1.
Hypertension is the term used to describe
Correct Answer
D. All of the above
Explanation
The term hypertension is used to describe all of the above conditions: persistent elevation of blood pressure, blood pressure above 120/80mmHg, and high blood pressure during rest. Hypertension is a medical condition characterized by consistently high blood pressure, which can lead to various health complications if left untreated.
2.
Primary Hypertension is the high BP in which
Correct Answer
B. Causes are not known
Explanation
Primary hypertension, also known as essential hypertension, is a condition characterized by high blood pressure where the exact causes are not known. This type of hypertension is the most common, accounting for about 90-95% of cases. While there are certain risk factors such as age, family history, obesity, and lifestyle choices that can contribute to primary hypertension, the exact underlying causes remain unclear. This is in contrast to secondary hypertension, which is caused by an underlying medical condition or medication.
3.
Primary hypertensives are
Correct Answer
D. 90 % of total hypertensive
Explanation
Primary hypertensives refer to individuals who have essential or primary hypertension, which means that their high blood pressure does not have a specific underlying cause. The correct answer, "90% of total hypertensive," suggests that the majority of individuals with hypertension have primary hypertension. This indicates that only a small percentage of hypertensive individuals have secondary hypertension, which is caused by an identifiable underlying condition such as kidney disease or hormonal disorders.
4.
Causes of secondary hypertension are
Correct Answer
D. All of the above
Explanation
The correct answer is "All of the above" because chronic kidney disease, disorders of the adrenal gland, and hyperparathyroidism are all known causes of secondary hypertension. Secondary hypertension refers to high blood pressure that is caused by an underlying health condition or medication, as opposed to primary hypertension which does not have a specific identifiable cause. These three conditions can lead to hormonal imbalances or kidney dysfunction, both of which can contribute to elevated blood pressure levels.
5.
Risk factors of hypertension are
Correct Answer
D. All of the above
Explanation
The risk factors of hypertension include age, sex, and high intake of alcohol. Age is a risk factor as the likelihood of developing hypertension increases with age. Sex is also a risk factor, with men having a higher risk than women. High intake of alcohol can contribute to hypertension by raising blood pressure levels. Therefore, all of the above options are correct as they are all risk factors for hypertension.
6.
Which one is not the complications of hypertension
Correct Answer
B. Cancer
Explanation
Hypertension is a condition characterized by high blood pressure. It can lead to various complications, such as cardiac hypertrophy (enlargement of the heart muscle), cerebral hemorrhage or infarction (bleeding or blockage in the brain), and myocardial infarction (heart attack). However, cancer is not considered a complication of hypertension. While hypertension may increase the risk of certain types of cancer, it is not directly caused by hypertension itself. Therefore, cancer is the correct answer as it is not a complication of hypertension.
7.
Hypertension can damage
Correct Answer
D. All of the above
Explanation
Hypertension, also known as high blood pressure, can damage various organs in the body. The increased pressure in the blood vessels can cause damage to the heart by straining it and increasing the risk of heart attacks and heart failure. It can also damage the kidneys by impairing their ability to filter waste and excess fluid from the blood, leading to kidney disease or even kidney failure. Additionally, hypertension can damage the blood vessels in the eyes, leading to vision problems or even blindness. Therefore, all of the above organs can be affected by hypertension.
8.
Isolated systolic hypertension, is defined as
Correct Answer
A. BP> 160/90 mmHg
Explanation
Isolated systolic hypertension is defined as having a blood pressure reading of greater than 160/90 mmHg. This means that only the systolic pressure (the top number) is elevated, while the diastolic pressure (the bottom number) remains within normal range. Isolated systolic hypertension is commonly seen in older adults and can increase the risk of cardiovascular diseases such as heart attack and stroke. Therefore, a blood pressure reading above 160/90 mmHg indicates isolated systolic hypertension.
9.
Pulse pressure is equal to
Correct Answer
B. SBP-DBP
Explanation
Pulse pressure is defined as the difference between the systolic blood pressure (SBP) and the diastolic blood pressure (DBP). It represents the force exerted on the arterial walls during the contraction of the heart (systole) minus the force exerted during the relaxation phase (diastole). Therefore, the correct answer is SBP-DBP.
