Cardiovascular

Question 1

what are the se of acei

Answer 1

cough, angioedema, high potassium, first dose hypotension

Question 2

monitoring of acei

Answer 2

u&e on intitialtion - can have an increase 30% of creatinine and 5.5 mmol potassium . significant impariemnt may occur in those with undiagnosies bl renal artery stenosis

Question 3

moa for acei

Answer 3

inhibit conversion of angiotensin 1 to angiotensin 11

Question 4

contraindiction of aci

Answer 4

pregnancy. Aortis stenosis may cause hypotension, renovascular disease

Question 5

stage one htn

Answer 5

clinic >140/90. home >135/85

Question 6

stage two htn

Answer 6

clinic >160/100 home >150/95

Question 7

stage three htn

Answer 7

clinic >180/110

Question 8

target bp <80

Answer 8

140/90

Question 9

target bp >80

Answer 9

150/90

Question 10

choice of anti-htn in diabetes

Answer 10

acei/arb (arb in african)

Question 11

african/>55

Answer 11

ccb/ if HF - T-L diuretic

Question 12

<55

Answer 12

acei/arb

Question 13

what type of drug is indapamide

Answer 13

thiazide like diuretic

Question 14

what is cCoarctation of the aorta

Answer 14

a congenital narrowing of the descending aorta.

Question 15

what are the associations with cCoarctation of the aorta

Answer 15

Turner’s syndrome
bicuspid aortic valve
berry aneurysms
neurofibromatosis

Question 16

findings for coarctation of the aorta

Answer 16

infancy: heart failure
adult: hypertension
radio-femoral delay
mid systolic murmur, maximal over the back
apical click from the aortic valve

Question 17

CHA2DS2VASc

Answer 17

CHF, HTN, AGE 75/65-74,DM, STROKE/TIA/EMBOLUS,VASCULAR,SEX- female

Question 19

NYHA

Answer 19

Heart failure severity scale

Question 20

Wells score

Answer 20

Helps estimate the risk of a patient having a deep vein thrombosis

Question 21

DVLA- hypertension

Answer 21

if Group 2 Entitlement the disqualifies from driving if resting BP consistently 180 mmHg systolic or more and/or 100 mm Hg diastolic or more

Question 22

DVLA-angioplasty (elective)

Answer 22

1 WEEK OFF

Question 23

DVLA-CABG

Answer 23

4 WKS OFF

Question 24

DVLA- acute coronary syndrome & IF THEY HAVE ANGIOPLASTY

Answer 24

4 WEEKS OFF or if successful then 1 week

Question 25

DVLA- ANGINA

Answer 25

driving must cease if symptoms occur at rest/at the wheel

Question 26

DVLA- PACEMAKER

Answer 26

1 week off driving

Question 27

DVLA ICD

Answer 27

if implanted for sustained ventricular arrhythmia: cease driving for 6 months if implanted prophylactically then cease driving for 1 month. Having an ICD results in a permanent bar for Group 2 drivers

Question 28

DVLA aortic aneurysm of 6cm or more

Answer 28

notify DVLA. Licensing will be permitted subject to annual review.

Question 29

DVLA aortic aneurysm of 6.5cm or more

Answer 29

disqualifies patients from driving

Question 30

heart transplant DVLA

Answer 30

do not drive for 6 weeks, no need to notify DVLA

Question 31

catheter ablation for an arrhythmia dvla

Answer 31

2 days if successful

Question 32

sex after mi

Answer 32

sexual activity may resume 4 weeks after an uncomplicated MI.

Question 33

pde5 in after mi

Answer 33

PDE5 inhibitors (e.g, sildenafil) may be used 6 months after a MI.

Question 34

exercise post mi

Answer 34

advise 20-30 mins a day until patients are 'slightly breathless'

Question 35

post acute coronary syndrome (medically managed)

Answer 35

add ticagrelor to aspirin, stop ticagrelor after 12 months

Question 36

b-blocker se

Answer 36

bronchospasm cold peripheries fatigue sleep disturbances, including nightmares erectile dysfunction

Question 37

bblocker ci

Answer 37

uncontrolled heart failure asthma sick sinus syndrome concurrent verapamil use: may precipitate severe bradycardia