01.

The following regarding anatomy of heart are true

CARDIOLOGY

A) The pulmonary trunk lies anterior to ascending aorta. B) The ascending aorta is entirely outside pericardial sac. C) The right atrium is posterior to left atrium. D) The aortic valve tricuspid. E) The left atrial appendage is identified readily by transthoracic echocardiography.

02. The following statements about anatomy of coronary arteries are correct

03. In the normal cardiac cycle

A) The left coronary artery arises from anterior aortic sinus B) The anterior two thirds of interventricular septum are supllied by anterior descending artery C) The left main coronary artery usually 4-5 cm in length D) The atrioventricular node typically supplied by right coronary artery E) The circumflex artery runs in left atrioventricular groove

A) The period of ventricular systole is equal to the Q-T interval B) The duration of the QRS complex depends on the heart rate C)The PR interval is less than 0.22 s D)Ejection occurs throughout systole E) The R-R interval may vary

4. The following are features of Fallot's tetralogy

5.Advanced mitral stenosis is characterised by

A) Prominent systolic murmur of ventricular septal defect B) Pulmonary plethora C) Patients adopt squatting posture D) Paradoxical embolus E) Presentation in late teens

A) Peripheral cyanosis B) Finger clubbing C) Reduced pulse pressure D) Left ventricular enlargement E) An accentuated first heart sound

6. Concerning pulse character

7. Pulsus paradoxus is found with

B) A jerky pulse seen in severe mitral regurgitation C) A slow rising pulse seen in mitral stenosis D) Pulsus paradoxus seen in massive pulmonary embolus E) Pulsus bisiferens seen in mixed aortic valve disease
A) A collapsing pulse is seen in pregnancy

A) A severe asthmatic attack B) Severe left ventricular failure C) Myocardial disease D) Constrictive pericarditis E) Cardiac amyloidosis

9. An opening snap found in 8. Giant 'a' waves in JVP occur in

A) Pulmonary hypertension B) Aortic regurgitation C) Thyrotoxicosis D) Constrictive pericarditis E) Tricuspid stenosis

A) Mitral stenosis due to rheumatic heart disease B) Congenital mitral stenosis C) Mitral incompetence associated with a rigid posterior valve leaflet but a anterior leaflet D) Left atrial myxoma E) Severe aortic incompetence

11. The first heart sound likely be variable in 10. A wide fixed S2 occurs in

A) An uncomplicated ASD B) Fallot's tetralogy C) Aortic stenosis D) Right Bundle Branch Block E) Constrictive pericarditis

A) Atrial fibrillation B) Atrial flutter C) Multiple ectopic beats D) Complete atrioventricular block E) Left bundle branch block

12. Which of following are true of Wolf-Parkinson-White syndrome?

ventricles

A) There is an abberant conduction between atria and

13. Regarding acute myocardial infarction, following are true

B) Broad complex tachycardia more frequent than narrow-complex tachycardia C) Verapamil is the treatment of choice in an associated SVT D) Amiodarone increases refractory period in accessory path.

A) Heparin is beneficial if given with streptokinase B) Dipyridamole reduces reinfarction within first year C) Prophylactic Lidocaine given in first 48 hours effective in preventing ventricular fibrillation D) Pansystolic murmur developing first 48 hours does require further investigation

E) Atrial fibrillation is a well recognised rhythm disturbance.

E) Dihydropyridines increase risk of MI

14. Streptokinase treatment in acute myocardial infarction

15. Contraindications to streptokinase are

A) Has now shown to be effective if given via intramuscular route

B) May be associated with an anaphylactic reaction

C) Results in patency of an infarct related coronary in 75-90% of cases given within 4 hours of onset of chest pain D) Results in an improvement in left ventricular ejection

fraction if given early

A) Age over 75 years B) Atrial fibrillation C) Asthma D) Insulin dependent diabetes mellitus E) Background diabetic retinopathy

E) Is as effective in improving prognosis in patients with inferior as well as anterior infarctions

16. In left ventricular failure

A) The development of tricuspid incompetence relieves pulmonary congestion B) Paroxysmal cardiac dyspnoea lasts more than 10-20 minutes C) The PaCO2 increased if severe pulmonary oedema present D) Effort dyspnoea always precedes orthopnoea and paroxysmal nocturnal dyspnoea E) The X-ray picture may be mistaken for solid lung tumour

17. Hypertrophic obstructive cardiomyopathy is associated with

A) A double apical impulse B) Decreased left ventricular ejection fraction C) Left ventricular diastolic dysfunction D) Increased left ventricular outflow obstruction E) Mitral regurgitation

18. The following cause congestive (dilated) cardiomyopathy

19. Infective endocarditis rarely occurs with

A) Pregnancy B) Daunorubicin C) Amyloidosis D) Alcohol E) Sarcoidosis

A Mitral valve prolapse B Patent ductus arteriosus C Bicuspid aortic valve D Atrial septal defect E Tight mitral stenosis

20. Recognised features of constrictive pericarditis include

21. In cardiac tamponade following occur

B) Generalised T wave flattening on ECG. C) Normal right ventricular end-diastolic pressure. D) Paroxysmal nocturnal dyspnoea. E) A small pulse pressure.
A) Ascites.

A) A rising pressure B) A high venous pressure C) Increased pulsation of neck veins D) Progressive bradycardia E) Pallor, cyanosis and cold extremeties

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