Cardiology

Question 1

BP target in T1DM/T2DM/CKD with urine ACR under 70

Answer 1

Urine ACR under 70
<140/90

Question 2

BP target in T1DM/T2DM/CKD with urine ACR over 70

Answer 2

Urine ACR over 70
<130/80

Question 3

Cholesterol - what total cholesterol & non-HDL cholesterol levels require specialist referral

Answer 3

Total cholesterol >9
Non-HDL cholesterol >7.5

Question 4

Triglycerides - what level requires specialist referral

Answer 4

Triglyceride >20 - URGENT referral
Triglyceride 10-20 - repeat bloods in 5-14 days, if repeat level >10 then refer

(Note excess alcohol, poorly controlled BMs can affect result)

Question 5

Primary prevention target lipid level

Answer 5

> 40% reduction in non-HDL

Question 6

Secondary prevention target lipid level

Answer 6

Non-HDL <2.6 or
LDL <2

Question 7

Which diabetic patients should be on statins?

Answer 7

T2DM - use QRISK to decide

Start statin if T1DM +
-Age >40y
-Had diabetes for >10 years
-Comorbid CKD/ other CVD risk factors

Question 8

At what age does AAA screening start?

Answer 8

Men aged >65years

Question 9

At what size does AAA get referral to vascular?

Answer 9

5.5cm & over - refer to vascular

4.5-5.4cm - repeat scan in 3m

3-4.4cm - repeat scan in 12m

<3cm - no need for further scan

Question 10

Which anti-anginal medication is contraindicated in LV outflow obstruction?

Answer 10

Nitrates