Faculty Supervision: Todd Cort and David Bach

The case describes AXA's corporate responsibility (CR) function. The company, a global leader in insurance and asset management, had distinguished itself in CR since formally establishing a CR unit in 2008. As the case opens, AXA's CR unit is being moved from the marketing function to the strategy group occasioning a thorough review as to how CR should fit into AXA's operations and strategy. Students are asked to identify CR issues of particular concern to the company, examine how addressing these issues would add value to the company, and then create metrics that would capture a business unit's success or failure in addressing the concerns.

11 When examining a patient's carotid pulse, why should we not palpate both carotids at once? Is it because it might block the blood supply to the brain?

12 How can I differentiate between jugular and arterial pulsation in the neck practically?

13 Can you please help me with this: 'Thrusting due to mitral or aortic regurgitation. Heaving due to aortic stenosis and systemic hypertension. There is often confusion about the terms thrusting and heaving'. Another book I read considers aortic stenosis and hypertension for thrusting and mitral/aortic regurgitation for heaving. Who should I go with? Thank you.

14 Where is the best place on the precordium to auscultate a split-second heart sound?

15 What is the mechanism by which murmurs of mitral valve prolapse (MVP) and hypertrophic cardiomyopathy (HC) are accentuated by standing or the Valsalva manoeuvre?

16 What is the correct procedure for a fluoroscopy and why is this essential for the insertion of cardiac catheter, pacemaker and prosthetic valve?

17 What is the role of amiodarone in the acute management of asystole or pulseless electrical activity (PEA)?

18 1. Is there any contraindication to the use of microwaves or mobile phones in patients with pacemakers? 2. What, if any, appliances should be avoided in a patient with a pacemaker?

19 1. What is tachy-brady arrhythmia in the sick sinus syndrome? 2. How can it be managed?

20 Practically, how can we differentiate between a second-degree atrioventricular (AV) block Mobitz I and Mobitz II? What is the meaning of first-degree block? What is the difference between heart asystole, heart arrest and third-degree AV block?