Cardiovascular

Question 1

Patient has fever and pleuritic chest pain that is relieved by sitting up and leaning forward

Answer 1

Pericarditis

Question 2

Irregularly irregular pulse

Answer 2

Atrial fibrillation

Question 3

ECG - saw tooth baseline +150bpm

Answer 3

Atrial flutter

Question 4

Alveolar bat’s wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels pleural effusion

Answer 4

Pulmonary oedema

Question 5

Raised JVP/hepatojugular

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

Broad QRS with slurred upstroke on R wave (delta wave)

Answer 10

Wolff-Parkinson-White syndrome

Question 11

Tall, tented T waved

Answer 11

Hyperkalaemia (and wide QRS complexes)

Question 12

Patient gets pericarditis 2-10 weeks post MI

Answer 12

Dressler’s syndrome

Question 13

Janeway lesions/Osler’s nodes

Answer 13

Subacute bacterial endocarditis

Question 14

‘Blurred yellowing vision headache’

Answer 14

Digoxin toxicity

Question 15

Continuous machine like heart murmur

Answer 15

Patent ductus arteriosus

Question 16

Rib notching on CXR

Answer 16

Coarctation of the aorta

Question 17

Crescendo decrescendo murmur and slow-rising pulse

Answer 17

Aortic stenosis

Question 18

Diminished/absent lower limb pulse

Answer 18

Coarctation of the aorta

Question 19

Radio-femoral delay

Answer 19

Coarctation of the aorta or aortic dissection

Question 20

MRS ASS

Answer 20

Mitral regurgitation systolic, aortic stenosis systolic

Question 21

Systolic murmur that radiates to the neck

Answer 21

Aortic stenosis

Question 22

Sudden tearing/ ripping chest pain, radiates to the back

Answer 22

Aortic dissection

Question 23

Raised JVP on inspiration

Answer 23

Constrictive pericarditis

Question 24

Flattened T waves

Answer 24

Hypokalaemia

Question 25

Holosystolic harsh murmur

Answer 25

Ventricular septal defect

Question 26

Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy

Answer 26

Tetralogy of fallot

Question 27

Endocarditis after dental work

Answer 27

strep viridians

Question 28

Endocarditis in IV drug users

Answer 28

staph aureus

Question 29

Endocarditis of tricuspid valve

Answer 29

IV drug users

Question 30

Pericardial knock

Answer 30

Constrictive pericarditis

Question 31

Hypertension + secretion of catecholamines

Answer 31

Phaeochromocytoma

Question 32

Early diastolic plop

Answer 32

Atrial myxoma

Question 33

Hypertension + high aldosterone

Answer 33

Conn’s syndrome

Question 34

Hypertension + high cortisol

Answer 34

Cushing’s syndrome

Question 35

Murmur associated with AF

Answer 35

Mitral stenosis

Question 36

ST elevation V2-V5

Answer 36

Anterior

LAD artery

Question 37

ST elevation in V1-V3

Answer 37

Anteroseptal

Left coronary

Question 38

ST elevation in I, AvL, V4-V6

Answer 38

Anterolateral

LAD

Question 39

ST elevation in II,III, AvF

Answer 39

Inferior

Right coronary

Question 40

ST elevation in V1-V2

Answer 40

Posterior

Left circumflex

Question 41

Heart failure + new pansystolic murmur after MI

Answer 41

Ventricular septal defect

Question 42

Pluse paradoxus

Answer 42

Cardiac tamponade