CVS Oneliners by Swammy – Mock for PLAB

Glibenclamide with signs of hypoglycemia>>> Review dose

Coronary-subclavian steal syndrome >>>( cervical rib compresses subclavian artery) falls while putting up curtains>> Advice on posture

Fast irregular pulse >> post MI >> Atrial fibrillation

Post MI >> collapse >> new PSM >> Ventricular septal rupture

Post MI >> HR = 35bpm>> collapse = HEART BLOCK

Post MI>> Pulseless leg= MURAL THROMBUS EMBOLISM

Post MI ( 5years) >> syncopal attack > regular HR 36 bpm>> Mx: Implanted pacemaker

Hyperthyroid + ST ( 126 bpm) >>> Rx: carbimazole and B blocker

HF + AF == Digoxin+ anticoagulant

ACUTE MASSIVE PULMONARY EMBOLISM= trachycardia+ hypotention raised JVP+ reduced SO2+ ECG: T wave inversion lead III

Trachycardia + normal BP , JVP , CXR >> Q wave in V1 to V3 >> MI

Trachycardia + reduce BP and SO2>>> normal JVP and ECG , CXR= no vascular marking on the right = PNEUMOTHORAX

ACEi = diabetic ( type II) + BMI 24+ LV dysfunction

Acute MI + BMI 23.6 + started on Aspirin+ cholestereol 4.7 mmol/l>>> Prevention intervention+ STATIN

> 55 yrs + HTN= CCB

Obese + HTN >>> Prevention intervention >> WEIGHT REDUCTION

Family h/o heart ds + cholesterol 7.8 mmol/l + on Aspirin>> Prevention intervention+ STATIN
Lassitude + breathlessness + purulent sputum+ palpitations>> ?? Pul Oedema>> Inv : CXR
h/o weight loss+ short temper + trachycardia>> ECG : simus rhythm >> ?? hyperthyroidism >> Inv TFT
Frequent episode of chest pain+ irregular heart beat + PR 60 bpm>> ?? heart block >> Inv : 24hr ambulatory ECG
Thumping heart + on sitting up for 2 min subsides >>> ?? Atrial Myxoema>> Inv : ECHO
Severe chest pain+SOB+ febrile + trachypnia+ raised JVP with scanty bilateral basal lung crackles>> Dx: PUL EMBOLISM
Young age + HTN + family history + bilateral palpable kidney with loin pain >>> ??? PCKD >> Inv : USG abdomen\
CUSHINGS = weight gain + acne + easy brusibility+ HTN+ plethoric >>>> Inv 24 HR URINARY FREE CORTISOL CONCENTRATION
CONN;S SYNDROME = BP 210/110 + hyperetensive retinopathy+ hypokalemia>> Inv : PLASMA ALDOSTERONE CONCENTRATION
PHOECHROMOCYTOMA = overproduction of catecholamine leading to HTN
PCKD= HTN + AD
CONN’S SYNDROME= HTN due to increase production of aldosterorone
GLOMERULONEPHRITIS = immune complex deposition in glomerular basement membrane>>> leading to HTN
Heart failure + AF = Digoxin
Student + anxiety + palpitation >>>> CAFFEIN EXCLUSION
palpitation + faintness+ BP 90/50 ECG: SVT >>> Resistant to adenosine = DC CARDIOVERSION
DIRECT CURRENT (dc) CARDIOVERSION= Recurrent VT resistant to initial Rx + Bronchial asthma present + CVS stable+ h/o MI
WPW + AF + resistant to drug RX= ACCESSORY PATHWAY ABLATION
Hypertensive+ ex-smoker+ normal BMI = drinks 50 units of alcohol per weak >>preventive measure >> alcohol reduction
Type 1 DM + microalbuniuria >>> preventive measure >>> ACEi
HTN with well controlled bp + cholesterol 7.8 + HDL 0.8 >>> preventive measure >> STATIN
HTN + 20 cigarette / day + TG : HDL = 4 >>> preventive measure Smoking ceasation
Bp 160/100 on three separate occasion + BMI 28 >>> Preventive measure WEIGHT REDUCTION
Hyperthyroid + palpitation = Inv : TFT
Asmetic pt>>>PR 130 bpm despite PERF 400 L/min: >>> Mx review medication
SVT not responding to carotid message and valasalva >>> Mx: ADENOSINE / VERAPAMIL
Heavy smoker + heavy drinker >> racing of heart >> all inv normal >> MX : LIFESTYLE MODIFICATION
H/O IHD presenting with palpitation BP normal >>> Atenolol
Post MI >>> LVF with MR >> Dx : Papillary muscle rupture
CF + spider naevi on chest + enlarged heart + BP normal>>>> m/a NUTRITIONAL
Post MI >>>> now PSM >>>> VSD
SVT = light headedness + palpitations with similar episodes in the past + PR 170 bmp + BP 100/60 mmHg
Post op >>> rt hypochondriac pain +fever + SYSTOLIC murmur >> ??? Infective Endocarditis >>> Inv : blood culture