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FRACP PAST PAPERS - CARDIOVASCULAR - page 14 / 17

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d/ increased LV sarcomere length

e/ increased LV  EDD

50.

Concerning CAD risk factors:

a/ inc. risk of CAD with an inc. chol with the range

b/ reduced HDL is an independant risk factor in men

c/ inc. risk with inc. # of cigarettes smoked

d/ use of clofibrate is assoc. with inc. incidence of  gallstones

e/ low fat diet is assoc. with inc. incidence of colonic   cancer

51.

The next best treatment following failure of pericardiocentesis for acute cardiac tamponade:

a/ dobutamine infusion

b/ high dose Lasix

c/ PEEP

d/ colloid infusion

e/ digoxin

52.

An extensive anterior AMI occurs in a young man who is 5 days post-operative following major abdominal surgery.  This occurs in a hospital with access to cardiac  catheterisation and surgery.  The best treatment is:

a/ IV heparin

b/ SKA

c/ SKA followed by PTCA on day 3

d/ emergency PTCA

e/ angiogram and CABG

53.

45yo man prexents with 2hrs of chest pain highly suggestive of AMI.  ECG shows LBBB. Best Rx:

a/ IV SKA and ASA

b/ IV heparin and atenolol

c/ IV GTN

d/ atenolol

e/ await CK

54.

22yo female who has AVR runs 10km four times weekly at  night time and presently it is Winter.  She also suffers  from menorrhagia and gives a history of lethargy and notices passage of dark urine after running a distance.   Hb 8.8,  haptoglobin reduced,  blood film shows fragmented  cells.  The most likely Diagnosis:

A.

march haemoglobinuria

B.

cold agglutinin disease

C.

valve haemolysis

D.

blood loss

E.

paroxysmal cold haemoglobulinaemia

55.

Increased cardiac comorbidity for abdominal surgery if

A.

DBP > 105 mmHg

B.

anterior subendocardial infarction in the last 2 mths

C.

asymptomatic bifascicular block on ECG

D.

frequent ectopic beats

56.

Radiofrequency ablation is >90% successful in

A.

SVT with AV nodal reentry

B.

recurrent AF

C.

VT with a bypass tract

D.

VF originating in the Right ventricle

E.

VT due to a prolonged QT interval

57.

What potentiates re-entrant tachycardia

A.

increases conduction velocity in the bypass tract

B.

decreased refractory period in the bypass tract

C.

increased catecholamines

D.

decreased coronary blood flow

E.

decreased left ventricular filling

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