|
Cairo University – Faculty of Medicine
- Cardiology Department
Diploma
of
cardiology Disease
November, 2004.
Paper II.
|
Answer all questions |
|
Time: 3 hours
|
1) Discuss the different therapeutic strategies that may be taken to
reduce infarct size and hence preserve left ventricular function in patients
early after acute MI.
2) Described the heamodynamic changes that occur in:
a- Normal pregnancy.
b- Constructive pericarditis.
c- Pulmonary embolism.
d- Acute mitral incompetence.
Illustrate with diagrams where possible.
3) A 6 year old hypertensive man was gripped with a severe attack of
chest pain, mainly referred to the back. On arrival at the ER of a nearby
hospital 15 minutes later, HE was found to be in agony and irritable. BP in the
right arm was 160/110 mmHg, left arm 120/80 mmHg with a weaker pulse of
100/minute and regular. ECG showed no abnormalities except for sinus
tachycardia.
a- What would you do further to reach a diagnosis?
b- How would you treat this patient?
GOOD LUCK
|