Hx And Examination Of CVS

Question 1

Q: According to the NYHA classification, No dyspnea on average exertion is considered as which class?

• Class 2.
• Class 3.
• Class 1.
• Class 4.

Answer 1

Class 1

Question 2

Q: which of the following is NOT a risk factor for chronic stable angina?

• Age.
• Female gender.
• DM.
• Smoking.

Answer 2

Female gender

Question 3

Q: according to the CCS, which class of angina evoked by walking > 2 blocks or > 1 flight of stairs?

• Class 1.
• Class 2.
• Class 3.
• Class 4.

Answer 3

Class 2

Question 4

Q: in which of the following cases the patient may not feel angina pain?

• Diabetic patients.
• Patients with cardiac transplants.
• Hypertensive patients.
• A & B.

Answer 4

A and B

Question 5

Q: which of the following waves of the JVP is dominant in tricuspid regurgitation?

• a WAVE.
• v WAVE.
• x DESCENT.
• y DESCENT.

Answer 5

v WAVE ( atrial filling )

Question 6

Q: which of the following is NOT a cause of a dominant “ a WAVE “ in the JVP?

• Tricuspid stenosis.
• Tricuspid regurgitation.
• Pulmonary stenosis.
• Pulmonary hypertension.

Answer 6

Tricuspid regurgitation

Question 7

Q: which of the following may cause pressure loaded apex beat?

• Mitral regurgitation.
• Hypertrophic cardiomyopathy.
• Aortic stenosis.
• Anterior myocardial infarction.

Answer 7

Aortic stenosis

Question 8

Q: which of the following abnormal apex beats is present in case of hypertrophic cardiomyopathy?

• Pressure loaded.
• Volume loaded.
• Dyskinetic.
• Double impulse.

Answer 8

Double impulse

Question 9

Q: which of the following is a cause of loud (S1) sound?

• Mitral stenosis.
• Mitral regurgitation.
• Tachycardia.
• 1st degree heart block.

Answer 9

A and C (reduced diastolic filling time)

Question 10

Q: what does loud (A2) sound indicates?

• Aortic regurgitation.
• Mitral stenosis.
• Systemic hypertension.
• Congenital aortic stenosis

Answer 10

C and D

Question 11

Q: in which of the following cases, left ventricular S3 is present?

• Pregnancy.
• Thyrotoxicosis.
• Children.
• All of the above.

Answer 11

All of the above

Question 12

Q: In which of the following cases, right ventricular S3 is present?

• Right ventricular failure.
• Constrictive pericarditis.
• Pregnancy.
• A and B.

Answer 12

A and B

Question 13

Q: which of the following heart sounds is present in Patent Ductus Arteriosus?

• Left ventricular S3.
• Right ventricular S3.
• Left ventricular S4.
• Right ventricular S4.

Answer 13

Left ventricular S3

Question 14

Q: 65 y old Hypertensive patient came to the ER with cardiac manifestations. Which of the following heart sounds you expect to hear during auscultation?

• Right ventricular S3.
• Left ventricular S3.
• Right ventricular S4.
• Left ventricular S4.

Answer 14

Left ventricular S4

Question 15

Q: which of the following is a cause of an “opening snap” heart sound?

• Mitral regurgitation.
• Pulmonary stenosis.
• Hypertension.
• Mitral stenosis.

Answer 15

Mitral stenosis

Question 16

Q: which of the following additional heart sounds is heard in patients with congenital aortic or pulmonary stenosis?

• Systolic ejection click.
• Opening snap.
• non ejection systolic click.
• non of the above.

Answer 16

Systolic ejection click

Question 17

Q: which of the following is NOT a cause of pan-systolic murmur?

• Mitral regurgitation.
• Mitral stenosis.
• Tricuspid regurgitation.
• Ventricular septal defect.

Answer 17

Mitral stenosis

Question 18

Q: which of the following will cause tapping apex during palpating the apex?

• Mitral stenosis.
• Aortic stenosis.
• Pulmonary regurgitation.
• Tricuspid regurgitation.

Answer 18

Mitral stenosis ( palpable S1 )