By Philip Kelly
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Extra info for MRCP 2 Practice Questions Book 1
Sample text
He has had increasing problems with his walking since he was 11. He has dysarthria and nystagmus. He has become increasingly breathless over the last 6 weeks. On examination he clearly has cardiac failure but no murmurs. His chest X-ray shows cardiomegaly and pulmonary oedema. 1 What is the most likely diagnosis? ÿ A Post-viral cardiomyopathy D B Acute pericarditis D C Constrictive pericarditis D D Duchenne muscular dystrophy D E 36 Friedreich's ataxia CARDIOLOGY - QUESTIONS Case 33 You are asked to review a 28-year-old afro-carribean lady.
He has cardiogenic shock and should receive a second dose of thrombolysis before intubation and transfer to ICU for ventilation and further management 0 B He has cardiogenic shock; if possible, a Swan-Ganz catheter should be inserted to optimise his haemodynamics. He should have an urgent echo (if available) and you should consider insertion of an intra-aortic balloon pump, transferring him urgently to an intervention centre provided you can gel him stable enough O C He has cardiogenic shock; if possible, a Swan-Ganz catheter should be inserted to optimise his haemodynamics.
A ÿ ÿ ÿ ÿ B C D E Peripartum cardiomyopathy Hypertrophic cardiomyopathy Recurrent pulmonary emboli Mitral stenosis Aortic regurgitation 27 CARDIOLOGY- QUESTIONS Case 24 A 45-year-old lady presents with 3-week history of blackouts. She smokes but has no medical problems and is on no medication. She drinks 40 units of alcohol a week. Her examination is normal. 0ND0N CHEST I0SPI TPL IPRDI PC DEPT Image providedby Or A lain, Cardiology Research Fellow, London Cltesl Hospital. London 1 What is the diagnosis?
