Cardiology CME - Hrudoy 2019

30 Questions | Total Attempts: 171

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Cardiology CME - Hrudoy 2019 - Quiz

ONLINE QUIZ CARDIOLOGY CME - HRUDOY 2019


Questions and Answers
  • 1. 
    Typical angina should satisfy all of the following except
    • A. 

      Substernal chest discomfort

    • B. 

      Initiated by exertion or stress

    • C. 

      Perspirations

    • D. 

      Relieved with rest

  • 2. 
    All of the following are features of non-cardiac chest pain except
    • A. 

      Sharp chest pain lasting <15s

    • B. 

      Positional and localized

    • C. 

      Inframammary pain

    • D. 

      Reproducible with palpation

    • E. 

      Discomfort that radiates to both arms and shoulder

  • 3. 
    Shortness of breath due to Cardiac cause
    • A. 

      Continuous breathlessness

    • B. 

      Breathlessness with cough, wheeze & sputum production

    • C. 

      Nocturnal breathlessness better within seconds after a few deep breaths

    • D. 

      All of the above

    • E. 

      None of the above

  • 4. 
    All of the following are important aspects of BP measurement except
    • A. 

      Upper arm at the level of heart

    • B. 

      Cuff length and width should be 80% and 40% of arm circumference, respectively

    • C. 

      Cuff should be deflated by <3 mmHg/s

    • D. 

      In hypotensive patients BP should always be determined by Korotkoff sounds

    • E. 

      Simultaneous Palpation of radial artery prevents underestimation of BP

  • 5. 
    Definition of Hypertension as per latest ESC guidelines are all except
    • A. 

      Clinic measurement >= 140/90 mm Hg

    • B. 

      Daytime ambulatory BP monitoring >=135/90 mm Hg

    • C. 

      Night time ambulatory BP monitoring >=120/70 mmHg

    • D. 

      24 hr ambulatory blood pressure monitoring >=130/80mmHg

    • E. 

      None of the above

  • 6. 
    Patients treated with PCI undergoing elective non-cardiac surgery except
    • A. 

      > 6 months since DES , proceed with surgery

    • B. 

      Continue beta blockers in patients who are receiving beta blockers

    • C. 

      Beta blockers should be initiated on the day of surgery

    • D. 

      Continuation of statin

  • 7. 
    According to ACC guidelines for the treatment of acute decompensated normotensive heart failure all of the following are recommended except
    • A. 

      Serial monitoring of renal function and serum electrolytes

    • B. 

      Chest radiograph

    • C. 

      Use of invasive hemodynamic monitoring

    • D. 

      Routine repeat measurement of LV function assessment

    • E. 

      None of the above

    • F. 

      C &D

  • 8. 
    In Pre-excited AF , treatment of choice is
    • A. 

      Beta blockers

    • B. 

      Calcium blockers

    • C. 

      Adenosine

    • D. 

      Amiodarone

    • E. 

      None of the above

  • 9. 
    In management of SVT in pregnancy treatment of choice
    • A. 

      Metoprolol

    • B. 

      Digoxin

    • C. 

      Flecainide

    • D. 

      Sotalol

    • E. 

      Verapamil

    • F. 

      All of the above

  • 10. 
    In the management of cardiogenic shock all are true except
    • A. 

      Emergency revascularization with PCI or CABG

    • B. 

      Treatment with IV fluids in RVMI

    • C. 

      Treatment with fluids in AWMI

    • D. 

      Use of inotropic support

    • E. 

      Use of IABP

  • 11. 
    Absolute contraindications to thrombolysis in acute myocardial infarction
    • A. 

      Non STEMI

    • B. 

      Significant hypertension at initial evaluation

    • C. 

      Pregnancy

    • D. 

      Major surgery within 3 weeks

    • E. 

      Ischemic stroke > 3 months

  • 12. 
    All of the following are true regarding secondary prophylaxis for rheumatic fever
    • A. 

      Lifelong after valve surgery

    • B. 

      Lifelong for more severe valvular disease

    • C. 

      Penicillin injection every 2 weeks beneficial

    • D. 

