Cardiology

24 Questions | By SamLine | Last updated: Jan 19, 2014 | Total Attempts: 56

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Questions and Answers

1.

Suspected cardiac chest pain management:
- A.
  
  Aspirin (300mg)
- B.
  
  Clopidogrel
- C.
  
  Morphine
- D.
  
  GTN
- E.
  
  O2 (if sats < 94%)
- F.
  
  Do ECG
- G.
  
  Measure troponin
- H.
  
  LMWH
- I.
  
  Fondaparinux
- J.
  
  UFH
- K.
  
  Ticagrelor
- L.
  
  Beta-blocker
- M.
  
  Statin
- N.
  
  Do ECHO
- O.
  
  Do CXR
2.

NSTEMI acute management:
- A.
  
  Aspirin (300mg)
- B.
  
  Clopidogrel
- C.
  
  Morphine
- D.
  
  GTN
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux
- H.
  
  UFH
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker
- K.
  
  Statin
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
3.

STEMI secondary prevention:
- A.
  
  Aspirin (75 mg)
- B.
  
  Clopidogrel
- C.
  
  Morphine
- D.
  
  GTN
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux
- H.
  
  UFH
- I.
  
  Ticagrelor (1 year)
- J.
  
  Beta-blocker
- K.
  
  Statin
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
4.

STEMI acute management:
- A.
  
  Aspirin (300mg)
- B.
  
  Clopidogrel
- C.
  
  Morphine
- D.
  
  GTN
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux (after PCI)
- H.
  
  UFH
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker
- K.
  
  Statin
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
- O.
  
  PCI
5.

Stable angina management:
- A.
  
  Aspirin (75 mg)
- B.
  
  Clopidogrel
- C.
  
  Morphine
- D.
  
  GTN
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux
- H.
  
  UFH
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker OR non-dihydropyridine CCB (verapamil/diltiazem)
- K.
  
  Statin
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
6.

Improve prognosis in heart failure:
- A.
  
  Aspirin (75 mg)
- B.
  
  Clopidogrel
- C.
  
  Morphine
- D.
  
  GTN
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux
- H.
  
  CCB
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker
- K.
  
  Statin
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
- O.
  
  Hydralazine + nitrate
7.

Acute pumonary oedema
- A.
  
  Aspirin (75 mg)
- B.
  
  Clopidogrel
- C.
  
  Morphine + antiemetic
- D.
  
  GTN (if systolic BP >90)
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux
- H.
  
  CCB
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker
- K.
  
  Statin
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
- O.
  
  Hydralazine + nitrate
- P.
  
  Sit upright
- Q.
  
  O2 15 litres, non-rebreather
8.

Stroke:
- A.
  
  Aspirin (75 mg)
- B.
  
  Clopidogrel (delayed)
- C.
  
  Morphine + antiemetic
- D.
  
  GTN (if systolic BP >90)
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux
- H.
  
  Aspirin (300mg)
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker
- K.
  
  Statin (delayed)
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
- O.
  
  Alteplase (within 4.5 hours of onset)
- P.
  
  Sit upright
- Q.
  
  O2 15 litres, non-rebreather
9.

TIA: (both national and local recommendations)
- A.
  
  Aspirin + dipyridamol
- B.
  
  Clopidogrel
- C.
  
  Morphine + antiemetic
- D.
  
  GTN (if systolic BP >90)
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux
- H.
  
  Aspirin (300mg)
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker
- K.
  
  Statin (delayed)
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
- O.
  
  Alteplase (within 4.5 hours of onset)
- P.
  
  Sit upright
- Q.
  
  O2 15 litres, non-rebreather
10.

AF: rate control (all possibilities)
- A.
  
  Non-dihydropyridine CCB (diltiazem/verapamil)
- B.
  
  Clopidogrel
- C.
  
  Dihydropyridine CCB (e.g. nifedopine)
- D.
  
  GTN (if systolic BP >90)
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux
- H.
  
