Cardiology MCQ
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MCQ on Cardiology
1. Clinically atherosclerosis can present with following complications except
(1) Arterial stenosis and stable angina
(2) Plaque rupture and acute coronary syndrome
(3) Healing and aneurysm formation
(4) Progression and coronary perforation
2. Regarding lipids in atherosclerotic heart disease, choose the wrong Statement :
(1) Reduction in LDL-C correlates with decrease mortality
(2) Interventions to increase HDL-C have shown to improve outcomes
(3) Small dense LDL are associated with increase levels of TG
(4) Triglycerides have shown to have causal risk for CAD
3. Regarding post-menopausal Hormone Replacement Therapy (HRT), false is :
(1) Increases HDL-C and Lowers LDL-C
(2) Provide prevention against atherosclerotic heart disease
(3) Can be given even after 10 years of menopause for CAD prevention
(4) Provide symptomatic relief against peri-menopausal symptoms
4. Non-conventional risk marker for atherosclerosis includes
(1) Lp(a)
(2) LDL
(3) TG
(4) All of the above
5. Most common familial IIpoprotein disorder is
(1) Familial combined hyperlipidemia
(2) Dysbetalipoproteinemia
(3) Familial hypertriglyceridemia
(4) Tangier Disease
6. Secondary causes of dyslipidemia include following except
(1) Diabetes
(2) CRF
(3) Hyperthyroidism
(4) Steroids
7. According to 2016 ACC consensus group, group of patients deriving benefit from statin include following except
(1) Adult with clinical ASCVD
(2) Adults with LDL-C > 190 mg/dl
(3) Diabetic adult with LDL-C 70-189 mg/dl
(4) Adult without ASCVD or Diabetes with estimated 10 years ASCVD risk > 2.5 %
8. Heart friendly diet include more of
(1) Saturated fats
(2) PUFA
(3) Sodium
(4) Sugar
9. Obesity is defined as BMI more than
(1) 18.5
(2) 25.0
(3) 30.0
(4) 40.0
10. Detrimental effects of hyperglycaemia includes following except
(1) Endothelial dysfunction
(2) High HDL-C
(3) Prothrombotic state
(4) Increased systemic inflammation
11. Heart friendly anti-diabetic drugs include following except
(1) Thiozolidinediones
(2) SGLT2 inhibitors
(3) GLP-1 receptor agonists
(4) Metformin
12. Changes of aerobic exercise training ‘athlete heart” include
(1) Decreased Stroke volume
(2) Tachycardia
(3) Early repolarisation changes in ECG
(4) Increased sympathetic tone
13. First line antihypertensive drugs do not include
(1) CCB
(2) Thiazide diuretics
(3) ARB
(4) Beta blockers
14. Masked hypertension is
(1) Office reading less than home reading
(2) Home reading less than office reading
(3) Home reading equal to office reading
(4) None of the above
15. A hypertensive patient presents with Acute decompensated heart failure. After echocardiogram he was diagnosed as HF with preserved LV function. Ile is in which class of hypertensive heart disease ?
(1) Class I
(2) Class IIb
(3) Class III
(4) Class IV
16. Clinical clue for secondary reno- vascular hypertension include following except :
(1) Age of onset < 30 or > 50 years
(2) Weight loss
(3) Flash pulmonary edema
(4) AKI during treatment of hypertension
17. Drug of choice for patient of hypertension with aortic aneurysm is
(1) Beta blocker
(2) CCB
(3) ACEi
(4) Dtuetic
18. Hypertension in Very Elderly Trial (HYVET) studied which antihypertensive class ?
(1) CCB+ARB
(2) Central sympatholytics
(3) ACEi + Diuetics
(4) ARB + Diuetics
19. Drug contra-indicated in hypertensive emergency
(1) i.v. Labetolol
(2) i.v. NTG
(3) Frusemide
(4) s.l. Nifedipne
20. SPRINT (Systolic blood Pressure Intervention Trial) trial excluded patients with
(1) Age > 50 years
(2) CAD
(3) DM
(4) 10 year CVD risk > 15%
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21. Vulnerable atherosclerotic plaque is characterised by all of the following except
