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Flashcards in Samplex 2017 Deck (102)
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1

True regarding the point of maximal impulse, except:

a. Location on the anterior chest wall where the apex of the heart is felt most strongly
b. It can be felt in 70% of individuals in the sitting/standing position of in the left lateral decubitus position
c. Normally 6 cm in diameter
d. None of the above

C

2

In a 55 year old male, the jugular venous pressure was measured at 4cm. What is his central venous pressure?

a. 6 cm H2O
b. 7 cm H2O
c. 8 cm H2O
d. 9 cm H2O

D

3

Tricuspid stenosis

a. Absent venous pulse
b. Giant a wave
c. Kussmaul’s sign (paradoxical venous filling)
d. Prominent v wave

B

4

Restrictive cardiomyopathy

a. Absent venous pulse
b. Giant a wave
c. Kussmaul’s sign (paradoxical venous filling)
d. Prominent v wave

C

5

In the Korotkoff sounds, which phase do the sounds usually become muffled?

a. Phase I
b. Phase II
c. Phase III
d. Phase IV

D

6

True when performing auscultation, except:

a. Position the patient supine with the head of the table slightly elevated
b. Always examine from the patient’s right side
c. Listen with the diaphragm at the left 2nd intercostals space near the sternum (pulmonic area)
d. Listen with the diaphragm at the left 3rd, 4th, and 5h intercostals spaces near the sternum (mitral area)
e. None of the above

D

7

Paradoxical splitting of S2 is seen in the following conditions, except:

a. Complete left bundle branch block
b. Severe mitral regurgitation
c. Right ventricular apical placing
d. Severe aortic stenosis
e. None of the above

B

8

Which wave in the jugular venous pulse represents atrial emptying when the tricuspid valve is open?

a. a wave
b. x wave
c. v wave
d. y wave

D

9

true regarding the physical examination of patients with mitral regurgitation, except:

a. Loud S1 associated with an opening snap
b. Grade III/IV holosystolic murmur at apex and radiates to axilla
c. Apex beat displaced laterally
d. Systolic thrill at apex
e. None of the above

A

10

The murmur of mitral valve prolapsed (MVP) is best described as:

a. Systolic murmur with a non-ejection click
b. Diastolic murmur with a non-ejection click
c. Systolic murmur with an opening snap
d. Diastolic murmur with an opening snap
e. None of the above

A

11

Most common type of Atrial Septal Defect

a. Ostium primum
b. Ostium secundum
c. Muscular
d. Membranous

B

12

The following are examples of acyanotic heart diseases, except:

a. Atrial septal defect
b. Ventricular septal defect
c. Tetralogy of fallot
d. Patent ductus arteriosus

C

13

Which of the following explains the boot-shaped heart on radiographs of TOF?

a. Left ventricular hypertrophy
b. Aortic aneurysm
c. Right ventricular hypertrophy
d. Arterial notching

C

14

Which of the following occurs in Eisenmenger complex?

a. Decreased pulmonary blood flow volume and pressure
b. Left ventricular hypertrophy
c. Pulmonary artery vasodilation
d. Pulmonary vascular resistance increases to systemic levels

D

15

A ventriculoarterial discordance wherein the aorta rises from the right ventricle and the pulmonary artery emanates from the left ventricle is seen in which condition?

a. Transposition of Great Arteries
b. Total Anomalous Pulmonary Venous Connection
c. Coarctation of the Aorta
d. Tetralogy of Fallot

A

16

Which of the following is not a feature of Tetralogy of Fallot?

a. Ventricular septal defect
b. Obstruction of the left ventricular outflow tract
c. Overriding aorta
d. Right ventricular hypertrophy

B

17

Which of the following is not an indication for surgery in PDA?

a. Presence of respiratory distress
b. Small defects
c. Hemodynamically significant PDA
d. Failure of 2 courses of indomethacin

B

18

The following statements regarding Tetralogy of Fallot are true, except:

a. TOF can be managed medically
b. Surgery should be done before collaterals develop
c. Only 3% are alive by the age of 40 years old
d. Most children are not cyanotic at birth due to partial mixing of blood

A

19

In this congenital defect, the aorta arises from the RV and the pulmonary artery arises from the LV.

a. Tetralogy of Fallot
b. Transposition of the Great Arteries
c. Total Anomalous Pulmonary Venous Return
d. Tricuspid Valve Atresia

B

20

An infant presents with cyanosis at birth. Which of the following should first be considered?

a. ASD with eisenmengerizatioin
b. PDA
c. Transposition of the Great Arteries
d. TOF

C

21

Which of the following is a major criterion for heart failure?

a. Ankle edema
b. Night cough
c. Pleural effusion
d. Rales

D

22

Which of the following is an evidence for low perfusion in heart failure?

a. Orthopnea
b. Edema
c. Ascites
d. Cool extremities

D

23

A 58 year old male came in for dyspnea. This would be exaggerated even when he brushes his teeth, dresses up, and walks short distances. If your diagnosis is congestive heart failure, his functional class is grades as:

a. I
b. II
c. III
d. IV

C

24

Stage of heart failure when symptoms are refractory?

a. Stage A
b. Stage B
c. Stage C
d. Stage D

D

25

Minor criterion of the Duke’s Criteria for the diagnosis of infective endocarditis, except:

a. Predisposing heart condition
b. Positive blood culture from 2 separate cultures
c. Vascular phenomena: emboli, infarcts, hges, Janeway lesions
d. Immunological phenomena: GN, Osler’s nodes, Roth spots

B

26

Most common symptom of infective endocarditis.

a. Dyspnea
b. Fever
c. Rashes
d. New onset murmur

B

27

A 25 year old male known to have mitral stenosis from rheumatic heart disease was admitted for a 1 month history of on and off fever. Physical examination showed a systolic murmur at the apex. 2D Echo showed an oscillating mass at the mitral valve. What is the diagnosis?

a. Acute myocardial infarction
b. Viral myocarditis
c. Constrictive pericarditis
d. Infective endocarditis

D

28

Which is part of the HACEK group?

a. Heikenella
b. Acinetobacter baumani
c. Corynebacterium
d. Escherichia
e. None of the above

E

29

Tender, erythematous papules found on the pulps of fingers or toes:

a. Osler’s nodes
b. Splinter haemorrhages
c. Janeway lesions
d. Roth papules
e. None of the above

A

30

The following conditions present with severe cyanosis:

a. Total anomalous pulmonary venous return
b. Truncus arteriosus
c. Pulmonic atresia
d. Pulmonic stenosis

C