Free Printable cardiovascular and blood vessels

1.

3.Which of the following statement is correct?

a)

a) Prudent diet means avoidance of high alcohol and decrease salt intake

b)

b) CHD prevention includes less than 100mg dietary cholesterol per 1000 cal /day

c)

c) High alcohol intake of 70g per day is an independent risk factor for CHD

d)

d) According to WHO salt intake reduction should be below 12g per day

2.

7.What is incorrect about Brugada syndrome?

a)

A. SCN5A defect

b)

B. Asymptomatic ST segment elevation

c)

C. Sudden death

d)

D. Verapamil is the treatment of choice

3.

2.A 3-month-old male infant died unexpectedly in his sleep. The pathologist examined the histologic slides of tissue samples taken from the heart of the infant and observed that a portion of the conduction tissue that penetrates the right fibrous trigone had become necrotic. As a result, a fatal arrhythmia probably developed, leading to the death of the infant. Which of the following parts of the conduction tissue was most likely interrupted?

a)

A. Right bundle branch

b)

B. The bundle of Bachmann

c)

C. The left bundle branch

d)

D. The atrioventricular bundle of His

4.

4.Identify the procedure

a)

A. Surgical aortic valve replacement

b)

B.TAVI

c)

C. Modified Bentall Procedure

d)

D.none of the above

5.

21. The plant sterol which decrease the absorption of cholesterol

a)

A-Phytosterol

b)

B.Sitosterol

c)

C. campesterol.

d)

D. stigmasterol

6.

9. Match the following

PHASE OF CARDIAC CYCLE DURATION

a.Protodiastole 1)0.17sec

b. Isometric relaxation 2) 0.04sec

c. First rapid filling phase 3)0.08sec

d. Diastasis 4) 0.11sec

a)

A. a- 1,b-2,c-3.d-4

b)

B. a-2,b-3,c-4,d-1

c)

C. a-3,b-4,c-1,d-2

d)

D. a-4,b-1,c-2,d-3

7.

12. Friedewald formula is given by:

a)

A.LDC-C =TC-(HDL-C+TG/5)

b)

B. HDL-C =TC-(LDL-C+TG/5)

c)

C. HDL-C =TC-(LDL-C+TG/5)

d)

D. LDC-C =TG-(HDL-C+TC/5)

8.

5..Which of the following circulatory feature is not found in the fetus?

a)

a) Passage of large amount of blood from the right atrium to left atrium through the foramen ovale

b)

b) Shunting of pulmonary artery blood into the aorta via the PDA

c)

c) All the major arteries having blood of the same degree of oxygenation

d)

d) About 80% of Hb being the fetal type HbF

9.

6. Familial hypercholesterolemia (FH) leads to premature atherosclerosis because:

a)

a) ApoA-I is deficient, preventing reverse cholesterol transport.

b)

b) LDL receptor function is defective, leading to reduced clearance of plasma LDL

c)

c) Excess production of Apo-B100

d)

d) ApoC-II deficiency prevents lipoprotein lipase activation.

10.

8. Which of the following is a myocarditis causing parasite

a)

A)Leishmania

b)

B)Trypanosoma cruzi

c)

C) Sarcocystis

d)

D) none of the above

11.

10. Given below is an arteriogram of coronary arteries,lateral projection Which among the following structures causes widow maker heart attack?

a)

a.Structure 3

b)

b.Structure 7

c)

c.Structure 2

d)

d.Structure 1

12.

11..The dicrotic notch on the aortic pressure curve is caused by,

a)

a) Closure of mitral valve

b)

b) Closure of tricuspid valve

c)

c) Closure of aortic valve

d)

d) Closure of pulmonary valve

13.

13.A 60-year-old man presents with sudden onset numbness of face, arm, and leg on the rightside.He also complains of difficulty walking and troubleseeing.The symptoms began an hours ago. On examination, he is conscious and alert.

With in how many hours from symptom onset this ischemic stroke patient ideally be referred to a specialized centre for NCCT Head thrombolysis?

a)

a) 3hours

b)

b) 3.5hours

c)

c) 4hours

d)

d) 4.5hours

14.

14.Transesophaeal echocardiogram is preferred to trans thoracic echocardiogram in

a)

a. Evaluation of pericardial disease

b)

b. Evaluation of tricuspid wall regurgitation

c)

c. Evaluation of left ventricular apical thrombi

d)

d. Evaluation of left atrial appendage thrombi

15.

15. A 5 year old child was brought to the OPD with Elfin facies and hypotonia and investigations reveal hypercalcemia. This is associated with

a)

a. Chromosome 9

b)

b. Chromosome 7

c)

c. Chromosome 22

d)

d. Chromosome 21

16.

16. As a pathologist, you must examine the AV bundle histologically. In which of the following tissue samples you will find AV bundle?

a)

a) Left atrium

b)

b) Membranous interventricular septum

c)

c) Muscular interventricular septum

d)

c) Muscular interventricular septum

17.

17.Which cardiac bio-marker is synthesized by the paraventricular neurons of hypothalamus?

a)

a)Copeptin

b)

b)Natriuretic peptide

c)

c)Galectin-3

d)

d)Heart type fatty acid

18.

