Cardiology

Question 1

What presents with syncope and exertional dizziness?

Answer 1

Aortic stenosis

Question 2

1st and 2nd line anti-hypertensives for black patient

Answer 2

Calcium channel blocker + ARB

Question 3

What can present with systolic murmur and weakened femoral pulses?

Answer 3

Correction of the Aorta

Question 4

Treatment for haemodynamically unstable AF patients?

Answer 4

Synchronised DC cardioversion

Question 5

First 3 lines for treatment for stable angina?

Answer 5

1.Calcium ion channel blocker
2. Beta blocker (contraindicated in asthma)
3. Long acting nitrate - Isosorbide Mononitrate

Question 6

ECG finding in acute pericarditis?

Answer 6

PR depression

Question 7

Symptoms of pericarditis

Answer 7

1. Chest pain improved with sitting upright
2. Tachy
3. Pericardial rub on auscaltation

Question 8

3 causes of left axis deviation

Answer 8

1. Conduction block
2. Left ventricular hypertrophy
3. Inferior myocardial infarction

Question 9

2 causes of Right bundle branch block

Answer 9

1. Tricyclic antidepressant overdose
2. PE

Question 10

ECG finding for hyperkalemia

Answer 10

Tall, tented T waves

Question 11

ECG finding for widespread cardiac ischaemia

Answer 11

Widespread ST depression

Question 12

What risk assessment score is NSTEMI management determined by?

Answer 12

GRACE - higher risk than 3% = PCI within 72 hrs admission

Question 13

Presentation for aortic dissection?

Answer 13

1. Weak brachial pulse and others
2. Variation in arm Bp
3. Tearing pain

Question 14

What is the most common cause for aortic stenosis ?

Answer 14

1. Younger than 65 = bicuspid aortic valve
2. Older than 65 = calcification

Question 15

What valve does rheumatic fever usually affect?

Answer 15

Mitral valve