DPD Amir Sam 2 Flashcards Preview

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Flashcards in DPD Amir Sam 2 Deck (30)
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1

Which limb leads show ST elevation in an anterior MI?

V3-4

2

Which limb leads show ST elevation in an lateral MI?

I, aVL, V5-6

3

Which limb leads show ST elevation in an inferior MI?

II, III, aVF

4

What are the types of tachycardia?

Sinus tachycardia
SVT
VT
AF
Atrial flutter

5

What is the pattern of atrial flutter?

Sawtooth

6

What is the treatment for atrial flutter?

Similar to AF

7

What is the distinct characteristic of VT?

Broad QRS complexes

8

What is 1st degree HB?

Prolonged P-R interval

9

What is 2nd degree HB?

P wave not followed by a QRS complex

10

What is 3rd degree HB?

Complete dissociation between P and QRS complexes

11

What is LVH by voltage criteria?

Deep S in V1 or 2
Tall R in V5 or 6
Total is greater than 7 large squares

12

How do you manage a Pt with pulseless VT?

Defibrillate

13

How do you manage a Pt with VT and no haemodynamic compromise?

IV amiodarone
Treat underlying cause
ICD (implantable cardioverter defibrillator)

14

What are the causes of LVH?

Hypertension
Aortic stenosis

15

65F SOB for a few hrs
Orthopnoea
Hx 2x MIs
DH- aspirin, simvastatin, ramipril, bisoprolol
Temp 36.5, raised JVP, HS 1+2+3, fine crackles on auscultation, peripheral oedema

What is the diagnosis?

Congestive heart failure

16

What is a third heart sound?

Rapid ventricular filling

17

What can cause a third heart sound?

Congestive heart failure

18

What is the characteristic sound heard in atrial septal defects?

Splitting of the heart sounds

19

What is a fourth heart sound?

Ventricular hypertrophy

20

What is the most appropriate management for a Pt with cHF?

A. Sit them up + 60-100% O2
B. BiPAP
C. CPAP
D. 24% O2
E. Intubate and ventilate

A. Sit them up + 60-100% O2

21

What is the management of acute HF?

Sit up
Oxygen
Frusemide (IV)
Treat the underlying cause

SOFT

22

When would you give a Pt BiPAP in an acute presentation?

When the Pt has respiratory acidosis

23

When would you give a Pt CPAP in an acute presentation?

When the Pt has pulmonary oedema

24

Why shouldn't you give oral frusemide to a Pt with peripheral oedema?

They will also have gut oedema
Absorption of the diuretic will be poor

25

78M Unconscious
Not breathing
No carotid pulse
Temp 29
ECG shows VF

What should you do first to treat the Pt?

Warm them up

26

What is the ALS algorithm for a Pt with VF/pulseless VT?

Shock them
CPR (2 mins)
Assess rhythm
Give adrenaline every 3-5 mins
Amiodarone after 3 shocks
Correct reversible causes

27

What is the ALS algorithm for a Pt with asystole/pulseless electrical activity?

CPR (2 mins)
Give adrenaline every 3-5 mins
Correct reversible causes

28

What are the causes of
(HHHHTTTT)

Hypothermia
Hypoxia
Hypovolaemia
Hypo/hyperkalaemia
Tamponade
Tension PT
Thromboembolic
Toxic/metabolic

29

30F URTI
Pleuritic chest pain
Better when leaning forwards
Widespread ST elevation (saddle shape)

What is the diagnosis?

Pericarditis

30

What are the causes of pleuritic chest pain?

Pericarditis
Pneumothorax
Pulmonary embolism
Pneumonia
Pleural pathology
5xP
Sub-diaphragmatic pathology (eg SD abscess)