18. This wave is seen in?

a)

a. WPW syndrome type 1

b)

b. Hypercalcemia

c)

c. Cardiac tamponade

d)

d. Athlete

19.

19. Digitalis increases the myocardial contractility by

a)

a. Inhibiting Na+-K+-ATPase in myocardium

b)

b. Decreasing breakdown of Cyclic AMP

c)

c. Increasing formation of Cyclic AMP

d)

d. Activation of protein kinase

20.

20. A 48-year-old male patient is scheduled to have a coronary arterial bypass because of chronic angina. Coronary arteriography reveals nearly total blockage of the posterior descending interventricular artery. In exposing this artery to perform the bypass procedure, which accompanying vessel is most susceptible to injury?

a)

A. Middle cardiac vein

b)

B. Great cardiac vein

c)

C. Small cardiac vein

d)

D. Anterior cardiac vein

21.

22. DIAGNOSIS FOR THE ABOVE IMAGE:

a)

A. Myxoma

b)

B. Arrythomogenic right ventricular dysplasia

c)

C. Rhadomyoblastoma

d)

D. Papillary fibroelastoma

22.

23. If diameter of lumen of a vessels is decreased to half, then the velocity will be

a)

a. Decreased by 4 times

b)

b. Decreased by 2 times

c)

c. Increased by 2 times

d)

d. Increased by 4 times

23.

24. A 16-year-old boy presents with complaints of recurrent syncopal episodes during exertion.Echocardiography reveals left ventricular dilated cardiomyopathy. Family history reveals that his elder sister died suddenly at the age of 18 while playing sports.What is the diagnosis? What is the gene mutation?

a)

A.Carvajal Syndrome ; DSP gene

b)

B.Kounis syndrome : DSP gene

c)

C. Carvajal Syndrome ; PSD gene

d)

D. Kounis syndrome : PSD gene

24.

25. HDL-cholesterol is directly measured by which lipoprotein?

a)

A-ApoA2.

b)

B.ApoB48.

c)

C.ApoB100.

d)

D.ApoA-1

25.

26. An 18 year old boy is asymptomatic. On ECG he has a short PR interval with delta waves. Which of the following is not routinely required for these patients?

a)

a. Holter monitoring

b)

b. Treadmill test

c)

c. Reassurance

d)

d. Beta blockers

26.

27. As a surgeon explaining the thorax, you will be able to identify the right pulmonary artery in which of the following locations?

a)

a) Anterior to the ascending aorta and the SVC

b)

b) Anterior to the ascending aorta and posterior to the SVC

c)

c) Posterior to the descending aorta and the SVC

d)

d) Posterior to the ascending aorta and the SVC

27.

28. The feature not under a triad of cushing's reflex is

a)

a. Tachycardia

b)

b. Bradycardia

c)

c. Hypertension

d)

d. Irregular respiration

28.

29. A patient came with dyspnoea, elevated JVP and oedema in the feet.Lungs are clear.There is a parasternal heave and S2 is palpable in the pulmonary area.Which one of the following is LEAST helpful in determining aetiology.

a)

a. Echo for mitral stenosis

b)

b. Anti-endomysial antibody estimation

c)

c. ELISA for HIV

d)

d. Urine /stool exaamination for Schistosoma ova

29.

30.DRESS syndrome is associated with all except

a)

a. Eosinophilia

b)

b. Myocarditis

c)

c. Endocartitis

d)

d. Encephalitis

30.

31. Floating beta disease comes under which type of Frederickson’s classification

a)

a)type IIA

b)

b)type IIB

c)

c)type III

d)

d)type V

31.

32. Which of the three primary germ layers form the histologically definitive endocardium of the adult heart?

a)

a) ectoderm

b)

b) Mesoderm

c)

c) Endoderm

d)

d) Hypoblast

32.

33. Windkessel effect is seen in

a)

a. Capacitance vessels

b)

b. Through fare vessels

c)

c. Large elastic vessels

d)

d. Capillaries

33.

34. A 35-year-old man is admitted to the hospital with severe chest pain, dyspnea, tachycardia, cough, and fever. Radiographic examination reveals significant pericardial effusion. When pericardiocentesis is performed, the needle is inserted up from the infrasternal angle. The needle passes too deeply, piercing the visceral pericardium and entering the heart. Which of the following chambers would be the first to be penetrated by the needle?

a)

A. Right ventricle

b)

B. Left ventricle

c)

C. Right atrium

d)

D. Left atrium

34.

35.Pulsus bisiferiens is seen in all, EXCEPT

a)

A. Aortic regurgitation + Aortic stenosis

b)

B. Aortic regurgitation

c)

C. Hypertrophic cardiomyopathy

d)

D. Tetralogy of Fallot

35.

1. Cafe coronary syndrome was coined by

a)

a. Roger hausen

b)

b. William osler

c)

c. Christian bernard

d)

d.Jean mariecharcot

36.

