qs

Question 1

Posterior infarct territory

Answer 1

• Tall R waves V1-2
• Usually left circumflex
• also right coronary

Question 2

Causes of long QT interval

Answer 2

-CONGENITAL: Jervell-Lange-Nielsen syndrome, Romano-Ward syndrome

-DRUGS *METHCATS*
Methadone
Erythromycin
Terfenadine
Haloperidol
Clarithromycin/Cholorquine
Amiodarone/Azithromycin
TCAs
SSRIs (esp citalopram/Sotalol)

• OTHER
  electrolytes: hypocalcaemia, hypokalaemia, hypomagnesaemia
• myocarditis
• hypothermia
• SAH

Question 3

Mx Acute Pericarditis

Answer 3

• treat underlying cause

- NSAIDs + colchicine

Question 4

aortic stenosis triad + indication for AV valve replacment

Answer 4

dysponea
chest pain
syncope
- symptomatic pts is assoc with mortality of 2-3Y

Question 5

pansystolic murmurs x3 and how to differentiate

Answer 5

MR+TR - high pitched and blowing in character
-TR gets louder on inspiration, unlike MS
VSD - harsh in character

Question 6

late systolic murur

Answer 6

MV prolapse

CoA

Question 7

early diastolic murmur

Answer 7

AR - high pitched + blowing

Graham Steele murmur - pulmonary regurg, high pitched + blowing

Question 8

Mid-late diastolic murmur

Answer 8

MS - rumbling

Austin flint murmur - severe AR - rumbling

Question 9

Continuous machine like murmur

Answer 9

PDA

Question 10

Ejection systolic - 2x louder on insp + 2x louder on expiration + 1 more

Answer 10

RILE
louder on EXPIRATION : AS, HOCM
louder on INSPIRATION : PS, ASD
+ TOF

Question 11

massive PE + hypotension mx

Answer 11

THROMBOLYSE

Question 12

symptomatic bradycardia not responding to atropine

Answer 12

external pacing

Question 13

what is most imp RF for ADissection

Answer 13

HTN

Question 14

signs of HYPOKALAEMIA on ECG

Answer 14

Prolonged PR interval + prominent U waves

Question 15

what to do if strong suspicion of PE but delay in scan

Answer 15

calc Wells score
if >4
start tx dose of anticoagulant