Cardiology

Question 1

Patient with fever and pleuritis 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

Saw tooth baseline on ECG + 150 bmp

Answer 3

Atrial flutter

Question 4

Raised JVP/ Hepatojugular

Answer 4

Right sided heart failure

Question 5

Sense of impending doom

Answer 5

Myocardial infarction

Question 6

Saddle shaped ST elevation

Answer 6

Pericarditis

Question 7

Broad complex tachycardia

Answer 7

Ventricular problem

Question 8

Mid-diastolic murmur with a tapping, displaced apex

Answer 8

Mitral Stenosis

Question 9

Broad QRS with slurred upstroke on R wave (delta wave)

Answer 9

Wolf-Parkinson-White Syndrome

Question 10

Tall tended T waves (and wide QRS complex - Sine wave sign)

Answer 10

Hyperkalaemia

Question 11

Patient gets pericarditis 4-6 weeks post MI

Answer 11

Dressler’s syndrome

Question 12

Blurred yellow vision & headache

Answer 12

Digoxin Toxicity

Question 13

Janeway lesions/Oslers Nodes

Answer 13

Subacute bacterial endocarditis

Question 14

Continuous machinery murmur

Answer 14

Patent Ductus Arteriosus

Question 15

Rib Notching on Chest X Ray

Answer 15

Coarctation of the aorta

Question 16

Crescendo decrescendo murmur

Answer 16

Aortic stenosis

Question 17

Diminished absent lower limb pulses

Answer 17

Coarctation of the aorta

Question 18

Drugs for STABLE angina 1st Line treatment

Answer 18

Offer either Beta-blocker or calcium channel blocker

Question 19

Crushing chest pain on exercise, relieved by rest

Answer 19

Stable angina

Question 20

Atrial fibrillation treatment

Answer 20

1st line RATE CONTROL treatment: Beta-blocker of Calcium channel blocker

Question 21

Valvular defect most strongly associated with rheumatoid factor

Answer 21

Mitral stenosis

Question 22

Common side effect of calcium channel blockers

Answer 22

Ankle oedema

Question 23

Community Acquired Pneumonia treatment ladder

Answer 23

MILD:

Question 24

Which lobe is affected in a Chest X Ray with consolidation, absence of heart border and ipsilateral hemi-diaphragm preserved ?

Answer 24

Middle lobe affect

Question 25

Which lobe is affected in a Chest X Ray with consolidation, absence of hemidiaphragm (and ipsilateral heart border maintained)?

Answer 25

Lower lobe affected

Question 26

FEV1, FVC, FEV1/ FVC, PEFR in OBSTRUCTIVE lung disease e.g. COPD

Answer 26

↓ FEV1, ↓FVC, ↓ FEV1/ FVC, ↓ PEFR

Question 27

1st Line small cell lung cancer management?

Answer 27

Chemotherapy

Question 28

Haemolytic anaemia + AKI + Thrombocytopenia

Answer 28

Haemolytic uraemic syndrome (commonly from E.coli 0157)

Question 29

How would bacillus cereus appear on culture/gram stain?

Answer 29

Gram positive rod

Question 30

Finger clubbing

Answer 30

Idiopathic pulmonary fibrosis

Question 31

What type of muscle is the aorta made from?

Answer 31

Elastic

Question 32

What is the Ankle Brachial Pressure Index used for?

Answer 32

Peripheral Arterial Disease

Question 33

ECG changes: ST elevation, T inversion and Q wave formation

Answer 33

MI