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FRACP PAST PAPERS - CARDIOVASCULAR - page 2 / 17

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Question 7

A young man in his 30’s, otherwise well, presents with pleuritic chest pain but no SOB.

Examination is otherwise unremarkable except temp 37.6 degrees

Investigations: ECG – widespread ST elevation across praecordial leads and limb leads

What is the most likely diagnosis?

A)Myocardial ischaemia

B)P.E.

C)Pericarditis

D)Asthma

E)AMI

Question 8

A 50 year old male with hypertension (170/-). K+ 2.8 mmol/L, Na+ 145 mmol/L. Not on any treatment.

Renin 100 (upper limit of normal – 70)

Aldosterone 800 (upperlimit of normal is 700)

What is the cause of the hypertension?

A)Renovascular hypertension

B)Essential hypertension

C)Conns syndrome

D)Liquorice

Question 9

A young female with Torsades with a prolonged QT interval presents. Recent course of erythromycin. The drug interaction occurs with?

A)Quinidine

B)Sotalol

C)Loratidine

D)Terfenadine

E)Cimetidine

Question 10

Which  is the least likely to reduce hypertension?

A)Weight loss

B)Regular exercise

C)Cessation of smoking

D)Reduce alcohol to 10g/day

E)Low salt diet

Question 11

A middle aged man with unstable angina who is overweight. Best management?

A)Decrease weight by 2kg/week and decrease calorie intake

B)Decrease weight by 0.5kg/week and decrease calorie intake

C)Decrease calorie intake, decrease cholesterol and organise an exercise program

D)Decrease cholesterol and low mdeium intensity exercise

E)Decrease cholesterol, Decrease sucrose

Question 12

The association between hyperinsulinaemia and coronary artery disease is

A)independent of cholesterol

B)only with low HDL

C)only in diabetes

D)only in the obese

E)only in those with hypertension

FRACP 1999 (Paper 1)

1.

The prevalence of heart failure has increased because of

a.

increasing age

b.

better survival from coronary heart disease

c.

greater number of older women

d.

increase in hypertension

e.

better treatment of those with heart failure

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