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WorksheetsMEDICINE POST TEST DAY 3
Total questions: 33
Worksheet time: 17mins
All of the following are risk factors for
atherosclerosis except"
Increased waist-hip ratio
Hyperhomocysteinemia
Decreased fibrinogen levels
Decreased HDL levels
Best predictor for coronary artery disease
HDL
LDL
VIlL
Chylomicron
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-
Anterolateral wall
Posterior wall
Inferiorwall
Septal
In a patient with myocardial infarction the valvular
lesion commonly seen is-
Aortic stenosis
Mitral regurgitation
Aortic regurgitation
Septal defect
Drug used to perform stress ECHO?
Thallium
Dobutamine
Adrenaline
Adenosine
The best possible intervention for acute myocardial
infarction is-
Streptokinase
Streptokinase and aspirin
Early primary coronary intervention
Streptokinase and heparin
A man with chest pain, ST segment depression in
lead v1-v4, after one hour will not be given -
Beta blocker
Thrombolytic
Morphine
Aspirin
Streptokinase and urokinase are contraindicated
in-
Intracranial malignancy
Pulmonary embolism
AV fistula
Thrombophlebitis
A patient presents with acute anterior wall
infarction and hypotension. Which will be the
immediate treatment modality for this patient
Intra aortic ballon counter pulsation
Anticoagulation
Thrombolytic therapy
Angiography and Primary angioplasty
atherosclerosis is seen with which bacteria
staph aureua
streptococcus pneumonia
chlamydia
staph
CCF is associated with Increase in all of the
following except-
Right atrial mean pressure
Serum sodium
Serum urea
Serum norepinephrine
Most common cause of acute RVF -
Massive pulmonary embolism
Tricuspid stenosis
Pulmonary stenosis
Tricuspid regurgitation
All of the following statements about Digoxin induced
arrythmias are true, Except-
Biventricular Tachycardia
Paroxysmal Atrial Tachycardia with variable AV
block
Ventricular Bigeminy
May be used to Atrial Fibrillation
non modifiable risk factor for hypertension
gender
obesity
salt intake
cultural characteristic acquired overtime
Renal artery stenosis may occur in all of the
following except-
Atherosclerosis
Fibromuscular dysplasia
Takayasu's arteritis
Polyarteritis nodosa
Commonest cause of sustained severe hypertension
inchildren-
Endocrine causes
Coarctation of aorta
Renal parenlchyma disease
Pheochromocytoma
In essential hypertention changes seen in the heart
are-
Cardiac cell hyperplasia
Cardiac cell hypertrophy
lncrese in the mitochondrial number
Increase in size of mitochondria
In Accelerated HTN what is metabolic defect
Normal non-ionic metabolic acidosis
Ionic gap met acidosis
Hypomagnesemia
Metabolic alkalosis
Pulmonary hypertension may occur in all of the
following conditions except-
Toxic oil syndrome
Progressive systemic sclerosis
Sickle cell anemia
Argemone mexicana poisoning
All are causes of pulmonary hypertension
except-'
Hyperventilation
Morbid obesity
High altitude
Fenfluramine
Which is a feature of high altitude pnlmonary edema
Associated with low cardiac output
Associated with pulmonary hypertension
Occurs only in unacclamatized persons
Exercise has no effect
Manifestations of aortic dissection are all except,
AR
MR
AMI
Limb ischemia
Pericardial effusion
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?
Acute aortic dissection
acute myocardial infarction
Rupture of the esophagus
Acute pulmonary embolism
Cause of secondary hypertension includes all except
Oldage
Renal parenchymal disease
Pregnancy-inducdHTN
Hypothyroidism
Hyperthyroidism
Characteristics of SIRS includes the following
except-
Leukocytosis
Thrombocytopenia
infectious or noninfectious cause
Oral temperature> 38°C
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-
Adrenaline
Ephedrine
Phenylephrine
Nor epinephrine
Neurocardiagenic syncope, the least useful
investigation is-
Tilt table
Carotid sinus massage
Carotid duplex scan
Orthostatic blood pressure recording
Sudden cardiac death may occur in all of the following
except-
Dilated cardiomyopathy
Hypertrophic cardiomyopathy
Eisenmenger's syndrome
Ventricular septal defect
Hypovolemic shock is seen in all except-
Hemorrhage
Starvation
Vomiting
Diarrhoea
Major criteria of Rheumatic fever are all except,
Erythema nodosum
Arthritis
Chorea
Carditis
Apt presents with acute rheumatic carditis with fever. True statements is-
Increase troponin T
Reduced myocardial contractility
Signs of inflammation and necrosis
Valve replacement will ameliorate C.C.F.
Which valve is least affected in Rheumatic
fever?
Pulmonary valve
Tricuspid valve
Mitral valve
Aortic valve
Osler's nodes are typically seen in which one of the
following-
Chronic candida endocarditis
Acute staphylococcal endocarditis
Pseudomonas endocarditis
Libman sack's endocarditis
