CARDIOVASCULAR SYSTEM MCQ – Exercise 55

The multiple choice questions in this online test paper focuses on CARDIOVASCULAR SYSTEM MCQ. If you are looking for self evaluation of your PG Medical entrance exam preparation then this online CARDIOVASCULAR SYSTEM MCQ Test Paper will help you to evaluate your exam preparation.

Instruction for REPRODUCTIVE BIOLOGY/ REPRODUCTIVE MEDICINE / INFERTILITY MCQs:

1- This online MCQ practice test paper contains 30 questions.
2- Each question in this online practice test paper have four options and only 1 option is correct.
3- You can view the answers of this practice test paper after submitting the practice test paper.
Note: The answers mentioned at the end of practice test are the best suitable option as per our knowledge. Users shall cross-check the answers with their textbooks.

Q 1. in STEMI with the use of UFH APTT during maintenance therapy should be

1.5 times the control value

1.5-2 times the control value

2.5-3 times the control value

3-3.5 times the control value

Q 2. in STEMI diet rich in which of the following is recommended

potassium

magnesium

fiber

all of the above

Q 3. usual duration of hospitalization for an uncomplicated STEMI is

3 days

5 days

7 days

10 days

Q 4. ATP in National Cholesterol Education Project ATP III stands for

adult treatment panel

advanced treatment panel

aggressive treatment panel

angina treatment panel

Q 5. in STEMI the maximum recommended dose of UFH given after initial bolus is

500 U/hour

1000 U/hour

1500 U/hour

2000 U/ hou

Q 6. in STEMI goal of treatment with antiplatelet and anticoagulant agents is

to maintain patency of infarct related artery

to reduce likelihood of mural thrombus formation

to reduce likelihood of deep vein thrombosis

all of the above

Q 7. which of the undermentioned MI has an increased risk of systemic or pulmonary thromboembolism

inferior

posterior

lateral

Q 8. which of the following medication is least useful during the first 24-48 hours after the onset of MI

iv nitroglycerin

ACE inhibitors

Beta blockers

UFH

Q 9. VT or VF refractory to electroshock is more responsive after patient is treated with

epinephrine

bretylium

amiodarone

all of the above

Q 10. patients with STEMI should be kept at bed rest for the first

3 hours

6 hours

12 hours

24 hours

Q 11. which of the following statements about blood supply of sinus node is true

supplied by RCA in 60% of people and by left circumflex artery in 40%

supplied by RCA in 40% of people and by left circumflex artery in 60%

supplied by RCA in 80% of people and by left circumflex artery in 20%

supplied by RCA in 60% of people and by left anterior descending artery in 40%

Q 12. what is true for right ventricular infarction

associated with occlusion of proximal RCA

ST-segment elevation of >1mm in lead V4R

Upright T wave in lead V4R during initial hours

all of the above

Q 13. data from antiplatelet trialists collaboration shows a relative reduction in mortality of how much in patients with MI receiving antiplatelet agents

12 %

21%

27%

34%

Q 14. ICD is recommended for which of the following

LVEF is <30-40% and NYHA class II

LVEF is <30-40% and NYHA class III

LVEF is <30-35% and NYHA class I

all of the above

Q 15. which of the following drugs used in coronary care unit can produce delirium particularly in the elderly

atropine

H2 blockers

narcotics

all of the above

Q 16. patients with rales at lung bases, S 3 gallop, tachypnea, or signs of heart failure belong to which Killip class

killip class I

killip class II

killip class III

killip class IV

Q 17. infarction of what percentage of left of left ventricle results in cardiogenic shock

about 20%

about 30%

about 35%

about 40%

Q 18. which of the following is not true for cardiogenic shock

sustained systolic arterial pressure of<60 mm Hg

cardiac index <2.2 L (min/m2)

elevated pulmonary capillary wedge pressure (>18 mmHg)

generally associated with mortality rate of >50%

Q 19. which of the following is false about recurrent post STEMI angina

develops in ̴25% of patients hospitalized for STEMI

More frequent in those who have successful fibrinolysis

repeat fibrinolysis is an alternative

none of the above

Q 20. in STEMI the maximum recommended dose of UFH given as initial bolus is

2500 U

4000 U

5000 U

7500 U

Q 21. patients with confirmed STEMI and low risk may be safely transmitted out of the coronary care unit within

6 hours

12 hours

24 hours

48 hours

Q 22. PTCA was first introduced by

Andreas Gruntzing

Denton Cooley

Micheal DeBakey

Christian Bernard

Q 23. iv antiplatelet drugs include

abciximab

eptifibatide

tirofiban

all of the above

Q 24. in STEMI which of the following ca n be used as an a alternative to UFH for anticoagulation

fondaparimaux

bivalirudin

enoxaprin

all of the above

Q 25. proximal occlusion of the left anterior descending artery is indicated by

anterior wall MI, ST elevation in V1, V2 and V3

anterior wall MI, ST elevation in V1, V2 and V3 & aVL

anterior wall MI, ST elevation in V1, V2 and V3 & aVL with ST depression of >1 mm in lead aVF

anterior wall MI, ST elevation in V1, V2 and V3 & aVL with ST depression of >1 mm in lead II , III & aVF

Q 26. during PCI steerable guidewire put into coronary artery lumen has a diameter of

<0.4mm

<0.6mm

<0.8mm

<1.0mm

Q 27. what suggests involvement of right coronary artery rather than left circumflex artery as the culprit vessel in inferior MI

greater ST segment elevation in lead II than in lead III and ST segment depression of >1 mm in leads I & aVL

greater ST segment elevation in lead III than in lead II and ST segment depression of >1 mm in leads I & aVL

greater ST segment elevation in lead aVF than in lead lead II or III and ST segment depression of >1 mm in leads I & aVL

greater ST segment elevation in lead II & III than in lead II aVF & ST segment depression of >1 mm in leads I & Avl

Q 28. in inferior MI ST segment depressions in leads V1 and V2 suggest concominant infarction of

lateral wall of left ventricle

posterior wall of left ventricle

anterior wall of left ventricle

atrial infarction

Q 29. most sensitive ECG sign of right ventricular infarction is

ST segment elevation of >1mm in V4R with upright T wave during first 12 hours

ST segment elevation of >1mm in V4R with inverted T wave during first 12 hours

ST segment elevation of >1mm in V4R with upright T wave after first 12 hours

ST segment elevation of >1mm in V4R with inverted T wave after first 12 hours

Q 30. in STEMI what proportion of patients present with cardiogenic shock on admission

10%

20%

CARDIOVASCULAR SYSTEM MCQ – Exercise 55

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