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FRACP  PAST  PAPERS - CARDIOVASCULAR

FRACP 2000 questions

Question 1

A 65 year old woman (162cm tall, weight 80kg) presents with exertional chest pain and SOB. She has a past history of hypertension treated with a thiazide diuretic. Her father died suddenly of unknown cause. There are no other CVS risk factors. Examination is unremarkable. Investigations reveal:

ECG:T wave inversion V5 and V6, ? mild LVH

TTE:LVH, normal systolic function

What is the most likely cause of her SOB?

A)myocardial ishaemia

B) diastolic dysfucntion

C) hypertensive heart disease

D) HOCM E) Obesity

Question 2

With respect to aortic dissection, which of the following is the least common finding?

A)BP difference between arma

B)ST/T wave changes on ECG

C)Sudden onset of chest pain

D)Hypotension

E)Aortic incompetence

Question 3

A 60 year old man previously well, presents for pre-op assessment for an elective right inguinal hernia repair.

ECG- RBBB, otherwise normal.

What is the best course of management?

A)Stress ECG

B)Proceed to surgery

C)Stress Thallium

D)Coroanry angiogram

E)Cancel theatre

Question 4

Which of the following findings on Trans throacic echo is the most suggestive of HOCM?

A)Systolic anterior motion of the mitral valve

B)LVOT obstruction

C)Septal:posterior wall ratio of > 1.3:1

D)Global hypokinesis

E)Segmental hypokinesis

Question 5

What is the most common side effect of cardiac catheterisation?

A)VF

B)AMI C)False aneurysm

D)Anaphylaxis

E)CVA

Question 6

A doppler cardiac echo is shown. It shows alternating positive and negative deflections from the midline and there are 2 cycles for each cardiac cycle timed by ECG – one cycle either side of the midline.

This most likely represents?

A)AI

B)AS and MI C)AI and AS

D)AS

E)AS and MS

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