MCQs from

MCQs team

References
Cardiovascular block
Physiology
(Fetal circulation and changes after birth )

Reference:
-Guyton & Hall physiology review
Collected by Sara Yati
 Q1 \ Within minutes after a normal delivery,
flow through the foramen ovale decreases
dramatically. What is the
cause of this change?
a. increased formation of prostaglandin E2
MCQs team (PGE2) in the endocardium
b. increased rate of flow through the
pulmonary artery
c. increased left atrial pressure
d. increased right atrial pressure
e. increased partial pressure of oxygen
(Po2)
Q3\ In the circulatory system of a fetus,
which of the following is greater before
birth than after birth?
A) Arterial Po2
Answers:
B) Right atrial pressure
Q1\ C
C) Aortic pressure
Q2\ D
D) Left ventricular pressure
Q3\ B
Q4\D
Q2\ Which of the following decreases the
pressure in the pulmonary artery after
birth?
A) An increase in systemic arterial
pressure
B) Closure of ductus arteriosus
C) An increase in left ventricular pressure
D) A decrease in pulmonary vascular
resistance
Q4\ Which of the following is greater after
birth than before birth? 33 d
A) Flow through the foramen ovale
B) Pressure in the right atrium
C) Flow through the ductus arteriosus
D) Aortic pressure
 Q5\ Failure of the ductus arteriosus to close
Q6\ Which blood vessel in the fetus has the highest
is a common developmental defect. Which
Po2?
condition would likely be present in a 12-
A) Ductus arteriosus
month-old infant with patent ductus
B) Ductus venosus
arteriosus?
C) Ascending aorta
MCQs team A) Below normal arterial Po2
D) Left atrium
B) Below normal arterial Pco2
C) Greater than normal arterial blood
pressure
D) Lower than normal pulmonary arterial
pressure

Answers:
Q5\A
Q6\B
MCQs team
IMC441
MCQs
Cardiovascular block
Physiology
(Fetal circulation and changes after birth )
 Q1\Which of the following help to close the ducts
arteriosus?
A- low oxygen concentration
B- decrease prostaglandins from the placenta
MCQs team separation
C- decrease the pulmonary resistance
D- decrease in pulmonary blood flow
Q2\Which of the following is a normal
circulatory change after birth?
A-closure of foremen ovale
B-open the ducts arterioles
C- blood flow through umbilical vein
D- open of foremen ovale

Answers:
Q1\B
Q2\A
MCQs team
IMC440
MCQs
Cardiovascular block
Physiology
(Fetal circulation and changes after birth )
 Q1\Which one of the following factors
stimulates closure of ductus arteriosus?
A. Low oxygen tension.
B. High level of prostaglandins E1.
MCQs team C. High level of prostaglandins E2.
D. Indomethacin.
Q2\What occurs after birth and breathing of
the baby?
A. Decrease in the pulmonary vascular
resistance.
B. Decrease in the pulmonary blood flow.
C. Increase in the right atrial pressure.
D. Decrease in the left atrial pressure.

Q3\Which of the following opening present in Q4\A 4-year girl is found to have bounding pulse and
fetal circulation helps in bypassing the liver? continuous machinery murmur. Echocardiography
A. Ductus arteriosus. showed an abnormal vascular connection between the
B. Ductus venosus. thoracic aorta and the pulmonary artery. What is the
C. Foramen ovale. most probable condition being she suffering from?
D. Umbilical artery. A. Atrial septal defect (ASD).
Answers:
B. Ventricular septal defect (VSD).
Q1\D
C. Patent ductus arteriosus (PDA)
Q2\A
. D. Patent ductus.
Q3\B
Q4\ C
MCQs team
IMC439
MCQs
Cardiovascular block
Physiology
(Fetal circulation and changes after birth )
 Q1\A6 year old child suffering from Fallot’s
tetralogy which of the following anomalies
you can find in such case
A.tricuspid stenosis
MCQs team B.Aortic stenosis
C. Pulmonary stenosis
D. Mitral stenosis
Q2\Which of the following opening present in
fetal circulation helps in bypassing the liver?
A. Ductus arteriosus.
B. Ductus venosus.
C. Foramen ovale.
D. Umbilical artery.

Q3\Which if the following is a normal
circulatory change after birth?
A. Ductus venosus become patent.
B. Closure of foramen ovale.
C. Decrease in pulmonary blood flow.
D. Ductus arteriosus become patient.
Answers:
Q1\C
Q2\B
Q3\B
Q4\ C
Q4\A 4-year girl is found to have bounding pulse and
continuous machinery murmur. Echocardiography
showed an abnormal vascular connection between the
thoracic aorta and the pulmonary artery. What is the
most probable condition being she suffering from?
A. Atrial septal defect (ASD).
B. Ventricular septal defect (VSD).
C. Patent ductus arteriosus (PDA)
. D. Patent ductus venouses.
 Q5\After birth the Ductus arteriosus closes
due to which of the following factors?
A. High level of oxygen in the fetal blood
B. Low pH of fetal blood
MCQs team C. High level of CO2 in the fetal blood
D. Low oxygen in fetal blood

Answers:
Q5\A
MCQs team
previous
MCQs
Cardiovascular block
Physiology
(Fetal circulation and changes after birth )
 Q1\Which of the following opening present
in fetal circulation helps in bypassing the
liver
A. ductus arterioles
MCQs team B. ductus venous
C. Foremen ovale
D. Umbilical artery
Q2\closure of the ductus arteriosus occurs
due to
A. pressure in left atrium exceeds that in right
atrium
B. Aortic pressure exceeds pulmonary artery
pressure
C. oxygen mediated smooth muscle
construction
D. Increased systemic vascular resistance

Q3\Which if the following is a normal
circulatory change after birth?
A. Ductus venosus become patent.
B. Closure of foramen ovale.
Answers: C. Decrease in pulmonary blood flow.
Q1\B D. Ductus arteriosus become patient.
Q2\C
Q3\B
Q4\ C
Q4\A 4-year girl is found to have bounding pulse and
continuous machinery murmur. Echocardiography
showed an abnormal vascular connection between the
thoracic aorta and the pulmonary artery. What is the
most probable condition being she suffering from?
A. Atrial septal defect (ASD).
B. Ventricular septal defect (VSD).
C. Patent ductus arteriosus (PDA)
. D. Patent ductus venouses.
 Q5\the main reason for closure of the
foramen ovale is
A. reversal of pressure gradients across the
atria
MCQs team B. release of prostaglandin for the atrial wall
C. change in oxygenatuin level of blood
D.reason is unknown

Answers:
Q5\i think is an A but I’m
not sure
MCQs team

Good luck