Cardiology

Question 1

How to manage anticoagulation post successful ablation for AF?

Answer 1

Continue lifelong

Question 2

Criteria for familial hypercholesterolaemia

Answer 2

total cholesterol 7.5 and LDL 4.9

and

tendinous xanthomata in patient or relative

Question 3

Components of ORBIT score (ORB2A2A)

Answer 3

Old >74
Renal function eGFR <60
Bleeding history (2)
Anaemia (2)
Antiplatelet

Question 4

How to take ISMN and why

Answer 4

8am and 4pm ie leaving medication-free window

Prevents developing toleeance

Question 5

Common side effect of nicorandil

Answer 5

GI ulcers and perforation

Question 6

Stage 2 HTN and significance

Answer 6

150/95
Treat regardless of risk factors

Question 7

BP target if CKD/T1DM and UACR >70

Answer 7

130/80

Question 8

Peripheral arterial disease Rx

Answer 8

Clopidogrel
+ statin

Question 9

Falsely elevated BNP in?

Answer 9

Copd
Cirrhosis
Diabetes
Kidney disease

Question 10

Heart disease and new hypothyroidism

Answer 10

Start at lower dose 25-50mcg/day

Question 11

Beta blockers licensed in heart failure

Answer 11

Bisprolol
Carvedilol
Nebivolol

Question 12

Contraindicated in LVOT obstruction

Answer 12

ISMN

reduces afterload, relied on to maintain normotension

Question 13

Fainting with shaving/neck pressure

Answer 13

Carotid sinus syndrome

Question 14

Which patients are at assumed high CV risk without needing QRisk

Answer 14

CKD >3
Familial high cholesterol
T1DM and (risk factors, >40 years, >10 year history, nephropathy)

Question 15

Afro-Caribbean and diabetes + HTN Rx

Answer 15

ARB in preference to ACE