Cardiovascular

Question 1

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 with saw tooth baseline and HR >150 bpm

Answer 3

atrial flutter

Question 4

pulmonary oedema

Answer 4

alveolar bat wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels, pleural effusion

Question 5

raised JVP/hepatojugular reflex

Answer 5

right sided heart failure

Question 6

saddle shaped ST elevation

Answer 6

pericarditis

Question 7

broad complex tachycardia

Answer 7

ventricular problem

Question 8

mid-diastolic murmur with tapping, undisplaced apex

Answer 8

mitral stenosis

Question 9

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

Answer 9

Wolff-Parkinson-White syndrome

Question 10

tall, tented T waves

Answer 10

hyperkalaemia (and wide QRS complexes)

Question 11

patient gets pericarditis 4-6 weeks post MI

Answer 11

Dressler’s syndrome

Question 12

blurred yellowing vision, headache

Answer 12

Digoxin toxicity

Question 13

January lesions, Osler’s nodes

Answer 13

subacute bacterial endocarditis

Question 14

continuous machine like heart murmur

Answer 14

patent ductus arteriosus

Question 15

rib notching on CXR

Answer 15

coarctation of the aorta

Question 16

crescendo decrescendo murmur

Answer 16

aortic stenosis

Question 17

diminished absent lower limb pulses

Answer 17

coarctation of the aorta

Question 18

MRS ASS

Answer 18

mitral regurgitation systolic

aortic stenosis systolic

Question 19

tearing central chest pain radiating to the back

Answer 19

aortic dissection