FRACP questions

Question 1

TIMI grading

Answer 1

Question 2

hi flow oxygen in STEMI pts

Answer 2

NO unless hypoxic

Supplemental oxygen can have delterious effects in non-hypoxic patients

Question 3

Types of AMI

Answer 3

Question 4

PCI vs CABG in patient with ACS with left main artery disease only

Answer 4

Question 5

GRACE score in ACS

Answer 5

Calculates 6month and 3 year mortality

Question 6

TIMACS study

Answer 6

Question 7

Re vascuarisatin in non culprit lesions on patients during PCI for STEMI?

Answer 7

YES!

Question 8

Radial vs femoral access for coronary angiogram

Answer 8

Radial access related to signifcantly lower vascular complications reduction in all-cause mortality,

Contrast induced nephropathy not yet studied

Question 9

Benefit of early intervention in high risk patients post thrombolysis

Answer 9

Question 10

Dabigatran

Answer 10

Question 11

Triple therapy in AF and ACS

Answer 11

Triple therapy, OAC, aspriin and clopridogrel for 6 months in patient post DES if low risk for bleeding

Question 12

Which drug comibnation post-PCI is the safest in terms of future bleeding risk?

Answer 12

Low dose rivaroxaban plus DAPT

HOWEVER - these dosing regimens have not been formally investigated and are not FDA approved for AF or ACS

Question 13

Evolocumab

Answer 13

Evolocumab is a monoclonal antibody that inhibits proprotein convertase subtilisin–kexin type 9 (PCSK9) and lowers low-density lipoprotein (LDL) cholesterol levels by approximately 60%. Whether it prevents cardiovascular events is uncertain.

Question 14

Ezetimibe added to statin therapy after ACS

Answer 14

Yes!

IMPROVE -IT!

Question 15

Acute renal failure after angiogram

Answer 15

Question 16

Complete heart block findings

Answer 16

Question 17

JVP waveform

Answer 17

Question 18

Salt intake beneficial to reducing cardiovascular events

Answer 18

3 to 6g/day

Question 19

Findings in MS

Answer 19

Question 20

Mitral regurgitation on doppler

Answer 20

Question 21

MS severity and intervention

Answer 21

Question 22

Clopidogrel vs ticagreolor

PLATO study

Answer 22

Question 23

Aortic stenosis on doppler

Answer 23

Question 24

Indication for surgery in Mitral regurgitation

Answer 24

Question 25

Contraindications to percutaneous mitral balloon valvotomy for mod to severe stenosis

Answer 25

Question 26

MURMURS

Answer 26

Question 27

Most common artery involved in occlusion in ascending aortic dissection?

Answer 27

RIGHT coronary artery