General Medicine · Cardiology
1.A 66-year-old male, IHD and chronic smoker presents to emergency ward with sudden onset of breathlessness with orthopnea with profuse sweating. On examination JVP elevated, LV S3 sound and B/L basal rales present
2.A 60-year-old man with coronary artery disease is diagnosed to have heart failure
3.A 55-year-old man chronic smoker presented with sudden onset of breathlessness, cough with pink frothy sputum since one day, also associated few episodes of breathlessness during night times. On examination – tachypnea, tachycardia and hypertension noted. Spo2 – 90% and LV S3 on osculation
4.A 65-year-old female comes to the emergency room with a history of progressive shortness of breath and swelling of both feet since 20 days.
5.A 40 years old male, a chronic smoker presents with breathlessness and productive cough since one week. Past history of similar symptoms are present since last 4 years. He ignored Doctor’s advice to quit smoking. On examination he has pedal edema, raised JVP and bilateral scattered rhonchi. Answer the following.
6.A 45 years old man develops progressive breathlessness and swelling of both the feet. On examination respiratory rate was of 22/mt, heart rate of 96/mt. and BP 100/70 mm of hg. JVP raised 14cms and both a and v waves were seen. On auscultation 3rd heart sound and bilateral fine crepitation were present. Liver was palpable 3cms below costal margin. There is no free fluid in the abdomen. Answer the following:
1.Acute Pulmonary edema
1.Hypertrophic cardiomyopathy
2.Management of Acute Heart failure
3.Acute left ventricular failure treatment
4.NYHA classification of dyspnea
5.Post-partum cardiomyopathy
6.Wave forms in JVP and significance of each wave
7.Draw and label chest x-ray findings in pulmonary oedema
8.Draw and label jugular venous pulse waves
9.Radiological sings of pulmonary edema
10.Signs of congestive cardiac failure
11.Chest x-ray findings in cardiac failure
12.High altitude pulmonary oedema
13.Brain natriuretic peptide
14.52 years old male who is a chronic smoker having cough with expectoration and breathlessness comes to outpatient department with weakness and swelling of legs for last one week. On examination JVP is elevated and right ventricular third heart sound heard and there is tender hepatomegaly. Answer the following:
15.List ACE inhibitors
1.Assertion: Patient with chronic heart failure benefit from the use of angiotensin receptor blocker (ARB)