cardio

Question 1

SVT drug treatment

Answer 1

IV adenosine (if vagal manoeuvres fail to eliminate the arrhythmia)

Question 2

initial management of acute SVT

Answer 2

valsalva manœuvre

Question 3

SVT prevention

Answer 3

beta blockers

radio freq ablation

Question 4

when should o2 be given in a STEMI

Answer 4

if sats are < 94%

Question 5

what should ALL patients with a STEMI be given

Answer 5

aspirin 300mg

Question 6

slurred upstroke in QRS complex

Answer 6

delta wave

Question 7

which can be a normal variant - incomplete RBBB or LBBB

Answer 7

incomplete RBBB

LBBB is NEVER normal

Question 8

HTN 
< 55 ?
> 55
step 1?
step 2?
step 3?
step 4?

Answer 8

step 1
< 55 - ACEI/ARB
> 55 CCB

step 2
ACEI + CCB (amlodipine)

step 3
ACEI + CCB + thiazide diuretic

step 4
if K <= 4.5 add spironolactone
otherwise, increase thiazide dose
if further diuretic therapy not tolerated, consider alpha or beta blocker

Question 9

anaphylaxis tx

Answer 9

hydrocortisone + adrenaline + chlorphenamine

Question 10

strep bovis infection investigations

Answer 10

echocardiogram
colonoscopy

(its assoc with endocarditis and colorectal cancer)

Question 11

leads and artery assoc with inferior MI

Answer 11

II, III, aVF

right coronary artery

Question 12

leads and artery assoc with anterior MI

Answer 12

V1 - V4

left anterior descending artery

Question 13

leads and artery assoc with lateral MI

Answer 13

I, avL, V5 - V6

circumflex artery