2018 Module Exam Flashcards
Which of the following accompanies LAD artery and Circumflex artery?
a) Great cardiac vein
b) Small cardiac vein
c) Middle cardiac vein
a) Great cardiac vein
Which valve is auscultated in the 2nd left intercostal space?
a) Pulmonary valve
b) Mitral valve
c) Tricuspid valve
d) Aortic valve
a) Pulmonary valve
The tunica media of the common carotid artery is made mainly from?
a) Collagen III
b) Collagen IV
c) Collagen I
d) Elastin
d) Elastin
What causes separation of left to right atrioventricular canal?
a) Endocardial cushions
What is a characteristic histological feature of the IVC?
a) Elastic lamellar in tunica media
b) Tunica adventitia with smooth muscle cells
c) Fenestrated endothelium
d) Presence of thick layer of smooth muscles in tunica media
b) Tunica adventitia with smooth muscle cells
Newborn baby with blue tips and lips. What is the the most likely congenital disorder?
a) transposition of great vessels
b) Patent foramen ovale
c) ductus arteriosus
a) transposition of great vessels
What nerve carries sensations from the heart?
a) Intercostal nerves
b) Vagus nerves
c) Sympathetic nerves
d) Ventral rami of T1-T4
c) Sympathetic nerves
An elderly patient came to hospital with heart block due to AV node ischaemia. In most patients what supplies AV node?
a) Anterior interventricular artery
b) Posterior interventricular artery
c) Circumflex branch of left coronary artery
d) Left marginal artery
b) Posterior interventricular artery
A 48 y/o male is diagnosed with stable angina, he had an episode of chest pain which is not relived by rest or nitroglycerin. Angiography showed reduced perfusion of lateral wall of left ventricle.
Which artery is occluded?
a) LAD
b) left coronary artery
c) right coronary artery
d) circumflex artery
d) circumflex artery
What is responsible for right to left shunt in fetal circulation?
a) coronary sinus
b) ductus arteriosus
c) ductus venosus
d) pulmonary artery
e) pulmonary veins
b) ductus arteriosus
Which of the following is a feature of Fallot’s teratology?
a) Patent ductus arteriosus
b) Patent foramen ovale
c) Pulmonary valve stenosis
d) Ectopia cardia
e) Septum secundum defect
c) Pulmonary valve stenosis
A 50-year-old man started drug for HTN and 2 months later, he was diagnosed w/gout. Which drug causes this?
a) thiazide diuretics
b) beta blocker
c) calcium channel blocker
d) ACEI
a) thiazide diuretics
Which of the following drugs causes lower limb edema?
a) CCB
b) ACEI
c) BB
d) Centrally acting drugs.
a) CCB
Which of the following ECG findings is a characteristic of atrial fibrillation?
a) Wide QRS complexes
b) The absence of P waves
c) Increased voltage of QRS complexes
d) Regular QRS complexes
b) The absence of P waves
A female patient presents with painful, pulseless right lower limb. You suspect she suffers from thrombo embolization. Which of the following conditions would have caused her thromboembolism?
a) Atrial fibrillation
b) Supraventricular tachycardia
c) Ventricular fibrillation
d) Complete heart block (3rd degree AV dissociation)
a) Atrial fibrillation
You are called to see a patient who fell suddenly on the ground and is unconscious. Which of the following conditions requires immediate electrical cardioversion?
a) Atrial fibrillation
b) Ventricular fibrillation
c) Supraventricular tachycardia
d) Bradycardia
b) Ventricular fibrillation
A pregnant woman complains of palpitations. Which of the following is a common arrhythmia in pregnancy?
a) Supraventricular tachycardia
b) Atrial fibrillation
c) Sinus tachycardia
d) Atrial tachycardia
c) Sinus tachycardia
A patient came with 15 minutes duration of severe chest pain. You suspect MI. What’s the best diagnostic tool to confirm the presence of ischemia?
a) Troponin
b) urea creatinine
c) Echocardiogram
d) ECG
d) ECG
Someone was diagnosed with HfrEF. Which drug is preferred?
a) amiadrone
b) B blockers
c) Niacin
d) Procanamide
b) B blockers
A patient came with old inferior wall MI. What changes do you expect to see in ECG?
a) ST segment elevation in leads I/III/aVF
b) ST segment elevation in leads I/aVL
c) 3 mm ST segment depression in V3 to V5
d) Q wave in II/III/aVF
d) Q wave in II/III/aVF
Autopsy findings of a man who died of hanging include sternocleidomastoid hemorrhage and dislocation of C2-C3 vertebrae. What is the method of hanging?
a) Judicial
b) Suicidal
c) Homicidal
d) Accidental
a) Judicial
A patient presented to the ER with chest pain. The ECG was done, The diagnosis was acute Anterior wall Myocardial Infarction.
