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DPD > DPD_1 > Flashcards

DPD_1 Flashcards

1
Q

What are the investigations for chest pain
1.
2.
3.

A
  1. ECG
  2. Troponin
    +ve: coronary angiography
    -ve: ETT
  3. Echocardioraphy
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2
Q

Differential Diagnosis chest pain

Cardio, Resp, GI and muscoskeletal causes

A

Cardiac: IHD, Aortic Dissection, Pericarditis

Resp: PE, pneumonia, pneumothorax

GI: Oesopohageal spasm, Oesophagitis, Gastritis

Muscoskeletal: Costochondritis

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3
Q

What are the leads + artery corresponding to the anterior heart

A

LAD

V1-4

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4
Q

What are the leads + artery corresponding to the lateral heart

A

Circumflex

V5, V6, I, aVL

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5
Q

What are the leads + artery corresponding to the inferior heart

A

RCA

II, III, aVF

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6
Q

Differential diagnosis of collapse

A 
Vasovagal
Arrhythmia
Outflow obstruction
Postural Hypotension
Seizure
hypoglycaemia
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7
Q

Cardiac causes of collapse

A 
Tachy/brady-arrhythmia
Outflow obstruction:
-Left:Aortic Stenosis,HOCM
-Right: PE
Postural hypotension
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8
Q

Causes of raised JVP

A 
Tricuspid regurgitation/stenosis
Right HF
AF
Cardiac tamponade
Constrictive pericarditis
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9
Q

Causes of sinus tachycardia

A

Sepsis, hypovolaemia, endocrine (thyrotoxicosis, phaeochromacytoma)

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10
Q

Causes of Atrial Fibrillation

A

Thyrotoxicosis, ischaemia, chest infection, alcohol, pneumonia, PE, cancer

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11
Q

Causes of VT

A

ischaemia, electrolyte abnormality, long QT syndrome

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12
Q

Management plan of SVT & BP: 120/80

A

Vagal manoeuvre-valsalva/carotid massage
Adenosine 100mcg/Kg
DC cardioversion (haemodynamic comprimise)

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13
Q

Management of acute fast AF & BP: 120/80

A

> 48h anticoag 3-4wks before cardioversion

Beta-blocker
Digoxin

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14
Q

Management of VT

A

haemodynamically stable: IV amiodarone

pulseless: defibrillate

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15
Q

Voltage criteria of LVH

A

Deep S in V1/2
Tall R in V5/6
larger than 7 large squares

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16
Q

ECG changes 1st degree heart block

A

Prolonged PR interval

17
Q

ECG changes 1st degree heart block

A

P wave not followed by QRS complex

18
Q

ECG changes complete heart block

A

No relation between P wave and QRS complex

19
Q 
What are the sounds:
S1
S2
S3
S4
A
  1. Closure of mitral valve
  2. Closure of aortic valve
  3. Ventricular Filling
  4. Ventricular Hypertrophy
20
Q

Management of acute heart failure

A 
Sit up
Oxygen
GTN infusion
Diamorphine
Furosemide
21
Q

Differential Diagnosis of Pleuritic Chest Pain

A 
Pericarditis
PE
Pneumonia
Pneumothorax
Pleural pathology

DPD (3 decks)

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