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:
Central retinal artery embolus
Central retinal vein occlusion
Optic nerve sheath meningioma
Posterior cerebral artery occlusion
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
8. 27 Male sudden onset mid scapula pain, BP left arm 240/120, BP right arm 80/60, quiet heart sounds. Best initial therapy
b.Nitropusside and Betablocker
9. 22 year old with flu, soft systolic murmur noticed. BP 120/70. ECG shows LV
hypertrophy. The best explanation:
b.Coarctation of aorta
Bicuspid aortic valve
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
c.70% lesion right coronary
70% lesion LAD, 50% lesion in circumflex, 50% lesion right coronary
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:
c.Thallium stress test
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
What is the diagnosis?