CARDIOLOGY CME - HRUDOY 2019 is a specialized quiz designed to assess knowledge in cardiology, focusing on conditions like angina, hypertension, and non-cardiac chest pain. It tests understanding of clinical procedures and guidelines, essential for medical professionals.
Sharp chest pain lasting <15s
Positional and localized
Inframammary pain
Reproducible with palpation
Discomfort that radiates to both arms and shoulder
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Continuous breathlessness
Breathlessness with cough, wheeze & sputum production
Nocturnal breathlessness better within seconds after a few deep breaths
All of the above
None of the above
Upper arm at the level of heart
Cuff length and width should be 80% and 40% of arm circumference, respectively
Cuff should be deflated by <3 mmHg/s
In hypotensive patients BP should always be determined by Korotkoff sounds
Simultaneous Palpation of radial artery prevents underestimation of BP
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Clinic measurement >= 140/90 mm Hg
Daytime ambulatory BP monitoring >=135/90 mm Hg
Night time ambulatory BP monitoring >=120/70 mmHg
24 hr ambulatory blood pressure monitoring >=130/80mmHg
None of the above
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> 6 months since DES , proceed with surgery
Continue beta blockers in patients who are receiving beta blockers
Beta blockers should be initiated on the day of surgery
Continuation of statin
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Serial monitoring of renal function and serum electrolytes
Chest radiograph
Use of invasive hemodynamic monitoring
Routine repeat measurement of LV function assessment
None of the above
C &D
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Beta blockers
Calcium blockers
Adenosine
Amiodarone
None of the above
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Metoprolol
Digoxin
Flecainide
Sotalol
Verapamil
All of the above
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Emergency revascularization with PCI or CABG
Treatment with IV fluids in RVMI
Treatment with fluids in AWMI
Use of inotropic support
Use of IABP
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Non STEMI
Significant hypertension at initial evaluation
Pregnancy
Major surgery within 3 weeks
Ischemic stroke > 3 months
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Lifelong after valve surgery
Lifelong for more severe valvular disease
Penicillin injection every 2 weeks beneficial
All of the above
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Amiodarone is useful in for primary prevention of SCD in high risk patient.
Beta blockers have been useful to relieve symptoms of HF
Verapamil has the capacity to improve exercise capacity
None of the above
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Clopidogrel
Aspirin (Disprin)
Statin
Nitrates(Sorbitrate)
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Lignocaine
Amiodarone
Beta blocker
Calcium channel blockers
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Metoprolol
Sublingual Nifedipine
Nitrates
Torsemide
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ACEI/ARB
Beta blockers
Diuretics
Calcium channel blockers
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Elderly
Structural heart disease
Frequent recurrence and prolonged history
Syncope in supine position
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Myocardial infarction
Pneumonia
Pulmonary thromboembolism
None of the above
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Annuloplasty rings and chords used for valve repair
Repaired CHD with residual shunts or valvular regurgitation at the site adjacent to prosthetic patch
Valvular regurgitation due to structurally abnormal valve
Repaired CHD with occlusion device during first six months after procedure
None of the above
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Tooth extraction
Tonsillectomy
Skin or soft tissue surgery
Vaginal or caesarean delivery
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ACEI and ARB
ACEI and Diuretics
CCB and ACEI
Beta blocker and diuretic
Beta blocker and CCB
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Aspirin significantly reduced MI, stroke and death in Women's health study.
Aspirin significantly reduced MI in Physician's health study.
Aspirin use caused insignificant increase in bleeding in ASCEND trial.
Aspirin is indicated in primary prevention in diabetes above 50 years of age
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Metformin
Ramipril
Statin
Aspirin
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Balloon mitral valvotomy
Open Mitral valvotomy
Closed mitral valvotomy
Mitral valve replacement
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R Q P
P R Q
Q P R
R P Q
PQR=Z Y X
PQR=Z X Y
PQR=Z Y X
PQR=X Y Z
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PQRS = YXZW
PQRS = YZWX
PQRS = ZXWY
PQRS = XWZY
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Old anterior MI, post PTCA, HF, EF 0.40, mild MR, serum creatinine 2mg/dL for last few years : Aspirin, atorvastatin, enalapril, metoprolol, metoprolol succinate, digoxin, spironolactone and frusemide SOS
35 M, severe MS, mild MR, AF, HR 120/min irregular, BP 130/85, EF 0.60, lungs basal creps, mild edema : Aspirin, digoxin, frusemide + spironolactone combination, daily atenolol, enalapril
COPD 10 yrs, edema and raised jvp 1-2 yrs, Echo: RA and RV dilated, RVSP 60 mmHg (RV systolic pressure) RV dysfunction, LV EF 0.58: Lasix, deriphyllin, digoxin, oral KCl
Chronic kidney disease on medical treatment, serum creatinine 3.5mg/dL, hypertensive, diabetic, h/o MI, peripheral edema, elevated JVP, BP 170/110 mmHg, Echo: LVH, No RWMA, EF 0.60, mild pericardial effusion : Lasix, nifedipine retard, clonidine, aspirin, atorvastatin, insulin.
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60 chest compressions to 2 rescue breaths
30 chest compressions to 2 rescue breaths
60 chest compressions to 4 rescue breaths
30 chest compressions to 4 rescue breaths
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