Welcome to Interventional cardiology MOCK Exam Part 1, in this exam there are twenty cath cases which include coronary angiograms, angioplasties, ventriculogram and structural heart disease interventions. Each case is of about one minute, first thirty seconds to view the cath clips and next thirty seconds for the answers. This exam is specifically designed for exam drill required for FCPS and MD cardiology TOACS exams as well as to sharpen the skills in interpreting cath lab data by cardiology residents, fellows and cath lab nursing staff. Have this exam drill and give your feedback and any additional findings you find in these cath cases in comments section below.
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Details of cases in this MOCK Exam:
00:13 Case 1: Whats abnormal in this coronary angiogram
00:49 Risk of Sudden Cardiac Death with Anomalous Coronaries
01:24 Case 2: Name the procedure being done
02:00 Contraindications and Complications of Rotabaltion
02:36 Case 3:
03:11 Mechanical Prosthesis
03:54 Case 4: What is the diagnosis
04:30 Pulmonary Angiogram
05:06 Case 5: Name the catheter used
05:49 RA Fistula
06:40 Case 6: Name the pathology
07:08 MAPCAs
07:43 Case 7:
Answer:
a) PCI to LAD
b) RAO cranial
c) Fully deployed stent with myocardial bridging after the stented segment d) Yes (because of bridging)
09:02 Case 8:
Answer:
a) AP Caudal
b) Moderate disease in mid-distal LMS, Clot in distal LMS, Clot in proximal LCX and Haziness in mid LCx.
10:15 Case 9:
Answer:
a) Coil ligation of PDA, Device closure of PDA
b) Embolization of coil to distal PA
c) A portion of PDA seen, Device at PDA, Coil (embolized and sitting in distal PA), Device delivery apparatus
d) Pulmonary infarction (or ischemia)
11:25 Case 10:
Answers:
a) Tight proximal LAD stenosis
b) Pleating with slow flow
c) Pull out the wire and take a view (and same has been done in the next view)
12:37 Case 11: Patient presented to Electrophysiologist few months after the PPM implantation.
What are the findings in this view?
Answer:
Lead fracture of PPM near left shoulder, TPM placed from Right side
13:48 Case 12:
Answer:
a) RAO (Left Ventriculogram is done in RAO view)
b) Air injection in LV, Calcification of Mitral Valve (AML)
c) Air embolism to any arterial branch causing CVA, MI, Upper or lower limb ischemia
15:00 Case 13:
A young man presented with sudden severe chest pain and shock. He was immediately taken to lab for angiography which is shown
a) What are the findings in angiography?
b) Why patient is in shock?
c) What is the treatment of choice?
Answers:
a) Total mid occlusion of LAD, VSD (most probably apical), Mild anterior wall hypokinesia
b) Due to PostMI-VSD
c) VSD closure + LIMA to LAD
17:02 Case 14:
a) Which view is this?
b) What is the most prominent finding?
c) What is the treatment?
Answer:
a) RAO View
b) Vascular supply to Myxoma (probably LA Myxoma) from RCA
c) Surgical removal of myxoma
18:29 Case 15:
a) What are the findings?
b) What immediate steps should be attempted?
Answer:
a) Coronary wire in LAD, LAD perforation
b) Pericardiocentesis, Deployment of covered stent.
20:03 Case 16:
What is your diagnosis?
Answer:
Takotsubo Cardiomyopathy
21:24 Case 17:
What is the prominent finding in this angiogram?
Answer:
Pulmonary Artery arising from Left Coronary system
22:52 Case 18:
Mid Cavity Obstruction
24:19 Case 19:
TAVI (Transcatheter Aortic Valve implantation), Partner Trial is landmark trial for TAVR in high risk patients
25:52 Case 20:
LIMA to Great Cardiac Vein bypass grafting (iatrogenic)
Tags:
#cardiology #angiography #angioplasty #anatomy #heart #toacs #cardiologytoacs #MDcardiology #fcpscardiology #tavr #interventionalCardiology #cathlab #aorticstenosis #cardiologyfellow #cath #pci