Syncope

Question 1

5 element of syncope

Answer 1

Rapid onset
Loss of consciousness
Loss of voluntary muscle tone
Fall
Prompt, complete and spontaneous recovery

Question 2

4 characteristics of transient loss of consciousness

Answer 2

Abnormal motor control
Amnesia for the period of consciousness
Loss of responsiveness
Short duration of loss of voluntary muscle tone

Question 3

Classification of non traumatic TLOC x4

Answer 3

Syncope
Psychogenic
Epileptic seizures
Miscellaneous

Question 4

What systolic BPs at heart and brain levels can cause syncope x2

Answer 4

Heart 50-60
Brain 30-45

Question 5

Define cataplexy

Answer 5

Falls with flaccid paralysis and non responsiveness but no amnesia

Question 6

Clinical features suggestive of reflex syncope x5

Answer 6

Absence of heart disease
Long standing history
Occurring during meals
During prolonged standing
After unpleasant smell or sight

Question 7

Features suggestive of orthostatic hypotension x5

Answer 7

Whilst standing up
Prolonged standing
Postprandial hypotension
Standing after exertion
With autonomic neuropathy

Question 8

Features suggestive of cardiac syncope x5

Answer 8

On exertion or in supine
Sudden onset palpitations then syncope
Family history of sudden death
Personal history of heart disease
ECG findings suggesting arrhythmic syncope