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FRACP PAST PAPERS - CARDIOVASCULAR - page 17 / 17

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A.

RV infarct

B.

LV infarct

C.

asthma

D.

acute PE

E.

primary pulmonary hypertension

73.

A marathon runner notices an irregular pulse. He has had no presyncope or syncope. A Holter monitor is performed and a strip is shown (Wenckeback). You proceed to

A.

reassure the patient

B.

recommend PPM insertion

C.

repeat holter

D.

angiography.

74.

An elderly male presents with exertional dyspnoea and ankle swelling. His CXR is shown. (Pericardial calcification++) The most likely finding on right heart catheter is

A.

PAWP increases on inspiration

B.

cV waves in venous pressure tracing (? in PAWP)

C.

RAP = PAWP

D.

RVEDP > LVEDP

75.

A young male presents with chest pain  5 days post hernia repair. His ECG shows evidence of acute myodardial infarction and he is in a hospital with access to a catheter lab. Best management

A.

PTCA

B.

Streptokinase

C.

GTN

D.

heparin

E.

IV atenolol

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