Cardio

Question 1

Fever + pleuritic chest pain that is relieved by sitting up and leaning forwards

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

Raised JVP / hepatojugular

Answer 4

Right-sided heart failure

Question 5

Sense of impeding doom

Answer 5

MI

Question 6

Saddle shaped ST elevation

Answer 6

Pericarditis

Question 7

Broad complex tachycardia

Answer 7

Ventricular problem

Question 8

Mid-diastolic murmur with a tapping, undisplaced apex

Answer 8

Mitral stenosis

Question 9

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

Answer 9

Wolff-Parkinson-White syndrome

Question 10

Tall tented T waves

Answer 10

Hyperkalaemia (+wide QRS complexes)

Question 11

Patient gets pericarditis 4-6 weeks post MI

Answer 11

Dressers syndrome

Question 12

Blurred yellowing vision headache

Answer 12

Digoxin toxicity

Question 13

Jane way lesions/oslers nodes

Answer 13

Subacute bacterial endocarditis

Question 14

Continuous machine like heart murmur

Answer 14

Patent Ductus Arteriosus

Question 15

Rib notching on CXR

Answer 15

Coarctation of the aorta

Question 16

Crescendo decrescendo murmur

Answer 16

Aortic stenosis

Question 17

Diminished absent lower limb pulses

Answer 17

Coarctation of the aorta

Question 18

Side effect of ACEi

Answer 18

Dry cough

Question 19

Contraindication with ACEi

Answer 19

Renal artery stenosis

Question 20

Radial-radial delay

Answer 20

Aortic dissection/coarctation of the aorta

Question 21

Collapsing pulse

Answer 21

Aortic regurgitation

Question 22

Slow rising pulse

Answer 22

Aortic stenosis

Question 23

Splinter haemorrhages

Answer 23

Infective endocarditis

Question 24

Most common cause of acute infective endocarditis

Answer 24

Staph. Aureus

Question 25

Most common cause of subacute infective endocarditis

Answer 25

Viridans streptococci (esp. in pre-damaged native valves)

Question 26

infective endocarditis after prosthetic valve/ surgery

Answer 26

Staph. Epidermis

Question 27

Farming

Answer 27

Coxiella burneti

Question 28

Brucella

Answer 28

Goats

Question 29

Immune compromised/ IV drug user/ IV lines

Answer 29

Fungi

Question 30

IV drug user

Answer 30

Staph. Aureus (Sometimes candida)

Question 31

Atrial myxoma

Answer 31

Noncancerous tumour in the upper left or right side of the heart. Most often grows on the wall that separates the two sides of the heart

Question 32

4 H’s and 4 T’s responsible for cardiac arrest

Answer 32

Hypovolaemia Hypothermia Hyperkalaemia/hypokalaemia Hypoxia Tamponade Tension pneumothorax Thromboembolism Toxin

Question 33

6 P’s of pale limb ischaemia

Answer 33

Pale Pulseless Painful Paralysed Paraesthetic Perishingly cold