  Aspirin (300mg)
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker (e.g. bisoprolol)
- K.
  
  Statin (delayed)
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
- O.
  
  Alteplase (within 4.5 hours of onset)
- P.
  
  Digoxin
11.

AF: maintaining sinus rhythm after cardioversion
- A.
  
  Non-dihydropyridine CCB (diltiazem/verapamil)
- B.
  
  Clopidogrel
- C.
  
  Dihydropyridine CCB (e.g. nifedopine)
- D.
  
  Amiodarone
- E.
  
  Sotolol
- F.
  
  Flecanide
- G.
  
  Fondaparinux
- H.
  
  Aspirin (300mg)
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker (e.g. bisoprolol)
- K.
  
  Statin (delayed)
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
- O.
  
  Alteplase (within 4.5 hours of onset)
- P.
  
  Digoxin
12.

AF: anticoagulation (all possibilities)
- A.
  
  Aspirin
- B.
  
  Clopidogrel
- C.
  
  LMWH
- D.
  
  Fondaparinux
- E.
  
  Warfarin
- F.
  
  Ticagrelor
- G.
  
  Direct thrombin inhibitor (e.g. dabigatran)
- H.
  
  Alteplase
13.

AF: Cardioversion
- A.
  
  Non-dihydropyridine CCB (diltiazem/verapamil)
- B.
  
  Clopidogrel
- C.
  
  Dihydropyridine CCB (e.g. nifedopine)
- D.
  
  Amiodarone
- E.
  
  Sotolol
- F.
  
  Flecanide
- G.
  
  LMWH/UFH
- H.
  
  Aspirin (300mg)
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker (e.g. bisoprolol)
- K.
  
  DC
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
- O.
  
  Alteplase (within 4.5 hours of onset)
- P.
  
  Digoxin
14.

Loud S1
- A.
  
  Mitral stenosis
- B.
  
  Mitral regurge
- C.
  
  Aortic stenosis
- D.
  
  Metal aortic valve
- E.
  
  Aortic regurge
- F.
  
  Pulmonary hypertension
- G.
  
  AV block
- H.
  
  Pulmonary hypertension
- I.
  
  Atrial premature beats
- J.
  
  Inspiration
- K.
  
  Expiration
- L.
  
  ASD
- M.
  
  Short PR interval
- N.
  
  Hyperdynamic states
15.

Quiet S1
- A.
  
  Mitral stenosis
- B.
  
  Mitral regurge
- C.
  
  Aortic stenosis
- D.
  
  Metal aortic valve
- E.
  
  Aortic regurge
- F.
  
  Pulmonary hypertension
- G.
  
  Long PR interval/AV block
- H.
  
  Systemic hypertension
- I.
  
  VSD
- J.
  
  Inspiration
- K.
  
  Expiration
- L.
  
  ASD
- M.
  
  Short PR interval
16.

Loud S2
- A.
  
  Mitral stenosis
- B.
  
  Mitral regurge
- C.
  
  Aortic stenosis
- D.
  
  Metal aortic valve
- E.
  
  Aortic regurge
- F.
  
  Pulmonary hypertension
- G.
  
  Long PR interval/AV block
- H.
  
  Systemic hypertension
- I.
  
  VSD
- J.
  
  Inspiration
- K.
  
  Expiration
- L.
  
  ASD
- M.
  
  Hyperdynamic states
17.

Soft S2
- A.
  
  Mitral stenosis
- B.
  
  Mitral regurge
- C.
  
  Aortic stenosis
- D.
  
  Metal aortic valve
- E.
  
  Aortic regurge
- F.
  
  Pulmonary hypertension
- G.
  
  Long PR interval/AV block
- H.
  
  Systemic hypertension
- I.
  
  VSD
- J.
  
  Inspiration
- K.
  
  Expiration
- L.
  
  ASD
- M.
  
  Aortic valve replacement
- N.
  
  Hyperdynamic states
- O.
  
  Pulmonary stenosis
18.

Unstable angina acute management:
- A.
  
