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Module (Cardiology)
Question 2. The differential diagnosis for chest pain includes:
(a) Myocardial infarction. (True)
(b) Oesophagitis. (True)
(c) Pulmonary embolus. (True)
(d) Cholecystitis. (True)
(e) Aortic dissection. (True)
Question 3. The following are causes of acute life-threatening dyspnoea:
(a) Myocardial infarction. (True)
(b) Pulmonary embolus. (True)
(c) Pneumothorax. (True)
(d) Ventricular or supraventricular tachyarrhythmia. (True)
(e) Bacterial endocarditis. (True)
Question 4. The following are clinical signs found in infective
endocarditis:
(a) Clubbing. (True)
(b) Haematuria. (True)
(c) Pyrexia. (True)
(d) Rashes. (True)
MCQs VIA WEB 2005
By A. H.
(e) Focal neurological defect. (True)
Question 5. The following are risk factors for ischaemic heart disease:
(a) Hypertension. (True)
(b) Moderate alcohol intake. (False)
(c) Female sex. (False)
(d) Hypercholesterolaemia. (True)
(e) Increasing age. (True)
Question 6. The following are classical features of cardiac syncope:
(a) Gradual onset. (False)
(b) Warning symptoms. (False)
(c) Rapid recovery. (True)
(d) Residual neurological deficit. (False)
(e) Precipitated by sudden turning of the head. (False)
Question 7. The following are causes of a pansystolic murmur:
(a) Mitral regurgitation. (True)
(b) Aortic regurgitation. (False)
(c) Tricuspid regurgitation. (True)
(d) Atrial septal defect. (False)
(e) Aortic stenosis. (False)
Question 8. The following conditions require antibiotic prophylaxis
before dental procedures:
(a) Prosthetic aortic valve. (True)
(b) Ventricular septal defect. (True)
(c) Floppy mitral valve with coexistent mitral regurgitation. (True)
(d) Enlarged left ventricle. (False)
(e) A history of infective endocarditis in the past. (True)
Question 9. The following should be considered as possible signs of a
positive exercise test:
(a) ST segment depression. (True)
(b) Exercise-induced hypotension. (True)
(c) Exercise-induced ventricular tachycardia. (True)
(d) Lack of adequate tachycardic response to exercise. (True)
(e) Leg pain at peak exercise. (False)
Question 10. The following are indications for anticoagulating a patient
who has atrial fibrillation with warfarin:
(a) Age under 60 years. (False)
(b) Associated mitral stenosis. (True)
(c) Atrial fibrillation of more than 24 hours' duration. (True)
(d) A history of cerebral thromboembolism. (True)
(e) Associated left ventricular failure. (True)
Question 11. The following are true of ventricular tachycardia:
(a) It is a life-threatening condition. (True)
(b) It may be caused by myocardial ischaemia. (True)
(c) It may be caused by hypokalaemia. (True)
(d) Amiodarone may be used to prevent recurrent episodes of ventricular
tachycardia. (True)
(e) Acute ongoing ventricular tachycardia should be treated initially
with drugs. (False)
Question 12. The following are signs of coarctation of the aorta:
(a) Radiofemoral delay in the pulses. (True)
(b) Rib notching. (True)
(c) Bruits heard over the scapula. (True)
(d) Ankle oedema. (False)
(e) Atrial fibrillation. (False)
Question 13. Functions of the recovery position include:
(a) To prevent the tongue from obstructing the airway. (True)
(b) To prevent neck injury. (False)
(c) To minimize the risk of aspiration of gastric contents. (True)
(d) To maintain a straight airway. (True)
(e) To enable cardiopulmonary resuscitation to be carried out. (False)
Question 14. Complications of prosthetic heart valves are as follows:
(a) Thromboembolic events. (True)
(b) Dehiscence of the valve ring. (True)
(c) Increased risk of infective endocarditis. (True)
(d) Failure of the valve 5 years after placement. (False)
(e) Need for anticoagulation in patients who have porcine valves. (False)
Question 15. The following statements are true of thiazide diuretics:
(a) They act at the level of the distal convoluted tubule. (True)
(b) They may cause gout. (True)
(c) Diabetic control may deteriorate. (True)
(d) Hypokalaemia may occur. (True)
(e) They cause ototoxicity. (False)
Question 16. The following are classified as high-output states:
(a) Hypertension . (False)
(b) Sepsis. (True)
(c) Hypothyroidism. (False)
(d) Pregnancy. (True)
(e) Arteriovenous malformations. (True)
Question 18. The following statements are true of the apex beat:
(a) It is the lowest and most lateral point at which the cardiac impulse
can be felt. (True)
(b) It is displaced downwards and laterally if the left ventricle is
enlarged. (True)
(c) It is thrusting in mitral stenosis. (False)
(d) It is thrusting in aortic regurgitation. (True)
(e) It is heaving in aortic stenosis. (True)
Question 17. Cardiac causes of clubbing are as follows:
(a) Uncomplicated atrial septal defect. (False)
(b) Chronic infective endocarditis. (True)
(c) Atrial fibrillation. (False)
(d) Acute endocarditis. (False)
(e) Empyema. (False)
Question 19. The following leads represent the inferior myocardium:
(a) I, AVL, and V6. (False)
(b) V2, V3, and V4. (False)
(c) AVR and V1. (False)
(d) V1-V6. (False)
(e) II, III, and AVF. (True)
Question 20. The following are possible causes of electromechanical
dissociation:
(a) Pulmonary embolus. (True)
(b) Tension pneumothorax. (True)
(c) Hypertension. (False)
(d) Dehydration. (True)
(e) Hypocalcaemia. (True)
Question 21. The following are characteristic of pericarditis:
(a) The chest pain is dull in nature. (False)
(b) There may be an associated pericardial effusion. (True)
(c) The pericardial rub may come and go. (True)
(d) The ECG usually shows regional ST elevation. (False)
(e) The ST elevation is concave. (True)
Question 22. Secondary hypertension may be due to the following:
(a) Renal artery stenosis. (True)
(b) Renal cell carcinoma. (False)
(c) Cushing's syndrome. (True)
(d) Pregnancy. (True)
(e) Oral contraceptive pill. (True)
Question 23. ECG changes due to myocardial infarction may include the
following:
(a) ST elevation. (True)
(b) Sinus tachycardia. (True)
(c) Ventricular tachycardia. (True)
(d) Complete heart block. (True)
(e) Q waves. (True)
Question 24. The following drugs are used in the treatment of hypertension:
(a) Atenolol. (True)
(b) Doxazocin. (True)
(c) Enalapril. (True)
(d) Bendrofluazide. (True)
(e) Nicorandil. (False)
Question 25. Complications of myocardial infarction include:
(a) Cardiac failure. (True)
(b) Mitral regurgitation. (True)
(c) Cerebrovascular event. (True)
(d) Myocardial rupture. (True)
(e) Gastrointestinal bleed. (False)
All the best !!!
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