CARDIORESP TBL QUESTIONS

Question 1

Answer 1

B) Stenosis of Mitral valve

Question 2

Answer 2

D) Left ventricular hypertrophy

Question 3

Answer 3

B) Hypertrophic cardiomyopathy

Question 4

Answer 4

D) Echocardiographic evidence e.g abscess on valves

Question 5

Answer 5

B)

Question 6

Answer 6

B)

Question 7

Answer 7

D) Anaemia due to malarial parasite

Question 8

Answer 8

Mitral stenosis

Question 9

What leads would you see ST segment elevation if the left coronary artery and left anterior descending artery is involved? are there any reciprocal changes and what type of MI is this?

Answer 9

-ST Segment elevation in leads:
V1,V2,V3,V4
-No reciprocal changes
-Type of MI: anterior

Question 10

What leads would you see ST segment elevation if the left circumflex artery is involved? are there any reciprocal changes and what type of MI is this?

Answer 10

ST segment elevation in leads: I, aVL, V5, V6
-Reciprocal changes in leads III, aVF
-Type of MI: LATERAL

Question 11

What leads would you see ST segment elevation if the right coronary artery is involved? are there any reciprocal changes and what type of MI is this?

Answer 11

ST segment elevation in leads: II, III, aVF
-Reciprocal changes: I, aVL
-TYPE of MI: inferior

Question 12

What leads would you see ST segment elevation if the left anterior descending artery is involved? are there any reciprocal changes and what type of MI is this?

Answer 12

ST segment elevation in leads: V1,V2
-Reciprocal changes: None
-Type of MI: Septal

Question 13

Answer 13

Question 14

What kind of MI does this ecg show?
What artery/ies are involved

Answer 14

Inferior STEMI (st elevation MI)
Right coronary artery

Question 15

A 52-year-old woman with a history of illicit drug use and a family history of premature heart disease presented with episodes of chest pain not relieved by rest. An ECG has been performed.

What is the diagnosis based upon ECG?

Answer 15

Question 16

What is the difference between STEMI, NSTEMI and Unstable Angina (Pathologically)?

Answer 16

STEMI: Coronary plaque rupture resulting in thrombosis formation occluding a coronary artery.

NSTEMI: Incomplete thrombus formation. This does not stop blood and oxygen completely but the oxygen content is used up quickly and, in the distal arteries tissue death occurs as a result of oxygen starvation. Area affected is small, not enough to cause ST elevation but enough to cause minor ST/T wave changes and Troponin elevation.

Unstable angina: Plaque becomes unstable, fibrous cap disrupts and thrombus is formed but still enough lumen to meet the demand during rest

Question 17

How will you treat NSTEMI and Unstable Angina?

Answer 17

Question 18

What can you give to improve symptoms caused by stable anginas/ unstable angina’s and STEMIS/NSTEMIS

Answer 18

GTN spray