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Medicine Year 3 > Cardiology > Flashcards

Cardiology Flashcards

(62 cards)

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1
Q

Give an example of a thiazide diuretic and a side effect

A

Indapamide

Erectile dysfunction

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2
Q

Treatment of a false lumen aortic dissection

A

IV labetaolol

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3
Q

Diagnosis of a PE

A

CTPA

V/Q if renal impairment or pregnant

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4
Q

Can you prescribe a statin and eryth/clarithrymycin together

A

NOOOO

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5
Q

What type of murmur would a VSD give

A

Pansytolic

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6
Q

Treatment of bradycardia (e.g. MT2)

A
  1. atropine

2. adrenaline/isoprenaline

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7
Q

Treatment of torsades de points

A

Magnesium sulphate

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8
Q

1st and 2nd line for angina

A

1st: Atenolol
2nd: Ca Blocker (nifedipine)

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9
Q

Which vein runs past the anterior medial malleolus

A

Great saphenous vein

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10
Q

Side effect of adenosine

A

flushin

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11
Q

Side effect of amidarone

A

GREY

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12
Q

Management of broad complex tachycardia

A

VF: DC cardiovert
Broad: amiodarone
narrow: vagal/adenosine

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13
Q

Secondary prevention of a STEMI

A

2 antiplatelet (clopidogrel/aspirin)
ACEi
Statin

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14
Q

3 features of the murmur in ASD

A

Ejection systolic
On inspiration
Splitting of the second heart sound

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15
Q

4 features of the murmur in tricuspid regurg

A

High pitched
Pansystolic
Left sternal edge
Inspiration

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16
Q

ECG in tension pneumo

A

Pulseless electrical activity

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17
Q

ECG in PE

A

Sinus tachy

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18
Q

Medication if AF and asthma

A

Diltazepem

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19
Q

2 features of sydenhams chorea

A

Infection (rheumatic fever)

Child

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20
Q

Which drug is contraindicated in ventricular tachycardia

A

Verapamil

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21
Q

3 features of a left ventricular aneurysm

A

ST elevation 4 weeks post MI
Bibasal crackles
3rd and 4th heart sound

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22
Q

MI in leads II, III, aVF

A

Right coronary (inferior)

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23
Q

What does p mitrale cause and give an example

A

left atrial hypertrophy /strain

e.g. mitral stenosis

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24
Q

Imaging for dissection

A

1st: CT
2nd: transoesopahgeal echo

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25
What can thiazide diuretics do to the heart
Cause hypokalaemia | 1st heart block 'u waves'
26
Management of ACS if you treat with fibrinolysis
Repeat ECG 60-90 mins | PCI if still ST elevation
27
What ECG change can a dissection cause
ST elevation
28
4 features of Takayasus arteritis and who is it most common in?
Renal artery stenosis Headache Claudication Unequal BP Asian
29
Global T wave inverstion
NOT an MI
30
Creatinine in ACEi
Increase to 30% of normal
31
Side effect of amiodarone
Thrombophlebitis
32
At what blood pressure do you start getting end organ damage
BP above 180/120
33
Infection in IV drug users
Infective endocarditis in the tricuspid valve
34
If the INR is 5-8 with no bleeding
Without 1/2 dose and reduce the main dosage
35
Management of a witnessed cardiac arrest on the monitor
3 shocks
36
Side effect of macrolide ABx e.g. erythromycin
Increase QT interval
37
Subclavian steal syndrome
Dizzy and vertigo on exertion of the arm
38
If patient in VF
1 shock | 2 min CPR
39
Side effect of ACEi
Angioedema
40
Management of new onset AF
Cardiovert in 48 hrs
41
Heart sound in pulmonary hypertension
Loud S2
42
Do you give ABx prophylaxis for infective endocarditis e.g. at the dentist
NO
43
If the pt is hypotensive in an MI what would you not give them
Nitrate
44
Imaging for an aortic dissection
CT angio
45
Antiarrhythmic for heart failure
Class 3 amiodarone
46
Acute pericarditis ECG and presentation
Widespread ST elevation | Pain worse when sitting forward
47
Treatment of acute pericarditis
NSAID and colchine
48
Heart defect in coarctation of the aorta
Bicuspid aortic valve
49
Medication for fibronolysis in STEMI
Fondaparinux (antithrombin)
50
Pulmonary stenosis murmur
Mid ejection systolic loudest on inspiration
51
When would you anticoagulate after a stroke caused by AF
2 weeks after
52
Murmur in aortic regurg
Early diastolic | Right sternal edge
53
Tall R waves in V1-2 - which MI
Posterior MI
54
When would you replace the aortic valve
Increased 40mmHg Sx Severe dysfunction
55
What ECG change does citalopram cause
Long QT (SSRI)
56
What would you give if a patient was unable to tkake amiodarone
Lidocaine
57
Atenolol and verapamil together =
HEART BLOCK
58
1st line anti anginal in heart failure
Bisoprolol
59
DO patients build up a tolerance to nitrate?
Yes
60
4 features of pulsus paradoxus
Tamponade Reduced bp Increased JVP Reduced heart sounds
61
Non shockable rhythm
Give adrenaline
62
Features of a non-shockable rhythm
pulseless organised electrical activity

Medicine Year 3 (8 decks)

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