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/no clear P waves

Answer 2

Atrial Fibrillation

Question 3

ECG - saw tooth baseline + 150 bpm

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 reflux

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 a 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 waves

Answer 11

Hyperkalaemia (and wide QRS complexes)

Question 12

Patient gets pericarditis 4-6 weeks post MI

Answer 12

Dressler’s syndrome

Question 13

“Blurred yellowing vision headache”

Answer 13

Digoxin Toxicity

Question 14

Janeway Lesions/Osler’s Nodes

Answer 14

Subacute bacterial endocarditis

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 , slow rising pulse

Answer 17

Aortic Stenosis

Question 18

collapsing pulse

Answer 18

aortic regurgitation

Question 19

bounding pulse

Answer 19

Acute CO2 retention

Question 20

Diminished absent lower limb pulses, radiofemoral delay

Answer 20

coarctation of the aorta

Question 21

MRS ASS

Answer 21

(Mitral Regurgitation Systolic, Aortic Stenosis Systolic)

Question 22

Tetralogy of Fallot

Answer 22

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