Buzzwords

Question 1

Patient has fever and pleuritic chest pain that is relived by sitting up and leaning forward

Answer 1

Pericarditis

Question 2

Irregularly irregular pulse

Answer 2

Atrial Fibrillation

Question 3

ECG, saw tooth baseline = 150bpm

Answer 3

Atrial Flutter

Question 4

Alveolar bat’s wings, (Kerley) B lines, cardiomegaly, dilated prominent upper lobe vessels, pleural effusion

Answer 4

Pulmonary Oedema

Question 5

Raised JVP/heptojugular reflex

Answer 5

Right sided heart failure

Question 6

Sense of impending doom

Answer 6

MI

Question 7

Saddle shaped ST elevation

Answer 7

Pericarditis

Question 8

Broad complex tachycardia

Answer 8

Ventricular Problem

Question 9

Rumbling mid- diastolic murmur with tapping, undisplaced apex, loud first heart sound

Answer 9

Mitral Stenosis

Question 10

Broad QRS complex with slurred upstroke on R wave (delta wave)

Answer 10

Wolf-Parksinson-White syndrome

Question 11

Tall tented T waves and wide QRS complexes

Answer 11

Hyperkalaemia

Question 12

Patients gets pericarditis 4-6 weeks post MI

Answer 12

Dressler’s syndrome

Question 13

Blurred yellowing vision headache

Answer 13

Digoxin Toxicity

Question 14

January Lesions/Osler’s Nodes

Answer 14

Subacute bacterial endocarditis

Question 15

Continuous Machine like heart murmur

Answer 15

Patent Ductus Arteriosus

Question 16

Rib notching on CXR

Answer 16

Coarctation of the aorta

Question 17

Crescendo decrescendo
murmur
Narrow pulse pressure, heaving and undisplaced apex beat, soft second heart sound heard in aortic, radiating to carotids

Answer 17

Aortic stenosis

Question 18

Diminished absent lower limb pulses

Answer 18

Coarctation of the aorta

Question 19

MRS ASS

Answer 19

Mitral Regurgitation Systolic, Aortic Stenosis Systolic

Question 20

Assymetrical pulses and excruciating pain

Answer 20

Aortic dissection

Question 21

Lying flat and 3rd heart sound

Answer 21

Heart failure

Question 22

What are low voltage QRS complexes caused by?

Answer 22

hypothyroidism, COPD, haemocrit

Question 23

Turner’s syndrome

Answer 23

Coarctation of the aorta

Question 24

Marfan’s syndrome

Answer 24

Aortic root dilatation

Question 25

Deficiency of app-B100 (binds to LDL to allow the uptake of VLDL, IDL, LDL)

Answer 25

accumulation of cholesterol

Question 26

U wave

Answer 26

Hypokalemia

Question 27

Raised J waves

Answer 27

Hypothermia

Question 28

Shortened QT interval

Answer 28

Hypercalaemia

Question 29

Prolonged QT interval

Answer 29

Hypocalaemia

Question 30

Exertional breathlessness and throat tightness

Answer 30

Myocardial Ischaemia

Question 31

Raised JVP and heptamegaly

Answer 31

Chronic Heart failure

Question 32

Heavy proteinuria

Answer 32

Nephrotic sydrome

Question 33

Treatment of Pulmonary Oedema- SOND

Answer 33

Sit patient up Oxygen (Non Invasive Postive Pressure) Nitrates (IV Glyceryl Trinitrate) Diuretics (loop-furisemide)

Question 34

Third heart sound and soft first heart sound

Answer 34

Mitral regurgitation

Question 35

Systolic murmurs

Answer 35

Pulmonary stenosis, Ventricular Septal Defect and Tricuspid Regurgitation

Question 36

eJeCtIoN sYsToLiC--- CrEsCenDOOOO-decrecendo

Answer 36

Aortic Stenosis, Pulmonary Stenosis, Aortic or Pulmonary Flow Murmurs

Question 37

Pansystolic Murmur-- through whole of S1 and S2

Answer 37

Mitral and Tricuspid Regurgitation and Ventricular Septal Defect

Question 38

Late systolic murmur

Answer 38

Mitral valve prolapse

Question 39

Early diastolic murmur

Answer 39

Aortic or Pulmonary Regurgitation

Question 40

Mid diastolic murmur

Answer 40

Mitral Stenosis, Tricuspid Stenosis, Mitral or Tricuspid Flow murmurs

Question 41

Sinus Tachycardia causes

Answer 41

Anxiety, fever, anaemia, heart failure, Thyrotoxicosis, Phaeochromocytoma, B agonists

Question 42

Sinus Bradycardia causes

Answer 42

MI, Sinus Node disease, Hypothermia, Hypothyroidism, Raised Intercranial Pressure, Cholesterolic Jaundice

Question 43

Name 4 class of anti-arrthymic drugs and what they do

Answer 43

1- Na channel blockers 2. Beta Blockers 3. K channel blockers 4. Ca channel blockers

Question 44

Give an example of each anti-arrthythmic drug

Answer 44

I: Disopyramide II:Propranolol, Atenolol III: Amiodarone IV: Diltiazem, Verapamil