Cardio

Question 1

2 shockable rhythms

Answer 1

Ventricular fibrillation

Sustained ventricular tachycardia

sustained VT the patient can be cardioverted with amiodarone if they are stable

Question 2

Tet of fallot

Answer 2

Pulmonary stenosis,
right ventricular hypertrophy
ventricular septal defect
overriding aorta

Question 3

Opioids like morphine have a what effect?

Answer 3

constipating effect.

Question 4

A pulsatile expansile mass refers to what

Answer 4

AAA

Question 5

Pericarditis 4 points

Answer 5

PR depression
ST elevation
Tachy
Fever

Question 6

Crescendo-decrescendo systolic murmur radiating to the carotids

Answer 6

Aortic stenosis

Question 7

Afib

Answer 7

No P waves/ no baseline

Question 8

native valves are the OG (original) valves  give ?

Answer 8

amoxicillin and gentamicin

Question 9

prosthetic valves are Very Good new valves , give what?

Answer 9

give Vancomycin and Gentamicin (and rifampicin)

Question 10

ACEi from where?

Answer 10

Lungs

Question 11

Tricuspid Valve, Top cat

Answer 11

Closing biphasic
waveform
JVP

Question 12

Pulmonary Valve ref jvp

Answer 12

Opening
biphasic waveform
JVP

Question 13

Atropine Mech

Answer 13

M2 muscarinic antagonist

Question 14

Atropine Mech

Answer 14

M2 muscarinic antagonist

Question 15

Aortic Regurgitation- what happens to pulse

Answer 15

Collapsing pulse

Question 16

Coarctation of the Aorta, what happens to the radio-femoral pulse

Answer 16

Radiofemoral delay

Question 17

hocm pulse

Answer 17

Jerky pulse

Question 18

SVC obstruction
Raised,

Answer 18

SVC obstruction
Raised, fixed JVP

Question 19

Cardiac tamponade, what happens to jvp

Answer 19

JVP rising on inspiration

Question 20

Constrictive pericarditis, what happens to jvp

Answer 20

JVP rising on inspiration

Question 21

Tricuspid Regurgitation- which waves and what size

Answer 21

Large ‘v’ waves

Question 22

AF- which waves are absent

Answer 22

Absent ‘a’ waves

Question 23

Complete heart block

Answer 23

Cannon ‘a’ waves

Question 24

Aortic Regurgitation, pulse pressure

Answer 24

Wide pulse pressure

Question 25

Aortic Stenosis, pulse pressure

Answer 25

Narrow pulse pressure

Question 26

Mitral Stenosis- what is sign on face

Answer 26

Malar flush

Question 27

Tricuspid Regurgitation PH

Answer 27

Pulsatile hepatomegaly

Question 28

Aortic Regurgitation 4 points

Answer 28

Corrigan's de Musset's Sign (Head nodding) Capillary pulsations in nail-bed (Quincke’s sign) Pistol-shot heard over femorals (Traube’s sign)

Question 29

ASD- what heart sound

Answer 29

Fixed split S2

Question 30

PDA

Answer 30

Continuous ‘machinery’ murmur below left clavicle

Question 31

acute pericarditis ecg

Answer 31

‘Saddle’-shaped ST elevation

Question 32

verapamil bad side effect

Answer 32

constipation

Question 33

nifedipine- side effect

Answer 33

ankle oedema

Question 34

thiazide diuretics side effect Indapamide Inhibit NaCl reabsorption in distal

Answer 34

drug causing - gout

Question 35

Hyperkalaemia Hypokalaemia Hypocalcaemia

Answer 35

Hyperkalaemia Tall tented ‘t’ waves, wide QRS complex (sine wave) Hypokalaemia Flattened ‘t’ waves, prominent ‘U’ waves (muscle weakness, cramps, tetany) Hypocalcaemia Long QT (which electrolyte imbalance)

Question 36

spironolactone drug causing -

Answer 36

Gynaecomastia

Question 37

What is a key indicator of Goodpasture's Syndrome

Answer 37

anti-GBM antibodies

Question 38

Chlamydia psittaci sputum colour

Answer 38

Mucoid sputum

Question 39

Pneumococcal pneumonia- colour sputum

Answer 39

Rusty sputum

Question 40

hypercapnia or side effects of organic nitrates

Answer 40

Morning headache

Question 41

alpha 1 antitrypsin deficiency

Answer 41

Early onset emphysema

Question 42

Ureteric colic

Answer 42

Colicky loin pain groin

Question 43

hepatic encephalopathy

Answer 43

Asterixis (liver flap)

Question 44

Hypoalbuminaemia

Answer 44

Leuconychia

Question 45

Peutz-Jeghers syndrome

Answer 45

Buccal pigmentation

Question 46

B12 deficiency

Answer 46

Glossitis- red tounge

Question 47

haemochromatosis

Answer 47

Bronze pigmentation with DM

Question 48

deep S waves in V1 and tall R waves in V6 with a combined amplitude of 40mm is suggestive of

Answer 48

HOCM

Question 49

'My Small Lambo broke down and I had to call the AA' -

Answer 49

'My Small Lambo broke down and I had to call the AA' - Small cell can cause Lambert Eaton, and the release of ADH and ACTH.

Question 50

J-waves are

Answer 50

associated with hypothermia

Question 51

Small cell lung cancer (SCLC) Paraneoplastic syndromes:

Answer 51

Small cell lung cancer (SCLC) Paraneoplastic syndromes: S = SiADH C = Cushing's Syndrome L = Lambert-Eaton Syndrome C = Cerebellar Syndrome

Question 52

high urinary cortisol result =

Answer 52

Cushing's syndrome.

Question 53

chronic watery diarrhoea, flushing and abdominal pain are classic of

Answer 53

carcinoid syndrome.

Question 54

The most common organism causing infective exacerbations of COPD is

Answer 54

Haemophilus influenzae

Question 55

Liver failure following cardiac arrest think

Answer 55

ischaemic hepatitis

Question 56

Brugada syndrome and HOCM equipment

Answer 56

implantable cardioverter-defibrillator

Question 57

HCO3- is low confirming

Answer 57

a metabolic acidosis

Question 58

Staphylococcus aureus is commonly associated with

Answer 58

infective endocarditis amongst IVDU

Question 59

bacterial endocarditis are caused by

Answer 59

gram positive cocci.

Question 60

p-ANCA can also be positive in

Answer 60

primary sclerosing cholangitis,