Cardiology

Question 1

Cardiac Arrest - when do you give amiodarone?

Answer 1

300mg after 3 shocks

150mg after 5 shocks

Question 2

Cardiac arrest - adrenaline dost

Answer 2

1:10,000

10mls

Question 3

Postural hypotension - definition

Answer 3

Decrease of >20 systolic and >10 diastolic after standing for 3mins

Question 4

Drugs that prolong QT interval

Answer 4

TCAs
Amiodarone
SSRIs - citalopram
Chloroquine
Erythromycin
Haloperidol
Ondansetron

Question 5

What is a trifascicular block

Answer 5

RBBB
Type 1 HB
L ventricular strain

Question 6

What is bifascicular block?

Answer 6

RBBB

L anterior/posterior hemi-block

Question 7

Mx for Torsades de pointes

Answer 7

Mg

Question 8

TIMI Score

Answer 8

Thrombolysis in Myocardial Infarction (TIMI) Score
Determines likelihood of ischaemic events or mortality in patients with unstable angina or non–ST-segment elevation myocardial infarction (NSTEMI)

Question 9

Corrigans sign

Answer 9

Carotid pulsation

Question 10

de Musset’s sign

Answer 10

Head nod with each heart beat

Question 11

Quincke’s sign

Answer 11

Capillary pulsation in nail beds

Question 12

Duroziez’s sign

Answer 12

In groin, compress artery generates systolic murmur

Question 13

Traube’s sign

Answer 13

Pistol shot sound over femoral arteries

Question 14

Classic triad aortic stenosis

Answer 14

Angina
Syncope
Heart failure

Question 15

Pansystolic murmur

Answer 15

Mitral regurge

Tricuspid regurge

Question 16

Mid-diastolic murmur

Answer 16

Mitral stenosis

Question 17

Ejection-systolic murmur

Answer 17

Aortic stenosis
Pulmonary stenosis
ASD
Tet of Fallot

Question 18

Tetralogy of fallot

Answer 18

• Ventricular septal defect (VSD),
• Pulmonary stenosis,
• Overriding of the aorta
• RVH

Question 19

Most common organism causing IE in developing countries

Answer 19

Strep viridans

Question 20

Gram -ve bacteria causing IE

Answer 20

Haemophilus
Actinobacillus
Cardiobacterium
Eikenella
Kingella

Question 21

Which criteria for IE

Answer 21

Duke

Question 22

Definite Endocarditis

Answer 22

2 major
1 major and 3 minor
5minor

Question 23

Tx strep IE

Answer 23

4 weeks
IV pen pen
IV gent

Question 24

Tx staph IE

Answer 24

IV fluclox
Rifampicin
IV gent

Question 25

Blind therapy IE

Answer 25

Ampicillin
Fluclox
Gent

Question 26

Tx HACEK IE

Answer 26

Ceftriaxone

Question 27

2 tests for varicose veins

Answer 27

Trendelenburg

Perthe’s manouvre

Question 28

Score for Chronic lower limb ischaemia

Answer 28

Fontaine

Question 29

ABPI of what confirms peripheral vascular disease

Answer 29

<0.9

Question 30

Mx malignant HTN

Answer 30

IV nitroprusside
Labetolol
Nicardipine

Question 31

Diuretic used in HF to control HTN

Answer 31

Indapamide/thiazide diuretics

Question 32

What is isolated HTN

Answer 32

only one BP reading high - likely to be aortic stenosis

Question 33

BP target for >80

Answer 33

<150/90

Question 34

Which BP reading goes straight to stage 2 Tx?

Answer 34

> 160/100

Question 35

HASBLED

Answer 35

Hypertension - uncontrolled
Abnormal renal/liver
Stroke
Bleeding
Labile INRs
Elderly >65
Drugs/alcohol

Question 36

HASBLED > what is bad?

Answer 36

3

Question 37

Tx pericarditis

Answer 37

NSAIDs for 3 months + PPI

Prednisolone if NSAIDs inappropriate

Question 38

What drug do you give in aortic dissection before surgery?

Answer 38

B-blockers

Question 39

Exertional dyspnoea common Sx in what?

Answer 39

HOCM

Question 40

Tx mesenteric Ischaemia

Answer 40

Papverine

Heparine

Question 41

Slow-rising pulse

Answer 41

Aortic stenosis

Question 42

Collapsing pulse

Answer 42

Aortic regurge

Question 43

Pulsus alternans

Answer 43

Severe LVF

Question 44

Bisferiens pulse

Answer 44

Mixed aortic valve disease

Question 45

Jerky pulse

Answer 45

HOCM

Question 46

ECG changes - Hypothermia

Answer 46

J-waves

Question 47

ECG changes - Previous MI

Answer 47

Q-waves

Question 48

ECG changes - WPW

Answer 48

Delta waves

Question 49

ECG changes - Hypokalaemia

Answer 49

U waves