Free download in PDF Cardiology Multiple Choice Questions with Answers for competitive exams. These short objective type questions with answers are very important for competitive exams. These short solved questions or quizzes are provided by Gkseries.
61
21 year-old woman has a history of palpitations and light headedness. ECG shows short PR interval and inferior Q waves. Her symptoms improve with atenolol 25 mg/day but she has had two short episodes of similar symptoms in the previous 24 hours. What is the longterm management of choice?
63
A 59-year-old man who was active all his life develops sudden severe anterior chest pain that radiates to his back. Within minutes, he is unconscious. He has a history of hypertension, but a recent treadmill test had revealed no evidence of cardiac disease.
Which of the following do you suspect?
64
You are asked to see a patient in the Intensive Care Unit who is short of breath and tachycardic to rule out a cardiac cause of her symptoms. A right heart catheter reveals that the mixed venous O2 saturation is 70%; the pulmonary capillary wedge O2 saturation is 97%. The haemoglobin is normal and the patient is afebrile. You are able to state which of the following?
65
A 45 year old male type 1 diabetic with a number of complex diabetic gastrointestinal complications is noted to have a PR interval of 0.18s, a QRS duration of 0.1s and a QT interval of 0.48s on routine ECG. Which of the following drugs may be responsible?
66
A 51 year old businessman complains of dyspnoea on exertion. He recently returned from a business trip to the USA. He has distant heart sounds on auscultation of the chest. A chest radiograph reveals that there is a thin rim of calcification surrounding the cardiac outline. Which of the following conditions is most likely responsible for these findings?
67
A 19-year-old woman is found to have a cardiac murmur characterized by a mid-systolic click. An echocardiogram reveals mitral insufficiency with upward displacement of one leaflet. There is also aortic root dilation to 4 cm. She has a dislocated right ocular crystalline lens. She dies suddenly and unexpectedly. The medical examiner finds a prolapsed mitral valve with elongation, thinning, and rupture of chordae tendineae. A mutation involving which of the following genes is most likely have be present in this patient?
68
A 40-year-old man attending a routing screening has a blood pressure of 166/100 mmHg. Two weeks later his blood pressure was 150/90 mmHg. He does not smoke. He drinks 35 units alcohol / week. His body mass index (BMI) is 30 kg/m2 (20 - 25). What is the best management strategy?
70
A 28-year-old man who is known to have Hypertrophic Cardiomyopathy has an out of hospital cardiac arrest and is successfully resuscitated. What is the most appropriate mode of treatment?
Answer: It is due to partial closure of the anterior leaflet of the mitral valve
72
A 59-year-old man who was active all his life develops sudden severe anterior chest pain that radiates to his back. Within minutes, he is unconscious. He has a history of hypertension, but a recent treadmill test had revealed no evidence for cardiac disease. Which of the following is the most likely diagnosis?
73
A 64-year-old man is admitted with a right femoral neck fracture following a fall. Also seen in the radiograph of the pelvis are several prominent calcified vessels. What is the most appropriate next step in management of this finding?
74
On auscultation of the heart of a 30 year old female a loud first heart sound is heard. Which of the following may be responsible for thsi auscultatory feature?
75
A 55-year-old man with Type 2 Diabetes Mellitus and Ischaemic Heart Disease has been researching the Internet! He asks your opinion on Laser Transmyocardial Revascularisation. Which of the following statements about this technique is true?
76
A 15 year old female presents following a sore throat with chest pain, fever, and a skin rash. Examination reveals a diastolic murmur. Her ASO titre is elevated. Which of the following is a major criterion for the diagnosis of Rheumatic fever?
78
A 35-year-old healthy woman has a faint systolic murmur on physical examination. An echocardiogram is performed, and she is found to have a bicuspid aortic valve. In explaining the meaning of this finding to her, the most appropriate statement is that?
A
An aortic valve prosthesis may eventually need to be placed
B
Other family members may have the same condition
C
She should be treated with a cholesterol-lowering agent
D
The problem resulted from past injection drug usage
Answer: An aortic valve prosthesis may eventually need to be placed
79
A 27 year old woman complained of palpitations, breathlessness and chest pain, radiating to the left arm. These symptoms had developed six weeks previously, after she had witnessed her father dying from a myocardial infarction. In the past 10 years she had been investigated for abdominal pain, headaches, joint pains, and dyspareunia, without serious cause being found for these symptoms.
What is the most likely diagnosis?
80
A 60-year-old man's echocardiogram shows a dilated left ventricular cavity with the remainder of the other chamber sizes normal. The most likely diagnosis is which of the following?
