Cardiology MCQ

Drug combinations NOT recommended in Delta wave

hypertension: Prolonged QT interval
BB and ACEI
BB and calcium antagonist Which line of treatment should be used in
Thiazide diuretics and ACEI uremic pericarditis:
ACEI and angiotensin receptor blocker Steroids
Pulsus alternans is produced by: NSAIDs
pericardial effusion Hemodialysis
left sided heart failure Clindamycin
obstructive pulmonary disease Aminoglycosides
pulmonary embolism Which of the following manifestations is typical
of Kartagener’s syndrome?
All the following are manifestations of infective
a. Intestinal obstruction
endocarditis except.
b. Dextrocardia
a) New regurgitation murmur
c. Steatorrhea
b) Perivalvular abscess
d. Infertility
c) Heart block
d) Congestive heart failure All of the following decrease TVF except :
In sever mitral stenosis the only chamber that is Pleural effusion
not affected is: Pneumothorax
a) Right atrium Collapse with underlying patent bronchus
b) Right ventricle Emphysema
c) Left atrium
d) Left ventricle All of the following areas are dull except :
Upper border of liver
All of the following can cause acute mitral Bare area of heart
regurge except:
Kronig’s isthmus (at the start of percussion )
a) Rheumatic fever
b) Myocardial infarction Traub’s area
c) Balloon valvoplasty
The safest antihypertensive drug for patient with
d) Endocarditis
chronic renal failure is
Which of the following can be seen in ECG of Amlodipine
hyperkalemic patient? Spironolactone
U wave Ace inhibitor
Epsilon wave Thiazide
Absent P wave Angiotensin receptor blocker
1 Hypertension caused by aldosteronism best • Polyuria, nocturia, proteinuria or
treated by spironolactone hematuria – indicative of renal diseases
2 Beta blocker allowed in pregnancy is • Absence of peripheral pulses,
labetalol. Other are CI because they cause brachiofemoral delay and abdominal or
bradycardia in the baby and growth peripheral vessel bruits
retardation • History of polycystic renal disease or
palpable enlarged kidneys
3 Treatment of mitral regurge: • Cushingoid features, multiple
neurofibromatosis
• Significant elevation of plasma creatinine
with use of ACE inhibitors
• Hypertension in children
• History of snoring, daytime somnolence,
obesity
7 Def on acute coronary syndrome ?
Unstable angina and acute myocardial
infarction (NSTEMI & STEMI)
8 ‫ فأنهي حالة استخدم‬thrombolytic drugs ‫؟‬
Uses: STEMI
Indications
• Primary PCI(Percutaneous coronary
4 Grades of dyspnea intervention)/ Primary coronary
Angioplasty not available
Grade 1 Effort more than usual • Door to needle time <30mins
Grade 2 Usual effort
Grade 3 Effort less than usual 9 NSTEMI never take thrombolytic therapy
Grade 4 No effort 10 chadsvasc score (‫)الصورة‬

5 When to suspect 2ry htn

• Absence of family history of hypertension
• Severe hypertension > 180/110 mm Hg
with onset at age < 20 years or > 50 years
• Difficult-to-treat or resistant hypertension
with significant end-organ damage features
• Presents with combination of pain
(headache), palpitation, pallor and
perspiration – 4 P’s of phaeochromocytoma
• Persons with Short and thick neck –
Obstructive Sleep Apnoea