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Cardiology Flashcards

1
Q

Which of the following statements can not be identified by ECG?

A) Pericarditis

B) Chamber hypertrophy

C) Arrhythmias

D) Hyponatremia

E) Conduction disturbances

A

D) Hyponatremia

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2
Q

All of the following statements regarding therapy of patients with heart failure are true

EXCEPT:

A) ACE inhibitors are indicated in patients with heart failure and left ventricular dysfunction irrespective of the functional class

B) Digoxin has been shown to decrease heart failure hospitalizations but has no effect on mortality

C) Spironolactone has been shown to decrease mortality in patients with NYHA Class III-IV symptoms

D) BNP levels correlate with the wedge pressures and prognosis

E) Angiotensin receptor blocking agents are less effective than angiotensin-converting enzyme inhibitors in the reduction of mortality

A

E) Angiotensin receptor blocking agents are less effective than angiotensin-converting enzyme inhibitors in the reduction of mortality

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3
Q

Which of the following does not increase jugular venous pressure?

A) Right sided heart failure

B) Pericardial tamponade

C) Constrictive pericarditis

D) Aortic stenosis

E) Obstructed superior vena cava

A

D) Aortic stenosis

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4
Q

Which of the following is wrong about heart sounds?

A) Sl and s2 produced by the closing of the atrioventricular valves and semilunar valves

B) S3 is heard in early diastole and is always pathological

C) S4 is not heard in patients with atrial fibrillation

D) The severity of physiological murmurs does not exceed 2/6

E) Physiological splitting of S2 can be heard during deep inspiration

A

B) S3 is heard in early diastole and is always pathological

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5
Q

Which of the following is correct definition for supraventricular dysrhythmia?

A) Supraventricular dysrhythmias are arises from above AV node

B) Supraventricular dysrhythmias are arises from purkinje fibers

C) Supraventricular dysrhythmias are arises from ventricular myocyte

D) Supraventricular dysrhythmias are arises from sinus node

E) Supraventricular dysrhythmias are arises from above HIS bundle

A

E) Supraventricular dysrhythmias are arises from above HIS bundle

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6
Q

Which of following drugs is the first choice in the treatment of supraventricular tachycardia?

A) Amiodarone

B) Digoxin

C) Adenosine

D) Diuretics

E) Ca antagonists

A

C) Adenosine

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7
Q

Which of the following is not the cause of acute heart failure?

A) Ventricular septal rupture

B) Acute miyocardial infarciton

C) Infective endocarditis

D) Arryhythmias

E) Stable angina pectoris

3

A

E) Stable angina pectoris

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8
Q

Which of the following is wrong for ischemic heart disease?

A) In the presence of suspicion of acute coronary syndrome, the first test to be done is ECG

B) If there is no ST elevation on ECG, cardiac biomarkers should be checked

C) For the diagnosis of unstable angina pectoris, there should be no ischemic findings (ST depression, T negativity) in the ECG

D) ECG and physical examination are usually normal in patients with stable angina pectoris

E) Fibrinolytic therapy is contraindicated in NSTEMI

A

C) For the diagnosis of unstable angina pectoris, there should be no ischemic findings (ST depression, T negativity) in the ECG

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9
Q

Which of the following is true for stable angina?

A) Usually occurs at rest B) The most common radiation is towards the epigastrium

C) Does not relieves with nitroglycerine administration

D) The duation of the pain usually does not exceed 15 minutes

E) Pain is always retrosternal localized

A

D) The duation of the pain usually does not exceed 15 minutes

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10
Q

Which of the following is wrong for hypertension?

