Cardiology

Question 1

Patient has fever and pleuritic chest pain that is relieved by sitting up and leaning forward

Answer 1

Pericarditis

Question 2

Irregularly irregular pulse

Answer 2

Atrial Fibrillation

Question 3

ECG - saw tooth baseline + 150bpm

Answer 3

Atrial Flutter

Question 4

Alveolar bat’s wings, Kerley B lines, cardiomegaly, dilated prominent upper libe 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

Pericarditics

Question 8

Broad complex tachycardia

Answer 8

Ventricular problme

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

Tall tented T waves

Answer 11

Hyperkalaemia

Question 12

Patient gets pericarditis 4-6 weeks post MI

Answer 12

Dressler’s sndrome

Question 13

Blurred yellowing vision headache

Answer 13

Digoxin Toxicity

Question 14

January Lesions/ Osler’s Nodes

Answer 14

Subacute bacterial endocarditis

Question 15

Continuous Machine like heart murmur

Answer 15

Patent Ductus Arteriosus

Question 16

Rib notching on CXR

Answer 16

Coarctation of the aorta

Question 17

Crescendo decrescendo murmur

Answer 17

Aortic stenosis

Question 18

Diminished absent lower limb pulses

Answer 18

Coarctation of the aorta

Question 19

MRS ASS

Answer 19

Mitral regurgitations systolic, aortic stenosis systolic

Question 20

Different sized kidneys

Answer 20

renal artery stenosis

Question 21

Elevated catecholamines

Answer 21

Phaeochromocytoma

Question 22

Loud S1 and plopping sound in early diastole

Answer 22

Left atrial myxoma

Question 23

Muffled heart sounds

Answer 23

fluid in pericardial sac

Cardiac tamponade

Question 24

Management of cardiac tamponade

Answer 24

Pericardiocentesis

Question 25

Breast tenderness (males)

Answer 25

spironolactone

Question 26

Raised cardiac enzymes and flu

Answer 26

Myocarditis

Question 27

Opening snap and rumbling diastolic murmur, diastolic thrill over apex

Answer 27

Mitral stenosis

Question 28

Verrucous vegetations. Anti-phospholipid antibody positive

Answer 28

Libman-Sacks endocarditis

Question 29

Thiamine deficiency and poor near exam

Answer 29

Beri beri

Question 30

Unexplained tachycardias, bradycardia with ventricular pacing

Answer 30

Pacemaker syndrome

Question 31

Low K+ and low Mg+ with QT prolongation

Answer 31

Torsade de pointes

Question 32

AG after heavy alcohol intake

Answer 32

Holiday heart

Question 33

Large JVP v wave

Answer 33

Tricuspid regurgitation

Question 34

Grey slate rash

Answer 34

Amiodarone

Question 35

Reversal of internal organs, chronic sinusitis, bronchiectasis

Answer 35

Kartagener's syndrome

Question 36

Aching muscles

Answer 36

Simvastatin

Question 37

Ejection systolic murmur decreased by squatting

Answer 37

hypertrophic cardiomyopathy

Question 38

Increased cardiac dullness, difficult to palpate apex, low BP and pulse pressure

Answer 38

Pericardial effusion

Question 39

Visible capillary pulsation in fingers. | Head bobbing, early diastolic murmur

Answer 39

Arotic regurgitation

Question 40

Reintal haemorrahges

Answer 40

Roth's spots

Question 41

Alternate flushing, blanching of finger nail

Answer 41

Quince's sign

Question 42

Painful pulp of fingers or toes caused by bacterial endocarditis

Answer 42

Osler's nodes

Question 43

X and y descent in JVP

Answer 43

Constrictive pericarditis

Question 44

Right ventricular hypertrophy pulmonary stenosis overriding aorta and ventricular septal defect all occur in

Answer 44

Fallon's tetralogy

Question 45

Treatment for symptomatic mitral stenosis

Answer 45

Balloon valvulopasty

Question 46

Abrupt distension and collapse of carotid arteries

Answer 46

Carrigan's sign caused by aortic regurgtation

Question 47

Turner's syndrome and coartciation of aorta are closely associated

Answer 47

Rheumatic fever and mitral stenosis are common

Question 48

Delta wave in V1

Answer 48

WPW

Question 49

ST depression and tall R waves in V1, V2

Answer 49

Posterior MI

Question 50

Systolic murmur and weak or unequal pulses

Answer 50

cortication of the aorta

Question 51

Moon face, purple striae on abdomen

Answer 51

Cushing syndrome

Question 52

Prominent jaw and brow. Glycosuria. | Sweating and headache

Answer 52

Acromegaly

Question 53

Rheumatic fever coincides with

Answer 53

Mitral stenosis