Cardiology

Question 1

What drug management is used in the treatment of a STEMI?

Answer 1

Aspirin
Clopidogrel
LMWH

Question 2

Describe the pulse felt in a patient with a PDA

Answer 2

Bounding

Question 3

What drug is used to treat pregnancy induced htn?

Answer 3

Labetalol

Question 4

How would an ECG look in a patient with 3rd degree heart block?

Answer 4

P waves not related to QRS

Rate usually v. slow at 35-40bpm

Question 5

What is the first line drug management of heart failure?

Answer 5

ACEI and B-blocker

Question 6

What antithrombin therapy should be given to a patient with a bioprosthetic valve? What for a mechanical valve?

Answer 6

bioprosthetic - aspirin

mechanical - warfarin and aspirin

Question 7

What is the first line drug treatment for stable angina?

Answer 7

B-blocker or calcium channel blocker (amlodipine)

Question 8

J waves, 1st degree heart block and long QT are ecg changes seen in hypo or hyperthermia?

Answer 8

Hypothermia

Question 9

In a patient aged 52, what is the first line treatment for htn?

Answer 9

ACEI

Question 10

In a patient over 55, what is the first line treatment for htn?

Answer 10

Amlodipine, a ca channel blocker

Question 11

What dose of adrenaline is used in anaphylaxis?

Answer 11

0.5ml, 1:1000 IM

Question 12

What dose of adrenaline is used in cardiac arrest?

Answer 12

1ml, 1:1000 IM

or 10ml 1:10000 IV

Question 13

Name 2 common side effects for ACEIs

Answer 13

Cough

Hyperkalaemia

Question 14

A 32 year old women is 8 weeks pregnant. It is her second pregnancy, her first was complicated with pre-eclampisa. What prophylactic can be given and when?

Answer 14

From 12 weeks she can be given low dose aspirin, 75mg od.

Question 15

Name 4 drugs that can cause hyponatraemia

Answer 15

Carbamazepine
SSRIs
Sulfonylureas
Tricyclics

Question 16

What drugs should someone be taking following a STEMI?

Answer 16

Dual antiplatelet therapy
beta-blocker
ACE-inhibitor
statin

(Dual antiplatelet therapy = aspirin + another anti platelet, e.g. clopidogrel)

Question 17

What drug must not be used with concurrent B-blocker therapy due to bradycardia and asystole?

Answer 17

Vermapil (ca anatagonist)

Question 18

Young women attends gp and is found to be hypertensive. She is also found to have low K and alkalosis (high bicarb). What is the most likely diagnosis?

Answer 18

Htn
Hypokalaemia
Alkalosis
Conn’s syndrome, do renin:aldosterone ratio

Question 19

A patient is having an MI and presents with a HR of 40bpm and bp of 90/60, suggestive of complete heart block. Which coronary artery is most likely to be affected?

Answer 19

Right coronary

Question 20

Inferior MI - which artery?

Answer 20

Right coronary

Question 21

What drug is often used for pharmacological cardioversion in a patient with AF?

Answer 21

Amiodaroe if structural heart disease

Flecainide if no heart disease