Cardiology AMC

1. Which of the following is the least likely characteristic of

pulmonary embolism?
a. Decreased second heart sound
b. tachycardia
c. dyspnea
d. pleural rub
e. bronchial breath sound
2. 56 year old pacific islander, male, presents with ventricular
failure, BP 148/96, edema, enlarged liver, hr 56, JVP extremely high,
abdomen distension. What is the most likely diagnosis?
a. ca lung with secondaries in liver and svc obstruction
b. alcoholic hep cirhosis
c. constrictive pericarditis with previous tb esposure
d. budd chiari syndrome
e. inferior venacaval obstruction
3.

a. ascites
b. digitalix toxiccity
c. hypokalemia
d. mesenteric embolism
e. hepatic congestion
4.

a. CXR
b. EKG
C. full blodd count
d. respiratory function test
e. ct scan of chest
5. history of COAD, what is the cause for RHF
a. increase PaCO2
b. Decrease paO2
c. increase work of breathing
6. you are working at ED, a patient with hx of heart disease, p/w
chest pain increasing in severity, what is true?
a. if ecg normal no trombolitik
b. iv heparin not indicated

c. no need for ecg monitoring

d. immediate stress test
7. a patient with history of MI and AF, family doctors have tried
adenosine, verapamil, and also digoxin 0.125 mg daily now p/w
irregular heart rate 90/min palpitation, otherwise well, what would
you do to minimize the complication
a. check digoxin level, if sub-therapeutic, increase the dose
b. do echo to check for mitral stenosis complicated AF
c. digoxin and adenosine
d. start anticoagulant
8. patient with AF p/w WFW syndrome what s the best
management?
a. verapamil
b. digoxin
c. beta blocker
d. captopril
e. DC cardioversion
9. what drug cause decrease gradient of HOCM?
a. verapamil
b. furosemide
10.

11.

a. aortic valve stenosis

b. complete heart block
c. hypertension
d. heart failure
e. myocardial infarction
12.

a. cardiac failure

b. tension pneumothorax
c. hypovolemic shok
d. cardiac tamponade
e. vasovagal syncope
13. ace inhibitors are the 1st line of treatment in all of the following
except
a. aortic stenosis
b. essential hypertension
c. left anterior infarction
d. congestive heart failure
e. diastolic hypertension
14.

a. multiple ventricular ectopic beats

b. WPW syndrome
c. atrial fibrilation
d. sinus tachycardia
e. myocardial infarction
15.

a. left bundle branch block

b. pulmo embolism
c. acute inferior myocardial infarction
d. acute anterior myocardial infaction
16.

A. Cardioversion
B. TPA
c. lidocaine
d. amiodarone
e. verapamil
17.

a. she has ischaemic heart disease

b.. right ventricular hypertrophy with RBBB

c. she has WPW syndrome
d. RBBB is diagnostic of pulmo embolism
e. ECG has evidence of digoxin toxicity
18.

a. 2nd degree heart block

b. ventricular tachycardia
c. atrial fibrilation
d. LBBB
19.

a. increase ramipril to 10 mg OD
b. prescribe nicotin patches
c. add diuretic to ramipril
d. stop ramipril and substitue with diuretic
e. sprionolactone
soal amc 2008
20.

21.

22.

soal amc 2009

23.

a. ecg with VT
b. ECG with 1st heart block
c. ecg with VES
d. ECG with atrial fibrilaion
24.

what is the diagnosis

25.

a. verapamil
b. diuretic
c. acei
26.

a. furosemid, diclofenac, ramipril

b. slow k, atenolol, diclofenac
c. slow k, ramipril, atenolol
27.

28. opening snap indicates:

a. mitral valve mobility
b. atrial fibrilation causes disappearance of the opening snap
c. replaces s3
d. best heard at 2nd right ics
e. remains unaltered despite progesion of the disease
29.
a. LV ejection fraction
b. LV end diastolic pressure
c. cardiac output
d. LV hypertrophy
e. LV sistolic pressure
30.

a. aspirin
b. ace i
c. beta blocker
d. nifedipin
e. streptokinase
31.

a. holter monitor
b. echocardiogram
c. suess test
d. bp in supine n lying down
e. ct scan

32.

a
b
c
d
e
33.
a. CXR
b. ECG
c. Echo
d. usg
e. CT pulmo angiogram
34.

35.
a. digoxin
b. prozocia?
c/ gtn patch
d. b block
e. spironolactone
36.

37.

38.
a. AMI
b. VT
c. HEART BLOCK
d. ectopic

39.

40.
a. another shock with 360 joules
b. iv adrenaline
c. iv atropine
d. iv lidocaine
e. mouth to mouth resus
41.
a. inverted t wave
b. peaked t wave with prolong pr
c. presence of u wave
d. wide qrs
e. ventricular arit

42.
a. 2nd left ics
b. lower left sternal border
c. apex

d. right lower sternal border

e. mid axilary line
43.
a. MI
b. pUlmo embolism
c. infective endocarditis
d. heart failure