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Cardiology > Passmed/pastest > Flashcards

Passmed/pastest Flashcards

1
Q

Overdose of which class of drug presents early with dry mouth, dilated pupils, tachycardia and blurred vision?

A

Tricyclic antidepressants e.g. amitriptyline, dosulepin

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2
Q

ECG changes in TCA overdose? (3)

A

Sinus tachycardia
Widening of QRS
QT prolongation

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3
Q

Features of severe TCA poisoning? (4)

A

Arrythmia
Seizure
Coma
Metabolic acidosis

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4
Q

Treatment of TCA poisoning?

A 
IV bicarbonate (correction of acidosis) reduces seizure/arrythmia risk
Intravenous lipid emulsion
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5
Q

Small hump at the end of the QRS complex- what is this called and what is it a feature of?

A

J-wave

Hypothermia

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6
Q

Coarctation of the aorta is associated with what other cardiac anomaly?

A

Bicuspid aortic valve

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7
Q

Diagnosis of phaeochromocytoma?

A

24hr collection of urinary metanephrines

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8
Q

ECG changes in hyperkalaemia?

A

Tall tented T waves
Small P waves
Wide QRS
Sinusoidal QRS pattern VF/VT–> asystole

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9
Q

Drugs which cause hyperkalaemia?

A

Potassium sparing diuretics
ACE inhibitors/ARBs
Spironolactone

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10
Q

Conditions which result in hyperkalaemia? (4)

A

AKI
Metabolic acidosis
Addisons disease
Rhabdomyolysis

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11
Q

Emergency treatment of hyperkalaemia? (4)

A

10ml calcium gluconate (10%)
Insulin + glucose
Salbutamol neb
Dialysis

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12
Q

Antibiotic to avoid in long QT syndrome?

A

Erythromycin

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13
Q

Arterial pulses:

Collapsing

A

Aortic regurgitation

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14
Q

Arterial pulses:

Paradoxical

A

Cardiac tamponade

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15
Q

Arterial pulses:

Alterans

A

Severe left heart failure

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16
Q

Arterial pulses:

Slow rising

A

Aortic stenosis

17
Q

Arterial pulses:

Absent

A

Takayasu’s arteritis

18
Q

High-output cardiac failure + neurological symptoms

A

Beri-beri as a result of thiamine deficiency

19
Q

Common sign of digoxin toxicity?

A

Blurred vision

Cardiology (21 decks)

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