A) 95% of all hypertension patients is essential hypertension

B) The most common cause of secondary hypertension is renovascular hypertension

C) The best drug choice for hypertensive diabetic patients is ACE inhibitors

D) Hypertension is defined as a systolic blood pressure (SBP) of 140 mmHg or more, or a diastolic blood pressure (DBP) of 90 mmHg in office measurements

E) Hypertension is defined as a systolic blood pressure (SBP) of 130 mmHg or more, or a diastolic blood pressure (DBP) of 80 mmHg in home measurements

A

E) Hypertension is defined as a systolic blood pressure (SBP) of 130 mmHg or more, or a diastolic blood pressure (DBP) of 80 mmHg in home measurements

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11
Q

Which is not valvular heart

disease?

A) Aortic regurgitation

B) Mitral stenosis

C) Aortic dilation

D) Mitral valve prolapses

E) Bicuspid aortic valve

A

C) Aortic dilation

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12
Q

Which is the symptom of aortic valve stenosis?

1- Angina II-Syncope III- Dyspnea

A) I and II

B) II and II

C) Only III

D) All

E) None

A

D) All

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13
Q

Which of the Jones criteria used for the diagnosis for acute rheumatic fever is not the major?

A) Carditis

B) Polyartritis

C) Chorea

D) Fever

A

D) Fever

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14
Q

Which of following physical findings/laboratory tests would be most spesific in making a diagnosis of acute pericarditis?

A) Elevated erythrocyte sedimentation rate

B) Pericardial friction rub

C) Leukocytosis

D) Low grade fever

E) Tacyhcardia

A

B) Pericardial friction rub

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15
Q

Which of the following is a secondary cardiomyopathy?

A) Dilated cardiomyopathy

B) Hypertrophic cardiomyopathy

C) Arrhythmogenic right ventricular cardiomyopathy

D) Restrictive cardiomyopathy

E) Peripartum cardiomyopathy

A

E) Peripartum cardiomyopathy

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16
Q

chest pain in supine position and relieved when sitting

A

A)Pericarditis

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17
Q

5)Which is not determined by auscultation?
A)Mitral tricuspid
B)Systole diastole flow .
C) valve closing sound
D)Coronary artery occlusion sign
E)Tamponade perfusion

A

D)Coronary artery occlusion sign

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18
Q

7) of the following isn’t used in the treatments of ANF
A)diuretic
B)nitrate
C)atropine
D)noradrenaline
E)nitroprusside

A

C)atropine

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19
Q

8)of the following is Not a sign of aortic regurgitation :

A)de Musset
B) corrigan pulse
C)traube sign
D)pulsus paradoxus
E)pulsus bifurcation

A

D)pulsus paradoxus

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20
Q

10) What should the mitral valve area be normally
A) 2-4
B) 1-3
C) 4-6
D) 3-5
E) 5-7

A

C) 4-6

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21
Q

Not an atrial dysrhythmia
A)Atrial fibrillation
B)Atrial flutter
C)Ventricular fibrillation
D) Paroxysmal atrial tachycardia
E)Supraventricular tachycardia

A

C)Ventricular fibrillation

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22
Q

13 )not a major clinical manifestation of cardiac aortic stenosis:
A)exertional dyspnea
B)bradycardia
C)angina
D)syncope
E)heart failure

A

B)bradycardia

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23
Q

14)which of the following is NOT TRUE about NORMAL SiNUS RHYM
A) Produced by SA node
B) P waves look alike all QRS are narrow
C) R-R interval regular
D) Ventricular rate is irregular

A

D) Ventricular rate is irregular

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24
Q

which is wrong about electrocardiogram:
A)Always negative in lead aVR
B)all “p” waves look alike ‚all QRS complexes are narrow
C) R Rinterval is regular
D) normal sinus rhythm is produced by the SA NODE
E) Electrical activity towards a lead causes a downward deflection

A

E) Electrical activity towards a lead causes a downward deflection

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25
Q

1-Heart failure ile ilgili aşağıdakilerden hangisi doğrudur?

