Cardiology Flashcards
Give 4 or more differentials for a patient presenting with suspected ACS.
- Pericarditis
- Stable angina
- Myocarditis
- Aortic dissection
- PE
- Pneumothorax
- GORD
- Oesophageal spasm
- Musculoskeletal pain
- Pancreatitis
What can cause raised cardiac enzymes other than an MI?
- Pericaridits
- Myocarditis
- PE
- Ventricular strain
Give 3 or more complications of MI.
- Cardiac arrest
- Cardiogenic shock
- Bradyarrhythmias
- Tachyarrhythmias
- Left ventricular aneurysm
- Systemic emboli
- Ventricular failure
- Pericarditis
- Cardiac tamponade
- Dressler’s syndrome- recurrent pericarditis
Angina, syncope and heart failure are features of which valvular disease?
Aortic stenosis
Mitral regurgitation
Mitral stenosis
Aortic stenosis
Wide pulse pressure, collapsing pulse and a displaced hyperdynamic apex beat are features of which valvular disease?
Aortic regurgitation
Mitral regurgitation
Mitral stenosis
Aortic regurgitation
Right ventricular heave, tapping non displaced apex beat and malar flush are features of which valvular disease?
Aortic regurgitation
Mitral regurgitation
Mitral stenosis
Mitral stenosis
Dyspnoea, palpitations and fatigue are symptoms of which valvular disease?
Aortic regurgitation
Mitral regurgitation
Mitral stenosis
Mitral regurgitation
Dyspnoea, orthopnoea and PND are symptoms of which valvular disease?
Aortic regurgitation
Mitral regurgitation
Mitral stenosis
Aortic regurgitation
What is the leading cause of aortic stenosis?
Can you name any other causes?
Leading cause= degeneration (calcification)
Others:
- Rheumatic fever
- Congenital bicuspid valve
What is the leading cause of mitral stenosis?
Rheumatic fever
Which of the following tests should be offered to a patient after they have been diagnosed with hypertension?
- Urine ACR, HbA1c, cholesterol, fundoscopy and 12 lead ECG
- Urine ACR, HbA1c, cholesterol, and Echo
- HbA1c, cholesterol, fundoscopy and 24 hour ECG
- Urine ACR, HbA1c, cholesterol, fundoscopy and 12 lead ECG
Stage 1 hypertension is…
- Clinic BP >140/90 and ABPM >135/90
- Clinic BP >150/90 and ABPM >135/85
- Clinic BP >140/90 and ABPM >135/85
- Clinic BP >140/90 and ABPM >135/85
Stage 2 hypertension is…
- Clinic BP >160/100 and ABPM >150/95
- Clinic BP >150/90 and ABPM >135/85
- Clinic BP >160/100 and ABPM >150/90
- Clinic BP >160/100 and ABPM >150/95
State 4 or more causes of secondary hypertension.
- Intrinsic renal disease- glomerulonephritis, chronic pyelonephritis, polycystic kidney disease
- Renovascular disease- renal artery stenosis, fibromuscular dysplasia
- Endocrine disorders- Cushing’s disease, Primary aldosteronism (Conn’s), Phaeochromocytoma, Hyperparathyroidism, Acromegaly, Congenital Adrenal Hyperplasia
- Others- Oral contraceptive pill, NSAIDs, steroids, MAOIs, pregnancy, aortic coarctation
Which antiplatelet therapy is recommended for patients who have had a TIA?
- Modified release Dipyramidole plus Aspirin
- Clopidogrel
- Aspirin
- Modified release Dipyramidole plus Aspirin