Cardio session

You are asked to see a patient on the ward with chest pain. You think the pain sounds anginal. Which of the following would suggest OTHERWISE?

• Constricting pain in the chest or arm

• Pain that is sharp

• Pain that is worse on resting

• Pain that settles at rest

Whilst taking a history, you learn that a patient had rheumatic heart disease as a child. Which of the following valve disorders is associated with this condition?

• Aortic stenosis

• Mitral valve prolapse

• Pulmonary hypertension

• Mitral stenosis

You are speaking to a patient with permanent atrial fibrillation. Which of the following is correct about permanent AF?

• It can self-teminate in some circumstances

• Episodes can last up to 7 days

• It cannot be effectively managed

• It is continuous and persistent

A a 60 year old lady has signs consistent with right-sided heart failure. Which of the following is the most likely cause?

• Pulmonary hypotension

• Pneumothorax

• Congestive heart failure

• Left-sided heart failure

What is this the first line treatment for?

• Heart failure

• Angina

• stage 2 hypertension

• NSTEMI

You are looking at the ECG of a patient presenting with chest pain. She notes widespread ST elevation. What is the most likely cause?

• STEMI

• Viral pericarditis

• Unstable angina

• Cardiac tamponade

You are observing a pacemaker clinic. Which of the following conditions is she UNLIKELY to see?

• A woman with 3rd degree AV block

• A young man with mobitz type 2 AV block

• An old lady with a right bundle branch block

• A young woman patient with sick sinus syndrome

A patient has a clinic BP of 162/100. They have...

• Stage 1 hypertension

• Stage 2 hypertension

• Stage 3 hypertension

• A normal blood pressure

Your best friend is admitted to ICU with infective endocarditis. You would like to know if she meets any of the Duke's major criteria. Which would be correct?

• A temperature of 39

• Mitral valve vegetation on echocardiogram

• Osler's nodes on her fingers

• Janeway's lesions on the soles of her feet