Cardiovascular & Respiratory SBA Quiz Q&A Dr Azeem Alam, - PowerPoint PPT Presentation

Cardiovascular & Respiratory SBA Quiz Q&A Dr Azeem Alam, MBBS BSc (Hons) Surgical AFP Guy’s and St. Thomas’ Hospital admin@bitemedicine.com www.bitemedicine.com www.facebook.com/biteemedicine @bitemedicine Content reviewed on 22/04/2020. 1

SBA Quiz • Interactive SBA quiz competition • 2 of our previous specialties: Respiratory and Cardiovascular • All answers are at the end of the presentation Q&A • Revision tips • Advice • Life as a doctor • Ask me anything! 2 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Respiratory Quiz 3 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Asthma investigations: diagnostic 5 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Asthma: levels of severity 7 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Pneumonia: aetiology 9 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Pneumonia: CURB-65 Examiner tip! Management may differ in clinical practice. However, this CURB-65 guideline is derived from NICE. 11 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Lung cancer: referral pathway 13 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

(1) 15 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Respiratory Quiz: leaderboard 16 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Cardiovascular Quiz 18 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Unstable angina and NSTEMI: management 20 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Heart failure: investigations (NT-proBNP) • >400ng/L suggests HF and requires transthoracic ECHO within 6 weeks • >2000ng/L requires urgent transthoracic ECHO within 2 weeks • Acute heart failure: urgent ECHO 22 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Examiner tip! In IVDU patients, tricuspid regurgitation is the most common valvular disease.

Infective endocarditis: management 24 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Hypertension: blood pressure targets 26 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

AAA: management and screening Aneurysm size Action plan < 3 cm Discharge from screening 3 – 4.4 cm Annual surveillance 4.5 – 5.4 cm 3-monthly surveillance ≥ 5.5 cm Consider surgery 28 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Limb ischaemia: ABPI interpretation ABPI result Interpretation >1.4 Abnormally calcified (false negative) 0.9-1.09 Normal 0.5-0.9 Peripheral arterial disease <0.5 Critical limb ischaemia : rest pain, ulceration, gangrene (2) 30 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Cardiovascular Quiz: leaderboard 31 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Further information • We need your feedback! • Lecture series / schedule • New, interactive website coming very soon • Stay up-to-date! • Website : www.bitemedicine.com • Facebook : https://www.facebook.com/biteemedicine • Instagram : @bitemedicine • Email : admin@bitemedicine.com • Want to get involved? Contact us at opportunities@bitemedicine.com to get your information pack 33 Buy our textbook at www.bitemedicine.com – SOLD OUT

References 1. James Heilman, MD / CC BY (https://creativecommons.org/licenses/by/3.0) 2. National Heart Lung and Blood Institute (NIH) / Public domain 34 Buy our textbook at www.bitemedicine.com – SOLD OUT

Respiratory SBA answers 35 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine

Cardiovascular SBA answers 42 www.bitemedicine.com Instagram: @bitemedicine Facebook: /biteemedicine