Cardiology 1

Week 2 SAQ Cardiology 1
2012.1 Q1
A 78 year old man is brought to your emergency department after an out of
hospital cardiac arrest requiring 20 minutes of CPR prior to return of
circulation. He was intubated pre-hospital without sedation or paralysis. He is
being ventilated at 12 breaths per minute. He is not receiving inotropic
Vital signs on emergency department arrival
GCS 3 E1, V1, M1
HR 100 /min
BP 100/60 mmHg
Temperature 35.8 0C
Describe your management (100%)
2009.1 Q7
A 53 year old previously well man presents with a 6 hour history of
palpitations. He is otherwise asymptomatic.
His vitals signs are: BP 120/80 RR 22/min
ECG reveals atrial fibrillation with a rate of 130 /minute. His assessment does
not reveal a cause for his arrhythmia.
Discuss the management options for this patient.
2010.1 Q6
An 82 year old man is brought to the emergency department following a
brief collapse at home. He has a history of chronic renal failure and
hypertension. His medications include an angiotensin converting enzyme
inhibiting agent (ACEI), frusemide and metoprolol. He has no traumatic
injuries from this episode.
Examination reveals:
His ECG demonstrates third degree atrioventricular block.
Describe your management
2009.1 Q4
A 55 year old man is brought to hospital by ambulance complaining of
severe headache, vomiting and blurred vision. On initial examination his BP is
260 / 145, similar in both arms. His Glasgow Coma Score is 14.
CT scan reveals no abnormality.
Question: Discuss the pharmacological treatment options for the
treatment of his hypertension.
2008.2 Q1
1. A 52 year old woman presents with atypical chest pain and a normal ECG.
What features on assessment would influence the disposition of this patient?