A. Pulmonary stenosis B. Aortic stenosis C. Aortic insufficiency D. Mitral stenosis E. Mitral insufficiency The Correct Answer is D. Mitral stenosis [AMAZONPRODUCT=1607950375] Mitral stenosis Although not usually severe, the commonest forms of pulmonary hypertension are those that occur secondary to chronic lung disease and left ventricular failure. Thus, pulmonary hypertension and right ventricular hypertrophy (cor pulmonale) [...]
cardiology
A 71 year old man had transfemoral catheterization for coronary angiography which revealed the presence of severe atherosclerotic narrowing of all major coronary arteries. Within hours of the procedure, he developed severe left lower quadrant abdominal pain, which was later associated with rebound tenderness, livido reticularis (erythematous skin rash) of the abdominal skin, increasing hypertension, cold [...]
Which of the following tests can assess risk or indicate prognosis? A. CK-MB B. myoglobin C. troponin D. CK-Isoforms E. CK Index The correct answer is C. Troponin Troponin is the inhibitory or contractile regulating protein complex of striated muscle. It is located periodically along the thin filament of the muscle and consists of three [...]
Which features are seen with the Tetrology of Fallot? A. Ventricular septal defect B. Overriding aorta C. Right ventricular outflow obstruction D. Right ventricular hypertrophy E. All of the above The Correct Answer is E Tetralogy of fallot is characterized by four major defects. These four conditions include pulmonary stenosis, ventricular septal defect, overriding aorta, [...]
Which one of the following is not true about the development of acute rheumatic fever? A. It develops during the acute phase of a group A beta-hemolytic streptococcal infection of the throat. B. It is not associated with streptococcal infection of sites other than the pharynx. C. It usually occurs during the course of epidemics [...]
The use of thrombolytics by GPs in the management of suspected myocardial infarction is indicated if: A. More than 12 hours have elapsed since the onset of pain B. Clinical suspicion remains despite a normal ECG C. Intramuscular opiates have been given D. ‘The call to needle time’ will exceed 90 minutes The Correct Answer [...]
The treatment of choice for recurrent transient ischemic attacks in a patient on aspirin with new-onset atrial fibrillation: a) Anticoagulation b) Carotid endarterectomy c) Clopidogrel d) Corticosteroid treatment e) Carotid stent The correct answer is A. Patient compliance with antiplatelet therapy should be determined. When possible, the cause of the TIA or sroke should be [...]
Which of the following is most commonly associated with an increased risk for the development of torsades de pointes? a) Decreased PR interval b) Decreased QRS duration c) Increased PR interval d) Increased QT interval e) U waves The correct answer is D There is an increased risk for the development of torsades de pointes, [...]
A patient has persistent >2mm ST elevation in V2-6 two hours following a myocardial infarction, with hypertension of 205/115 mmHg. He has already been given morphine and aspirin. What is the next management of choice? a) IV Nitroglycerine b) Double-bolus r-PA c) IV GTN d) IV streptokinase e) Subcutaneous heparin The correct answer is A A working [...]
A 42-year-old man with acute renal failure is confused. His serum potassium is 8.1 mEq/L . The most likely abnormal ECG finding is: a) T wave inversion b) PR interval of 300ms c) QT interval of 0.4s d) U wave e) Tall tented T waves The correct answer is E The earliest ECG evidence of [...]