Peer Teaching Cardio Flashcards
What is the acute management of patients with an MI?
300mg aspirin 12 lead ECG GTN spray -Troponin useful but neccessary -Cardiac exam won't add much to the picture -High flow oxygen NOT recommended -PCI useful but not immediate
What is the pharmacology of spirolactone?
It is a aldosterone receptor antagonist.
It inhibits aldosterone receptors in the distal tubules.
3. Which of these is not a risk factor for hypertension? A. Caucasian race B. High caffeine consumption C. Type A personality D. Smoking E. Sedentary lifestyle
a) Caucasian race
The patient has
an irregularly irregular pulse, and on auscultation there is an audible pan-systolic
murmur at the apex. What is the most likely diagnosis?
Mitral regurgitation
Which of the following ECG changes is diagnostic in a patient with a myocardial
infarction?
ST depression
ST elevation
T wave inversion
Abnormal Q wave
What is the pharmacology of furosemide?
Loop diuretic
Inhibition of the sodium/potassium/chloride symporter in the loop of Henle
What is the pharmacology of bendroflumethiazide?
Thiazide diuretics
B. Inhibition of the sodium chloride transporter in the distal convoluted tubule
What is the pharmacology of amlodipine?
CCB
C. Inhibition of L-type voltage gated calcium channel in the nephron
What is the pharmacology of aspirin?
COX inhibitor
Inhibition of cyclooxygenase enzymes in the proximal tubules
What ECG changes would you expect in bundle branch block?
Wide QRS
What ECG changes could you expect in patients taking amiodarone and certain antibiotics?
QT prolongation
What presentation could you expect for patients with Cor pulmonae?
Right sided heart failure - presents with shortness of breath
What presentation could you expect for patients with LBBB?
Asymptomatic - diagnosed by ECG changes
