Cardiology

Question 1

S bovis endocarditis association

Answer 1

Is strongly associated with colon cancer, so need to do colonoscopy

Question 2

Cholesterol emboli management

Answer 2

Supportive therapy only

Question 3

VSD in pregnancy a problem?

Answer 3

Not as long as it is a small one

Question 4

AF in immediate post-MI period tx

Answer 4

Continue tx with clopi, asp and fondaparinux

Question 5

ECG features consistent with VT rather than SVT with aberrancy

Answer 5

QRS duration >160ms V1 - V6 show entirely positive or entirely negative complexes

Question 6

When does in-stent thrombosis normally occur?

Answer 6

within 30 days of stent insertion

Question 7

Pharmacological treatment of long standing angina

Answer 7

Question 8

Dilated cardiomyopathy mode of inheritance

Answer 8

mode of inheritance is autosomal dominant but with variable penetrance

Question 9

Acute MR tx

Answer 9

Question 10

Anti arrhythmics MoA

Answer 10

Question 11

What to give in SVC when adenosine is contraindicated in asthma

Answer 11

verapamil

Question 12

CAD Ix

Answer 12

Pre-test prbability:

very low - nil

low - CTCA

Intermediate - stress echo / stress MR

High - angio

Question 13

Different types of congenital lipid abnormalities

Answer 13

1. Apolipoprotein CII - hyperlipoproteinaemia type 1b. -> acute pancreatitis, lipemia retinalis, eruptive skin xanthomas, hepatosplenomegaly
2. Apo E -> familial dysbetalipoproteinaemia

Question 14

Types of familial lipid disorders

Answer 14