Quiz: Cardiology MCQs

Typical chest pain of myocardial ischemia characterized by

A a. Retrosternal compressing pain B b. Referred to left shoulder, arm, and left jaw C c. Improved by sublingual nitrate D d. All of the above

diagnosis of Rh fever by the following

A a. One major Jones criteria and one minor B b. Three minor Jones criteria only C c. Two major Jones criteria only D d. One or two major Jones criteria and two minor

Unstable angina characterized by

A a. Increased frequency of pain B b. Increased duration of pain C c. Increased severity of pain D d. All of the above

duration of secondary prevention of Rh fever in Rh carditis and residual lesion

A a. 5 years or until age of 21 B b. 10 years after the last attack or at least 40 year C c. for at least 40 years or sometimes for life D d. 10 years or well enter in adulthood

Signs of severe MS are the following except

A a. long duration of murmur B b. closing of OS from A2 C c. louder murmur of MS D d. none

the following are clinical findings of MS except

A a. accentuated Sl B b. OS with presystolic accentuated in sinus rhythm patients C c. Pansystolic murmur at lower left sternal border D d. Weak P2

patient coming to ED by typical chest pain first investigation should be done

A a. cardiac enzyme B b. chest x-ray C c. ECG D d. Echocardiography

Rate of AF true for one of the following

A a. 350-400 B b. 288-550 C c. 400-600 D d. 370-450

the following enzymes elevated in acute MI except

A a. CK B b. LDH C c. Troponin T.I D d. Alkaline phosphatase

the most dangerous symptoms with severe AS is

A a. drowsiness B b.chest pain C c. syncope D d. dyspnea

the following are signs of infective endocarditis except

A A. roth spots B B. jenway bodies C C. oslar,s nodules D D. Muller flush

the most common cause of secondary hypertension is

A a. Cushing disease B b. renal disease C c. thyrotoxicosis D d. Addison's disease

the following drugs used in treatment of hypertension except

A a. captopril B b. valsartan C c. amlodipine D d. tirifopane

the following drugs used in treatment of unstable angina

A a. asprin and clopodegrel B b. trimitazidine and potassium channels openers C c. tenormin and altiazem D d. all of the above

the following are type of dyspnea except

A a. dyspnea on severe exertion B b. exertional dyspnea C c. orthopnea D d. PND

the following Are the cause of syncope except

A a. mild mitral setenosis B b. complete heart block C c. severe aortic stenosis D d. severe pulmonary hypertension

Based on the recent IE diagnostic criteria, the two most important parameters for diagnosis of the infections are

A a. laboratory abnormalities and positive blood cultures B b. positive blood cultures and echocardiographic changes C c. positive physical findings and positive blood cultures D d. ECG and positive physical findings

45 years old female schedule for dental extraction she is prosthetic valve and allergic to penicillin the most drug indicate is

A a. ampicillin 2g orally I h before procedures B b. clindamycin 600mg orally 1 h before procedures C c.cephalexin 500mg orally 2 h before procedures D d. no need for prophylaxis

the following drugs used in treatment of infective endocarditis except

A A. streptomycin B B. vancomycin C C. penicillin D D. garamycin

the following drugs are improve mortality in heart failure except

A A. ACEIS B B. mineralocorticoids C C. Beta Blockers D D. digitalis

Accentuated first heart conditions sound (S1) is due to the following except

A A- Mitral stenosis B B- Atrialmyxoma C C- Short P-R interval D D- Hyperdynamic circulation

Which one of the following heart sounds is low pitched, presystolic Sound of ventricular filling by atrial contraction

A A-SI B B- Opening Snap C C-S4 D D- Midsystolic click

Causes of congested pulsating neck veins include all except

A A- right sided heart failure B B- increased intra-thoracic pressure C C- superior vena caval obstruction D D- hypervolaemia

As regard auscultation of the heart, which is True

A A. Diastole occurs after the first heart sound B B. Expiration increases the split of the second sound C C. A loud opening snap occurs late in diastole in severe MS D D. A fourth heart sound coincides with atrial systole

The following statement about cardiac murmurs is false

A A. Mitral valve prolapse associated with mid-systolic murmur B B.Mitral diastolic murmur best heard at the left sternal edge with the patient leaning forwards C C. Innocent cardiac murmur is soft, short, systolic and changeable D D. Graham steel murmur is a soft diastolic murmur

Diastolic murmur heard in left parasternal area in the following except

A A. PDA B B. Pulmonary Regurge C C. Aortic Regurge D D. TricuspedRegurge

Left sided fourth heart sound (S4) indicates

A A. Pulmonary stenosis B B. AF C C. Mitral Regurgitation D D. Systemic hypertension

