stop Captopril, NSAID and recheck Dig. level
Patient on Atenolol for angina. HR 64, BP 170/100, still has some exertional angina. Which drug to add next:
Other FRACP Questions
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
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
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
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.
The next best treatment following failure of percardiocentesis for acute cardiac tamponade:
b.high dose Lasix
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:
c.SKA followed by PTCA on day 3
e.angiogram and CABG.
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
d.broad spectrum antibiotics
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