Cardiovascular

Question 1

Investigations for rheumatic fever?

Answer 1

Antistreptolysin O titres
Blood cultures
Chest radiograph
Repeat throat swabs
ECG
ECHO

Question 2

How would you manage rheumatic fever initially?

Answer 2

Admit and bed rest
Aspirin PRN
Benzylpenicillin 1.2g IM stat
Oral penicillin 10 days

Question 3

Which valve is most commonly affected in rheumatic fever?

Answer 3

Mitral valve
(Tricuspid in IVDU)

Question 4

Signs in acute rheumatic fever?

Answer 4

Chorea like movements
Conduction defects
Pericardial rub
Prolonged PR interval

Question 5

Management of post-MI cardiogenic shock?

Answer 5

Coronary angiography
Inotropic support
Transfer to cardiothoracic surgical centre
Urgent ECHO

Question 6

Initial tests in acute pericarditis?

Answer 6

ECHO
Serial ECGs
Troponin

Question 7

Recurrence rate of acute pericarditis?

Answer 7

15-30%

Question 8

Imaging for aortic stenosis?

Answer 8

ECHO

LV hypertrophy is usually seen with severe aortic stenosis

Question 9

Most common cause of aortic stenosis in those <60?

Answer 9

Bicuspid aortic valve

Question 10

Treatment of aortic stenosis?

Answer 10

Valvular replacement

Question 11

What is VSD post-MI?

Answer 11

Mechanical complication of MI

Rupture of inter ventricular septum

Presents with acute HF + pan-systolic murmur.

Requires urgent surgical correction

Question 12

Treatment for Wolff-Parkinnson-White syndrome?

Answer 12

Amiodarone and flecainide

Question 13

5 drugs for those post-MI?

Answer 13

Aspirin
Clopidogrel/Prasugrel
Ramipril
Atorvastatin
Bisoprolol