Cardiology

Page 1

Please purchase PDFcamp Printer on http://www.verypdf.com/ to remove this watermark.

Examination Practice: Cardiology Question 2 of 100 A 24-year-old female is admitted with palpitations. Her pulse is 160 beats/min, blood pressure 70/50 mmHg and she has a respiratory rate 32/min. She is awake, alert and oriented but dyspnoeic. Her electrocardiogram shows a regular rhythm with QRS complex width of 0.11s. What is te most appropriate therapy for this patient? Available marks are shown in brackets 1 ) Adenosine 6mg/6mg/12mg

[0]

2 ) Amiodarone 300mg

[0]

3 ) Atenolol 50mg

[0]

4 ) DC cardioversion

[100]

5 ) Verapamil 10mg

[0]

Comments: Strictly speaking as this patient is showing signs of decompromise (i.e. systolic blood pressure <90) she should be immediately DC cardioverted under sedation/anaesthesia. In practice, most people would try adenosine first whilst organising a cardioversion.

Question 3 of 100 A 60-year-old male with a 8 year history of type 2 diabetes is being treated with Metformin 1g bd and gliclazide 80 mg daily. He is obese, has gained weight over the last year and his HbA1c has deteriorated from 7.5 to 7.9%. His GP wishes to stop the gliclazide and treat him with Rosiglitazone. The patient wants to know the side effects of Rosiglitazone. Which of the following would be regarded as a typical side effect of Rosiglitazone therapy? Available marks are shown in brackets 1 ) Acanthosis nigricans

[0]

2 ) Fluid retention

[100]

3 ) Lactic acidosis

[0]

4 ) Myositis

[0]

5 ) Photosensitivity rash

[0]

Comments: Rosiglitazone like other PPAR gamma agonits such as Pioglitazone may cause fluid retention (about 10%) and this can be minimized by avoiding agents that may exacerbate fluid retention such as calcium antagonists. Other side effects include mild GI upset, dyspepsia, flatulence and initial weight gain (often related to fluid retention. Collected by :Dr.Sally Elhassan Arranged and organized: by Dr.Moamar Eltalib

1


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.