DAVIDSON 10 review exam
1. Malar flush indicates with valvular heart disease?
AS.
MS.
AR.
MR
TR.
2. Which of the following cardiac condition is not a cause of central cyanosis?
TOF.
Transposition of great arteries.
Right ventricular failure following RV Myocardial infarction.
Acute left ventricular failure with pulmonary edema.
Eisenmenger syndrome.
3. Differential clubbing is found in following condition?
TOF.
PDA with Eisenmenger syndrome.
PDA.
Transposition of the great arteries.
Truncus arteriosus.
4. Tapping apex beat is found in?
Aortic stenosis.
AR.
TR.
Mitral stenosis
TS.
5. Left parasternal heave is found in?
Left ventricular hypertrophy.
Right ventricular hypertrophy.
AS.
Systemic hypertension.
AR.
6. Palpable P2 is a feature of?
Severe pulmonary hypertension.
Severe systemic hypertension.
Severe pulmonary stenosis.
Low pulmonary pressure.
TOF.
7. What is the approximate thickness of right ventricular muscle?
10 mm.
5 mm.
15 mm.
3 mm.
20 mm
8. Which of the following is the pressure of left atrium?
90-140 mmHg
15-30 mm Hg.
4-12 mm Hg
0-5 mm Hg
15-30 mm hg.
9. Which of the following condition is a cause of Radiofemoral delay?
ASD
Coarctation of aorta.
VSD.
TOF
PDA.
10. Which of the following structure is injured in a stab wound at the left 4th intercostal space just lateral to the sternum?
Left ventricle.
Right atrium.
Right ventricle.
Left atrium.
Pulmonary trunk.
11. AV node is most commonly supplied by?
Right marginal artery.
Left anterior descending artery.
Posterior descending artery.
Left circumflex artery.
Diagonal branches from LAD.
12. Slow rising, weak and delayed pulse (pulsus parvus et tardus) is found in?
AS
AR
MR
MS
TS.
13. In which condition the y descent is absent?
Cardiac tamponade.
Constrictive pericarditis.
Pericardial effusion.
Acute Pericarditis
Tricuspid stenosis.
14. Which of the following structure does not contribute to the formation of the left cardiac silhouette?
Aortic arch.
Pulmonary trunk.
Azygos vein.
Left atrial appendage.
Left ventricle.
15. Which of the following is not true regarding BNP?
Identified in extracts of porcine brain.
It’s a 23 amino acid polypeptide.
Produced by ventricular cardiomyocytes.
Significantly raised in pulmonary edema due to left heart failure.
Normal in noncardiogenic pulmonary edema (ARDS).
16. Which of the following is a vasoconstrictor in coronary circulation?
Adenosine.
Nitric oxide.
Endothelin-1.
Prostaglandin.
Bradykinin.
17. Which of the following change does not occur during inspiration?
JVP rises.
JVP falls.
Blood pressure drops
Heart rate increases
Physiologic splitting of second heart sound.
18. Which part of the heart has the fastest conduction speed?
SA node.
His-Purkinje system.
AV node.
Atrial muscle.
Ventricular muscle
19. Following is the location of SA node?
Junction of inferior venacava and right atrium.
Junction of the superior venacava and right atrium.
Close to coronary sinus.
Triangle of Koch.
Close to annulus fibrosus.
20. Which of the following is not a high risk finding in Exercise ECG?
Ischemia within stage 1 of Bruce protocol.
Ischemia within stage 5 of the Bruce protocol.
Fall in blood pressure.
Prolonged ST depression and T inversion.
Development of Arrhythmias.
21. Which of the following is not a cause of rise in cardiac troponins?
Unstable angina.
Acute STEMI.
Acute NSTEMI.
Pulmonary embolus.
Septic shock.
22. Common indication for transthoracic echocardiography does not include?
Assessment and quantification of regurgitation jet.
Detection of pericardial effusion.
Identification of vegetation in endocarditis.
Assessment of left ventricular function.
Identification of structural heart disease.
23. Heart rate may become fixed in which condition?
Hypothyroidism.
Hyperthyroidism.
Diabetes mellitus.
Atropine overdose.
Combined beta blocker and calcium channel blocker usage.
24. Which of the following is not a cause of pulsus paradoxus?
Myocarditis.
Constrictive pericarditis
Cardiac tamponade.
COPD.
Asthma.
25. Following conditions cause heart failure by ventricular outflow tract obstruction, except?
Hypertension.
Pulmonary hypertension.
Mitral stenosis.
Aortic stenosis.
Pulmonic stenosis.
26. Cardiac axis is normal if?
Positive QRS in lead I and negative in II.
Negative QRS in lead I and positive in II.
