Cardio F-Year

Front 1

Angina management

Back 1

Beta-blocker or CCB and GTN

Front 2

Post-MI secondary prevention

Back 2

ACE-I

Statin

Aspirin and clopidogrel

Beta-blocker

Front 3

Chronic Heart failure management

Back 3

Bisoprolol and Ramipril

Second-line: Spironolactone

Third-line: statin and ramipril

Front 4

AF rate control

Back 4

Beta-blocker

Front 5

Drugs causing reduced hypoglycemic awareness, bronchospasm, sleep disturbance and erectile dysfunction

Back 5

Beta-blocker

Front 6

What drug causes a dry cough, angioedema, hyperkalaemia and requires a U&Es baseline test

Back 6

ACE-i

Front 7

Management post-TIA

Back 7

Aspirin

Statin if Qrisk >10%

Front 8

What drug causes mypopathy and derranged LFTs, requiring baseline test at 3 and 12 months?

Back 8

Statin

Front 9

What atrio-septal defect is most common in young adulthood, showing a RBBB (M V1 W V2) on ECG?

Back 9

Ostium secundum

Emboli pass from venous system into left side of heart

Front 10

Patient presents post-MI one day with chest pain relieved on sitting forward and pericardial rub. Saddle shaped changes are seen on ECG with PR depression being the most specific marker. What is the diagnosis, most important investigation and management?

Back 10

Pericarditis

Transthoracic echocardiography

NSAIDs and colchicine

Front 11

Patient presents with acute heart failure, cardiac tamponade features of raised JVP, pulsus paradoxus and muffled heart sounds. They are management using percardiocentesis. Post-MI what are the two likely causes?

Back 11

2-7 days interventricular septum rupture

8-14 days left ventricular free wall rupture

Front 12

Patient presents 4 weeks post-MI with fever, pleuritic pain and raised ESR on bloods. What is the diagnosis and management?

Back 12

Dressler’s syndrome

NSAIDs

Front 13

Acute bradycardia stepwise management

Back 13

IV atropine

Transcutaneous pacing

Adrenaline

Front 14

Heart block type I

Back 14

PR prolongation > 0.2

Front 15

Heart block type I

Back 15

PR prolongation > 0.2

Front 16

Heart block type 2 and management

Back 16

Mobitz 1 progressive PR prolongation until beat drop

Mobitz 2 non-conducted P-waves

Pacemaker

Front 17

ALS guidelines for VT or pulseless VT

Back 17

Defibrillation shock

2 mins chest compressions 30:2

IV or IO adrenaline 1mg post 3rd shock

Amiodarone 300mg post 3rd shock

Alteplase

Front 18

ALS guidelines for PEA non-shockable rhythms

Back 18

Adrenaline 1mg as soon as possible

Repeat every 5 mins

Front 19

Young patient presents post-viral illness with worsening chest pain on exertion and bibasal crackles when lying down (LV failure). On bloods WCC, CRP and trop is raised. What is the likely diagnosis?

Back 19

Myocarditis

Front 20

Atrial fibrillation presents under 48 hours. What is management?

Back 20

Cardioversion

Front 21

Atrial fibrillation presents more than 48 hours post onset. What is appropriate management?

Back 21

3 weeks of bisoprolol and aspirin prior to cardioversion

Front 22

Young male presents with recurrent syncope episodes. On ECG there is LVH. What is the diagnosis and management?

Back 22

HOCM

ICD

Front 23

IVDU Patient presents with pyrexia, new mitral regurgitation murmur post rheumatic fever. There are two positive blood cultures. What is the most common cause, compared to those with poor dental hygiene and prosthetic valve surgery?

Back 23

Staph aureus

Strep viridans

Staph epidermis