cardiology

Question 1

What condition causes patients to have fever and pleuritic chest pain that is relieved by sitting up and leaning forward?

Answer 1

Pericarditis

Question 2

Irregularly irregular pulse indicates what?

Answer 2

Atrial fibrillation

Question 3

ECG - saw tooth baseline +150bpm indicates what?

Answer 3

Atrial flutter

Question 4

Alveolar bats wings, kerley B lines, cardiomegaly, dilated prominent upper lobe vessels pleural effusion suggest what?

Answer 4

Pulmonary oedema

Question 5

Raised JVP / hepatojugular indicates what?

Answer 5

Right sided heart failure

Question 6

Sense of impending doom indicated what?

Answer 6

MI

Question 7

Saddle shaped ST elevation indicates what?

Answer 7

Pericarditis

Question 8

Broad complex tachycardia indicates what?

Answer 8

Ventricular problem

Question 9

Mid-diastolic murmur with a tapping, displaced apex indicates what?

Answer 9

Mitral stenosis

Question 10

Broad QRS with slurred upstroke on R wave (delta wave) indicates what?

Answer 10

Wolff-Parkinson-white syndrome

Question 11

Name reversible causes of cardiac arrest 4 H’s and 4T’s

Answer 11

• hypovolaemia
• hypothermia
• hyperkalaemia/ hypokalaemia
• hypoxia
• tamponade
• tension pneumothorax
• thromboembolism
• toxin

Question 12

Tall tented T waves and wide QRS complexes indicate what?

Answer 12

Hyperkalaemia

Question 13

Patient gets pericarditis 4-6 weeks post MI indicates what?

Answer 13

Dresslers syndrome

Question 14

Blurred yellowing vision headache indicates what?

Answer 14

Digoxin toxicity

Question 15

Janeaway lesions / oslers nodes indicates what?

Answer 15

Subacute bacterial endocarditis

Question 16

Continuous machine like heart murmur indicates what?

Answer 16

Patent ductus arteriosus

Question 17

Rib notching on CXR indicates what?

Answer 17

Coarction of the aorta

Question 18

Crescendo decrescendo murmur indicates what?

Answer 18

Aortic stenosis

Question 19

Diminished absent lower limb pulses indicates what?

Answer 19

Coarctation of the aorta

Question 20

Radio-femoral delay indicates what?

Answer 20

Coarctation of the aorta

Question 21

Radio-radial delay indicates what?

Answer 21

Coarctation or aortic dissection

Question 22

MRS ASS means what?

Answer 22

mitral regurgitation - systolic

aortic stenosis - systolic

Question 23

Systolic murmur which radiates to the neck indicates what?

Answer 23

Aortic stensosis

Question 24

Sudden tearing / ripping chest pain, radiates to back indicates what?

Answer 24

Aortic dissection

Question 25

Slow rising pulse indicates what?

Answer 25

Aortic stenosis

Question 26

Collapsing pulse indicates what?

Answer 26

Aortic regurgitation

Question 27

Bounding pulse could indicate what?

Answer 27

Acute CO2 retention or sepsis

Question 28

Jerking pulse indicates what?

Answer 28

hypertrophic obstructive cardiomyopathy or mitral regurgitation

Question 29

Raised fixed JVP indicates what?

Answer 29

SVC obstruction

Question 30

JVP rising on inspiration indicates what?

Answer 30

Cardiac tamponade or constrictive pericarditis

Question 31

Tapping apex beat, loud first heart sound indicates what?

Answer 31

Mitral stenosis

Question 32

Cyanosis first moth of life, chest x-ray = boot-shaped heart indicates what?

Answer 32

Tetralogy of fallot

Question 33

saddle shaped ST elevation indicates what?

Answer 33

Acute pericarditis

Question 34

Which drugs cause dry cough?

Answer 34

ACE inhibitors

Question 35

Which drugs cause gynaecomastia ?

Answer 35

Spironolactone

Question 36

Which drugs cause gout?

Answer 36

Thiazide diuretics