Repair, healing & haemodynamic disorder MCQ 84+

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• Fibrotic disorders include
  ক

  Cirrhosis of liver

  খ

  Pneumoconiosis

  গ

  Constrictive pericarditis

  ঘ

  Acute appendicitis

  ঙ

  DIC
• Following statements about septic shock are true
  ক

  Results from spread of a localized infection into bloodstream

  খ

  It causes endothelial injury and activation

  গ

  It reduces myocardial contractility

  ঘ

  It induces neuronal trauma

  ঙ

  It inhibits coagulation system resulting in bleeding
• Causes of hypovolemic shock
  ক

  Burn injury

  খ

  Intestinal fistula

  গ

  Spinal cord transection

  ঘ

  Myocardial infarction

  ঙ

  Endotoxaemia
• Septic shock results from the spread of
  ক

  An abscess

  খ

  Peritonitis

  গ

  Pneumonia

  ঘ

  Myocardial infarction

  ঙ

  Keratitis
• Clinical features of acute limb ischemia are
  ক

  Coldness

  খ

  Pain

  গ

  Hair loss

  ঘ

  Muscle atrophy

  ঙ

  Intermittent claudication
• In progressive stage of shock
  ক

  There is metabolic acidosis

  খ

  There is widespread tissue hypoxia

  গ

  Reflex compensatory mechanisms are activated

  ঘ

  Survival is not possible

  ঙ

  There is complete renal shutdown
• Compensated hypovolaemic shock is characterized by
  ক

  Normal respiratory rate

  খ

  Tachycardia

  গ

  Anxiety

  ঘ

  Hypotension

  ঙ

  Low urine output
• Shock is characterized by
  ক

  Hypoperfusion

  খ

  Cellular hypoxia

  গ

  Loss of vascular tone

  ঘ

  Hypertension

  ঙ

  Increased cardiac output
• In hypovolemic shock, patients present with
  ক

  Hypotension

  খ

  Cool and clammy skin

  গ

  Tachypnea

  ঘ

  Hyperthermia

  ঙ

  Bradycardia
• Compensated shock is characterized by
  ক

  Lactic acidosis

  খ

  Increased pulse rate

  গ

  Decreased urine output

  ঘ

  Fall of blood pressure

  ঙ

  Altered consciousness level
• Causes of distributive shock are
  ক

  Anaphylaxis

  খ

  Sepsis

  গ

  Spinal cord injury

  ঘ

  Cardiomyopathy

  ঙ

  Massive pulmonary embolism
• Causes of obstructive shock include
  ক

  Cardiac tamponade

  খ

  Massive pulmonary embolism

  গ

  Tension pneumothorax

  ঘ

  Massive blood loss

  ঙ

  Spinal cord injury
• Cardiogenic shock is caused by
  ক

  Cardiac temponade

  খ

  Pulmonary embolism

  গ

  Myocardial infarction

  ঘ

  Overwhelming microbial infection

  ঙ

  Trauma
• Clinical features of compensated shock are
  ক

  Lactic acidosis

  খ

  Increased pulse rate

  গ

  Decreased blood pressure

  ঘ

  Increased respiratory rate

  ঙ

  Decreased urine output
• Infarction usually occurs in the following setting
  ক

  Tissue suffers from sudden occlusion of arterial blood supply

  খ

  Patient with severe anemia

  গ

  Tissue with venous obstruction

  ঘ

  Tissue with double blood supply

  ঙ

  Tissue with gradual obstruction of its arterial blood supply
• Red infarct occurs in
  ক

  Lung

  খ

  Intestine

  গ

  Tissue previously congested

  ঘ

  Heart

  ঙ

  Spleen
• An infarct
  ক

  Is a localized area of ischemic necrosis

  খ

  Is usually wedge shaped

  গ

  Of myocardium leads to scar formation

  ঘ

  Develops rapidly in tissues with dual blood supply

  ঙ

  In solid organs are red in appearance
• Red infarct is seen in
  ক

  Lung

  খ

  Brain

  গ

  Ovary

  ঘ

  Small intestine

  ঙ

  Heart
• The following organs are resistant to infarction
  ক

  Hand and forearm

  খ

  Liver

  গ

  Lung

  ঘ

  Kidney

  ঙ

  Spleen
• Red infarcts is/are seen in
  ক

  Lungs

  খ

  Ovary

  গ

  Heart

  ঘ

  Spleen

  ঙ

  Kidney
• The major risk for cerebral embolism are
  ক

  Atrial fibrillation

  খ

  Infective endocarditis

  গ

  Calf vein thrombosis

  ঘ

  Atrial myxoma

  ঙ

  Acute rheumatic fever
• Fat embolism syndrome is characterized by
  ক

  Pulmonary insufficiency

  খ

  Neurologic symptoms

  গ

  Anemia

  ঘ

  Decompression sickness

  ঙ

  Painful condition called the bends
• Fat embolism
  ক

  Occurs 2days after injury

  খ

  Causes mainly cerebral Symptoms

  গ

  Causes mainly chest symptoms

  ঘ

  The most important physical sign is a Petechial Rash

  ঙ

  Occurs 2 hours after injury
• Fat embolism syndrome is characterized by:
  ক

  Pulmonary insufficiency

  খ

  Neurological symptoms

  গ

  Anaemia

  ঘ

  Painful conditions called the bends

  ঙ

  Decompression sickness
• Risk factors for thrombo-embolism are
  ক

  Increasing age

  খ

  Pregnancy

  গ

  Obesity

  ঘ

  Pelvic surgery

  ঙ

  Early mobilization
• Consequences of pulmonary embolism are
  ক

  Sudden death

  খ

  Pulmonary hypertension

  গ

  Cor pulmonale

  ঘ

  Neurological symptom

  ঙ

  Disseminated intravascular coagulation
• Disseminated intravascular coagulation is an important complication of
  ক

  Abruptio placentae

  খ

  Amniotic fluid embolism

  গ

  Gram negative septicaemia

  ঘ

  Perforation of uterus

  ঙ

  Placentapraevia
• DIC occurs in
  ক

  Massive blood transfusion

  খ

  Pre-eclamptic toxemia

  গ

  Snake bite

  ঘ

  Polycythemia rubravera

  ঙ

  Sickle cell anemia
• Coagulation failure is an important complication of
  ক

  Abruptioplacenta

  খ

  Amniotic fluid embolism

  গ

  Gram-negative septicemia

  ঘ

  Uterine rupture

  ঙ

  Placenta praevia
• Following are the fate of a thrombus
  ক

  Resolution / dissolution

  খ

  Embolization

  গ

  Recanalization

  ঘ

  Atherosclerosis

  ঙ

  Keloid formation