10.
If DBP is 100mmHg and SBP is 190mmHg, the what would be the value of Pulse pressure
Correct Answer
C. 90 mmHg
Explanation
Pulse pressure is the difference between the systolic blood pressure (SBP) and diastolic blood pressure (DBP). In this case, the SBP is 190mmHg and the DBP is 100mmHg. Therefore, the pulse pressure would be 190mmHg - 100mmHg = 90mmHg.
11.
What is Ischemia?
Correct Answer
B. Imbalance in the oxygen supply & demand
Explanation
Ischemia refers to a condition where there is an imbalance between the supply and demand of oxygen in tissues. This can occur due to a decrease in blood flow or a decrease in the amount of oxygen carried by the blood. This imbalance can lead to tissue damage and cell death if not corrected. Therefore, the correct answer is "Imbalance in the oxygen supply & demand."
12.
Which one is not come under Coronary Artery Disease (CAD)
Correct Answer
C. Kidney failure
Explanation
Kidney failure is not a part of Coronary Artery Disease (CAD). CAD specifically refers to the narrowing or blockage of the coronary arteries, which supply blood to the heart muscle. Heart attack and angina are both manifestations of CAD, as they occur when the blood flow to the heart is restricted or completely blocked. However, kidney failure is a separate condition that occurs when the kidneys are unable to filter waste products from the blood effectively.
13.
Please select the true statement for Angina pectoris.
Correct Answer
D. All of the above
Explanation
The statement "All of the above" is the correct answer because it includes all the statements mentioned in the question. Angina pectoris is characterized by retrosternal pain, which is pain behind the sternum. It is also caused by ischemia, which is a reduced blood flow and oxygen supply to the heart muscle. Therefore, angina pectoris is associated with an absolute or relative deficiency of oxygen to the heart cells.
14.
Select the wrong statement
Correct Answer
D. All of the above
Explanation
The given answer "All of the above" is incorrect because it states that all of the previous statements are wrong, but in fact, all of the previous statements are correct. Stable angina refers to angina that is felt without physical activity, unstable angina is felt during effort or exercise, and Prinzmetal angina is characterized by pain that is relieved on rest. Therefore, the correct answer should be "None of the above."
15.
Myocardial infarction (MI) includes all condition except
Correct Answer
C. Ventricular fibrillation
Explanation
Ventricular fibrillation is a condition where the lower chambers of the heart quiver instead of pumping blood effectively. It is a life-threatening arrhythmia that can lead to cardiac arrest and death if not treated immediately. Myocardial infarction, or heart attack, occurs when there is a blockage in one or more coronary arteries, leading to the death of the heart muscle due to a lack of oxygenated blood supply. Therefore, the correct answer is ventricular fibrillation, as it is not a component of myocardial infarction.
16.
Myocardial infarction (MI) may happen due to
Correct Answer
D. All of the Above
Explanation
Myocardial infarction (MI) can occur due to various reasons. A blood clot in the coronary artery can block the blood flow to the heart muscle, leading to a heart attack. Plaque rupture refers to the breaking of atherosclerotic plaque, which can also cause a blockage in the coronary artery. Prolonged ischemia, which is the inadequate blood supply to the heart, can result in damage to the heart tissue and trigger a myocardial infarction. Therefore, all of the mentioned factors - blood clot in coronary artery, plaque rupture, and prolonged ischemia - can contribute to the occurrence of a myocardial infarction.
17.
Damaged myocardium can be detected by using
Correct Answer
D. All of the above
Explanation
All of the above options can be used to detect damaged myocardium. An electrocardiogram (ECG) measures the electrical activity of the heart and can show abnormalities that indicate myocardial damage. Echocardiography uses ultrasound to create images of the heart and can identify structural abnormalities or impaired function caused by myocardial damage. Creatinine kinase-MB fraction and troponin levels are blood tests that can indicate myocardial damage by measuring the release of specific enzymes and proteins into the bloodstream. Therefore, all of these methods can be used to detect damaged myocardium.
