Cardiology

Question 1

narrow QRS tachycardia come from 2 places

Answer 1

1. atria

2. AVN

Question 2

Valsalva maneuver used for…?

Answer 2

restore normal heart rate

Question 3

chest pain by exertion

Answer 3

angina

Question 4

2 main causes of angina

Answer 4

1. hypertension

2. diabetes

Question 5

pericarditis symptoms

Answer 5

flu
central chest pain
pain eased with anti inflamms

Question 6

hypertrophic obstructive cardiomyopathy presentation

and pulse type

Answer 6

collapse

pulse type: jerky

Question 7

methotrexate used for

Answer 7

RA

Question 8

how to accentuate an ejection systolic murmur?

Answer 8

squat down

Question 9

inverted p waves

Answer 9

retrograde atrial conduction

Question 10

MI and bradycardia suggest which vessel is occluded?

Answer 10

RCA

Question 11

fluid overload can occur after an MI - this is indicated by changes in physiology: i.e: increased HR, RR
Look for signs of heart failure - breahtlessness, sitting forward

How do you treat?

Answer 11

give IV furosemide

Question 12

signs of heart failure

Answer 12

breathlessness

sitting forward

Question 13

how to hear aoritc regurgitation

Answer 13

sit up and lean forwards

Question 14

how to hear right sided murmurs

Answer 14

deep breath in

Question 15

how to test for stable angina?

Answer 15

stress test on ECG then angiogram

Question 16

what kind of pulse can aortic regurgitation cause?

Answer 16

collapsing

Question 17

congestive HF symptoms

Answer 17

cough
SOB
sleeping up right
pitting oedema
JVP
alternans pulse

Question 18

what is CHAD2DS2 VASC2 for?

Answer 18

AF, helps to see if anti-coagulant is needed

Question 19

what is budd chiari syndrome?

presentation?

Answer 19

hepatic vein blocked

englarged liver

Question 20

cor pulmonale
what is it
symptoms

Answer 20

right heart side englargment because of liver abnormality

symptoms: fainting, chest pain, swelling ankels, respiratory problems

Question 21

peripherial oedema in someone with COPD…think about what….

Answer 21

right heart failure

Question 22

what would you see in chronic hep?

Answer 22

jaundice

Question 23

When does creatinine kinase rise

Answer 23

MI and trauma

Question 24

Pan systolic murmur on LHS with tender abdomen

Answer 24

Tricuspid regurgitation with hepatomegaly

Question 25

When do you find a pansystolic murmur

Answer 25

Mitral & tricuspid regurgitation

Ventricular septal defects

Question 26

What is waterhammer pulse, de Musset sign, collapsing pulse and head nodding a sign of?

Answer 26

Aortic regurgitation

Question 27

Treatment for hypertension <55 not black

Answer 27

ACE inhibitor

Question 28

treatment for black patient with hypertension

Answer 28

CA blocker

Question 29

how to treat narrow complex tachycardia?

Answer 29

vagal maneuver