CVS LAB Questions Pulse Batch :

Transcription

1 CVS LAB Questions Pulse Batch : ** NOTE : here I will just put the qus that were with photos, then the qus that were without photos. 1 All of the following are true regarding ATH in this pic, except : a- Complex atheromata can have calcification, thrombosis, or hemorrhage b Complex Atheromata are easier to treat with angioplasty Answer : B 2- All of the following regarding Aneurysm are true except : a such aneurysm are prone to rupture when they reach about 6 7 cm b There is no role for surgery in treating patients with this condition Answer : B

2 3- All of the following regarding this pic are true except : a- A dark red recent thrombus could be seen within the lumen of the coronary artery b obstruction of blood flow through this coronary artery led to MI c The area of heart involved by MI appears from the outside as dull red with glistening surface d The center of the infarct contains necrotic muscle that appears yellow-tan surrounded by a zone of hyperemia e- non of the above Answer : E ( I know it s not logically correct as an answer to the qus but that was the choice, it should be non of the above is WRONG ) 4- Regarding early changes associated with MI, as in the following pic, which is the wrong statement? A Extensive inflammatory cell infiltrate is a common feature in the first day following MI B appearance of contraction bands

3 5 Regarding aortic dissection, which statement is false? a - the aortic dissection went into the muscular wall of the aorta. b There is no definite association between ATH and aortic dissection 6- Regarding this pic of medial calcific sclerosis, which of the following statements is true? a - This finding occurs most often in the young patients b - have serious pathologic consequences c Calcium deposits in the media of muscular arteries Answer : C

4 7 All of the following statements regarding this type of endocarditits in a 30 year old female with history of butterfly facial skin rash, are true except : a - This patient has systemic lupus erythematosus b The vegetations can easily separate and embolize Answer : B 8 - All of the following statements regarding this type of endocarditits in a 30 year old male, presented with high grade fever and heart murmur after dental extraction are true except : a Low doses of antibiotics are needed because of the high vascularity of the valves ( sorry couldn t remember the other choices )

5 9 all of the following can cause this type of pericaditis except : a metastatic tumor b inflammation 10 - TB that causes this type of granuloma is the most common cause of which of the following type of pericarditis : a constrictive pericarditis b hemmorigic pericarditis

6 11 All of the following statements regarding this disease are true except : a aortic valve is never affected by this disease b - chronic rheumatic valvulitis may develop by organization of the acute endocardial inflammation along with fibrosis. 12 Name the pointed structure : a the great vein b circumflex artery c Coronory sinus Answer : C

7 13 Name the pointed structure : a aortic valve b- pulmonary valve Answer : B 14- Name the pointed structure : a cavity of right atrium b cavity of right ventricle c- pectinate muscle Answer : B

8 15 - Name the pointed structure : ( the yellow arrow ) a right coronary artery b marginal artery c- anterior interventicular artery Answer : C 16 - Name the pointed structure : ( the yellow arrow ) a right coronary artery b marginal artery c- anterior interventicular artery

9 17 - Name the pointed structure : ( the yellow arrow ) a left renal vein b right renal vein ( in the key answer u will see that they put B, the correct answer for sure is A, we took this qus as bonus ) 18 - Name the pointed structure : a brachial artery & median nerve b ulnar artery & median nerve 19 - Name the pointed structure : a right brachocephalic vein b inferior thyroid vein c- right subclavian vein Answer : non of the choices was correct, the answer should be left brachiochepalic vein, they gave us a bonus for this qu

10 20- Name the pointed structure : a Popliteal artery and tibial nerve b Politeial artery and common peroneal nerve 21 Name the pointed structure : a- axillery artery and lateral cord b axillary artery and medial cord c brachial artery and medial cord Answer : B 22- This image shows : a femoral artery b femoral vein c aorta Answer : C

11 23 Name the pointed structure : a small vein with a valve b medium vein with a valve 24 - This image shows : a- arteriole b small vein 25 This image shows : a fenestrated capillaries b sinusoidal capillary Answer : B

12 27 This ECG reordering can be treated by : a DC schock b atropine c epinephrine ( note : it s ventricular fibrillation ) - The drug of choice for treatment of supraventricular tachycardia unresponsive to vagal maneuvers is : denosine - All of the following medications can cause a delay in the AV nodal conuction, EXCEPT : Answer : epinephrine - A 22 year old woman with regular heart beat ar a rate of 170 beat / minute that abruptly changes to 75 beat / minute after applying carotid sinus massage, She most likely has : Answer : supraventricular tachycardia - In normal ECG, T wave is positive because : Answer : Repolarization start in opposite direction of depolarization - Indifferent electrode in recording of ECG : Answer : is the summation of the bipolar limbs leads - The normal cardiac axis of the ECG is located between. And. : Answer : In normal ECG highest R wave seen in : Answer : C4 - If the speed of ECG machine 50mm/sec and RR interval is 20 mm, how much the heart rate beat per minute : Answer : 150 ( 50*60 = / 20 = 150 ) - Sequences of Kortkof sound are : Answer : no sound first sound sounds increase sound decrease sound disappear

13 - Continous murmur can develop with : Answer : patent ductus arteriosus - If you measure the blood pressure in supine position and the subject put his hand above his head horizontally, which of the followings has the least pressure : Answer : popliteal artery - The kortkof sounds caused by : Answer : Turbulent flow in the brachial artery - A subject with blood pressure 130/180, during measurement of his blood pressure, 1 st kortkof sound appear when the cuff pressure is.. and sound disappear when the cuff pressure is : Answer : 129, 80 - The conduit of choice of the left anterior decending artery is : Answer : left internal mammary artery - all the following are indications to do coronary artery bypass surgery, EXCEPT : Answer : proximal tight coronary artery stenosis - All of the following are true regarding atrial fibrillation except : Answer : ECG is abnormal during and even after the attacks - one of the following can lead to atrial fibrillation : A- Hyperthyrodism B- Hypertention C- Valvular heart disease D- cardiomyopathy E all of the listed Answer : E - All are examples of acynotic heart disease except : Answer : Truncus arteriosus - The most common variant of VSD is : Answer : membranous VSD - All examples of cyanotic heart disease Except : Answer : VSD - All of the following are modifiable risk factors of atherosclerosis except : Answer : Male sex

14 - Intermittent cludication means : Answer : pain in the group of muscles during exercise - all of the following are risk factors for CAD except : Answer : HDL > 50 - A 48 year old male presented with recurrent attacks of chest pain at exertion relived by rest and sublingual nitroglycerin, the mechanism of his chest pain is : Answer : Imbalance between O2 supplay and demand in the Myocardium - A 45 year old heavy smoker male presented to the ER with retrosternal chest pain started suddenly while he was watching TV, his ECG showed ST segment elevation and his cardiac enzymes are elevated. The appropriate diagnosis is : Answer : MI - A 44 year old male was found to have a blood pressure of 145/90 on a pre-employment check up, The most important next step in management is : Answer : schedule a follow up visit after 1 week - The most common cause of secondary hypertension is : Answer : Renal diseases - A 50 year old female was diagnosed recently with hypertension, all of the following are important investigations except : Answer : measurement of serum TSH level - Which of the following is not a complication of long standing hypertension : Answer : Pulmonary infarction - The best initial step in managing hypertension is : Answer : lifestyle modifications - All of the following signs are seen in right sided heart failure except : Answer : dyspnea - all of the following are causes of left sided heart failure except : Answer : lung diseases - The most helpful investigation(s) in diagnosing heart failure is/are : Answer : chest X ray and echocardiography Best of wishes everyone Omar Sawas