Random passmed facts

Question 1

Most important biochemical abnormality causing VT?

Answer 1

Hypokalaemia

Question 2

Main side effects of nitrates

Answer 2

Headache, hypotension, tachycardia.

Question 3

Mitral regurgitation (pan systolic) seen in what 2 conditions?

Answer 3

Mar fans and Ehlors danlos.

Question 4

Long QT syndrome caused by what biochemical abnormality?

Answer 4

Hypokalaemia.

Question 5

When should you take a statin/

Answer 5

Night time.

Question 6

If stage 1 hypertension and over 80 years old what do you treat with?

Answer 6

No treatment

Question 7

If under 80 years, stage 1 hypertension, no end organ damage but risk score of 15%, what do u do?

Answer 7

If risk score between 10 + 20% you should give a statin and offer lifestyle advice.

Question 8

What class of drugs is contraindicated in aortic stenosis?

Answer 8

Nitrates

Question 9

Which one of aortic stenosis and coarctation of the aorta cause hypertension?

Answer 9

Coarctation.

Question 10

4 drugs used for heart failure.

Answer 10

DABS: Diuretic, ace I, beta blocker and Spironolactone.

Question 11

What are Osler nodes?

Answer 11

Painful lesions on hands that suggest endocarditis.

Question 12

What are Janeway lesions

Answer 12

Painless lesions that suggest endocardidits?

Question 13

IVDU normally get what endocarditis?

Answer 13

Staph aureus right sided. (Tricuspid)

Question 14

Arterial ulcers are usually where?

Answer 14

On the lateral malleolus.

Question 15

Triad of critical limb iscahemia?

Answer 15

Gangrene, ulceration, rest pain.

Question 16

If an ABPI is > 1.3, what should you do/

Answer 16

Not compress it.

Question 17

Considered safe to monitor aneurysms that are what size?

Answer 17

<5.5cm

Question 18

Where do you measure a DVT?

Answer 18

10cm below tibial tuberosity?

Question 19

What would suggest a DVT?

Answer 19

A difference of >3cm between each leg.

Question 20

Management of DVT in pregnant vs non-pregnant?

Answer 20

Non-pregnancy - rivaroxaban + exercise + stocking

pregnant = LMWH + exercise + sticking.

Question 21

6 Ps of limb ischaemia?

Answer 21

Pale
Pulesless 
Perishingly cold
Paralysis s
Paraethesia
Pain

Question 22

How does a PE present?

Answer 22

SOB, pleuritic chest pain, haemoptysis, dizzy.

Question 23

What does the ABG in PE show?

Answer 23

Type 1 respiratory failure (Resp alkalosis)

Question 24

Diagnostic test for PE?

Answer 24

CTPA

Question 25

Diagnostic test for PE in pregnancy?

Answer 25

Perfusion only VQ scan.

Question 26

PE managemen if active cancer?

Answer 26

LMWH for 6 months.

Question 27

Provoked PE Rx?

Answer 27

LMWH for 3 months.

Question 28

Unprovoked PE Rx?

Answer 28

LMWH for 6 months.

Question 29

Management of PE in pregnancy?

Answer 29

LMWH

Question 30

Management of acute left ventricular failure?

Answer 30

LMNOP

Loop diuretic 
Morphione 
Nitrates 
Oxygen. 
Posture (sit up)

Question 31

Symptoms of acute left ventircular failure/

Answer 31

Pink frothy sputum
Orthopnoea.
Dyspnoea