(1) More smooth muscle cells
(2) More lipid contents
(3) More Macrophages
(4) Thin fibrous cap
22. Non cardiac surgery with low risk for cardiac complication include
(1) Aortic surgery
(2) Prostate surgery
(3) Breast surgery
(4) Orthopedic surgery
23. Trans-esophageal echo (TEE) is superior to Trans Thoracic echo in
(1) LVEF estimation
(2) Strain imaging
(3) Evaluation of AR in prosthetic Aortic valve
(4) Suitability of electric cardioversion in AF
24. Which of the following is not a perfusion tracer for Positron Emission Tomography(PET) scan ?
(1) Oxygen 15
(2) Fluoride 18
(3) Nitrogen 13
(4) Rubidium 82
25. Catheter not used for hooking SVG graft during coronary angiography
(1) JL
(2) MPA
(3) AL
(4) JR
26. In no reflow during Primary PCI, following can be used as intracoronary agent except
(1) Adrenaline
(2) Nicorandil
(3) Adenosine
(4) Metoprolol
27. Which of the following is an absolute contraindication for Thrombolysis in acute MI ?
(1) Blood Pressure at presentation 220/100 mmHg,
(2) Active menses
(3) Suspected aortic dissection
(4) Patient on Warfarin
28. Which of the following does not hold true for Prinzmetal angina ?
(1) More than 2/3 patient will have fixed coronary obstruction
(2) It can cause SCD
(3) Smoking is an important risk factor
(4) Intracoronary acetylcholine is used as diagnostic test
29. Regarding LV free wall rupture in acute MI, following are true except
(1) Can lead to cardiac tamponade
(2) Usually associated with small, localize infarct
(3) Increase chances with fibrinolysis than primary PCI
(4) Common in patients with Single vessel disease
30. Which of following is a feature of AV block during acute anterior wall MI ?
(1) Intranodal
(2) Mobitz type
(3) Heart rate < 30 bpm
(4) Low mortality
31. According to Third Universal definition of MI, one due to Stent Thrombosis is
(1) Type I
(2) Type III
(3) Type IV a
(4) Type IV b
32. Which of the following is not a noninvasively high risk criteria for stable CAD ?
(1) Resting LVEF <35% with Wall motion abnormality
(2) TMT score > 5
(3) Resting perfusion abnormality > 10%
(4) Stress induced LV dilatation
33. Following measures have class indication in the treatment of stable CAD except
(1) Regular physical activity
(2) Statins
(3) Smoking cessation
(4) Moderate alcohol intake
34. Radial access during Coronary intervention have following advantages except
(1) Less vascular complications
(2) Early hospital discharge
(3) Less fluoroscopy time
(4) Patient preference
35. Stent thrombosis- a risk factor can be
(1) Acute MI setting
(2) Large diameter vessel
(3) Bare metal stent
(4) Non polymer coated stent
36. Risk stratification for aortic stenosis includes all except
(1) Severity of symptoms
(2) Valve calcification
(3) Elevated BNP
(4) Myocardial fibrosis
37. Transcatheter Aortic Valve Replacement (TAVR) was not studied in following trial :
(1) PARTNER
(2) SURTAVI
(3) EVEREST
(4) EVOLUT-R
38. De-Musset sign in Aortic regurgitation is
(1) Bobbing of head
(2) Nail pulsation
(3) Neck pulsation
(4) Pulsatile hepatomegaly
39. Severity of Mitral stenosis can be assessed with all except
(1) PAH
(2) LA size
(3) A2-OS gap
(4) Length of MDM
40. Causes of Normotensive TR include all except
(1) Carcinoid
(2) MS with PATH
(3) Ebstein anomaly
(4) IE
41. Regarding multi-valvular disease wrong statement is :
(1) Mostly rheumatic in origin
(2) Clinical examination can be fallacious
(3) When of equal severity, clinical manifestation depends upon distal lesion
(4) Cardiac catherization may be indicated
42. St. Jude valve is a
(1) Ball and socket valve
(2) Tilting disc Valve
(3) Bileaflet valve
(4) Tissue valve
43. A bio-prosthetic heart valve will be preferred over mechanoprosthesis in patient with
(1) Atrial fibrillation
(2) Need for double valve replacement
(3) CABG+MVR
(4) Associated bleeding diathesis
44. Wilkins Score does not include
(1) Valve Mobility
(2) Valve area
(3) Valve calcification
(4) Valve thickening
45. Mitral valve Surgery is not indicated in
(1) Asymptomatic chronic severe MR with LVEF > 30%
(2) Symptomatic severe MR
(3) Moderate MR in a patient undergoing CABG
(4) Progressive MR(stage B)