Rev 02/03

Question 1

Low renal perfusion makes which system work

Answer 1

RAAS system

Question 2

L heart failure

Answer 2

Pulmonary congestion. Pre syncope exertion all dyspneo fatigue

Question 3

R heart failure

Answer 3

Liver contest raised Japanese peripheral oedema

Question 4

Eccentric remodelling heart failure gives

Answer 4

HFrEF

Question 5

Concentric remodelling gives (diastolic filling issues)

Answer 5

HFpEF

Question 6

BNP is released by

Answer 6

Ventricular myocytes

Question 7

Loop diuretics affect mortality in HF by…

Answer 7

Do not affect mortality on,y symptoms

Question 8

First line HF treatment

Answer 8

Ace inhib or b blocker

Question 9

HF scond line treatment

Answer 9

Aldosterone antagonist (spirin)
SGLT2 Inhbitor with reduced fraction

Question 10

What to before starting entretone

Answer 10

ACE ARB washout as it is. Mix of sacubitril and vandesartan

Question 11

HF vaccine advice

Answer 11

Annual flu
One odd pneumococcal- booster if aseplenic or CKD

Question 12

Normal QT

Answer 12

Less than half cardiac cycle
Greater 440 or 460ms at 60bpm
Find QTc for not just 60bpm

Question 13

Long qt means

Answer 13

Abnormal long repolarising of cardiac myocytes

Question 14

Phase two cardiac cycle is comtrolled which electrolyte

Answer 14

K channels open
L type ca 2 makes cell positive manning
Stage 3 is L type ca closing

Question 15

Polymorphic VT

Answer 15

Torsades de pointes

Question 16

Long Qt and torsades de pointes causes

Answer 16

Meds class 1a antiarrmic and class 3 antibarrythmic
TCAntidepress
Erythromycin
Choloquine
Hpypothermia
SAH