Karim Meeran 2 - Cardio

Question 1

What is the absolutely necessary drug to give to diabetics, unless contraindicated?

Answer 1

Metformin

Question 2

What should you add to metformin for someone with DM and vascular disease?

Answer 2

Empagliflozin or liraglutide

Question 3

What drug would you give to treat AF in someone with a low exercise level? Why?

Answer 3

Digoxin - doesnt increase CO

Question 4

What drug would you give to treat AF in someone who exercises?

Answer 4

Beta blocker

Question 5

What drug should you always give alongside AF treatment?

Answer 5

Anticoagulant like warfarin

Question 6

What is the scoring system for AF?

Answer 6

CHADSVASc

Question 7

Describe the components of CHADSVASc score

Answer 7

CHF (1)
HTN (1)
Age  > 75 (2)
DM (1)
Stroke / TIA (2)
Vascular disease (1)
Age 65 - 74 (1)
Sex - female (1)

Question 8

Describe the physiology of LBBB

Answer 8

AVN wave goes down R bundle first, so RV contracts then conducts over to LV

Question 9

How can you identify LBBB and RBBB?

Answer 9

WilliaM MarroW
LBBB = William —> V1 and V2 = W, V5 and V6 = M
RBBB = Marrow —> V1 and V2 = M, V5 and V6 = W

Question 10

Describe the vocal resonance in consolidation

Answer 10

Loud

Question 11

Describe the vocal resonance in pleural effusion

Answer 11

Quiet

Question 12

True or false : CXR of pleural effusion and consolidation are the same

Answer 12

Yes - tell them apart with vocal resonance