Cardiology

Question 1

Treatment for supraventricular tachycardia

Answer 1

Verapamil

Question 2

Pulse in atrial fibrillation

Answer 2

Irregular

Question 3

If surgery is required in the patient with drug eluting stent

Answer 3

Wait 12 months

Question 4

Treatment of MI in a patient with stenosis of coronary artery

Answer 4

PCI is not suitable

Coronary artery bypass grafting

Question 5

Treatment of complete heart block

Answer 5

Temporary pacemaker

Atropin only for unstable patients

Question 6

Immediate treatment of STEMI

Answer 6

Aspirin and clopidogrel

Question 7

Pulmonary embolism investigation

Answer 7

1. Chest x-ray.
2. V/Q scan.
3. CT pulmonary angiogram.

Question 8

Syncope during exercise and death at young age

Answer 8

Hypertrophic cardiomyopathy

Autosomal dominant

Question 9

Hypokalemia ECG

Answer 9

ST depression
T. Depression.
U elevation

Question 10

Hyperkalaemia ECG

Answer 10

Short QT
Prolonged PR
T wave tall
QRS wide

Question 11

Initial symptom of myocarditis

Answer 11

Dyspnea

Question 12

Cause of new systolic murmur after MI

Answer 12

Capillary muscle dysfunction

Question 13

INR 9. How to reverse warfarin?

Answer 13

Vitamin K

Question 14

How to reverse heparin

Answer 14

Protamine sulphate

Question 15

ECG side-effect of antipsychotics like olanzapine

Answer 15

Long QT syndrome

Question 16

Antibiotics that can cause long QT

Answer 16

Erythromycin
Levofloxacin etc

Question 17

Antibiotic prophylaxis prior to surgery for patient with mitral regurgitation

Answer 17

Not required

Only inpatient with prosthetic valves or previous effective endocarditis

Question 18

Stenosis of coronary artery is 70% and 30%

Answer 18

Angioplasty is only required if above 50%

Question 19

Hypocalcemia and

Hypokalemia

Cause

Answer 19

Long QT

Question 20

Pulmonary embolism treatment in patient with kidney disease

Answer 20

Unfractioned heparin

If no kidney disease then LMWH

Question 21

Investigation in acute rheumatic fever

Answer 21

Throat swab

Question 22

Pulmonary embolism investigation

Answer 22

1. ECG.
2. Chest x-ray.
3. V/Q scan

Question 23

Cough and chest pain
Coughing up hair
Mediastinal mass

Answer 23

Cystic teratoma

Question 24

Drug addict with exophthalmos - caused by

Answer 24

Tricuspid regurgitation -> elevated venous pressure

Due to bacterial endocarditis

Question 25

Hollosystolic murmur caused by

Answer 25

VSD -> volume overload > increased left atrial preload

Question 26

Crescendo descendo systolic murmur

Answer 26

LV outflow tract obstruction

Question 27

ECG finding in pericardial effusion

Answer 27

Electrical alternans

Question 28

Severe chest pain in short patient with scoliosis and heart murmur, and pregnant

Answer 28

Turner syndrome, risk of aortic dissection

Question 29

Patient with WPW and atrial fibrillation treatment

Answer 29

Cardioversion Or procainamide

Question 30

Supra ventricular tachycardia treatment

Answer 30

Adenosin