-heart clinical diagnose

A
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26
Q

hipertansiyonun cut off değerleri hangisinde doğru verilmistir?—— office>140/90 mmhg, home>135/85 mmhg

A
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27
Q

3-ECG ile ilgili hangisi yanlıştır?—-Depolarisation of the interventricular

septum is not recorded in an ECG tracing

A
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28
Q

Mitral stenosis te aşağıdakilerden hangisi görülmez?

left ventricle hypertrophy

A
29
Q

Hangisi atrial disritmilerin doğru tanımıdır?-atrial dysrhytmias are arises from above HIS bundle

A
30
Q

Fixed S2 çiftleşmesi hangisinde görülür?

A

atrial septal defect

31
Q

Hangisi kardiyak viabiliteyi ölçmek için tercih ettiğimiz yöntemdir?

scintigraphy

A
32
Q

Hangisi acute coronary syndrome olarak sayılmaz?-stable angina pectoris

A
33
Q

10-Chronic heart failure ve tedavi uygulamaları ile ilgili hangisi yanlıştır?—-

digoxin has a positive effect on mortality

A
34
Q

70 yaş üstü (yaşlı) hastalarda aort stenozunun en çok görülen sebebi nedir?

A

degenerative aortic valve

35
Q

Hangisi atrial aritmilerden değildir?—–bundle brunch reentrant tachycardia

A
36
Q

myocardit ve tedavi uygulamalarıyla ilgili hangisi yanlıştır?–

digoxin should be included in the treatment

A
37
Q

Ischemic heart disease ile ilgili hangisi yanlıştır?–ishcemic heart disease does not include unstable angina pectoris

A
38
Q

Angina pectoris ile ilgili asaBidakilerden hangisi yanlistir?

-… relieving with stress

A
39
Q

Aşağıdakilerden hangisi yanlıştır ?
Cevap: Digoxin significantly improves mortality

A
40
Q

ECG’ de asagidakilerden hangisi görülür?
Cevap: Depolarization of ventricular muscle

A
41
Q

Asagidakilerden hangisi endocarditin görüntülenmesinde tercih edilir?
Cevap: transesofagial echocardiography

A
42
Q

Syncope’ un en sik sebebi asagidakilerden hangisidir?
Cevap: Ventricular tachycardia

A
43
Q

Asagidakilerden hangisi atherosclerosis için “modifiable risk factor” degildir?
Cevap: Genetic abnormalities

A
44
Q

15-)Which of the followig is wrong about the hearth sounds?

Answer: S3 is as systolic heart sound.

A
45
Q

3-) Which of the following is wrong?

Answer: NHYA class 2: Daily Works cause dypsnea

A

لازم 5 اتوقع

46
Q

Which is true for angina pectoris?

Answer: Angina pectoris is defined as chest discomfort due to myocardial ischemi.

A
47
Q

Which of the following is the most common supraventricular arrythmia?

A

Answer: Atrial Fibrillation

48
Q

Which of the sentences is wrong for ECG?

Answer: ECG is not useful for diagnosis of pericarditis

A
49
Q

Which marker is useful for diagnosis of MI?

A-) Troponin

B-) CK-MB

C-) Myoglobin

D-) AST

A

A-) Troponin

50
Q

Which one is not a feature of unstable angina?

A-) Angina at rest

B-)New onset at exertion

C-)Increasing angina

D-) Post-MI angina

E-)Pleuritic chest pain.

A

E-)Pleuritic chest pain

51
Q

Which one is incorrect for ECG ?
A) Reguler recording speed for ECG is
25mm/sec
B) ECG doesn’t show ventricular hypertrophy
C) p wave shows atrial depolarisation
D) QRS shows venticular depolarisation
E Potassium level can cause some ECG
changes

A

‏B) ECG doesn’t show ventricular hypertrophy

52
Q

Which of the followings should not be used in acute heart failure?
A) Nitrogliserin
B) Furosemide
C) Calcium channel blockers
D) Dobutamin
E) Morfin sulphate

A

C) Calcium channel blockers

53
Q

Which Arrythmia can cause serious disorder in brain
A) Sinus Tachycardia
B) Atrial Fibrilation
C) Venticular ectopic beats
D) Supraventricular Tachycardia
E) Junctional Tachycardia

