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FRACP PAST PAPERS - CARDIOVASCULAR - page 12 / 17

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A.

constricted pupils

B.

hypotension and tachycardia

C.

convulsions

D.

hypokalaemia

33.

A 43 yo female with increasing SOB has findings of inc. JVP, bilateral LL oedema.  Echo shows dilated LV/N MV.   Which of the following is most likely to inc. survival:

A.

MV replacement

B.

enalapril

C.

frusemide

D.

aspirin

E.

digoxin

34.

Coronary angioplasty

A.

is contraindicated in left main disease

B.

reduces mortality in acute infarction more than thrombolytic therapy

C.

relieves symptoms in chronic stable angina

D.

is associated with a reduction in infarct rate at 5 years

E.

most restenosis occurs within the first 6 months

35.

In which of the following patients would you expect to find evidence of recent coronary thrombosis?

A.

a 60 yr old man who dies of cardiogenic shock 2 days after a large anterior infarct

B.

a previously fit 70 yr old woman successfully resuscitated from cardiac arrest

C.

a 55yr old man with 15 min of chest pain associated with 3 mm anterior ST elevation. The pain and ECG changes are relieved by anginine and the CK is normal

D.

a man with stable angina and a positive exercise test

E.

a 40 yr old man with recurrent hospital admissions for unstable angina who has further pain with ST  depression on his ECG

36.

Massive digoxin overdose classically produces

A.

nephrotoxic ATN

B.

grand mal seizures

C.

second degree HB

D.

VT

E.

hyperkalaemia

37.

SVT is commonly caused by

A.

increased sinus node automaticity

B.

reentry between the sinus node and the atrium

C.

increased AV node automaticity

D.

reentry between the AV node and the atrium

E.

reentry from the ventricle to the atrium via an accessory pathway

38.

Regarding ECG

A.

ST elevation in V4R is found in RV infarction

B.

a LAH is associated with a frontal axis of 0 - -30

C.

posterior infarcts have a large R wave in V1

D.

pericarditis produces ST elevation typically followed by TWI

E.

a 10mm S wave in V1 and a 12 mm R wave in V5 represents LVH

39.

Digoxin toxicity characteristically is assoc. with:

a/  AF with slow rate

b/  SVT with P waves ST seg. (?retrograde P)

c/  Torsades

d/   ventricular arrythmia with odd numbers QRS complexes

e/  tachyarrhythmia with varying rate

40.

Concerning cardiac transplantation:

a/  1yr survival >80%

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