Cardiology

Question 1

What is the type of ecg rhythm if the ventricular rate is a multiple of the atrial conduction rate

Answer 1

Atrial Flutter

Question 2

Which drug has maximal long term prognosis benefit in a patient with stable angina

Answer 2

Aspirin

Question 3

Which type of valve is used for aortic and mitral replacement in patients younger than 65? What medication is given along with it?

Answer 3

Mechanical, Warfarin

Question 4

Inf. Endo Rx - Initial blind treatment, 1) Native Valve, 2) Sepsis, MSRA, Penicillin allergy in native valve, 3)Prosthetic valve.

Answer 4

1) Amox + consider genta
2) Genta + Vanco
3) Genta + Vanco + Rifampicin

Question 5

What mutation is seen in Brugada syndrome?

Answer 5

Mutations in the SCN5A gene which encode the myocardial sodium ion channel protein

Question 6

Target INR for dental procedure?

Answer 6

Dentistry in warfarinised patients - check INR 72 hours before procedure, proceed if INR < 4.0

Question 7

AF not self terminated for 7 days is termed as?

Answer 7

Persistent AF

Question 8

Which electrolyte abnormalities causes prolonged QT?

Answer 8

hypokalaemia, hypocalcaemia and hypomagnesaemia.

Question 9

Large vessel disease, radiating to carotids, early disastolic aortic murmur and systolic bp differential in arms

Answer 9

Takayasu arteritis

Question 10

What medication worsens glycaemic control?

Answer 10

Bendroflumethazide

Question 11

Mechanical valves - target INR? For aortic and mitral.

Answer 11

Mechanical valves - target INR:
aortic: 3.0
mitral: 3.5