Cardiology MCQ 134+

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• Sudden cardiac death in an adolescent can occur in
  ক

  Wolf- Parkinson- White syndrome

  খ

  Severe aortic stenosis

  গ

  Long QT syndrome

  ঘ

  Atrial septal defect

  ঙ

  Wenckebach's syndrome
• Hemodynamic changes in normal pregnancy include
  ক

  Increase in total blood volume

  খ

  Reduction in systemic diastolic pressure

  গ

  Increase in cardiac output of 150 % by 12 weeks

  ঘ

  Bradycardia

  ঙ

  Splitting of 2nd heart sound
• In cardiac disease in pregnancy
  ক

  Ergometrine should be avoided in the third stage

  খ

  Congenital heart disease is the commonest cause

  গ

  Cardiac failure should not be treated with digoxin

  ঘ

  Delivery should be by planned caesarean section

  ঙ

  Cardiac surgery is absolutely contraindicated
• The antihypertensive drugs that lower diastolic blood pressure by inhibiting renin angiotensin system are
  ক

  Losartan

  খ

  Ramipril

  গ

  Amlodipine

  ঘ

  Hydralazine

  ঙ

  Atenolol
• In the management of essential hypertension
  ক

  Chlorothiazide is effective in mild cases

  খ

  -methyl dopa is useful during pregnancy

  গ

  -blockers are inappropriate therapy

  ঘ

  Reserpine is effective

  ঙ

  Hydrallazine is an adrenergic neuron blocker
• Endocrine causes of hypertension are
  ক

  Pheochromocytoma

  খ

  Hyperthyroidism

  গ

  Hypothyroidism

  ঘ

  Idiopathic hypoaldosteronism

  ঙ

  Insulinoma
• Features of grade III hypertensive retinopathy are
  ক

  Arteriolar thickening

  খ

  Arteriolar tortuosity

  গ

  Flame shaped hemorrhage

  ঘ

  Neovascularization

  ঙ

  Papilloedema
• Causes of secondary systemic hypertension are
  ক

  Glomerulonephritis

  খ

  Conn’s syndrome

  গ

  Adult polycystic kidney disease

  ঘ

  Dyslipidemia

  ঙ

  Metabolic acidosis
• Characteristic features of hypertensive retinopathy is
  ক

  Papilloedema

  খ

  Soft exudate

  গ

  Dot and blot hemorrhage

  ঘ

  Macular star

  ঙ

  Neovascularisation
• Endocrine causes of hypertension includes
  ক

  Cushing's syndrome

  খ

  Hyperthyroidism

  গ

  Hypothyroidism

  ঘ

  Hypoaldosteronism

  ঙ

  Insulinoma
• The following are characteristic findings in constrictive pericarditis
  ক

  Atrial fibrillation

  খ

  Third heart sound

  গ

  Normal heart size

  ঘ

  Acute pulmonary oedema

  ঙ

  Packed red
• Chronic constrictive pericarditis may cause
  ক

  Rise of jugular venous pressure in inspiration

  খ

  Ascites

  গ

  Pulsus bisferiens

  ঘ

  High pulse pressure

  ঙ

  High systolic blood pressure in inspiration
• Chronic constrictive pericarditis cause
  ক

  Ascites

  খ

  Low pulse pressure

  গ

  Fall of JVP on inspiration

  ঘ

  Pulsus alternans

  ঙ

  High systolic pressure on inspiration
• The followings are the features of cardiac tamponade
  ক

  Decreasing arterial pressure

  খ

  Increasing venous pressure

  গ

  Muffled heart sound

  ঘ

  Water hammer pulse

  ঙ

  Improvement after positive pressure ventilation
• Clinical features of constrictive pericarditis are
  ক

  Pulsus paradoxus

  খ

  Hepatomegaly

  গ

  Kussmaul sign

  ঘ

  Rapid and high volume pulse

  ঙ

  Normal JVP
• Constrictive pericarditis is characterized by
  ক

  Atrial fibrillation

  খ

  Pericardial knock

  গ

  Normal heart size

  ঘ

  Acute pulmonary edema

  ঙ

  Pulsus alternans
• Chronic constrictive pericarditis includes
  ক

  Raised jugular venous pressure during inspiration

  খ

  Ascites

  গ

  Pulsus bisferiens

  ঘ

  High systolic blood pressure during inspiration

  ঙ

  High pulse pressure
• Finding/s of severe pericardial effusion is/are
  ক

  Low voltage ECG

  খ

  Sinus tachycardia

  গ

  Loud S1

  ঘ

  Flow murmur in pulmonary area

  ঙ

  Pulsus alternans
• Clinical features of constrictive Pericarditis include
  ক

  Kussmaul’s sign

  খ

  Pericardial knock

  গ

  Low pulse pressure

  ঘ

  Pulsus alternans

  ঙ

  Pulsus bisferiens
• Features of constrictive pericarditis are
  ক

  Ascites

  খ

  Kussmaul's 'sign

  গ

  Raised JVP

  ঘ

  Breathlessness

  ঙ

  Pulsus alternans
• Causes of pericardial effusion are
  ক

  Tuberculosis

  খ

  Coxsackie virus

  গ

  Post cardiac surgery

  ঘ

  Systemic lupus erythematosus

  ঙ

  Nephrotic syndrome
• The features of cardiac tamponade includes
  ক

  Decreasing arterial pressure

  খ

  Increased venous Pressure

  গ

  Distant heart sound

  ঘ

  Collapse of the right atrium and right ventricle during diastole

  ঙ

  Water hammer Pulse
• Clinical features associated with cardiac tamponade include
  ক

  Faint heart sounds

  খ

  Raised JVP

  গ

  Raised systolic blood pressure

  ঘ

  Bradycardia

  ঙ

  Corrigens pulse
• Features of constrictive pericarditis is/are
  ক

  Raised JVP

  খ

  Ascites

  গ

  Positive Kussmaul’s sign

  ঘ

  Pulsus altemans

  ঙ

  Breathlessness
• Feature/s of cardiac tamponade is/are
  ক

  Hypotension

  খ

  Raised JVP

  গ

  Absent heart sounds

  ঘ

  Bradycardia

  ঙ

  Pulsus alternans
• Features of dilated cardiomyopathy include
  ক

  Positive family history of sudden death

  খ

  Increased risk of systemic embolization

  গ

  Alcoholism

  ঘ

  Pansystolic murmur

  ঙ

  Asymmetric hypertrophy of interventricular septum
• Feature/s of hypertrophic obstructive cardiomyopathy is/are
  ক

  Double apical impulse

  খ

  A fourth heart sound

  গ

  Murmur of mitral regurgitation

  ঘ

  Collapsing pulse

  ঙ

  An Ejection systolic murmur made louder by squatting
• Followings are the examples of cyanotic heart disease
  ক

  Tetralogy of Fallot

  খ

  Transposition of great arteries

  গ

  Patent ductus arteriosus

  ঘ

  Ventricular septal defect

  ঙ

  Atrial septal defect
• Cyanotic congenital heart diseases include
  ক

  Double outlet right ventricle

  খ

  Tricuspid atresia

  গ

  Atrial septal defect

  ঘ

  Isolated ventricular septal defect

  ঙ

  Patent ductus arteriosus
• Examples of left to right shunt
  ক

  Artrial septal defect

  খ

  Patent ductus arteriosus

  গ

  Coarctation of the aorta

  ঘ

  Tetralogy of Fallot

  ঙ

  Ventricular septal defect rarely