2017 Module Exam Flashcards
A patient presented to the hospital with the previous ECG image. Which of the following is the best treatment option for this patient ?
A. Immediate primary PCI
B. immediate fibrinolytic therapy
C. Immediate nitrates
D. Immediate dual anti-platelet therapy
A. Immediate primary PCI
Where is the AV-node located?
A. Upper part of crista terminalis
B. Triangle of Koch
C. Membranous part of the intraventricular septum
B. Triangle of Koch
What best describes stable angina?
A. Chest pain that is predictable on exertion
B. Chest pain that occurs during rest and exertion
C. Chest pain that is stabbing in nature and radiates to the back
D. Right upper quadrant pain
A. Chest pain that is predictable on exertion
A hypertensive patient is being treated for his condition. He was prescribed a medication that caused him to have wheezes and dyspnea. What is likely causative drug?
A. Amlodipine
B. Beta blockers
C. Isoprenaline
D. alpha 1 blockers
B. Beta blockers
A. Atrial fibrillation
B. Atrial flutter
C. 1st degree AV block
D. WPW syndrome
E. 3rd degree AV block
A. Atrial fibrillation
What is meant by “intermittent claudication”?
A. Pain when walking and it is relieved by rest
B. Transient Unstable angina
A. Pain when walking and it is relieved by rest
Fibrinolytic therapy is absolutely contraindicated in which patients?
A. History of intracranial haemorrhage
B. Advanced liver disease
C. Use of warfarin in his 20s
D. Infective endocarditis
A. History of intracranial haemorrhage
Which of the following may cause secondary hypertension?
A. Chronic use of Steroids
B. Diabetes
C. Liver cirrhosis
D. Aortic regurgitation
A. Chronic use of Steroids
D. Aortic regurgitation
A 60 Y/O man with a history of DM and smoking for 40 years is also obese. Which of the following is most likely to develop?
A. Atherosclerosis
B. Mitral valve prolapse
C. Pericarditis
D. Fibromascular dysplasia
A. Atherosclerosis
What is the common cause of bluish declaration of newborn lips and tips (cyanosis)?
A. Tetralogy of fallout
B. Transposition of the great vessels
C. Atrial septal Defect
D. Hypoalbuminemia
B. Transposition of the great vessels
What best describes pleuritic chest pain?
A. The pain is relieved with leaning forward and increases with inspiration
B. The pain is relieved with expiration and recumbent position
C. Burning in nature
D. Associated with S3 heart sound
A. The pain is relieved with leaning forward and increases with inspiration
Which of the following best describes the jugular venous pressure?
A. increases with high left atrial pressure
B. independent of the patient’s position
C. Increases with increased abdominal pressure
D. increases with compression at the root of the neck
C. Increases with increased abdominal pressure
D. increases with compression at the root of the neck
What is a characteristic histological feature of the Inferior Vena Cava ?
A. Elastic lamellae in T. Media
B. T. Adventitia With smooth muscle cells
C. Festerated endothelium
D. Presence of thick layer of smooth muscles in T. Media
B. T. Adventitia With smooth muscle cells
A patient with tachyarrhythmia is resistant to all anti-arrhythmic drugs expect for amiodarone. What is the mechanism of action of this drug?
A. Block potassium channels
B. Block sodium channels in the activated state
C. Inactivate adrenergic stimulation
A. Block potassium channels
The action of the angiotensin AT1-receptor will generally cause which of the following ?
A. Vasodilation
B. Bradykinen release
C. Aldosterone release
D. Na/H exchanger activation
C. Aldosterone release
An increase in mean arterial pressure is mediated by an increase in which of the following mechanisms?
A. Renal blood flow
B. Speed of ejection
C. HCN current in the SA node
D. Conduction velocity in the AV nod
C. HCN current in the SA node
D. Conduction velocity in the AV nod
A 24 year old male patient with lymphoma, started combination chemotherapy that contains adriamycin (Doxorubicin). How can you monitor cardio toxicity ?
A. Coronary CT angiogram
B. Coronary angiography
C. Gated cardiac blood pool imaging
D. Stress/rest myocardial perfusion scan
C. Gated cardiac blood pool imaging
Which of the following results in diastolic murmur?
A. Mitral valve prolapse
B. mitral regurgitation
C. Aortic stenosis
D. aortic insufficiency
D. aortic insufficiency
What represents increased dp/dtmax ( myocardial contractility index ) ?
A. heart failure
B. decreased intraventricular pressure
C. decreased pre-ejection time (PET)
C. decreased pre-ejection time (PET)
What disease is associated with MYH7 mutation?
A. Familial hypertrophic cardiomyopathy
B. Dilated cardiomyopathy
C. Restrictive cardiomyopathy
D. Familial hypercholesteremia
A. Familial hypertrophic cardiomyopathy
A 55yr old male with poorly controled htn for a decade was found in the hospital to have 250/125 bp and high creatinine level Which vascular lesion is mostly present in his kidney?
A. Hyperplastic arteriolosclerosis
B. Polyarteritis nodosa
C. Leukocytoclastic vasculitis
A. Hyperplastic arteriolosclerosis
What is the causative agent of rheumatic fever ?
A. Streptococcus pyogens
B. Streptococcus agalactiae
C. Streptococcus Equisimilis
D. Streptococcus Milleri
A. Streptococcus pyogens
In a myocardial perfusion image study, what does a myocardial defect seen on both stress and test images suggest?
A. scar after infarction
B. myocardial ischemia
C. normal myocardium
D. cardiomyopathy
A. scar after infarction
An acute myocardial infarction of the lateral wall of the heart is most likely due to an infarct in which artery?
A. Left Anterior artery
B. Circumflex
C. Posterior descending artery
D. Left coronary artery
B. Circumflex
A 65 years old female with uncontrolled hypertension is likely to present with which of the following?
A. HFrEF
B. HFpEF
C. Pulmonary embolism
D. Right sided heart failure
B. HFpEF
Mendelian familial diseases are known to have high penetrance. What is the frequency of SNPs in high penetrance diseases?
A. 0.1
B. 0.2
C. 0.0001
D. 0.5
C. 0.0001
What is most likely to cause hypertension in a 17 years old female?
A. Coarctation of the aorta
B. Aortic stenosis
C. Liver Failure
D.atherosclerosis
A. Coarctation of the aorta
What is the main fuel for the heart?
A. FA
B. glucose
C. ketone bodies
D. lactate
A. FA
Based on genotypes, a carrier of CYP2C9 1*/1* and VKORC1 GG, which of the following therapy options is suitable for these carriers ?
A. High warfarin dose
B. Low warfarin dose
C. High clopidogrel dose
D. Low clopidogrel dose
E. Normal clopidogrel dose
A. High warfarin dose
In normal ECG what is duration of PR interval
A) >0.12 to <0.21 ( three to five small squares)
B) it depends on QT interval
C) It is same of QRS
D) >0.44
A) >0.12 to <0.21 ( three to five small squares)
What is the ESV?
A. 60
B.120
C.80
D. 65
A. 60
A 68 year old female presented with acute dyspnea, and on physical examination, she had an irregular pulse and a heart rate of 140 bpm, what is the heart rhythm?
A. AV escape rhythm
B. Sinus rhythm with Mobitz I
C. Atrial Fibrillation
D. Paroxysmal atrial tachycardia
C. Atrial Fibrillation
What is the structure responsible for right to left shunt in the fetal ?
A. coronary sinus
B. ductua venosus
C. ductus arteriosus
D. Umbilical vein
C. ductus arteriosus