CVS2

Question 1

Most common condition associated with Atrial fibrillation

Answer 1

hypertensive heart disease

Question 2

Most common supraventricular arrythmia:

most common cardiac arrhythmia:

Answer 2

AF

AF

Question 3

Moderate intensity statin therapy:

High intensity statin therapy:

Answer 3

RAS 5-10, 10-20, 20-40

High intensity = RASx4 → 20-40, 40-80 in patients with established ASCVD or with an ASCVD 10 year risk ≥20

Question 4

Sever aortic stenosis criteria

Answer 4

4—-40—-1

1. Aortic jet velocity ≥4 m/s or
2. Mean transvalvular pressure gradient ≥40mmHg
3. Valve area usually ≤1cm^2

Question 5

Holt oram (Heart hand) syndrome

Answer 5

ASD + upper limb defects

Question 6

Hyperkalemia ECG changes sequence:

Answer 6

peaked T wave → loss of P wave → wide QRS complex →sine wave patters → asystole

Question 7

Posterior wall MI ecg changes and arteries involved

Answer 7

ST depression in V1-V3
ST elevation in leads I and aVL (LCX)
ST segment depression in leads I and aVL (RCA)

Question 8

Drug of choice in jarvell Lange Nielsen syndrome.

Why?

Answer 8

Beta blocker except sotalol

It blunts the exertional heart rate and shorten QT interval.

Question 9

Acute limb ischemia after MI. Next investigation is

Answer 9

Transthoracic echocardiogram with contrast

Question 10

Patient with exertional dyspnea and symptoms of heart failure, ST segment elevations and deep Q waves + a history of MI with delayed intervention or revascularization:

Answer 10

Ventricular aneurysm