A-MS B- MR C-AR D-none of them AI 2-Pan systolic murmur is heard in (Ans. MI) A-MS B- MI C-AS D-AI 3-corrigan sign is seen in (Ans. AR) A-MS B- MI C-AS D-AR 4-malar flush is seen in (Ans. MS) A-MS B- MI C-AS D AI 5- Thromboembolism is a common complication of: (Answ: atrial fibrillation) A-Ventricular tachycardia, B-atrial fibrillation, C-premature beats, D-atrial flutter 6- Cannon A wave is seen in: (Answ: paroxysmal nodal tachycardia) A-Partial HB, B-atrial fibrillation, C-paroxysmal nodal tachycardia, D-sinus tachycardia Answer: paroxysmal nodal tachycardia 7- WPW syndrome presents with all of the following except: (Answer: tachycardia) A-Short PR interval, B-delta wave, C-manifested accessory pathway, D-tachycardia
8- Most common cause of atrial flutter: (Answer: thyrotoxicosis)
A-Thyrotoxicosis, B-RF, C-MI, D-Digitalis 9-Which of the following organisms don't commonly cause IE? (Answer: D) A) Streptococci B) Staphylococci C) Enterococci species D) Candida species 10- Based on duke's criteria for diagnosis of IE what are the most important parameters for diagnosis? (Answer: C) A)Positive physical finding and positive blood culture B) ECG changes and positive physical findings C) Echo changes and positive blood culture D)all of the above 11-Definite endocarditis is identified by: (Answer: D) A) 2 major criteria B) 1 major criteria and 3 minor criteria C) 5 minor criteria D) All of the above are possible 12-Skin lesion found in IE: (Answer: A) A) Olser's nodes B) Erythema marginatum C) Spider navei D) Subcutaneous nodules 13-The most common type of defect of the cardiac septa is (Answer: A) A. membranous ventricular septal defect B. muscular ventricular septal defect C. primum atrial septal defect D. secundum atrial septal defect 14-In the foetal circulatory system mixing of oxygenated and deoxygenated blood occurs in all of the following, EXCEPT (Answer: C) A. ductus arteriosus B. inferior vena cava C. left atrium D. liver
15-Which of the following is NOT part of the tertralogy of Fallot?
(Answer: E ) A. Pulmonary infundibular stenosis B. interventricular septal defect C. aorta arising from both ventricular cavities (dextroposition of the aorta) D. hypertrophy of the right ventricular wall E. interatrial septal defect
16-A 2 year old infant is noted to have mild cyanosis who
assumes a squatting position during long walking. He is noted to have increasing fussiness followed by increasing cyanosis, limpness and unresponsiveness. The most likely underlying lesion is: (Answer is : D) a. Hypoplastic left heart b. Transposition of the Great Vessels c. Anomalous Pulmonary Venous Return d. Tetralogy of Fallot e. Aspiration with obstruction to air passages 17-on auscultation in a case of myocarditis which of the following murmur is frequently heard: (Answer is B) A MS B MR C AS D AR 18-which of the following viruses most often produces clinically significant acute myocarditis: (Answer is A) A coxsackievirus B B coxsackievirus A C HIV D Influenza 19-myocarditis may result from hypersensitivity to which of the following drugs: (Answer is D) A Metyhldopa B Thiazides C Antibiotics D All of the above 20- Concerning cardiac failure . . . A) raised levels of atrial natriuretic peptide (ANP) are thought to be beneficial in heart failure B) a third heart sound is a common finding on ausculation C) the heart looks small on plain postero-anterior chest radiograph
D) all diuretics used in treatment of cardiac failure potentially cause
hypokalaemia
21- Which of the following is adaptive mechanism in heart failure?
(Answer: B) A-dilatation of blood vessels B- heart remodeling C- decrease ventricular filing D- decrease symp. Stimulation 22-what is the pure feature of left heart failure? (Answer: C) A-oliguria B- hepatomegaly C- pulmonary edema D- congested neck veins 23- Drugs that have been found to be useful in one or more types of heart failure include all of the following ,EXCEPT (answer :B) A) Na+/K + ATPase inhibitors B) Alpha adrenoceptor agonists C) Beta adrenoceptor agonists D) Beta adrenoceptor antagonists E) ACE inhibitors 24- Which of the following causes isolated systolic hypertension? (Answer: C) a) Hyperparathyroidism b) Hyperthyroidism c) Hypothyroidism d) Cushing's syndrome 25- What could be a sign of the Bernheim effect in a complicated hypertension patient? (Answer: C) a) Chest pain b) Recurrent chest infections c) Enlarged liver d) Oliguria 26- Which antihypertensive drug should be avoided in a patient with bronchial asthma? (Answer: C) a) Metoprolol b) Alpha Methyldopa c) Propranolol d) Prazosin 27- Which of the following is an indication of malignant hypertension? (Answer: C)
a) Target organ damage
b) Grade III retinopathy c) Papilledema d) Inequality of readings on the upper limbs
28-Ischemia manifests when lumen of a vessel is obstructed by
(answer :C) a. 60% b. 80% c. 70% d. 90% 29- what is a modified risk of IHD (answer :D) A-previos history B-age C-gender D-DM 30- Prime contributor of atherosclerosis is: (answer :D) A-accumulation of monocytes B-accumulation of mesophyll C-accumulation of albumin D-accumulation of cholesterol 31- Which arteries are NOT at risk for atherosclerosis? (answer :D) A-carotid arteries B- coronary arteries C- femoral or iliac arteries D- none of the above 32- When is a woman most at risk for having a heart attack? (answer :B) A-in her teens and 20s B- after menopause C- in her 30s and 40s D- all of the above 33-Pain in dry pericarditis is characterized by: ( Answer : D) A) heaviness B) burning C) squeezing D) stitching 34- in acute pericarditis, ST segment elevation occur in: (Answer: A) A) all leads B) lead II, III C) AVF, lead I D) V1, V2, V3 35- signs of cardiac tamponade include all of the following except: (Answer: C) A) paradoxical pulse B) hypotension
C) pericardial knock
D) tachycardia
36- the cause of silent MI is: (Answer: C)
A) obesity B) infection C) DM D) family history 37- most common sign of stable angina pain is: (Answer: D) A) scapular B) epigastric C) inframammary D) retrosternal 38- stress test must not be done in: (Answer: D) A) severe hypertension B) acute attack of angina C) severe As D) all of above 39- early complication of MI that lead to death: (Answer: A) A) cardiogenic shock B) myocardial aneurysm C) post infarction angina D) thromboembolism 40- All of the following are Jones major criteria for rheumatic fever except ? (Answer: A) A) Arthralgia B) Carditis C) Subcutaneous nodule D) Chorea 41- Erythema marginatum is seen in which of the following ? (Answer: C) A) Rubella B) Rubeola C) Rheumatic fever D) Measles 42- Causative agent of rheumatic fever: (Answer: A) a) Group A beta hemolytic streptococci b) Group A alpha hemolytic streptococci c) Streptococcus viridans d) None of the above
43 Arthritis of RFall are true except (Answer: D)
A-Non deforming B- Associated with raised ASO titre C-Lasts for 3-6 weeks in untreated cases D-Small joint in involvement is usual