Meeran Book Cardio Flashcards

1
Q

What are the signs of Digoxin poisoning?

A
  • Yellow rings around light
  • Bradycardia/ tachycardia and palpitations
  • Nausea
  • Anorexia
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2
Q

What is the most probably cause of AF in a young person?

A

Hyperthyroidism

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3
Q

Which valve is most likely associated with AF?

A

Mitral valve pathology

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4
Q

What are the organisms associated with infectious endocarditis?

A
  • Staph aureus (most commonly and associated with IVDU)
  • Strep viridans (dental work)
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5
Q

What is the definitive diagnostic tool for infective endocarditis?

A

Blood cultures, three performed within 24 hours 2 hrs apart

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6
Q

What are the adverse effects of amiodarone?

A
  • Pulmonary fibrosis
  • Liver damage
  • Peripheral neuropathy
  • Abnormal thyroid function
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7
Q

What is the most common cause of resistance to hypertensive therapy?

A

Failure to take medication correctly

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8
Q

What is the first sign seen on x-ray of left sided heart failure?

A

Pulmonary oedema–> pleural effusion

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9
Q

What is the pulse pressure like in aortic stenosis?

A

Narrow pulse pressure

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10
Q

What is the CHADS VaSc score?

A
  • Congestive heart failure (1)
  • Hypertension (1)
  • Age
    • >= 75 (2)
    • >= 65 (1)
  • Diabetes mellitus (1)
  • Stroke/ TIA previously (2)
  • Vascular disease (1)
  • Sex
    • Female (1)

0= no management required

1= aspirin/ warfarin

2= warfarin

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11
Q

What are the signs of ischaemia on ECG?

A
  • ST depression
  • T wave inversion
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12
Q

Why are troponin levels not the most indicitive test for MI at patient presentation?

A

Because troponin levels take 10-12 hours to come back

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13
Q

What is the murmur heard with mitral prolapse?

A

Barlow syndrome, mid-systolic click with late systolic murmur

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14
Q

What is a Carey Coombs murmur?

A

A murmur associated with Rheumatic fever and a thickened mitral valve, a short mid-diastolic murmur at the apex

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15
Q

What should be given to a patient at presentation with ?MI who is allergic to aspirin?

A

Clopidogrel

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16
Q

What is the normal range for a PR interval?

A

3-5 small squares (0.12-0.2s)

17
Q

What is the normal range for a QRS complex?

A

1.5-2.5 small squares (0.06-0.1s)

18
Q

What is the normal QT interval range?

A

9-11 small squares (0.36-0.44s)

19
Q

What is the normal P wave range?

A

2-3 small squares (0.08-0.12s)

20
Q

What is the first line management of a patient with AF at presentation within 48 hours?

A

DC cardioversion

21
Q

What is Dressler’s syndrome?

A

An autoimmune pericarditis that occurs weeks after an MI

22
Q

What is the most likely complication of a small, asymptomatic VSD?

A

Endocarditis, due to stasis of blood potentially causing infection

23
Q

What is the first line imaging for polycystic kidney disease?

A

USS KUB

24
Q

What is the inheritance pattern of polycystic kidney disease?

A

Autosomal dominant

25
Q

What is the pulse pressure like in aortic regurgitation?

A

Wide pulse pressure

26
Q

What is the presentation on Prinzmetal angina?

A

Variant angina, occurs usually when the individual is at rest between midnight and the early hours of the morning

27
Q

Which medication is contraindicated in Prinzmetal angina?

A

Beta blockers, as they can induce vasospasm

28
Q

What is the pharmacological management of HOCM?

A
  1. Beta blockers
  2. Verapamil (NDH Ca channel blockers)