Cardio

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 + 150 bpm

Answer 3

Atrial fibrillation

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/hepatojugular

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

Mid-diastolic murmur with a tapping, undisplayed apex

Answer 9

Mitral stenosis

Question 10

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

Answer 10

Wolff-Parkinson-White syndrome

Question 11

4 H’s and 4 T’s for reversible causes of cardiac arrest

Answer 11

Hypovolaemia, Hypothermia, Hyperkalaemia/hypokalaemia, Hypoxia
Tamponade, tension pneumothorax, Thromboembolism, Toxin

Question 12

Tall, tented T waves

Answer 12

Hyperkalaemia (and wide QRS complexes)

Question 13

Patient gets pericarditis 4-6 weeks post MI

Answer 13

Dressler’s syndrome

Question 14

Blurred yellowing vision headache

Answer 14

Digoxin toxicity

Question 15

Janeway lesions/Osler’s nodes

Answer 15

Subacute bacterial endocarditis

Question 16

Continuous machine like heart murmur

Answer 16

Patent ductus arteriosus

Question 17

Rib notching on CXR

Answer 17

Coarctation of the aorta

Question 18

Crescendo decrescendo murmur

Answer 18

Aortic stenosis

Question 19

Diminished absent lower limb pulses

Answer 19

Coarctation of the aorta

Question 20

Radio-femoral delay

Answer 20

Coarctation of the aorta

Question 21

Radio-radial delay

Answer 21

Coarctation or aortic dissection

Question 22

MRS ASS

MSD ARD

Answer 22

Mitral regurgitation systolic
Aortic stenosis systolic

Mitral stenosis diastolic
Aortic regurgitation diastolic

Question 23

Systolic murmur, radiates to the neck

Answer 23

Aortic stenosis

Question 24

Sudden tearing/ripping chest pain, radiates to the back

Answer 24

Aortic dissection

Question 25

Slow rising pulse

Answer 25

Aortic stenosis

Question 26

Collapsing pulse

Answer 26

Aortic regurgitation

Question 27

Bounding pulse could indicate

Answer 27

Acute CO2 retention or sepsis

Question 28

Jerking pulse

Answer 28

Hypertrophic obstructive cardiomyopathy or mitral regurgitation

Question 29

Raised fixed JVP

Answer 29

SVC obstruction

Question 30

JVP rising on inspiration

Answer 30

Cardiac tamponade or constrictive pericarditis

Question 31

Tapping apex beat, loud first heart sound

Answer 31

Mitral stenosis

Question 32

Cyanosis first DAY of life CXR - egg-shaped ventricles

Answer 32

Transposition of the great vessels

Question 33

Cyanosis first MONTH of life CXR - boot-shaped heart

Answer 33

Tetralogy of Fallot

Question 34

Saddle-shaped ST elevation

Answer 34

Acute pericarditis

Question 35

Drug causing dry cough

Answer 35

ACE inhibitors

Question 36

Drug causing gynaecomastia

Answer 36

Spironolactone

Question 37

Drug causing gout

Answer 37

Thiazide diuretics