Cardiolovascular Flashcards

1
Q

AV block is seen in this MI

A

inferior MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

most common location MI

A

LAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

summary key complications following MI

A
  • VF: most common cause death >MI
  • dressler’s syndrome: 2-6 weeks
  • LV aneurysm: persistent ST elevation; anticoagulate due to risk of stroke
  • LV free wall rupture: cardiac tamponade
  • VSD: 1st week; HF w/ pansystolic
  • acute mitral regurgitation: pap. muscle rupture; acute hptn & pulmonary oedema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

stokes-adams attack associated with

A

complete heart block

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

valve most commonly affective in infective endocarditis

Infective endocarditis in intravenous drug users most commonly affects the

A

mitral valve
tricuspid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

acute vs critical limb ischaemia

A

acute: days, 6Ps
chronic: weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • shortened QT
  • tall tented T waves
  • prolonged QT, ST depression, flat T
  • U waves
  • J waves
A
  • hypercalcaemia
  • hyperkalaemia
  • hypocalcaemia
  • hypokalaemia
  • hypothermia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • alternating QRS amplitude
  • Downsloping ST depression with biphasic T waves
A
  • pericardial effusion
  • myocardial ischaemia or digoxin toxicity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

leg ulcers mx

A

varicose: emollient + compression stockings
PAD: atorvastatin + clopidogrel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

aortic stenosis mx

A

asymptomatic then observe
symptomatic then surgery
asymptomatic + gradient > 40mmHg consider surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Screening for an abdominal aortic aneurysm consists of a

A

single abdominal ultrasound for males aged 65

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Following elective DC cardioversion for AF, anticoagulation should be continued

A

lifelong even if sinus rhythm is maintained

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

NSTEMI management: patients with a GRACE score > 3% should have

A

coronary angiography within 72 hours of admission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Aortic stenosis - most common cause:
younger patients < 65 years:
older patients > 65 years:

A

bicuspid aortic valve
calcification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

use this in the case of atropine allergy

A

TV pacing // adrenaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

avoid tolerance to Standard release isosorbide mononitrate

A

a nitrate-free interval of 10-12 hours per day is often recommended.

17
Q

Complete heart block following an inferior MI is NOT an indication for …, unlike with an anterior MI

A

pacing in anterior MI
atropine in inferior MI

18
Q

nitrites contraindicated in

A

hypotension
aortic stenosis

19
Q

when will u PCI after fibrinolysis

A

if 60-90 mins ECG doesn’t show resolved ST elevation

20
Q

… should never be taken concurrently - possibility of heart block and fatal arrest

A

Verapamil and beta-blockers

21
Q

this medication is contraindicated in vent tachy

A

varapamil

22
Q

Heparin overdose may be reversed by …

A

protamine sulphate

23
Q
A