 1

Decrease in preload decreases ventricular size in HOCM, thereby worsenmign the murmur/outlflow tract obstruction.

Question 2

PE in pregnancy

Answer 2

GEMS

Question 3

Most appropriate initial investigation for infective endocarditis

Answer 3

CZ 3122
- blood culture first
- Echo also important but blood culture first to help identify the pathogen and treat.

Question 4

Costochondritis Vs MI pain

Answer 4

MI - Lack of variation in pain with breathing or movement. CS 0910

Question 5

SVT treatment

Answer 5

Stable patient
Start with valsalva maneuver
Then carotid massage
Then adenosine if no c/I
If c/I (asthma), use verapamil instead of adenosine.

Only use DC cardioversion if
Hemodynamically Unstable ex: hypotension, shock, chest pain, altered mental status/confused.
Or
You have given 3 doses of adenosine and the patient is still in SVT.

Question 6

HypoKAlemia ECG

Answer 6

CA 4051

Question 7

HypoKAlemia ECG

Answer 7

CA 4051

Question 8

Left ventricular aneurysm VS Dressler’s syndrome - complications of MI

Answer 8

CM 1352

Question 9

Prioritizing - hypercalcemia Vs hyperkalemia based on levels, cause and symptoms

Answer 9

EM 2800

Question 10

Atropine Vs temporary pacing Vs permanent pacemaker for complete heart block

Answer 10

CR 3663

Question 11

Enzyme inhibitors VS Inducers

Answer 11

Enzyme inhibitors Increase INR - Increase the anticoagulant effect of Warfarin

Enzyme inducers Decrease INR - Decrease the anticoagulant effect of Warfarin

Enzyme inhibitors sickfaces.com
Enzyme inducers CRAP GPS

Question 12

Can atrial myxomas sometimes be in the right atrium? If yes, what is one major complication?

Answer 12

Yes.
The myxoma can get dislodged and obstruct the pulmonary circulation leading to pulmonary embolism.