Test tasks(several correct answers)

1. What are the most typical complaints of the patients with cardiac
pathology?
a) pain in the heart region; 
b) intermissions; 
c) vomiting;
d) palpitation; 
e) dyspnoea; 
f) nausea;
g) asphyxia; 
h) cough.
2.  When can’t feeling of palpitation be accompanied by tachycardia?
a) on physical exertion; 
b) in case of drinking of strong coffee; 
c) after overcooling;
d) inpathients with neurasthenia;  
e) in case of paroxysmal tachycardia; 
f) in patients with depressive states;  
g) in thyrotoxicosis.
3. When are premature beats (extrasystoles) frequently revealed in healthy
subjects? 
a) on emotional exertion; 
b) in heavy smokers; 
c. at rest;
c. in case of overcooling; 
c. in coffee, string tea abuse; 
c. in cacao abuse;
c. in alcohol abuse. 
4. When can physiologic palpitation be observed?
1. after physical exertion; 
2. after emotional stress; 
3. in pericarditis;
4. after strong tea abuse; 
5. in mitral valvular prolapse;
6. in ventricular preexitation syndromes;
7. after alcohol abuse; 
5. Pathological noncardiac causes of palpitation:
a. diseases of the central nervous system; 
b. rheumocarditis;
c. iemotional exertion;
d. neurosis; 
e. thyrotoxicosis;  
f. coronary heart disease;
g. fever. 
6.  Cough features in pericarditis:
 a. periodic with insignificant bloody sputum;
b. comes on with exertion, in lying position;
c. dry; 
d. sharp rending; 
e. strong, sonorous;
f. accompanied by sensation of pain in the heart; 
g. in attack, mainly at night.
7. Causes of haemoptysis in a form of streaks of the blood in the sputum
(in mitral stenosis):
a. congestion in the pulmonary circulation;  
b. disorders of vessels penetrability; 
c. erythrocytes diapedesis;
d. sudden significant pressure elevation in the lesser circulation; 
e. pulmonary hypertension; 
f. arterial hypertension;
g. rupture of fine bronchial vessels during coughing.
8. Causes of mechanical cardiac syncope:
a. ischemic left ventricular dysfunction; 
b. aortic stenosis; 
c. bradycardia;
d. ventricular preexitation syndromes;
e. mitral valve prolapse; 
f. atrial fibrillation;
g. hypertrophic obstructive cardiomyopathy.  
9. Constant pallor of the skin and visible mucosa is typical for:
a. mitral stenosis;
b. mitral valve insufficiency;
c. aortic stenosis; 
d. thromboembolism of the pulmonary artery;
e. congenital heart diseases;
f. aortic regurgitation; 
g. aortic aneurysm dissection. 
10. Jaundice of the skin and visible mucosa can be observed in:
a. infectious endocarditis; 
b. chronic right ventricular failure; 
c. acute vascular failure;
d. aortic stenosis;
e. aortic regurgitation;
f. mitral valvular diseases;
g. thromboembolism of the pulmonary artery.
11. Features of cardiac oedema are following:
a. descending character, starts from the face and spread downward;
b. ascending character, starts from low extremities and spread upward; 
c. more pronounced in the evening; 
d. more pronounced in the morning;
 e. pallor colour of the skin;
f. cyanotic colour of the skin; 
g. cold temperature of the skin; 
h. warm temperature of the skin.
.

B.  Tasks  to be done:

Task 1.Patient K., 42 years old, chief engineer of the electromechanical factory,
admitted to the department with complaints of severe retrosternal pains with
radiation to the left shoulder and left scapula. Pains appear during quick walk and
are abated by nitroglycerin and at rest. He complains of weakness, sleeplessness
and irritability also.
Anamnesis: 2 years ago retrosternal pains during quick walk was appeared
at first. He consulted to the physician, which proposed to use nitroglycerine.
About one year ago he was hospitalized to the therapeutic department in
connection with sharp becoming more frequent of the pain and increasing of the
pain in the heart. He had bed regimen during one week. Then this regimen was
revoked. He was discharged from the hospital in two weeks with improvement.
Impairment of feeling appears during 2,5 weeks, when retrosternal pains become
more frequent and increased, and weakness, sleeplessness, irritability appeared
again.
He smoked during 22 years (20-25 cigarettes per day), often he worked at
night.
           What is the most probable character of disease?