Cardiology

Question 1

Major bleeding when a patinit has been on wafarin?

Answer 1

IV Vit K 5mg
PT complex concentrate

Question 2

Treatment of massive PE + Hypotension?

Answer 2

Thrombolysis (Altepase)

Question 3

1st line for regular broad complex tachycardias with no adverse features?

Answer 3

Amiodarone

Question 4

Treatment of a patient with low mortality risk who is having an NSTEMI?

Answer 4

Aspirin
+
Ticagrelor (if not high risk)
Clopidogrel (if high bleeding risk)

Question 5

A single episode of paroxysmal AFib what do you do?

Answer 5

Consider anticoagulation
Apixaban

Question 6

ST elevation in leads II,III, and aVF indicates what?

Answer 6

Inferior ST elevation MI

Question 7

If angina is not controlled with BBs, what do you do?

Answer 7

Add longer acting dihyrdopyridine CCB (Modified release nifedipine)

Question 8

Treatment of torsades de pointes?

Answer 8

Mg Sulfate

Question 9

Once fibrinolysis is given for a STEMI what do you do?

Answer 9

Repeat ECG 90 minutes after fibrinolysis
|
If ST elevation persists PCI must be performed ASAP

Question 10

What is a common interacting drug with a statin?

Answer 10

Clarithromycin

Question 11

Posterior MI on ECG?

Answer 11

ST depression

Question 12

What is pulsus paradoxus?

Answer 12

In cardiac tamponade there will be an abnormally large drop in BP during inspiration

Question 13

What would reverse dabigatran?

Answer 13

Idarucizumab

Question 14

What is a feature commonly seen with aortic regurg in terms of pulse?

Answer 14

Collapsing pulse

Question 15

VFib shockable or not?

Answer 15

Shockable