IM

Question 1

Most common tyoe of ASD in adults

Answer 1

Ostium secundum

Question 2

S3

Answer 2

Normal in children

In 30s, indicate LV failire or volume overload

Question 3

S4

Answer 3

Atrial contraction into a noncomploant ventricle

Question 4

Normal axis in ECG

Answer 4

-30 to +90

Question 5

Normal PR interval

Answer 5

0.12 to 0.20s

Question 6

Normal QRS interval

Answer 6

0.06 to 0.10s

Question 7

Acyanotic CHd with L-R shunt

Answer 7

ASD
VSD
PDA

Question 8

Acyanotic CHD without shunt

Answer 8

PUlmonic Stenosis
Congenital bicuspid aortic valve
Coarctation of the aorta

Question 9

Cyanotic CHD

Answer 9

ToF
Transposition of great arteries
Ebstein anomaly

Question 10

AS murmur loudest at 2nd RICS radiating to carotids and apex

Answer 10

Gallavardin effect

Question 11

Jugular venous distention increasing with further inspiration

Answer 11

Kussmaul sign

Question 12

STEMI in ECG

Answer 12

> 1mm ST elevation in TWO contiguous LIMB leads

> 2mm ST elevation in TWO contiguous CHEST leads

NEW LBBB

Question 13

Dexamethasone suppression test

Answer 13

NORMAL: low dose INHIBITS ACTH secn

ACTH secreting tumors: low dose NOT inhibit, high dose INHIBITS

ADRENAL tumors: NEITHER low nor high dose