Cardiology 3

Question 1

Patient on warfarin with stable INR expecting elective surgery

Answer 1

Stop warfarin for 2-3 days
Give vitamin K and proceed

Question 2

Patient on warfarin needs an urgent surgery

Answer 2

Give fresh frozen plasma

But not for elective surgery as vitamin K can be used

Question 3

WPW and ventricular tachycardia

Answer 3

Amiodarone

Question 4

Cyanosis of legs only

Answer 4

Patent ductus arteriosus

Right to left shunting

Question 5

Jerky movements two months after streptococcal infection

Answer 5

Sydenham chorea

Also called rheumatic chorea

Question 6

Rheumatic mitral valve disease with atrial fibrillation treatment

Answer 6

Warfarin

Question 7

Most common primary cardiac tumour

Answer 7

Myxoma

Question 8

Drug eluting stents doesn’t affect mortality but

Answer 8

Decreases the need for subsequent procedures

Question 9

Treatment for slow atrial fibrillation

Answer 9

Rivaroxaban

Better than warfarin

Question 10

Not a contraindication to thrombolytic’s

Answer 10

Heavy menstrual bleeding

Question 11

Not in digoxin use

Answer 11

Prolonged QT

Question 12

Resume warfarin after surgery

Answer 12

12 hours after

Question 13

Suspected superior vena cava syndrome

Facial puffs and swelling of right arm

Investigation

Answer 13

Chest x-ray

Because they are often due to mediastinal malignancies which need to be ruled out first

Question 14

After PCI for how long does the patient get dual antiplatelet therapy?

Answer 14

One year of aspirin and clopidogrel