Positive QRS in lead I and II.
Negative QRS in lead I and negative in II.
Positive QRS in lead I and negative in aVF.
27. Which of the following is not a cause of T inversion?
Hypokalemia.
Myocardial infarction.
Myocardial ischemia.
Cardiac tamponade.
Raised intracranial pressure.
28. Notched P wave is found in?
Cor pulmonale.
LVH.
Mitral stenosis.
RVH.
TR
29. Following are causes of ventricular volume overload, except?
Mitral regurgitation.
Aortic regurgitation.
Coarctation of aorta.
VSD.
ASD.
30. Following are causes of ventricular diastolic dysfunction, except?
Left ventricular hypertrophy.
Dilated cardiomyopathy.
Cardiac tamponade.
Amyloidosis.
Constrictive pericarditis.
31. Which of the following is not a feature of right heart failure?
Raised JVP.
Basal crackles.
Enlarged tender liver.
Ascites.
Peripheral edema.
32. Which of the following factor does not precipitate heart failure in pre-existing heart disease?
IV fluid overload.
Beta agonist.
Pregnancy.
Thyrotoxicosis.
Pulmonary embolism.
33. All of the following cardiac conditions cause peripheral edema except?
Constrictive pericarditis.
Cardiac tamponade.
Cardiomyopathy.
Right heart failure.
Biventricular failure.
34. Which of the following complications of heart failure is poor prognostic feature?
Hypokalemia.
Hyponatremia.
Hyperkalemia.
Renal failure.
Thromboembolism.
35. Which of the following drug is used in resistant heart failure?
Hydralazine.
Sacubitril-Valsartan.
Nitrates.
Beta blocker.
Ivabradine.
36. Following are cause of sinus bradycardia except?
Myocardial infarction.
Beta agonists.
Beta blockers.
Hypothermia.
Raised ICP.
37. All of the following are cause of atrial fibrillation except?
Valvular heart disease.
Hypothyrodism
Hypertension.
Pulmonary embolism.
Alcohol.
38. According NYHA functional classification, class II refers to?
No limitation during ordinary activity.
Slight limitation during ordinary activities.
Unable to undertake physical activity without symptoms.
Symptoms at rest.
Marked limitation of normal activities without symptoms at rest.
39. Which of the following baseline investigation is not warranted in exertional chest pain?
Full blood count
Serum troponin I
Thyroid function test
Fasting blood glucose.
Lipid profile.
40. Which of the following is a nonstructural heart disease that causes sudden arrhythmic death?
Wolff-Parkinson-White syndrome.
Arrhythmogenic right ventricular dysplasia.
Congenital heart disease.
Dilated cardiomyopathy.
Hypertrophic cardiomyopathy.
41. Which of the following is a non-shockable rhythm?
Atrial fibrillation.
Ventricular tachycardia.
Ventricular fibrillation.
Pulseless electrical activity.
Atrial flutter.
42. Following are reversible causes of cardiac arrest, except?
Hypoxia.
Medullary stroke.
Pulmonary thrombosis.
Tension pneumothorax.
Hyperkalemia.
43. Which of the following is incorrect regarding ACLS?
Give amiodarone after 2 shocks.
Give adrenaline every 3-5 minutes.
Use waveform capnography.
Give oxygen.
Perform continuous compressions when advanced airway in place.
44. Following are the causes of a loud first heart sound except?
Anemia.
Mitral stenosis.
Heart failure.
Pregnancy.
Thyrotoxicosis.
45. Which of the following is incorrect regarding second heart sound?
Aortic valve closes first followed by pulmonic valve.
Physiologic splitting occurs during inspiration.
Physiologic splitting occurs during expiration.
Fixed wide splitting is found in atrial septal defect.
Paradoxical splitting is found in left bundle branch block.
46.Which of following is not a feature of innocent heart murmur.
Has thrills.
Soft
Mid-systolic.
Heard at left sternal edge
No radiation.
47. Which of the following causes diastolic murmur?
Aortic stenosis.
Mitral regurgitation
VSD.
Tricuspid regurgitation.
Tricuspid flow murmur.
48. Which of the following test must be done before starting ACEI or ARB?
Chest X Ray
ECG.
Echo.
Serum electrolytes and creatinine.
Urine R/E.
49. How glyceryl trinitrate acts in patients with heart failure?
Improves cardiac contractility.
Reduces diastolic dysfunction.
Only reduces preload.
Reduces both afterload and preload.
Only reduces afterload.
50. Which vaccine should be considered in patients with heart failure?
Pneumonoccal vaccine.
Hepatitis B.
Hepatitis C.
Typhoid vaccine.
Repeat MMR.
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