reivsion Flashcards

revision

1
Q

slow rising pulse

A

aortic stenosis

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2
Q

collapsing pulse

A

aortic regurg

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3
Q

irregular pulse

A

AF

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4
Q

jerky pulse

A

hocm

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5
Q

pulsus alterans

A

left ventricular systole failure

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6
Q

pulsus pardoxus- fading on insipiration

A

cardiac tamponade/pericarditis

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7
Q

raised JVP fixed

A

lung tumour- SVC obstruction

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8
Q

jvp raised on inspiration- kussmal sign

A

constrictive pericarditis/ cardiac tamponade

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9
Q

large V waves

A

tricuspid regugrg

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10
Q

cannon waves

A

complete heart block

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11
Q

absent a waves

A

AF

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12
Q

prominent a waves

A

tricuspid stenosis/ pulmonary stenosis/ pulmonary HT causing right v hypertrophy

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13
Q

infective endocarditis diagnosis criteria?

A

Duke’s (2,1+ 3, 5) major= +ve blood culture 2x certain time apart, sign of endocardial involvement

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14
Q

organism in IE?

A

group a haemolytic strep viridans, staph aureus in IVD users

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15
Q

criteria for rheumatic heart disease? + organism?

A

duckett jones- arthiritis carditis, carey coombs murmur- mid diastolic murmur. sydenham chorea, erythema marginatum strep b haemolytic- strep pyogenes

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16
Q

signs of aortic stenosis?

A

narrow pulse pressure, heaving displaced apex beat, ejection systolic crescendo murmur- aortic area radiate to axilla + carotids

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17
Q

signs of aortic regurg?

A

wide pulse pressure, crescendo decrescendo early diastolic murmur, collapsing pulse severe = austin flint murmur volume overload displaced apex beat

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18
Q

signs of mitral regurg?

A

overloaded apex beat + displaced, pansystolic murmur

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19
Q

signs of mitral stenosis?

A

tapping apex beat, rumbling mid diastolic murmur

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20
Q

graham steel murmur?

A

pulmonary hypertension due to mitral stenosis causing pulmonary valve regurg

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21
Q

atrial septal defect murmur?

A

ejection systolic murmur

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22
Q

VSD murmur?

A

pansystolic murmur

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23
Q

malar flush sign=?

A

mitral stenosis

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24
Q
Aortic regurg
corrigan sign?
De mussets?
quinckes?
traube's?
A

Carotid pulsation (Corrigan’s sign)
Head nodding (De Musset’s sign)
Capillary pulsations in nail bed (Quincke’s sign)
Pistol-shot heard over femorals (Traube’s sign

25
Q

what are roth’s spots

A

infective endocardidtis- boat shaped retinal haemorrhage with a white centre

26
Q

what is beck’s triad?

A

criteria for cardiac tamponade signs = (Low BP + Increased JVP + Muffled heart sounds)

27
Q

causes of absent p waves?

A

sinoatrial block, af

28
Q

cause of peaked p waves?

A

right ventricle hypertrophy

29
Q

pericarditis ecg changes?

A

saddle shaped st segment + PR depression

30
Q

PE ECG sign?

A

S1Q3T3

31
Q

hyperkalaemia ecg signs?

A

tented t waves, sine wave- QRS

32
Q

hypokalaemia ecg signs?

A

flattened t waves, u waves present

33
Q

side effect of b blocker

A

impotence, SOB, cold peripheries

34
Q

ACEi side effect?

A

persistent dry cough

35
Q

simvastatin side effect?

A

hepatotoxicity- LFTs every 12 months, myositis

36
Q

GTN SE?

A

hypotension, tachycardia, flushing, headaches, worsening GORD

37
Q

frusemide SE?

A

hypokalaemia

38
Q

digoxin SE?

A

hypokalaemia, hypercalcaemia, hypo Mg

39
Q

amiodarone SE?

A

lung liver fibrosis, thyroid issues as iodine

40
Q

verapamil se?

A

LV failure

41
Q

anaphylaxis treatment?

A

0.5mg IM (1:1000) adrenaline + 200mg Hydrocortisone + 10mg chlorphenamine

42
Q

pemberton’s sign?

A

facial congestion when lifting arm

43
Q

pleural effusion dx?

A

light’s criteria- Pleural aspiration with ultrasound recommended to reduce the complication rate
Fluid should be sent for pH, protein, lactate dehydrogenase (LDH), cytology and microbiology
• Exudates have a protein level of >30 g/L, transudates have a protein level of <30 g/L

44
Q

Diagnostic criteria of ARDS

A

Bilateral infiltrates on CXR, Pulmonary capillary wedge pressure <18 (no clinical evidence
of increased left atrial pressure) , Refractory hypoxaemia (PaO2:FiO2 <200), lack of clinical congestive heart failure,
acute onset

45
Q

leigonella treatment?

A

ciprofloxaxin- flucoxacillin

46
Q

CF pneumonia?

A

Pseudomonas Aeruginosum

47
Q

Positive cold agglutinins, low grade fever
Eyrthema nodosum. Younger adolescents and adults
Headache, malaise which preceded chest Sx, dry cough

A

mycoplasma pneumonia- treat using clarithromycin

48
Q

most common hospital acquired pneumonia?

A

kliebsiella pneumonia

49
Q

copd pneumonia?

A

haemophilus

50
Q

CURB 65 criteria?

A

AMTS <8, Urea >7, RR >30/min, SBP<90 or DBP<60mmHg,

Age >65

51
Q

Mx of aspiration pneumonia

A

IV cefuroxime and metronidazole (need to

cover anaerobic bacteria)

52
Q

Longstanding COPD, SOB, cough with coloured sputum MX

A

28% O2 blue venturi mask, nebulised salbutamol +
ipratropium, PO prednisolone, amoxicillin (in that
order)

53
Q

when is magnesium sulphate used in asthma

A

life threatining situation

54
Q

how is hiatus hernia managed?

A

nissen fundoplication

55
Q

Signs of chron’s?

A

cobble stone + rose thorn ulcers, barium swallow

56
Q

toxic mega colon dx?

A

12cm dilation of transverse colon with colonic wall thickening

57
Q

dx + mx of haemachromotosis

A

pearl stain liver biopsy show haemosiderin deposits. MX = dexoferoxamine

58
Q

portal HTN criteria

A

10mmhg