Questions for cardio Flashcards

1
Q

These descriptions of pulses in an extended matching question (EMQ) are highly suggestive of which conditions

Irregularly irregular

A

AF

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2
Q

These descriptions of pulses in an extended matching question (EMQ) are highly suggestive of which conditions

Slow-rising pulse

A

Aortic stenosis

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3
Q

These descriptions of pulses in an extended matching question (EMQ) are highly suggestive of which conditions

Collapsing pulse

A

aortic regurgitation

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4
Q

These descriptions of pulses in an extended matching question (EMQ) are highly suggestive of which conditions

Bounding pulse

A

Acute CO2 retention, hepatic failure, sepsis

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5
Q

These descriptions of pulses in an extended matching question (EMQ) are highly suggestive of which conditions

Radiofemoral delay

A

Coarctation of aorta

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6
Q

These descriptions of pulses in an extended matching question (EMQ) are highly suggestive of which conditions

Jerky pulse

A

Hypertrophic obstructive cardiomyopathy

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7
Q

These descriptions of pulses in an extended matching question (EMQ) are highly suggestive of which conditions

Pulsus bisferiens

A

Mixed aortic valve disease
Hypertrophic obstructive cardiomyopathy

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8
Q

These descriptions of pulses in an extended matching question (EMQ) are highly suggestive of which conditions

Pulsus paradoxus

A

Constrictive pericarditis
Cardiac tamponade

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9
Q

These descriptions of JVP in an extended matching question (EMQ) are highly suggestive of which conditions

Raised, fixed JVP

A

Superior vena cava obstruction

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10
Q

These descriptions of JVP in an extended matching question (EMQ) are highly suggestive of which conditions

JVP rising on inspiration

A

Superior vena cava obstruction

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11
Q

These descriptions of JVP in an extended matching question (EMQ) are highly suggestive of which conditions

Large ‘v’ waves

A

Tricuspid regurgitation

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12
Q

These descriptions of JVP in an extended matching question (EMQ) are highly suggestive of which conditions

Absent ‘a’ waves

A

Atrial fibrillation

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13
Q

These descriptions of JVP in an extended matching question (EMQ) are highly suggestive of which conditions

Cannon ‘a’ waves

A

Complete heart block
Atrioventricular (AV) dissociation
Ventricular arrhythmias

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14
Q

These descriptions of physical sign in an extended matching question (EMQ) are highly suggestive of which conditions

Malar (cheek) flush

A

Superior vena cava obstruction

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15
Q

These descriptions of physical sign in an extended matching question (EMQ) are highly suggestive of which conditions

Pulsatile hepatomegaly

A

Tricuspid regurgitation

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16
Q

These descriptions of JVP in an extended matching question (EMQ) are highly suggestive of which conditions

Carotid pulsation (Corrigan’s sign)

A

Aortic regurgitation

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17
Q

These descriptions of physical sign in an extended matching question (EMQ) are highly suggestive of which conditions

Head nodding (De Musset’s sign)

A

Aortic regurgitation

18
Q

These descriptions of physical sign in an extended matching question (EMQ) are highly suggestive of which conditions

Capillary pulsations in nail-bed (Quincke’s sign)

A

Aortic regurgitation

19
Q

These descriptions of physical sign in an extended matching question (EMQ) are highly suggestive of which conditions

Pistol-shot heard over femorals (Traube’s sign)

A

Aortic regurgitation

20
Q

These descriptions of physical sign in an extended matching question (EMQ) are highly suggestive of which conditions

Roth’s spots (boat-shaped retinal haemorrhages)

A

Infective endocarditis

21
Q

These descriptions of physical sign in an extended matching question (EMQ) are highly suggestive of which conditions

Osler’s nodes (painful hard swellings on fingers/toes)

A

Infective endocarditis

22
Q

These descriptions of physical sign in an extended matching question (EMQ) are highly suggestive of which conditions

Janeway’s lesions (painless erythematous blanching
macules seen on palmar surface)

A

Infective endocarditis

23
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

‘Saw-tooth’ pattern with
normal complexes

A

Atrial flutter

24
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

• Absent ‘p’ wave

A

Atrial fibrillation

25
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

Bifid ‘p’ wave

A

Left atrial hypertrophy, e.g. mitral stenosis

26
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

Peaked ‘p’ wave

A

Right atrial hypertrophy, e.g. pulmonary
hypertension, tricuspid stenosis

27
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

ST elevation

A

Acute myocardial infarction (MI)
Left ventricular aneurysm

28
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

Saddle’-shaped ST elevation

A

Acute constrictive pericarditis

29
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

S I, Q III, T III pattern (deep
S waves in I, Q waves in III,
inverted T waves in III)

A

Pulmonary embolus

30
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

Flattened ‘t’ waves, prominent
‘U’ waves (muscle weakness,
cramps, tetany)

A

Hypokalaemia

31
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

Long ‘Q–T’ interval, tetany,
perioral paraesthesia,
carpopedal spasm

A

Hypocalcaemia

32
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

Hyperacute T waves (inverts later), ST
elevation and then Q wave formation;
Localizing infarct (leads with above ECG
changes):

II, III, aVF

A

Inferior infarct

33
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

I, aVL, V2–V6

A

Anterolateral infarct

34
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

Hyperacute T waves (inverts later), ST
elevation and then Q wave formation;
Localizing infarct (leads with above ECG

V2–V5

A

Anterior infarct

35
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

Hyperacute T waves (inverts later), ST
elevation and then Q wave formation;
Localizing infarct (leads with above ECG
changes):

ST and T wave changes but no Q waves

A

Subendocardial infarct

36
Q

These descriptions of ECG finding in an extended matching question (EMQ) are highly suggestive of which conditions

Reciprocal changes V1, V2 (tall R waves,
ST depression, tall upright T waves)

A

Posterior infarct

37
Q

These descriptions of side effects finding in an extended matching question (EMQ) are highly suggestive of which particular drug

Impotence

Shortness of breath
Cold peripheries

A

β blockers, e.g. propranolol

38
Q

These descriptions of side effects finding in an extended matching question (EMQ) are highly suggestive of which particular drug

Impotence

Persistent dry cough

A

ACE (angiotensin-converting
enzyme) inhibitor, e.g. captopril

39
Q

These descriptions of side effects finding in an extended matching question (EMQ) are highly suggestive of which particular drug

Impotence

Gynaecomastia

A

Digoxin, spironolactone

40
Q

These descriptions of side effects finding in an extended matching question (EMQ) are highly suggestive of which particular drug

Impotence

Hyper-/hypothyroidism
Corneal microdeposits

A

Amiodarone

41
Q

These descriptions of side effects finding in an extended matching question (EMQ) are highly suggestive of which particular drug

Impotence

Flushing, headache, ankle oedema

A

Nifedipine

42
Q

These descriptions of side effects finding in an extended matching question (EMQ) are highly suggestive of which particular drug

Impotence

Gout (hyperuricaemia)

A

Thiazide diuretic, e.g. bendrofluazide