masterclass 2

Question 1

investigations for A and E chest pain

Answer 1

ECG
troponin
BP

Question 2

ischaemic changes on ECG

Answer 2

T wave inversion, ST depression, new heart blocks, arrhythmia

Question 3

first line antiplatelet

Answer 3

aspirin

Question 4

when is clopidogrel used over aspirin

Answer 4

stroke

Question 5

where is B1 found

Answer 5

heart

Question 6

where is B2 found

Answer 6

lungs and vasculature

Question 7

drug which can act on alpha and beta in the heart

Answer 7

cardivalol

Question 8

adverse effects of non selective BB

Answer 8

syncope, bronchospasm, hypotension, bradychardia, heart block, can mask the symptoms of hypoglycaemia

Question 9

CCB side effects

Answer 9

headache/flushing/reflex tachycardia as there is so low blood pressure/peripheral oedema

Question 10

CCB affect on the heart

Answer 10

Negative inotropes and chronotropes

Question 11

which CCB have selectivity for the heart

Answer 11

Non dihydropyridine

Question 12

name some Non dihydropyridine

Answer 12

Verapamil

Diltiazem

Question 13

which BB are Non dihydropyridine CCB

Answer 13

selective BB

Question 14

why cant you give nitrates all the time

Answer 14

tollerance

Question 15

how to get over nitrate tollerance

Answer 15

not take any over night

Question 16

nitrates side effects

Answer 16

Headache and flushing, reflex tachycardia

Question 17

aspirin MOA

Answer 17

Thromboxane A2 inhibitor - stops platelet adherence

Question 18

which cox produces Thromboxane A2 inhibitor

Answer 18

COX 1

Question 19

how strong is COX blocking in aspirin

Answer 19

irreversible

Question 20

what is sinus rhythm

Answer 20

all the QRS follow a P

Question 21

what are adverse features when talking about arrhythmia

Answer 21

heart failure/fainting/unresponsive/fluid overload/ischemia signs