  Aspirin (300mg)
- B.
  
  Clopidogrel
- C.
  
  Morphine
- D.
  
  GTN
- E.
  
  O2 (if sats < 94%)
- F.
  
  LMWH
- G.
  
  Fondaparinux
- H.
  
  UFH
- I.
  
  Ticagrelor
- J.
  
  Beta-blocker
- K.
  
  Statin
- L.
  
  ACE-I
- M.
  
  Spironolactone
- N.
  
  Furosemide
19.

Aortic stenosis: markers of severity (8 answers)
- A.
  
  Late peak of systolic murmur
- B.
  
  Long systolic murmur
- C.
  
  Loud systolic murmur
- D.
  
  Small-volume pulse
- E.
  
  Absent S2
- F.
  
  Sustained apex beat
- G.
  
  Soft S1
- H.
  
  S4
- I.
  
  Loud S2
- J.
  
  Loud S1
- K.
  
  Thrill
- L.
  
  Radiation of murmur to carotids
- M.
  
  Atrial fibrillation
- N.
  
  Long up-stroke of pulse
- O.
  
  Mid-diastolic murmur
20.

Mitral regurgitation: markers of severity (5 answers)
- A.
  
  Peripheral oedema
- B.
  
  Raised JVP
- C.
  
  Pulsatile liver
- D.
  
  Small-volume pulse
- E.
  
  Absent S2
- F.
  
  Sustained apex beat
- G.
  
  Soft S1
- H.
  
  S4
- I.
  
  Loud S2
- J.
  
  Loud S1
- K.
  
  Thrill
- L.
  
  Radiation of murmur to carotids
- M.
  
  Atrial fibrillation
- N.
  
  Pulmonary crackles
- O.
  
  S3
- P.
  
  Laterally displaced apex beat
21.

S3
- A.
  
  Mitral stenosis
- B.
  
  Mitral regurge
- C.
  
  Aortic stenosis
- D.
  
  Metal aortic valve
- E.
  
  Aortic regurge
- F.
  
  Pulmonary hypertension
- G.
  
  Long PR interval/AV block
- H.
  
  Systemic hypertension
- I.
  
  VSD
- J.
  
  Previous MI/LV failure
- K.
  
  Dilated cardiomyopathy
- L.
  
  Tricuspid regurge
- M.
  
  Aortic valve replacement
- N.
  
  Hyperdynamic states
- O.
  
  Pulmonary stenosis
- P.
  
  Normal young person (
22.

S4
- A.
  
  Mitral stenosis
- B.
  
  Mitral regurge
- C.
  
  Aortic stenosis
- D.
  
  LV fibrosis
- E.
  
  Aortic regurge
- F.
  
  Pulmonary hypertension
- G.
  
  HOCM
- H.
  
  Systemic hypertension
- I.
  
  VSD
- J.
  
  Previous MI/LV failure
- K.
  
  Dilated cardiomyopathy
- L.
  
  Tricuspid regurge
- M.
  
  Hyperdynamic states
- N.
  
  Pulmonary stenosis
- O.
  
  Normal young person (
23.

Causes of AF (16 answers)
- A.
  
  Hypertension
- B.
  
  Coronary artery disease
- C.
  
  MI
- D.
  
  Mitral stenosis
- E.
  
  Mitral regurgitation
- F.
  
  ASD
- G.
  
  Myocarditis
- H.
  
  Pneumonia
- I.
  
  PE
- J.
  
  Hyperthyroidism
- K.
  
  Alcohol excess
- L.
  
  Cardiomyopathy (dilated or hypertrophic)
- M.
  
  Amiodarone
- N.
  
  Hypoxia
- O.
  
  Hyponatraemia
- P.
  
  LV hypertrophy
- Q.
  
  Hypokalaemia
- R.
  
  Peripheral vascular disease
- S.
  
  Hypocalcaemia
- T.
  
  COPD
- U.
  
  Pleural effusion
- V.
  
  Pulmonary stenosis
- W.
  
  VSD

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