Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Chings Notes > Mplus Cardiology > Flashcards

Mplus Cardiology Flashcards

1
Q

In Chad’ scoring, if it is 0 score
What is the management?

A

No anticoagulants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In Chad’s scoring, if the score is 1
What is the management?

A

No antioplatelets or no anticoagulants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In Chad’s scoring, if the score is 2
What is the management?

A

Anticoagulant needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

1Severe chest pain Radiating to the back
Wide mediastinum
Diastolic murmur
ST segment elevation

Clinical features: thoracic or abdominal pain which is sharp, tearing or ripping

A

Aortic Dissection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is contraindicated in Aortic Dissection?

A

Thrombolysis like Alteplase
Because of the risk of bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the treatment for AORTIC Dissection?

A

Morpihe - for pain relief
BETA blocker - to keep the systolic BP <120 mmHg
Urgent TOE - to confirm the diagnosis of AD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Non-specific T wave inversion
Elevated triponin level
What is this ?

A

NSTEMI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the management for NSTEMI?

A

ASPIRIN AND CLOPIDOGREL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the treatment of Inferior Stemi/ Acute Segment Deviation?

A

Repercussion Therapy with Fibrinolytics or Urgent PCI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Pleural effusion. Chest pain
This happened 2 - 3 wks after the onset of Myocardial Infarction.

A

Dressler’s Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the treatment of Dressler’s Syndrome?

A

Aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Tall T waves
Prolong Pr

What is the diagnosis and treatment?

A

HYPERKALEMIA
tx: Calcium Gluconate 10%
- infused 2-3 mins with cardiac monitoring lasting for 30 mins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the causes of elevated Troponin?

A

Renal failure
Myocarditis
Atrial Fibrillation
Pulmonary thromboembolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does not elevate Troponin level?

A

Bradyaarythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the treatment for Infectious Endocarditis?

A

A B lactam Gentamicin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Elevated JVP or Kussmaul’s sign

Other signs include:
Massive hepatosplenomegaly
Ascites
Peripheral edema

A

Constrictive Pericarditis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the dual antiplatelet drugs and how long should it be taken ?

A

Ticagrelor
Prasugel
Clopidogrel

12 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Crackles in the lungs
Wheezes
Poor weight gain

A

CARDIAC heart Failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Diastolic murmur

A

HYPERTROPHIC CARDIOMYOPATHY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Most effective prevention for CVD and premature cardiac death?

A

Quit smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the low risk of developing coronary heart disease?

A

LSL <4 mmol/L
Triglyceride <2 mmol/L
HDL > 1 mmol/L
Total Cholesterol _ 5.5 mmol/L

22
Q

What is the nonpharmacologic therapy for coronary heart disease?

A

DIET AND EXERCISE

23
Q

Sample case of CVD assessment
Systolic BP of 180 mmHg
And total cholesterol >7.5
What is the Absolute CVD risk for this patient?

A

> 30%

24
Q

Patient, male, obese BMI 32
Heavy drinker, smoker
Hypertension and DM type 2
Erectile dysfunction
What is the next management?

A

Check blood sugar

25
Q

What are the first line investigations for erectile dysfunction?

A

Blood glucose
Free testosterone
Thyroid Function
Proactive Levels
Luteinizing Hormone

26
Q

What is the gold standard for the ST elevation?

A

CARDIAC CATHETERIZATION

27
Q

Segmental elevation
II, III and AVF
What is the next management?

A

Repercussion Therapy
- cardiac catheterization

28
Q

What are the different types of Cardiac Catheterization?

A
  1. PCI
  2. Angioplasty
  3. Balloon Angioplasty
29
Q

What is the second line of treatment for ST segment elevation?

A

Fibrinolytic Therapy

30
Q

If patient is being transported to a tertiary coronary rescue unit, while on transit this should be the management

A

Morphine and Glyceryl Nitrate

31
Q

What is the most common cause of death in adults < 35 years?

A

Hypertrophy Cardiomyopathy

32
Q

What is the treatment for Hypertrophic Cardiomyopathy?

A

SUBLINGUAL NITROGLYCERIN

33
Q

After giving sublingual nitroglycerin what is the next step for patients with Hypertrophic Cardiomyopathy?

A

Refer to Stress Echocardiography

34
Q

What are the factors that help in predicting prognosis of patients with heart failure ?

A

Echocardiogram
LAB investigation
Patient’s history
Functional Statins

Except:
JVP

35
Q

What is the next best management if there is Syncope or episodes of loss of consciousness even if the ECG is normal?

A

EEG

36
Q

What is the most appropriate investigation to rule out pulmonary embolism?

A

V/Q scan

37
Q

48 cholecystectomy, USG gallstones, general anaesthesia with enditracheal intubation, Co2 gas insufflation, severe sinus bradycardia , atrioventriculat block, cause of the observe intraoperative finding in the patient?

A

Peritoneal Stretching

38
Q

Acute onse left sided weakness, increased fatigue, low grade fevers, occasional palpitations, no prior medical conditions , no medications, non-smoker, non alcoholic, s1 and s2 and middiastolic rumble at the apex, lungs clear, left sided weakness kn neurologic examination, hgb 10.2, brain imaging shows small infarcts, transthoracic echocardiography shows mass in the Left atrium. Diagnosis?

A

Intracardiac tumour

39
Q

No heart murmurs. Lungs clear , normal sinus rhythm, ecg shoes moderate left atrial enlargement, lvh. Ejection fraction 65%, further work up is most likely to identify in this patient?

A

Atrial fibrillation

40
Q

What is the treatment for diastolic heart failure

A

Diuretics
Dioxin
Vasodilators

41
Q

80 yo man emerg3ncy strangulated direct hernia. Clopidogrel sustained in acute MI. What is the next best management priort to the surgery?

A

Give platelets and proceed to surgery

42
Q

Pulmonary component of S
2 is split.
A2 follows P2 during expiratory phase of respiration.
What is the diagnosis?

A

Aortic valve stenosis

43
Q

Copd, bilateral ankle edemea, raised jugular vein pressure , positive hepatojugylat reflux, loud P2, decreased air entry and fine bilateral crackles. What is the diagnosis?

A

Cor pulmonale

44
Q

Which of the Ff would form the basis for diagnosis an acute ST segment elevation myocardial Infarction or Stemi?

A

Chest pain/discomfort, suggestive acute MI in the presence of St segment elevation more than 1 mm in two contagious leads or newly developed LBBB

45
Q

Which of the following is not an ECG finding associated with dioxin use?

A

Prolonged qt interval

46
Q

4 benighted ECg changes associated with therapeutic levels of digoxin

A

T WAVE CHANGES ASUCH AS FLATTEBIBG OR UVERSIOB
qT interval shortening
Scooped appearance of ST segment with ST segment depression
Increased amplitude of U wave

47
Q

Echocardiography reveals an ejection fraction of 55%. What is the underlying cause of the murmur?

A

Papillary muscle dysfunction

48
Q

Widened mediastinum

A

Aortic dissection

49
Q

Most appropriate treatment for widened mediastinum

A

Give morphine and beta blockers and arrange for TOE

50
Q

Which one of the following test results indicated a high probability of pulmonary embolus in a particular zone of rhe lung?

A

Normal chest X Ray, normal ventilation, reduced perfusion

51
Q

Not a contraindication to thrombolytics use in a patient with ST elevation myocardial infraction

A

Heavy menstrual bleeding

52
Q

Which of the Ff best describes the conditions termed as acute coronary syndrome

A

Unstable angina, non st elevation, kyocardial infarction and St elevation

Chings Notes (39 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions