MCQ/ Written

Question 1

202. What medication is contraindicated in severe aortic valve stenosis? (2 correct)

a. Nitrates
b. ACEis
c. Calcium antagonists
d. Beta blockers
e. diuretics

Answer 1

b. ACEis
c. Calcium antagonists

Question 2

201. Positive lab tests that can help in diagnosis of PE (3 correct)

a. Increased LDH
b. Positive D-dimer
c. Hypoxaemia, hypocapnia in arterial blood sample
d. Increased serum creatinine
e. Hypoxemia, hypercapnia in arterial blood sample

Answer 2

a. Increased LDH
b. Positive D-dimer
c. Hypoxaemia, hypocapnia in arterial blood sample

Question 3

200.Characteristic clinical signs of cardiogenic shock except (2 correct)

a. Low blood pressure <90mmHg
b. Metabolic acidosis in ABG
c. Oligo-anuria
d. Low volume pulse, tachycardia
e. Potassium level is high

Answer 3

b. Metabolic acidosis in ABG
e. Potassium level is high

Question 4

199.Effects of successful CRT (3 correct) a. Increase left ventricular EF b. Increase mitral stenosis c. Increase quality of life d. Decrease intraventricular dyssynchrony e. Increase left ventricular end-diastolic diameter

Answer 4

a. Increase left ventricular EF c. Increase quality of life d. Decrease intraventricular dyssynchrony

Question 5

198.Where are the electrodes in atriobiventricuar system (CRT) (3 correct) a. Right atrium b. Left atrium c. Right ventricle d. Left ventricle, endocardial part e. Coronary sinus side branch for left ventricular pacing

Answer 5

a. Right atrium b. Left atrium c. Right ventricle d. Left ventricle, endocardial part e. Coronary sinus side branch for left ventricular pacing

Question 6

197.Drug-eluting stents were developed to overcome problems with (1 correct) a. Dissection during coronary angioplasty b. Restenosis after stent implantation c. Subacute stent thrombosis d. Late stent thrombosis

Answer 6

b. Restenosis after stent implantation

Question 7

196.A fixed (irreversible) perfusion defect on myocardial perfusion imaging is (1 correct) a. Decreased perfusion at rest, normal with exercise b. Decreased perfusion at rest and exercise c. Normal perfusion at rest, decreased at exercise d. Normal at rest and exercise

Answer 7

a. Decreased perfusion at rest, normal with exercise

Question 8

195.What is forbidden in Torsades des Pointes VT? (2 correct) a. Cardioversion b. Starting amiodarone c. Starting sotalol treatment d. Pacemaker therapy e. To provide Mg-SO4 f. Sedation

Answer 8

b. Starting amiodarone c. Starting sotalol treatment

Question 9

194.The following deviations can suggest pulmonary embolism on echo (2 correct) a. Left ventricle dilatation b. Right ventricle dilatation c. Left ventricle wall motion disorder d. The paradox motion of the septum e. The increase of the aorta systolic gradient

Answer 9

b. Right ventricle dilatation d. The paradox motion of the septum

Question 10

193.Risk factors for pulmonary embolization (2 correct) a. Taking Anticoncipients b. Diabetes mellitus c. Taking drugs d. Family anamnesis of positive thromboembolia e. Anamnesis of infarctus myocardi

Answer 10

a. Taking Anticoncipients d. Family anamnesis of positive thromboembolia

Question 11

192. After drug eluting stent implantation the following medications are needed (1 correct)

a. Warfarin and aspirin for 1 month, then aspirin alone
b. Warfarin low dose and aspirin for one year, then aspirin alone
c. Aspirin and clopidogrel for one month, then aspirin alone
d. Aspirin and clopidogrel for at least 9-12 months, then aspirin or both

Answer 11

d. Aspirin and clopidogrel for at least 9-12 months, then aspirin or both