11/3

Question 1

When mitral regurgitation appears post MI - what has caused it?

Answer 1

Papillary muscle damage - papillary muscle is suspectible to necrosis and hypoxia like all other cardiac muscle

Unlikely to be chordae tendineae tear as less suspectible to necrosis

Question 2

In what situation should an ACEi be started in CKD?

Answer 2

When album:creatine ratio >30 mg/mol if HTN

> 70 mg/mmol otherwise

//should defos be on it if diabetic//

Question 3

What should be done to manage an acute flare of rheum joint pain?

Answer 3

Steroid joint infection and NSAID for pain relief

If GP - refer to rheum

Question 4

What timeframe defines staggered dose in paracetamol OD?

Answer 4

Over >1hr

Question 5

What must be done post initiation of ACEi?

What can cause the complication

Answer 5

Bloods to check for AKI - do a week or so later

Undiagnosed renal artery stenosis can cause AKI