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FRACP PAST PAPERS - CARDIOVASCULAR - page 5 / 17

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b.Balloon valvuloplasty

c.Increase diuretics

d.Hydralazine

6.  69 year old male, 2 days post CABG, loss of vision in 1 eye, fundoscopy - pale optic disk with peri-retinal haemorrhage. What is the cause:

a.

Central retinal artery embolus

b.

Central retinal vein occlusion

c.

Optic nerve sheath meningioma

d.

Posterior cerebral artery occlusion

e.

Ischaemic optic neuropathy

7. Young female with mitral valve disease. Penicillin prophylaxis for dental procedure for which she received GA. During procedure hypotension and ventilatory compromise. Best test to say anaphylaxis

a.Serum IgE

b.Serum Tryptase

c.Serum Histamine

d.Penicillin RAST

8.  27 Male sudden onset mid scapula pain, BP left arm 240/120, BP right arm 80/60, quiet heart sounds. Best initial therapy

a.Cardiac paracentesis

b.Nitropusside and Betablocker

c.Pulmonary embolectomy

d.Thrombolysis

e.Observe

9.  22 year old with flu, soft systolic murmur noticed.  BP 120/70.  ECG shows LV

hypertrophy. The best explanation:

a.Normal variant

b.Coarctation of aorta

c.HOCM

d.

Bicuspid aortic valve

e.

Flow murmur

10.  60 year old male. No past history but recent dyspepsia. Acute chest pain. CK 800, CKMB increased, anterior ST elevation treated with tPA.  Associated idiosyncratic ventricular rhythm. 3 days later inverted T waves and Q waves anteriorly.

Angiogram - most likely result lesion

a.Occluded LAD and poor LV function

b.Occluded circumflex

c.70% lesion right coronary

d.

70% lesion LAD, 50% lesion in circumflex, 50% lesion right coronary

e.

No abnormality

11.  40 year old competitive athlete - notices intermittent irregular pulse - no other symptoms. On examination - normal HR/BP etc. ECG and echo normal. Strip from Holter (while sleep) - shows Wenkebach 2° heart block.

      Next course of action:

a.Angiography

b.Pacemaker

c.Thallium stress test

d.Exercise test

e.Reassure

12.  A young man falls unconscious while lifting a beam. On examination his blood pressure is 80/40 with a pulse of 120 per minute. Cardiac catheterisation reveals the following results.

0xygen sats      Pressure RA55%8 RV85%40/8 PA85%42/10

PACWP                             85%12

LV   95%80/40

What is the diagnosis?

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