      All of the above

  • 13. 
    All of the following are true in HCM except
    • A. 

      Amiodarone is useful in for primary prevention of SCD in high risk patient.

    • B. 

      Beta blockers have been useful to relieve symptoms of HF

    • C. 

      Verapamil has the capacity to improve exercise capacity

    • D. 

      None of the above

  • 14. 
    First choice of drug to be given in acute myocardial infarction
    • A. 

      Clopidogrel

    • B. 

      Aspirin (Disprin)

    • C. 

      Statin

    • D. 

      Nitrates(Sorbitrate)

  • 15. 
    Drugs/Class of drugs contraindicated in ischemic VT
    • A. 

      Lignocaine

    • B. 

      Amiodarone

    • C. 

      Beta blocker

    • D. 

      Calcium channel blockers

  • 16. 
    Antihypertensive agent contraindicated in accelerated HTN complicating in acute myocardial infarction
    • A. 

      Metoprolol

    • B. 

      Sublingual Nifedipine

    • C. 

      Nitrates

    • D. 

      Torsemide

  • 17. 
    First line of antihypertensive for primary hypertension in patients <50 years
    • A. 

      ACEI/ARB

    • B. 

      Beta blockers

    • C. 

      Diuretics

    • D. 

      Calcium channel blockers

  • 18. 
    Cardiac syncope is likely in all except
    • A. 

      Elderly

    • B. 

      Structural heart disease

    • C. 

      Frequent recurrence and prolonged history

    • D. 

      Syncope in supine position

  • 19. 
    34 years old male patient with recent history fracture hip had sudden onset of breathlessness and presyncope. ECG is showing sinus tachycardia. Probable diagnosis is
    • A. 

      Myocardial infarction

    • B. 

      Pneumonia

    • C. 

      Pulmonary thromboembolism

    • D. 

      None of the above

  • 20. 
    Prophylaxis for prevention of endocarditis is suggested in all except:
    • A. 

      Annuloplasty rings and chords used for valve repair

    • B. 

      Repaired CHD with residual shunts or valvular regurgitation at the site adjacent to prosthetic patch

    • C. 

      Valvular regurgitation due to structurally abnormal valve

    • D. 

      Repaired CHD with occlusion device during first six months after procedure

    • E. 

      None of the above

  • 21. 
    Antibiotic prophylaxis is indicated in all except
    • A. 

      Tooth extraction

    • B. 

      Tonsillectomy

    • C. 

      Skin or soft tissue surgery

    • D. 

      Vaginal or caesarean delivery

  • 22. 
    Combination of antihypertensive drugs to be avoided
    • A. 

      ACEI and ARB

    • B. 

      ACEI and Diuretics

    • C. 

      CCB and ACEI

    • D. 

      Beta blocker and diuretic

    • E. 

      Beta blocker and CCB

  • 23. 
    Which is true regarding aspirin in primary prevention?
    • A. 

      Aspirin significantly reduced MI, stroke and death in Women's health study.

    • B. 

      Aspirin significantly reduced MI in Physician's health study.

    • C. 

      Aspirin use caused insignificant increase in bleeding in ASCEND trial.

    • D. 

      Aspirin is indicated in primary prevention in diabetes above 50 years of age 

  • 24. 
    Mr M is 55 year gentleman who came for health check-up. He is diabetic for 6 years on regular treatment. He is non-hypertensive, non-smoker. His BP is 130/90 mmHg. His HbA1C is 7.1%. Which may be an unnecessary medicine in his prescription?
    • A. 

      Metformin

    • B. 

      Ramipril

    • C. 

      Statin

    • D. 

      Aspirin

  • 25. 
    Miss F is 18 years old presented with breathlessness on exertion since 5 years and has admission for heart failure twice. ECG showed sinus rhythm and left atrial enlargement. 2D Echo was suggestive of severe mitral stenosis and no LA clots (Wilkinson’s score- 6). Treatment of choice  is
    • A. 

      Balloon mitral valvotomy

    • B. 

      Open Mitral valvotomy

    • C. 

      Closed mitral valvotomy

    • D. 

      Mitral valve replacement      

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