Questions
Ask the room.
0votes
1ans
157
views
What are the indications and absolute contraindications for thrombolytic therapy in STEMI?
STEMI patient in a hospital without PCI facility. Door-to-balloon time will exceed 120 min. Patient has no prior stroke, no active bleeding, no recent surgery. Is thrombolysis appr…
0votes
1ans
97
views
What is the management of complete (3rd degree) AV block with hemodynamic instability?
75-year-old presents with syncope. ECG: HR 38 bpm, P waves dissociated from QRS. BP 80/50. No reversible cause found. What are the immediate and definitive management steps?
0votes
1ans
87
views
How does cardiac tamponade present clinically and what is the emergency treatment?
Post-cardiac surgery patient develops hypotension, raised JVP, muffled heart sounds, and pulsus paradoxus. Echo shows pericardial effusion with RV diastolic collapse. What is the i…
0votes
1ans
86
views
What are the Modified Duke Criteria for diagnosing infective endocarditis?
Patient with fever, new murmur, and positive blood cultures for Streptococcus viridans x2. How do I apply the Duke Criteria to confirm or rule out infective endocarditis?
0votes
1ans
66
views
When is coronary angiography indicated in patients with stable angina on optimal medical therapy?
60-year-old with exertional chest pain, positive stress test, on aspirin, statin, and long-acting nitrates. Symptoms persist. Should I proceed with coronary angiography? What are t…
0votes
1ans
64
views
What are the preferred drugs for rate control in atrial fibrillation and when is rhythm control preferred?
Patient with new-onset AF, HR 130 bpm, mildly symptomatic. No structural heart disease. Should I use beta-blocker, CCB, or digoxin for rate control? When would I consider rhythm co…
0votes
1ans
75
views
How is hypertensive emergency managed differently from hypertensive urgency?
BP 210/120 mmHg with papilledema and mild confusion. No prior history. Is this a hypertensive emergency or urgency? What is the target BP reduction and timeline?
0votes
1ans
62
views
What are the current indications for ICD implantation in patients with heart failure with reduced EF?
Patient with HFrEF (EF 28%) has been on optimal medical therapy for 6 months. When is ICD indicated vs CRT-D? What EF cutoff and NYHA class criteria apply?
0votes
1ans
71
views
How do you differentiate STEMI from NSTEMI on a 12-lead ECG?
A patient presents with chest pain. ECG shows changes in multiple leads. How do I distinguish STEMI requiring immediate cath lab activation from NSTEMI that can be managed medicall…
0votes
1ans
75
views
What is the first-line treatment for acute decompensated heart failure with pulmonary edema?
A 68-year-old patient presents with severe breathlessness, SpO2 88%, bilateral crackles, and elevated JVP. CXR shows pulmonary congestion. What is the immediate management priority…
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