CVS Block Assessment

About s.aureus all true except:
A. Characteristic abscesses with Pus.
B. Usual sites - skin,nasopharynx, perineum.
C. Bacteria are sensitive to penicillin
D. Breach in mucosal barriers can enter underlying tissue
Staphylococcus aureus shows the following characters except
A. It produces haemolysis on, the blood agar
B. It is non motile
C. It is hon spore forming
D. It is encapsulated
A 31 year old woman presents with fever, intermittent severe pain in the upper quadrant of her abdomen and painful lesions involving her fingers and nail beds. History reveals that she had acute rheumatic fever as a child and that when she was around 20 years of age she developed a new cardiac murmur. At the present time one of three blood cultures submitted to the hospital lab grew a specific bacteria. Which of the following is the most likely cause of her disease?
A. Staphylococcus aureus
B. group A streptococci
C. alfa- hemolytic viridans streptococci
D. Candida species
A 53-year-old woman presents with dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, edema in the legs and feet, and fatigue. She has no history of angina, other signs of coronary artery disease, hypertension, or valvular disease. Echocardiography reveals cardiomegaly, with four-chamber hypertrophy and dilation. Which of the following is the most likely diagnosis?
A. Congestive or dilated cardiomyopathy
B. Hypertrophic cardiomyopathy
C. Myocarditis
D. Restrictive cardiomyopathy
Which statement about cardiac muscle is most accurate
A. the T-tubules of cardiac muscle can store much less calcium than the T-tubules in skeletal muscle
B. Mucopolysaccharides inside the T-tubules bind chloride ions
C. Cardiac muscle repolarization is caused by opening of sodium channels
D. The strength and contraction of cardiac muscle depends on the amount of calcium surrounding cardiac myocyte
E. In cardiac muscle, the initiation of the action potential causes an immediate opening of slow calcium channels
Stroke volume is regulated by all of the following except
A. End diastolic volume
B. Cardiac out put.
C. Cardiac out puts
D. Peripheral resistance.
Hypertrophic cardiomyopathy is most commonly caused by B-myosin heavy chain gene mutation.
True
False
Chagas myocarditis if viral in origin
True
False
.The heart continue to beat even after all nerves to it are sectioned. This property is called
A. Automaticity
B. Conductivity
C. Excitability
D. Automaticity
If someone's heart has a stroke volume of 70 ml and a heart rate 6f 90 beat/minute, the cardiac output would be
A. 70 ml/min
B. 6.3 L/min
C. 1.28 ml/min
D. 0.77 L/min
Genetic influences play a major role in the pathogenesis of dilated cardiomyopathy.
True
False
Athletes trained for endurance, such as swimmers and marathon runners, have a higher stroke volume at rest mainly because they have:
A. Resting bradycardia.
B. Decreased end-diastolic volume.
C. Increased heart rate
D. More sympathetic stimulation of the SA node.
Left to right heart shunts:
A. Ventricular septal defect
B. Coarctation of aorta
C. Transposition of great vessels
D. Tetralogy of Fallot
If the patient develops ischemia at the SA node the suspected response of the
A. The patient loss the consciousness
B. Maintain the automaticity of SA node
C. AV node take over
D. Develop cardiac arrest
The beginning of the axillary artery at the
A. Lateral border of the 2nd rib
B. Medial border of the 2nd rib
C. Lateral border of the 1st .
D. Medial border of the 1st
One of the following is a branch of the second part of the axillary artery:
A. Posterior circumflex humeral artery.
B. Anterior circumflex humeral artery.
C. Superior thoracic artery
D. Lateral thoracic artery.
Ventricular septal defect commonly involves the membranous septum
True
False
Atenolol s a cardio selective Adrenergic blockers
True
False
-It means a congenital localized contracted, compressed or narrowed any part of aorta This is the definition of
A. Coarctation of aorta
B. Patent ductus arteriosus
C. Atrial septal defect
D. Tetralogy of Fallot
In Erb's paralysis, the deformity is called:
A. Policeman's tip position
B. Claw hand.
C. Ape hand
D. Winging of the scapula,
The factors which control the automaticity and increasing it include all except:
A. anxiety
B. Fever
C. B-Blocker
D. thyrotoxin
The usual number of branches of the lateral cord of the brachial plexus:
4
1
2
3
Atherosclerotic aneurysm commonly affects the
A. Thoracic aorta
B. Aortic arch
C. Abdominal aorta
D. Coronaries
The inferior ulnar collateral artery is a branch of the:
A. Second part of the axillary artery.
B. Third part of the axillary artery.
C. Brachial artery.
D. Subclavian artery.
The axillary nerve supplies the:
A. B and c
B. Muscle that abducts the arm from 15° - 90°
C. Both the deltoid and teres minor muscles
D. Muscle that abducts the arm from zero to15°
The brachial artery terminates at the
A. At the neck of the radius
b. Lower border of teres minor.
C. Styloid process of the radius
D. Lower border of teres major.
The musculocutaneous nerve:
A. Both A and B
B. One of the two terminal branches of medial cord of the brachial plexus
C. Becomes the (medial) antebrachial cutaneous nerve
D. Neither C nor B
Penetrating knife wound to the posterior shoulder in the Quadrangular space would damage the axillary nerve and the :
Lateral thoracic artery
B- anterior circumflex humeral artery
C- sub scapular artery
D- superior thoracic artery
E- Posterior circumflex humeral artery
Atherosclerotic plaques are susceptible to undergo malignant transformation
True
False
In endothelial injury, monocyte adhere to the endothelium, they localize in the intima and are transformed into macrophages that engulf lipoproteins
True
False
High-density lipoprotein (HDL) mobilizes cholesterol from tissue and transports it to live excretion in the bile
True
False
A 50 year old man develops intense substernal, crushing chest pain that is not relieved by nitroglycerin. He is admitted to the ICE where ECGs find evidence of myocardial infarction with ST-segment elevation. His condition rapidly worsens as he develops severe heart failure and dies 2 days later. At autopsy a large necrotic area is found involving the anterior of the left ventricle. The most likely cause of his myocardial infarction is:
A. Coronary artery embolism
B. Coronary artery thrombosis
C. Coronary artery vasospasm
D. Coronary arteritis
Irreversible injury of ischemic) myocytes first occurs in the subepicardial zone.
True
False
Cardiogenic shock occurs in 10% of patients with transmural myocardial infarction
True
False
The most effective agent for increasing HDL
A. Ezetimibe
B. Fenofibrate
C. Cholestyramine
D. Nicotinic acid
The root value of ulnar nerve is:
A. C5, 6, 7
b. C7, 8, T1
C. C3, 4, 5
D. C5, 6
The nerve related behind the medial epicondyle of humerus is:
A. Ulnar nerve.
B. Medial cutaneous nerve of arm.
C. Median nerve.
D. Radial nerve.
Reduction of the LDL level is the primary goal of 1 cholesterol-lowering therapy
True
False
Ezetimibe is generally well tolerated but can cause constipation
True
False
Acute occlusion of the proximal left anterior descending artery is the cause of 50% of all myocardial infarction.
True
False
Menopause with declining estrogen production, is associated with exacerbation of coronary artery disease.
True
False
Triacylglycerol reduction is a Primary benefit of the statin drugs
True
False
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