36. Typical JVP finding in cardiac tamponade

a)

A. Absent 'Y' descent

b)

B. Prominant 'a' wave

c)

C. Absent 'a' wave

d)

D. Prominent 'Y' wave

37.

37. Erb's Point in cardiology refers to:

A. Right 2nd intercostal space

B. Left 2nd intercostal space

C. Right 3rd intercostal space

D. Left 3rd intercostal space

Ans. D

a)

A. Right 2nd intercostal space

b)

B. Left 2nd intercostal space

c)

C. Right 3rd intercostal space

d)

D. Left 3rd intercostal space

38.

38. A patient in regular rhythm presents with absent p waves on ECG. Leads II, III and AVF reveal a Saw- Tooth Pattern. Which of the following is the most likely diagnosis:

A. Atrial Fibrillation

B. Atrial Flutter with Variable Block

C. Atrial Flutter with Fixed Block

D. Multifocal Atrial Tachycardia .

a)

A. Atrial Fibrillation

b)

B. Atrial Flutter with Variable Block

c)

C. Atrial Flutter with Fixed Block

d)

D. Multifocal Atrial Tachycardia .

39.

39. Vitum's Sign is seen in

A. Tricuspid Regurgitation

B. Mitral Stenosis

C. Aortic Stenosis

D. Aortic Regurgitation

Ans. A

a)

A. Tricuspid Regurgitation

b)

B. Mitral Stenosis

c)

C. Aortic Stenosis

d)

D. Aortic Regurgitation

40.

40. Carvallo's sign is seen in

a)

A. Tricuspid Regurgitation

b)

B. Mitral Stenosis

c)

C. Aortic Stenosis

d)

D. Aortic Regurgitation

41.

41. Ebstein's anomaly is characterized by:

a)

A. Upward displacement of an abnormal tricuspid valve into right atrium

b)

B. Downward displacement of an abnormal tricuspid valve into right ventricle

c)

C. Ventricularized left atrium

d)

D. Atrialized left ventricle

42.

42. Which of the following is recommended for culture sampling in Infective Endocarditis:

a)

A. 2 culture sets separated by at-least 1 hour over 24 hours

b)

B. 2 culture sets separated by at-least 2 hours over hours

c)

C. 3 culture sets separated by at-least 1 hr over 24hrs

d)

D. 3 culture sets separated by at-least 2 hours over 24 hours

43.

43. A 60 year old male presented with acute chest pain of 4 hours duration. Electrocardiographic examination revealed new Q wave with ST segment depression. He suffered to his illness within 24 hours of admission. The heart revealed presence of a transmural hemorrhagic area over the septum and anterior wall of the left ventricle. Light microscopic examination is most likely to reveal:

a)

A. Edema in between normal myofibrils

b)

B. Necrotic myofibrils with presence of neutrophils

c)

C. Coagulative necrosis of the myocytes with presence of granulation tissue

d)

D. Infiltration by histiocytes with hemosiderin laden macrophages

44.

44. Epsilon wave is seen in

a)

A. Brugada syndrome

b)

B. Hypothermia

c)

C. WPW syndrome

d)

D. Arrhythmogenic right ventricular dysplasia

45.

45. MATCH THE FOLLOWING

CONGENITAL ANOMALIES CLINICAL/ RADIOLOGICAL FINDINGS

1.Transposition of Great Vessels A. Snowman sign

2. Coarctation of Aorta B. Wide fixed split of S2

3. Atrial Septal Defect C. Harsh pansystolic murmur

4. Ventricular Septal Defect D. Egg on a string’ sign

5. Total Anomalous Pulmonary Venous Connection E. Figure of 3’ sign

a)

a.1-A, 2-B, 3-C, 4-D, 5-E

b)

b.1-D , 2-E, 3-B , 4-C , 5-A

c)

c.1-E , 2-D, 3-B, 4-C, 5-A

d)

d. 1-D, 2-E, 3-A, 4- B, 5-C

46.

46.Which vein directly drains into the coronary sinus marking one boundary of Koch triangle?

a)

a.Great cardiac vein

b)

b.Middle cardiac vein

c)

c.Small cardiac vein

d)

d.Anterior cardiac vein

47.

47. The Pickelhaube sign is a marker of sudden death risk in

a)

a. Dilated cardiomyopathy

b)

b. Mitral valve prolapse with MR

c)

c. Hypertrophic obstructive cardiomyopathy

d)

d. Aortic stenosis

48.

48. Which of the following distinguishes Lown Ganong Levine syndrome from WPW syndrome?

a)

a. Short PR interval

b)

b. Presence of delta wave

c)

c. Association with PSVT

d)

d. Involvement of accessory conduction pathways

49.

49. Heart Hand syndrome is associated with __________ gene

a)

a. TBX1

b)

b. TBX3

c)

c. TBX5

d)

d. TBX7

50.

50. Jai Vigyan Mission Mode project on community control comes under which disease

a)

a) Hypertension

b)

b) Ischaemic heart disease

c)

c) Rheumatic heart disease

d)

d) stroke

cardiovascular and blood vessels

Total questions: 50

Worksheet time: 25mins

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