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MEDICINE POST TEST DAY 3

Total questions: 33

Worksheet time: 17mins

Name
Class
Date
1.

All of the following are risk factors for

atherosclerosis except"

a)

Increased waist-hip ratio

b)

Hyperhomocysteinemia

c)

Decreased fibrinogen levels

d)

Decreased HDL levels

2.

Best predictor for coronary artery disease

a)

HDL

b)

LDL

c)

VIlL

d)

Chylomicron

3.

A 60 year old man presents with chest pain which

last 6 hours and is diagnosed as acute myocardial

infarction. Angiography showed involvement of

anterior descending branch of left coronary artery

The most probable site of infarct is-

a)

Anterolateral wall

b)

Posterior wall

c)

Inferiorwall

d)

Septal

4.

In a patient with myocardial infarction the valvular

lesion commonly seen is-

a)

Aortic stenosis

b)

Mitral regurgitation

c)

Aortic regurgitation

d)

Septal defect

5.

Drug used to perform stress ECHO?

a)

Thallium

b)

Dobutamine

c)

Adrenaline

d)

Adenosine

6.

The best possible intervention for acute myocardial

infarction is-

a)

Streptokinase

b)

Streptokinase and aspirin

c)

Early primary coronary intervention

d)

Streptokinase and heparin

7.

A man with chest pain, ST segment depression in

lead v1-v4, after one hour will not be given -

a)

Beta blocker

b)

Thrombolytic

c)

Morphine

d)

Aspirin

8.

Streptokinase and urokinase are contraindicated

in-

a)

Intracranial malignancy

b)

Pulmonary embolism

c)

AV fistula

d)

Thrombophlebitis

9.

A patient presents with acute anterior wall

infarction and hypotension. Which will be the

immediate treatment modality for this patient

a)

Intra aortic ballon counter pulsation

b)

Anticoagulation

c)

Thrombolytic therapy

d)

Angiography and Primary angioplasty

10.

atherosclerosis is seen with which bacteria

a)

staph aureua

b)

streptococcus pneumonia

c)

chlamydia

d)

staph

11.

CCF is associated with Increase in all of the

following except-

a)

Right atrial mean pressure

b)

Serum sodium

c)

Serum urea

d)

Serum norepinephrine

12.

Most common cause of acute RVF -

a)

Massive pulmonary embolism

b)

Tricuspid stenosis

c)

Pulmonary stenosis

d)

Tricuspid regurgitation

13.

All of the following statements about Digoxin induced

arrythmias are true, Except-

a)

Biventricular Tachycardia

b)

Paroxysmal Atrial Tachycardia with variable AV

block

c)

Ventricular Bigeminy

d)

May be used to Atrial Fibrillation

14.

non modifiable risk factor for hypertension

a)

gender

b)

obesity

c)

salt intake

d)

cultural characteristic acquired overtime

15.

Renal artery stenosis may occur in all of the

following except-

a)

Atherosclerosis

b)

Fibromuscular dysplasia

c)

Takayasu's arteritis

d)

Polyarteritis nodosa

16.

Commonest cause of sustained severe hypertension

inchildren-

a)

Endocrine causes

b)

Coarctation of aorta

c)

Renal parenlchyma disease

d)

Pheochromocytoma

17.

In essential hypertention changes seen in the heart

are-

a)

Cardiac cell hyperplasia

b)

Cardiac cell hypertrophy

c)

lncrese in the mitochondrial number

d)

Increase in size of mitochondria

18.

In Accelerated HTN what is metabolic defect

a)

Normal non-ionic metabolic acidosis

b)

Ionic gap met acidosis

c)

Hypomagnesemia

d)

Metabolic alkalosis

19.

Pulmonary hypertension may occur in all of the

following conditions except-

a)

Toxic oil syndrome

b)

Progressive systemic sclerosis

c)

Sickle cell anemia

d)

Argemone mexicana poisoning

20.

All are causes of pulmonary hypertension

except-'

a)

Hyperventilation

b)

Morbid obesity

c)

High altitude

d)

Fenfluramine

21.

Which is a feature of high altitude pnlmonary edema

a)

Associated with low cardiac output

b)

Associated with pulmonary hypertension

c)

Occurs only in unacclamatized persons

d)

Exercise has no effect

22.

Manifestations of aortic dissection are all except,

a)

AR

b)

MR

c)

AMI

d)

Limb ischemia

e)

Pericardial effusion

23.

A 50 year old male patient, an alcoholic and smoker

presents with a 3 hour history of severe retrostemal

chest pain and increasing shortness of breath. He

started having this pain while eating, which was

constant and radiated to the back and interscapular

region. He was a known hypertensive. On

examination, he was cold and clammy with a heart

rate of130/min, and a BP of80/40 mmHg. JVP was

normal. All peripheral pulses were present and

equaL Breath sounds were decreased at the left lung

base and chest x-ray showed left pleural effusion.

What is the most likely diagnosis?

a)

Acute aortic dissection

b)

acute myocardial infarction

c)

Rupture of the esophagus

d)

Acute pulmonary embolism

24.

Cause of secondary hypertension includes all except

a)

Oldage

b)

Renal parenchymal disease

c)

Pregnancy-inducdHTN

d)

Hypothyroidism

e)

Hyperthyroidism

25.

Characteristics of SIRS includes the following

except-

a)

Leukocytosis

b)

Thrombocytopenia

c)

infectious or noninfectious cause

d)

Oral temperature> 38°C

26.

A 70 year old man develops pneumonia and septicemia. Patient goes into renal failure and has a

BP of 70/50 mm ofHg. Drug that should be used to

maintain BP is-

a)

Adrenaline

b)

Ephedrine

c)

Phenylephrine

d)

Nor epinephrine

27.

Neurocardiagenic syncope, the least useful

investigation is-

a)

Tilt table

b)

Carotid sinus massage

c)

Carotid duplex scan

d)

Orthostatic blood pressure recording

28.

Sudden cardiac death may occur in all of the following

except-

a)

Dilated cardiomyopathy

b)

Hypertrophic cardiomyopathy

c)

Eisenmenger's syndrome

d)

Ventricular septal defect

29.

Hypovolemic shock is seen in all except-

a)

Hemorrhage

b)

Starvation

c)

Vomiting

d)

Diarrhoea

30.

Major criteria of Rheumatic fever are all except,

a)

Erythema nodosum

b)

Arthritis

c)

Chorea

d)

Carditis

31.

Apt presents with acute rheumatic carditis with fever. True statements is-

a)

Increase troponin T

b)

Reduced myocardial contractility

c)

Signs of inflammation and necrosis

d)

Valve replacement will ameliorate C.C.F.

32.

Which valve is least affected in Rheumatic

fever?

a)

Pulmonary valve

b)

Tricuspid valve

c)

Mitral valve

d)

Aortic valve

33.

Osler's nodes are typically seen in which one of the

following-

a)

Chronic candida endocarditis

b)

Acute staphylococcal endocarditis

c)

Pseudomonas endocarditis

d)

Libman sack's endocarditis