18.
Drugs used for the management of of IHD are
Correct Answer
D. All of the above
Explanation
The correct answer is "All of the above." This means that all three drug options mentioned - beta blockers, calcium channel blockers, and nitrates - are used for the management of IHD (Ischemic Heart Disease). These drugs are commonly prescribed to help manage symptoms, improve blood flow to the heart, and reduce the workload on the heart. Each drug class works in different ways to achieve these goals, and they may be used alone or in combination depending on the individual patient's needs.
19.
Left ventricular hypertrophy ( LVH) is characterize as
Correct Answer
D. Both of the above
Explanation
Left ventricular hypertrophy (LVH) is characterized by an increased workload on the left ventricle, which causes it to become thicker and larger in size. This increased workload is often a result of conditions such as high blood pressure or heart valve disorders. Additionally, LVH can cause changes in the shape of both the inner and outer walls of the left ventricle. Therefore, the correct answer is "Both of the above."
20.
Congestive cardiac failure (CCF) or Congestive heart failure (CHF) is the condition where
Correct Answer
B. Heart is unable to pump required amount of blood
Explanation
Congestive cardiac failure (CCF) or Congestive heart failure (CHF) is a condition where the heart is unable to pump the required amount of blood. This means that the heart is not able to effectively circulate blood throughout the body, leading to symptoms such as fatigue, shortness of breath, and fluid retention. The decreased pumping ability of the heart can be caused by various factors, including damage to the heart muscle, high blood pressure, or valve problems. Treatment for congestive heart failure aims to improve the heart's pumping function and manage symptoms.
21.
Congestive cardiac failure (CCF) or Congestive heart failure (CHF) is may be due to
Correct Answer
D. All of the above
Explanation
Congestive cardiac failure (CCF) or Congestive heart failure (CHF) can occur due to a combination of factors. Decrease in the contractility of the heart muscle can lead to the heart's inability to pump blood effectively. Damage to heart valves can disrupt the normal flow of blood, causing strain on the heart. Reduction in the coronary blood flow can deprive the heart muscle of oxygen and nutrients, leading to its dysfunction. Therefore, all of the above factors can contribute to the development of congestive cardiac failure.
22.
Dyspnoea is
Correct Answer
C. Breathlessness
Explanation
Dyspnoea refers to the sensation of breathlessness or difficulty in breathing. It is a subjective experience where an individual feels a sensation of not getting enough air or having trouble breathing. This can be caused by various factors such as lung diseases, heart conditions, anxiety, or physical exertion. Therefore, the correct answer is "Breathlessness."
23.
Orthopnea is
Correct Answer
A. Difficulty in breathing
Explanation
Orthopnea is a medical condition characterized by difficulty in breathing while lying down. It is often caused by the accumulation of fluid in the lungs, making it harder for the individual to breathe in that position. This condition is commonly seen in individuals with heart failure or lung diseases such as chronic obstructive pulmonary disease (COPD). Orthopnea can be relieved by sitting upright or using extra pillows to elevate the upper body while sleeping.
24.
Bradycardia is a conditition in which
Correct Answer
A. Heart rate decreases
Explanation
Bradycardia is a condition characterized by a slow heart rate. This means that the heart beats at a slower pace than normal, resulting in a decrease in heart rate. It is important for the heart to beat at a certain rate in order to pump an adequate amount of blood throughout the body. When the heart rate decreases, it may not be able to pump the required amount of blood, leading to various symptoms and potential complications.
25.
Tachycardia is a condition in which
Correct Answer
B. Heart is unable to pump required amount of blood
Explanation
Tachycardia is a condition characterized by an abnormally fast heart rate. This means that the heart beats faster than the normal range, typically over 100 beats per minute. This rapid heart rate can be caused by various factors such as stress, exercise, or certain medical conditions. When the heart is unable to pump the required amount of blood, it leads to inadequate blood flow to the body's organs and tissues. This can result in symptoms like dizziness, shortness of breath, and fatigue. Therefore, the correct answer is "Heart is unable to pump required amount of blood."