Extra stuff Flashcards

1
Q

What is the normal range for a healthy heart ejection fraction?

A

55-70%

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2
Q

how would the ejection fraction of a hypertrophied left ventricle change?

A

stay the same cos muscles get bigger but the ventricles reduce in volume

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3
Q

definition of someone in stage 3 heart failure (NYHA)

A

comfortable at rest but breathless on minimal exertion

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4
Q

what is the ABCDE of features on a cxr with heart failure

A
alevolar edema
B, kerley lines
cardiomegaly
dilated upper lobe vessels
Effusion, pleural
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5
Q

what is the pulse characteristics of someone with aortic stenosis? pulse pressure?

A

slow rising pulse + narrow pulse pressure

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6
Q

is BP high or low in aortic stenosis?

A

low

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7
Q

what is the pulse characteristics of someone with aortic regurgitation? pulse pressure?

A

wide pulse pressure and collapsing pulse

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8
Q

most common cause of mitral stenosis?

A

rheumatic fever

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9
Q

when is a malar flush seen in cardiac conditions?

A

mitral stenosis

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10
Q

what will heart sounds sound like in mitral regurgitation?

A

3rd heart sound

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11
Q

which left sided murmur is accentuated by exhaling and leaning fowards

A

aortic regurgitation

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12
Q

where is aortic regurgitation heard loudest over

A

left sternal edge

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13
Q

what does the chad vas score and the hasbled score tell you?

A

chadvas gives the risk of having a stroke in AF

hasbled estimates the risk of bleeding

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14
Q

can you give warfarin in AF if someone has a high hasbled score?

A

no.

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15
Q

which valvular condition would cause a ventricular heave, and raised JVP

A

mitral stenosis

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16
Q

contraindicated drug in asthmatics?

A

beta blockers

17
Q

what is the expected PaCO2 in acute asthma?

18
Q

what cell type can be seen in excess during an asthma attaack?

A

eosinophils

19
Q

medications given to asthmatics in order of severity

A

SABA e.g. salbutamol
ICS e.g. dexamethasone
LABA e.g salmeterol
LAMA e.g. ipratropium or LTRA e.g. montelukast or theophylline

20
Q

what causes a bovine cough?

A

laryngeal nerve compression, ?lung cancer

21
Q

which lung cancers are more associated with smoking?

A

squamos cell

small cell lung cancer

22
Q

which lung cancer is more associated with paraneoplastic effects

A

small cell lung cancer

23
Q

what can small cell lung cancer present as

A

hyponatraemia - SIADH
cushings syndrome
hypercalcaemia - PTH excess
lambert eaton myesthenia - VGCC antibodies

24
Q

what is most common cause of lambert eaton myesthenia

A

small cell lung cancer

25
a 62 year old man with a 75 smoking pack year history presents with a 8 month history of progressive weakness in his limbs, abnormal gait, difficulty raising arms, and absent tendon reflexes. what is are possible diagnoses?
lambert eaton myesthenia - SCLC | myesthenia gravis
26
what is the 13C urea breath test diagnostic for?
gastric H Pylori infection
27
what is the recommended antbx regime for symptomatic h pylori gastritis ( no penicilin allergy)
amox + clari/metro | + PPI
28
what does a xanthochromic CSF indicate?
SAH
29
red flags for headache
``` associated with change in posture worse in the morning thunderclap headache progressively getting worse over weeks fever assoc w/ neurological symptoms ```
30
which kind of headache can have autonomic symptoms?
cluster headaches
31
what kind of autonomic symptoms can you get with cluster headaches?
drooping eyelid red watery eyes constricted pupil runny/blocked nose