Cardiovascular system 3

Cardiovascular system 3

Easy and simple questions in human diseases (pathology) of cardiovascular system

published on August 31, 2018 2 responses 0 5.0★ / 5

The commonest cause of congenital heart disease is..

A. Multifactorial inheritance
B. Sex linked inheritance
C. Maternal infection
D. Maternal hypertension
E. Maternal rubella

In preterm neonates, the commonest congenital cardiac lesion is

D. Falit tetralogy
E. Complex defect

One of the following is not consistent with the arthritis of rheumatic fever..

A. Dramatically response to aspirin
B. Has migration fashion
C. Usually involves big joint
D. Commonly affects small joint
E. Causes damage to joint

The commonest valve suspected to damage in rhematic fever is

A. Pulmonary valve
B. Aortic valve
C. Tricuspid valve
D. Mitiral valve
E. Both pulmonary and aortic valve

Which of the following is not affected by the preload in the heart muscle..

A. End systolic volume
B. End diastolic volume
C. Stroke volume
D. Ejection fraction
E. Cardiac output

Ventricular pressure is higher than the atrial pressure in all phases of the cardiac cycle except in

A. Isometric contraction phase
B. Atrial systole phase
C. Maximum ejection phase
D. Reduced ejection phase
E. Isovolumetric relaxation

The earliest significant in atheroma is called

A. Afatty streak
B. Fibrous fatty plaque
C. Thrombus
E. Fibrous cap

What is the primordial prevention of cardiovascular disease..

A. Control of risk factors of CVD like
hypertension, smoking
B. Control of cardiovascular disease to
control complications and further
C. Prevention of appearance of risk factors
D. Prevention of death and rehabilitation
E. All methods are correct

What is high risk strategies

A. The high risk strategy concern about
secondary prevention
B. Its aim to bring preventive care to
individuals at special risk
C. It target entire population
D. Seek small change in the highly prevalent
risk factor
E. Concern with primary prevention

The best feature that describes right side heart failre

A. Sacral edema
B. Raised JVP
C. Hepatomegaly
D. Ascites
E. Lower limbs edema

The best initial investigation for heart failure is..

A. Chest radiography
B. Electrocardiogram
C. Echocardiograph
D. Thyroid function
E. Complete blood count

In restructive cardiomyopathy

A. The ejection fraction is reduced
B. Myocardial infarction is a cause
C. There is left ventricular diastolic
D. Peripartum cardiomyopathy is a cause
E. Is treated surgicaly

A 45 years old diabetic patient presented with BP 150/90 your plan is..

A. Start life style modification for 2 months
B. Start drug treatment immediately
C. Use combination of ACE and ARBS.
D. Target for control is 140/90
E. Do 24 hours BP monitoring

A 50 years old smoker presented with ECG showed ST depression, troponin was -ve his diagnosis is..

A. ST elevation MI
B. Non ST elevation MI
C. Unstable angina
D. Stable angina
E. Acute pericarditis

The best modality to image the heart is..

A. Chest X-Ray
B. Electrocardiogram
C. Electrocardiograph
D. Isotope
E. CT scan chest

Which of the following is not a feature of poly arteritis nodosa..

A. It is a disease of young adults
B. Associated strongly with HBsAg
C. Biopsy is important in diagnosis
D. Serum antineutrophil antibody is positive
E. It does not affect the glomeruli and
pulmonary vessels

The following are risk factors for infective endocarditis, Except..

A. Aortic aneurysm
B. Rheumatic heart disease
C. Congenital heart disease
D. Prosthetic valve
E. Intravenous drug abuse

Regarding aortic dissection, which is most correct

A. Is generalized dilitation of the vessels
B. Atherosclerosis is not a cause
C. Cystic medial degeneration
D. Common in the thoracic aorta
E. There is no association with marfan's

A 50 years old lady with HTN and chronic kidney disease. Her target for BP control is

A. 130/80
D. 150/90
E. 120/80

Which of the following is not a cause of left ventricular hypertrophy

A. Aortic stenosis
B. Hypertrophic cardiomyopathy
C. Hypertension
D. Tricuspid regurgitation
E. Amilodosis

In constrictive pericarditis

A. The BP is low
B. There is pericardial effusion
C. JVP is raised
D. It occurs 48 hr after effusion
E. It treated with aspiration of fluid

The anginal pain is characterized by the following, except..

A. Retrosternal pain
B. Increased by effort
C. Stabbing (like a knife) in nature
D. Radiates to the neck and upper arm
E. Relived by rest

In X-Ray for heart size all are true except

A. C is cardiac diameter
B. T is thoracic diameter
C. If C/T is 50% and and below heart size is
D. If C/T is more than 50% heart size is
E. In pediatric if C/T is up to 60% heart size
is enlarged

The sign that indicates right venticular hypertrophy is

A. Tapping apex beat
B. Left para sternal heave
C. Loud firist heart sound
D. Pericardial rub
E. Basal crepitation

The following is not a cause of dialated cardiomyopathy

A. Post partum cardiomyopathy
B. Idiopathic cardiomyopathy
C. Alcoholic cardiomyopathy
D. Left ventricular hypertrophy
E. Viral myocarditis

In pericardial tambonade, the patient can present with all the following Except

A. Raised JVP
B. Hypertension
C. Loud heart sounds
D. Cardiomegaly
E. Lower limb swelling

A 50 years old lady known hypertensive and diabetic presents with acute myocardial infraction and develops shock, this type of shock is called

A. Neuorogenic shock
B. Septic shock
C. Cardiogenic shock
D. Hypovolumic shock
E. Obstructive shock

Tenstion pneumothorax causes shock by

A. Hypoxia due to lung collapse
B. Reduce venous return to the heart
C. Hemorrhage
D. Pain
E. Anxiety

The commonest site for the development of deep vein thrombosis is the

A. Calf
B. Renal veins
C. Portal vein
D. Biceps muscle
E. Glutal muscle

The following are signs of acute limb ischemia, except

A. Paralysis
B. Pain
C. Pursing
D. Pulse less
E. Paraethesia

Venosus ulcer almost always develops in the

A. Sole of the foot
B. Tip of fingers
C. Area above the medial maleolous
D. Tibialtuberousity
E. Elbow joint

Regarding acute rheumatic fever which of the following is not true

A. Male and females are equally affected
B. Common age between 5 to 15 years
C. Acute arthritis typically affects large joint
like the kner
D. Aschoff bodies are uncommon
histological features
E. Genetically associated with HLA DR class
2 allels

Wargenr's granulomatous is charecterized bu all of the following, Except..

A. Granulomatous of the upper and lower
respiratory tract
B. Generalised vasculitis
C. Glomerulonephritis
D. Positive ANA
E. Positive ANCA

Regarding rheumatic fever all of the following are true Except

A. Occurs 1-4 weeks after streptococcal
B. Due to host anti streptococcal antibodies
that are cross reactive to cardiac tissue
C. Death is most frequent due to pharangitis
D. Cause fibrous thickening of the valve
E. Jones criteria are used for diagnostic

Regarding thrombo antigitis oblitrans (Buerger's disease) all of the following are true, Except

A. Often affects tibial and radial arteries
B. Is associated with cigarette smoking
C. There is no neural involvment
D. Charecterized by granulomatous
information and thrombi central micro
E. Complicated by ulcers and gangrene

The following are major risk factors for ischemic heart disease, Except

A. Cigarette smoking
B. Hyperchlostrolemia
C. Hypertension
D. Diabetes insipidus
E. Male sex