What’s the indication of anterior wall Myocardial Infarction?
a) ST elevation in leads I, II, aVf
b) ST elevation in leads v2 to v5
c) 3mm ST depression in leads v3 to v5
d) Q wave in leads v2, v3, v4
b) ST elevation in leads v2 to v5
A 71-year-old patient presented with STEMI, what is the best treatment method?
a) immediate revascularation (primary PCI)
b) immediate administration of fibrinolytic therapy
c) anticoagulantion (warfarin)
d) immediate administration of …
a) immediate revascularation (primary PCI)
A patient had a stroke and is now having atrial fibrillation. Which of the following is used for secondary prevention of stroke/thromboembolism?
a) Oral anticoagulant
b) Combination of Aspirin and clopidogrel
c) Clopidogrel only
d) Chronic IV heparin
a) Oral anticoagulant
What is the valvular dieases that is associated with diastole murmur?
a) mitral valve regurgitation
b) pulmonary valve stenosis
c) mitral valve stenosis
d) mitral vavle prolapse
c) mitral valve stenosis
A 53 year old woman was diagnosed with a cardiac murmur. Upon echocardiography, a dilated left ventricle was found. Which of the following conditions leads to a dilated left ventricle if not treated?
a) Mitral stenosis
b) Aortic regurgitation
c) Pulmonary regurgitation
d) Aortic stenosis
b) Aortic regurgitation
Which of the followings antigens mimics cardiomyocytes in S. pyogenes?
a) Flagella
b) M protein
c) Peptidoglycan
d) lipoteichoic acid
b) M protein
A patient with heart failure takes several medication. What medication is known to cause headache?
a) nitrates
b) beta blockers
c) digoxin
d) diuretics
a) nitrates
What is the most likely causative agent in an intravenous drug addict?
a) Viridans streptococcus
b) Staphylococcus aureus
c) Ekinella
d) Kingella
b) Staphylococcus aureus
Which of the following structures of streptococcus pyogenes mimics the cardiac myosin and leads to the development of autoantibodies?
a) M protein
b) Flagella
a) M protein
Which of the following skin rash is present in patients with rheumatic fever
a) Erythema toxicum
b) Erythema marginatum
c) Erythema Migrans
d) Erythema Infectiosum
b) Erythema marginatum
Which microorganism infect people who drink unpasteurized milk?
a) Brucella melitensis
b) coxella burnetti
a) Brucella melitensis
A 55-year-old man has recent myocardial infarction and dyspnea. His x-ray shows cardiomegaly, bilateral whitish shadow on the lungs and right plural effusion. His urine excretion is significantly reduced, and his serum creatinine is increased. What causes the progression of his symptoms?
a) Pulmonary edema
b) Right heart failure
c) Left heart failure
d) Acute renal failure
c) Left heart failure
What happens in first phase of valsava maneuver?
a) decreased MAP
b) decreased pulse pressure
c) increase HR
d) increase SV
e) increase VR
d) increase SV
what is a characteristic coronary artery disease in stable angina?
a) hard fibrous atheromatous plaque
b) ruptured atheromatous plaque
c) atheromatous intimal erosion
d) atheromatous plaque embolsim
e) atheromatous intra intimal thrombus
a) hard fibrous atheromatous plaque
MYH-7 gene is related to what condition?
a) atrial fibrillation
b) familial hypertrophic cardiomyopathy
c) familial hypercholesterolemia
d) MI
b) familial hypertrophic cardiomyopathy
A 40 year old female presented with CHF and early onset of DM type 2, endomycardial biopsy shows myocardial fibrosis with brown granular pigment myocytes, along with elevated liver transaminases. Clinical manifestation?
a) cardiac hemosiderosis (something like that)