A

B) Atrial Fibrilation

54
Q

Ectopic beats QRS shape are similar Whichone is correct
A) Atrial- Ventricular
B) Atrial- Junctional
C) Junctional-Venricular
D) Junctional- Venricular Pace Maker impuls
E) Atrial - Venticular Pace maker Impuis

A

B) Atrial- Junctional

55
Q

13.Which of the followings is the most common cause of myocarditis?
A) Viral infections
B) Bacterial infections
C) Parasites
D) Drugs
E) Immun diseases

A

A) Viral infections

56
Q

X

In sinus Ryhm; Whichone is incorrect
A) Regular rate is 60-90/minute
B) QRS intervals are equal
C) P intervals are equal
D) AIIQRS shapes are similar eachother
E) Delta wave is seen at the beginig of QRS complex

A

E) Delta wave is seen at the beginig of QRS complex

57
Q

X

Wichone is Wide QRS Tachycardia
A) Atrial fibrilation
B) Atrial flatter
C) Ventricular Tacycardia
D) Atrio-ventricular nodal re-entry tachycardia
E) Atrial Tachycardia

A

C) Ventricular Tacycardia

58
Q

X

Whichone is incorret
A) P wave shows atrial depolarsation
B) QRS wave shows venticular depolarisation
C) T wave shows venricular repolarisation
D) QT duration is 0.28 second (maksimum)
E) Pr duration is = .20 second (Maksimum)

A

D) QT duration is 0.28 second (maksimum)

59
Q

Which of the followings is the most common cause of the mitral stenosis?
A) Myocardial ischemia
B) Infective endocarditis
C) Congenital
D) Rheumatic Fever
E) Degenerative

A

D) Rheumatic Fever

60
Q

Which of the followings is not seen in aortic regurgitation?
A) De musset sign
B) Corrigan pulse
G) Muller sign
D) Durozies sign
E) Pulsus parvus et tardus

A

E) Pulsus parvus et tardus

61
Q

“Levine’s sign” is commonly seen in

A) Acute pericarditis
B) Acute coronary syndrome
C) Acute pulmonary edema
D) Pulmonary hypertension
E) Pneumothorax

A

B) Acute coronary syndrome

62
Q

When you place your stethoscope on your patient, you hear a early diastolic murmur in the second right intercostal area. What is the most likely diagnosis?
A) Aortic valve regurgitation
B) Atrial septal defect
C) Mitral valve regurgitation
D) Mitral valve stenosis
E) Pulmonary stenosis

A

A) Aortic valve regurgitation

63
Q

Which of the following is not used in the treatment af acute myocardial infarction?
a) Acetylsalicylic acid
b) Low-molecular-weight heparin
c) Clopidogrel
d) Morphine Sulfate
e) Asetazolamid

A

e) Asetazolamid

64
Q

Which one is an acute soronary syndrome? - Non ST elevation Myocardial Infarction

A
65
Q

194 Which of the following is wrong for cardiac oscultation?
A) Cardiac diastole begins with S2
B) Cardiac systole begins with S1
C) S3 is a systolic sound
D) S4 is a pathologic sound
E) S3 is a pathologic sound

A

C) S3 is a systolic sound

66
Q

False for heart failure? - Intracardiac defibrillator therapy improves syndromes

A
67
Q

Not an atrial dysrythmias? - Ventricular fibrillation

A
68
Q
  1. If a patient has long-lasting(At least 2 weeks) and changable with position chest pain What is your diagnosis?
    A) Acute coronary syndrome
    B) Pericarditis
    C) Aortic dissection
    D) Pneumothorax
    E) Stabil angina pectoris
A

Cevap: Pericarditis

69
Q

170 What is the most frequent reason in seconder hypertension
A) Endocrine reasons
B) Kidney reasons
C) Coarctation of aorta
D) Neural reasons
E) pregnency

A

B) Kidney reasons

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