Cardiovascular

Question 1

Patient with fever, pleuritic chest pain that is relieved by sitting up and forward

Answer 1

pericarditis

Question 2

Ireggularly irregular pulse

Answer 2

AF

Question 3

ECG has saw tooth basline and 150bpm

Answer 3

Atrial flutter

Question 4

alveolar bat wings, kerly b lines, dilated prominent vessels, pleural effusion

Answer 4

pulmonary oedema

Question 5

raised JVP

Answer 5

right sided heart failure

Question 6

sense of impending doom

Answer 6

MI

Question 7

saddle shaped ST elevation

Answer 7

pericarditis

Question 8

broad complex tachycardia

Answer 8

ventricular problem

Question 9

mid-diastolic murmur with tapping, undisplaced apex

Answer 9

mitral stenosis

Question 10

tall, tended waves

Answer 10

hyperkalaemia (wide wide QRS complex)

Question 11

Patient getting pericarditis 4-6 weeks after MI

Answer 11

Dressler’s syndrome

Question 12

blurred yellow vision headache

Answer 12

digoxin toxicity

Question 13

continuous machine like murmur

Answer 13

Patent ductus arteriosus

Question 14

Jerky pulse

Answer 14

cardiomyopathy

Question 15

rib notching on CXR

Answer 15

coarctation of aorta

Question 16

diminised lower limb pulse

Answer 16

coarctation of aorta

Question 17

jane way lesions, osler nodes

Answer 17

endocarditis

Question 18

galloping rhythm over apex

Answer 18

myocarditis

Question 19

WilliaM sign on ECG

Answer 19

LBBB

Question 20

double r wave

Answer 20

RBBB

Question 21

Bluish grey photosensitive rash

Answer 21

amioderone side effect

Question 22

dry cough

Answer 22

ACEi side effect

Question 23

Gout and hypokalaemia

Answer 23

Diuretic side effect

Question 24

hyperkalaemia and gynaecamastia

Answer 24

sporolactone side effect

Question 25

Diastolic pericardial knock

Answer 25

constrictive pericarditis

Question 26

Muffled heart sounds, decrease BP, increase JVP

Answer 26

Cardiac temponade

Question 27

Short PR interval and delta waves

Answer 27

WPW syndrome

Question 28

Catecholamines in urine

Answer 28

Phaeochromocytoma

Question 29

Pain in central chest that disapears after rest

Answer 29

Angina

Question 30

the 6 P's of critical leg ischaemia

Answer 30

``` Pulseless Palor Perishingly cold Pain Paralysis Pine and needles ```