Disorders produce suddenonset of Acute severe symptomatic MR include the following except

A A. Acute Myocardial Infarction B B. Acute viral pericarditis C C. Acute rheumatic fever D D. Acute Infective endocarditis

Which one of The following auscultatory findings are associated with the phenomena shown below

A A- Third heart sound…………- Opening of mitral valve B B- Varying intensity of S1…… Rheumatic activity C C- Soft S1……. Mitral stenosis D D- Reversed splitting of S2…… Aortic stenosis

Apical rumbling diastolic murmur is caused by except

A A- Acute RF B B- Left atrial myxoma C C- Mitral stenosis D D-Tricuspid stenosis

Clinical features suggesting severe AR include all except

A A- earlypeakholo-diastolic murmur B B- Corrigan pulse C C- displaced apex beat D D- paradoxical splitting of second heart sound

Which one of the following excludes an Austin Flint diastolic murmur?

A A- Grade 4/6 aortic regurgitation murmur B B- An opening snap. C C- An S3 gallop D D- Arterial BP of 160/60 mm Hg

In Aortic Valve disease

A A- AR may be caused byLack of cusp support due to VSD B B- splitting ofS2 increased with inspiration in severe AS. C C- Patients with anginal symptoms with severe aortic stenosis have higher mortality rate than others D D- The Austin Flint murmur is apical and systolic

All are False in patients with significant mitral stenosis except

A A- Left atrial enlargement cannot be detected on the chest X-ray B B- Mitral balloon valvuloplasty is not advisable if there is also significant mitral regurgitation C C- There is soft carly diastolic murmur D D- There is a quiet first sound and absence of an opening snap

Regarding the jugular venous pressure All are True except

A A- Normally rise during Expiration B B- Has abscent 'a' wave in atrial fibrillation C C- Tricuspid regurgitation produces large 'v' waves D D- The first heart sound occurs before the 'a wave

As regard kussmaul's sign, which statement is True

A A - It is also called hepato-jugular reflux test B B- A clinical sign of both cardiac tamponade and pulmonary embolism C C- Indicate severe Tricuspid regurge D D- There is expiratory filling of neck veins

Canon A- wave occurs in

A A. Pulmonary stenosis B B. AV dissociation C C. AF D D. Tricuspid regurge

Prominent V- wave in JVP occurs in

A A. Constrictive pericarditis B B. Pulmonary hypertension C C. ASD D D. Pericardial effusion

Which one of the following patientsneeds prophylaxis endocarditis: ?

A A. Patient with isolated secundum ASD having dental extraction B B. Patient with MV Prolapse having cystoscopy C C. Patient with Prosthetic Valve having dental cleaning and scaling D D. Patient with coarctation of aorta having cardiac catheterization

In the management of infective endocarditis

A A. Blood cultures are must be obtained when the fever peaks B B. Antibiotic therapy must be delayed till bacteriological confirmation C C. Parenteral antibiotic therapy should be continued for 2 weeks D D. Cardiac surgery considered if the vegetations are very large

The following are causes of culture negative endocarditis except

A A- Fastidious organism B B- Fungal infection C C- Recent use of antibiotics D D- Streptococcus viridians

The common pathogens late prosthetic valve endocarditis is

A a. Pneumococcus B b. Staph.Aureus C c. Strept. faecalis D d. Strept. viridans

In infective endocarditis, all are true except

A a. Streptococci and staphylococci account for over 80% of cases B b. Left heart valves are more frequently involved than right heart valves C c. Glomerulonephritis usually occurs due to immune complex disease D d. A normal echocardiogram excludes the diagnosis

The common aetiological factor of Pericarditis and pericardial effusion is

A a. chronic renal failure B b. Viral C c. Idiopathic D d. Tuberculous

All of the following are hypertensive emergenceis except

A a. Pre-eclampsia B b. Aortic dissection C c. Severe epistaxis D d. Encephalopathy

White coat hypertension is best diagnosed by

A a. Regular office measurement B b. Ambulatory blood pressure monitoring C c. Sphygnomanometer D d. Measuring blood pressure in both limbs

The following are causes of secondary Hypertension excep

A a. NSAIDS B b. catecholamines-secreting tumour C c. Renal artery stenosis D d. vascular smooth muscle hyperplasia

The following are causes of surgically correctable Hypertension except

A A. A Thyroid disorders B B. Pheochromocytoma C C. Co-arctation of Aorta D D. Chronic parenchymal renal disease

Hill sign indicates

A A. Aortic stenosis B B. Aortic regurge C C. Coarctation of aorta D D. Mitral regurgitation

The followings may occur with RT sided heart failure except

A A. PND B B. Positive hepatojugular reflux C C. RT hypochondrial pain D D. Lower limb oedema

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