SAQ 921 – Cardiology – LVH ECG, systolic murmur and aortic stenosis

Marked out of 21.00

A 70-year-old man presents with ischaemic-sounding chest pain on a background of long-standing poorly controlled hypertension. His 12-hour troponin is normal.

The ECG is shown below.

ECG showing left ventricular hypertrophy and strain pattern.
ECG.

List four abnormalities on this ECG.

(Marked out of 4.0)


/ 4

List five causes of ST-segment elevation other than myocardial ischaemia.

(Marked out of 5.0)


/ 5

He has a systolic murmur. List six differential diagnoses of a systolic murmur.

(Marked out of 6.0)


/ 6

You suspect aortic stenosis. What physical signs suggest severe aortic stenosis?

(Marked out of 4.0)


/ 4

Your registrar wants to start a nitrate infusion for his angina. Outline your concerns about this plan.

(Marked out of 2.0)


/ 2

Total Score: 0 / 21

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