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Cardiology 4

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

which of the following conditions best fit the image added to the Question

a)

Mitral regurgitation

b)

and pulmonary hypotension

c)

Aortic stenosis

d)

Pulmonary stenosis

2.

fixed splitting of the second heart sound occurs in which of the following conditions ?

a)
Pulmonary stenosis and ventricular fibrillation
b)
Atrial septal defect (ASD) and right bundle branch block (RBBB)
c)
Mitral stenosis and atrial fibrillation
d)
Ventricular septal defect (VSD) and left bundle branch block (LBBB)
3.

in which of the following condition is finding of a third heart sound physiologic

a)
Individuals with hypertension
b)
Patients with heart failure
c)

patient with aortic stenosis

d)

in patients with bacterial Pneumonia

4.

An auscultatory sound best heard using the diaphragm with the patient holding their breath in expiration is

a)
Mitral stenosis
b)

Pericardial rub

c)
Tricuspid regurgitation
d)
Aortic regurgitation
5.

diastole represents an interval between

a)

P2A2 and S1

b)

S2 and S1

c)

S1 and S2

d)

S1 and P2A2

6.

straight left heart border on chest X ray is associated with which Murmur

a)
Tricuspid regurgitation
b)
Aortic stenosis
c)
Pulmonary stenosis
d)
Mitral regurgitation
7.

which of the following vessels is best used to check for JVP ?

a)

Internal Carotid Artery

b)

External Jugular Vein

c)

Brachiocephalic Vein

d)
Internal jugular vein
8.

what's the importance of JVP measurement

a)

Assessing fluid status and cardiac function

b)

measuring systolic pressure

c)

measuring Right arterial Pressure

d)

measuring biventricular pressure

9.

If right atrial pressure is high how do we measure JVP?

a)

let the person lie flat so that its can be very visible

b)

with the bed inclined at 45 use the hepatojagular reflex to elicit it

c)

let the person Sit up and still check for. highest Point of pulsation if too high

d)

Look for the highest point of visible pulsation in the internal jugular vein with the bed at 45

10.

a wave when measuring JVP signifies ?

a)
atrial contraction or atrial systole
b)

ventricular relaxation

c)

atrial diastole

d)
ventricular contraction
11.

which of the following conditions will lead to absent a wave in JVP measurement ?

a)

pulmonary stenosis

b)

Ventricular fibrillation

c)

Atrial fibrillation

d)

aortic stenosis

12.

what does the c wave represent in JVP waveform

a)
Aortic valve bulging into the left ventricle during ventricular relaxation
b)
Atrial contraction causing a pressure increase in the right atrium
c)
Tricuspid valve bulging into the right atrium during ventricular contraction
d)
Pulmonary valve bulging into the right ventricle during ventricular contraction
13.

which of the following conditions will cause jvp abnormality

a)

Pulmonary stenosis

b)

constrictive pericarditis

c)

inferior superior vena cava obstruction

d)

pleural effusion

14.

Which of the following will cause prominent A wave in JVP ?

a)
Left ventricular hypertrophy
b)

Tricuspid stenosis,

c)
Mitral stenosis
d)
Atrial fibrillation
15.

which grade signifies how loud diastolic murmurs could get ?

a)
Grade 2
b)
Grade 4
c)
Grade 3
d)
Grade 1
16.

rapidly changing murmurs signify which of the following diseases ?

a)

Mitral Stenosis

b)
Infective endocarditis
c)

Aortic stenosis

d)

Constrictive pericarditis

17.

which murmur is associated with a prominent ‘v’ wave in the JVP and a pulsatile liver.

a)
Mitral stenosis
b)
Tricuspid regurgitation
c)
Pulmonary stenosis
d)
Aortic regurgitation
18.

which of the following is a systolic murmur

a)

Mitral stenosis

b)
Tricuspid stenosis
c)

Aortic stenosis

d)
Pulmonary regurgitation
19.

which of the following is a diastolic murmur

a)
Pulmonary stenosis
b)
Tricuspid regurgitation
c)
Aortic regurgitation
d)

Mitral regurgitation

20.

which of the following murmurs lead to increase in stroke volume ?

a)
Aortic regurgitation
b)
Ventricular septal defect
c)
Pulmonary stenosis
d)
Mitral stenosis