misc Flashcards

1
Q

sinus pause >3s is indication for

A

permanent pacemaker

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2
Q

treatment stable narrow complex tachycarida

A

1/vagal manouvre
2/ 6mg IV adenosine
3/ 12mg IV adenosine
4/ 18mg IV adenosine

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3
Q

P pulmonale

A

tall peaked p wave on ECG –> R atrial enlargement

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4
Q

scoring system used to assess risk of bleeding whilst on anticoagulation

A

ORBIT

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5
Q

most common worldwide cause of aortic regurgitation

A

rheumatic heart disease

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6
Q

how does streptococcus gram stain

A

gram positive in chains

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7
Q

how does staphylococcus gram stain

A

gram positive in clusters

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8
Q

normal axis º

A

-30 to +90

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9
Q

left axis deviation º

A

-30 to -90

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10
Q

right axis deviation º

A

+90 to +180

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11
Q

moat common cause mitral stenosis

A

rheumatic heart disease

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12
Q

Becks triad

A

hypotension
raised JVP
muffled heart sounds

(cardiac tamponade)

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13
Q

Mx fast AF

A

IV metoprolol

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14
Q

Mx AF with decompensation

A

synchronised DC cardioversion

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15
Q

Mx cardiac tamponade

A

periacardiocentesis

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16
Q

features posterior MI

A

reciprocal changes V1-V3
horizontal ST depression
tall broad R waves
dominant R wave V2

17
Q

Mx paroxysmal AF

A

pill in pocket method - oral flecanide

18
Q

INR target - AF

A

2-3

19
Q

INR target - aortic valve replacement

A

2-3

20
Q

INR target - mitral valve replacement

A

2.5-3.5

21
Q

INR target - following VTE

A

2-3

22
Q

INR target - VTE whilst taking warfarin

A

3-4

23
Q

pulse seen in severe L side heart failure

A

pulsus alterans

24
Q

causes of Jwave/obsborne wave on ECG

A

hypothermia
hypercalcaemia
intracranial bleed

25
Q

can loop diuretics cause ototoxicity

A

yes

26
Q

side effects GTN

A

hypotension
tachycardia
headache

27
Q

bleeding on dapigatran, give?

A

idarucizumab

28
Q

erythromycin effect on QT

A

lengthen in

29
Q

Ix for aortic dissection

A

CT angiography chest, abdo, pelvis

30
Q

when to start anticoag for patient with AF and had stroke

A

2wks after