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FRACP PAST PAPERS - CARDIOVASCULAR - page 8 / 17

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B.

stop NSAID

C.

stop Captopril, NSAID and recheck Dig. level

11.

Patient on Atenolol for angina. HR 64, BP 170/100, still has some exertional angina. Which drug to add next:

A.

Nitrate

B.

Nifedipine

C.

Enalapril

D.

Diltiazem.

Other FRACP Questions

1.

Young female with a history of personality disorder, drug abuse being treated for chronic pain develops pulmonary oedema, generalized oedema and nephrotic range proteinuria.  Which of the following is most likely:

a.non-narcotic paracetamol based analgesia

b.Lithium

c.ketorolac

d.heroi-narcotics

e.antidepressant/antipsychotic medications.

2.

A 21 year old man presents to hospital 30 minutes after ingesting 10g of chloroquine:

A. this is a life -threatening overdose.

B. toxicity is likely to be delayed at least 4 hours.

C. diazepam should be given at once.

D. gastric lavage with instillation of charcoal is not indicated.

E. the most likely ECG abnormality is bradycardia with Q-T    prolongation

3.

Concerning the chronic haemodynamic and pathological consequences of  compensated MR:

a.reduced pulmonary blood flow

b.reduced pulmonary vascular resistance

c.increased LV mass

d.increased LV sarcomere length

e.increased LV EDD

4.

Concerning CAD risk factors:

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

b.reduced HDL is an independent 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.

5.

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

a.dobutamine infusion

b.high dose Lasix

c.PEEP

d.colloid infusion

e.digoxin

6.

An extensive anterior AMI occurs in a young man who is five 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.

7.

Young male, post trauma develops ARDS.  Ventilated, CVL for TPN, SG catheter for 10 days.  CXR shows bilateral infiltrates c.w ARDS.  He becomes very unwell, septic, fever (40c), haemodynamically unstable.  After initial resuscitation you would:

a.change all lines and send for culture

b.culture secretions from ETT

c.blood cultures

d.broad spectrum antibiotics

e.echocardiogram.

8.

A 45 yo man presents with 2 hr of chest pain highly suggestive of AMI.  ECG shows LBBB.  Best Rx:

a.IV SKA and ASA

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