Cardiology Quiz

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Quiz on Cardiology

1. Most common organism causing early was prosthetic valve endocarditis is
(1) Staphylococcus
(2) Enterococcus
(3) HACEK
(4) Fungi

2. Surgical intervention is absolutely indicated in case of IE in all of the following except
(1) Staphylococcus IE on left sided valve
(2) More than 10 mm size vegetation
(3) Valve dehiscence producing heart failure
(4) Persistent infection longer than 5-7 days despite treatment

3. Following is not an indication for IE prophylaxis :
(1) Completely repaired CIID with prosthetic material after 6 month of procedure
(2) History of IE
(3) Prosthetic heart valve
(4) Post cardiac transplant with valvopathy

4. Regarding sub-cutaneous nodules in Acute Rheumatic fever, false is:
(1) Best seen on pressure points
(2) 05-2 cm in size and occur in crops
(3) Usually last less than one month
(4) Tender and firm

5. According to AIIA Revised Jones criteria -2015, which has not been accepted as Major criteria in high risk population ?
(1) Monoarthralgia
(2) Polyarthralgia
(3) Monoarthritis
(4) Polyarthritis

6. Risk factors for SCD in HOCM include all except
(1) Family history of SCD
(2) NSVT on Holter
(3) Hypertensive response on TMT
(4) Reduced LVEF

7. Osborn’s J waves in ECG are manifestation of
(1) Hypothermia
(2) Brugada syndrome
(3) Digitalis toxicity
(4) ARVD

8. Dallas criteria are used for
(1) IE
(2) Myocarditis
(3) RCMP
(4) Takotsubo cardiomyopathy

9. Most common arrythmia in “Holiday Heart syndrome” is
(1) VT
(2) Sinus arrest
(3) AF
(4) Junctional Bradycardia

10. Which of following is not a common cardiovascular manifestation of HIV ?
(1) Accelerated atherosclerosis
(2) Pulmonary hypertension
(3) Lipodystrophy
(4) Pericarditis

11. Typical ECG features of acute viral pericarditis is
(1) Diffuse ST segment elevation with PR depression
(2) PR prolongation
(3) Diffuse ST segment depression with PR elevation
(4) Pathological q waves

12. Which of the following cannot differentiate Cardiac tamponade from Constrictive pericarditis ?
(1) Y descent in JVP
(2) Square root sign in ventricular pressure curve
(3) Kussmaul sign
(4) Equal left/right filling pressure

13. Riociguat is indicated in
(1) Idiopathic PAH
(2) CTEPT
(3) PAH secondary to COPD
(4) OSAS

14. RV free wall hypokinesis involving base with sparing of RV apex is seen in
(1) PPH
(2) PTL
(3) RVMI
(4) COPD

15. Drug of choice for asymptomatic, uncomplicated patient of HOCM is
(1) Beta blocker
(2) Disopyramid
(3) Lanoxin
(4) Dhturetic

16. At birth heart failure can be present in all except
(1) Systemic AV fistula
(2) HLHS
(3) Severe TR
(4) Large VSD

17. Step up of O2 saturation in RA is seen in all except
(1) ASD
(2) PDA
(3) VSD-TR
(4) TAPVC

18. ““Goose-neck deformity” in angiocardiogram is specific to
(1) Complete AV canal defect
(2) TOF
(3) HLHS
(4) DORV

19. Percutaneous Balloon Valvuloplasty is treatment of choice in:
A. PS B.TS C.MS D.AS
Please select the best possible combination :
(1) A and B
(2) B and C
(3) A and C
(4) B and D

20. Interrupted aortic arch is commonly associated with following except
(1) ASD
(2) VSD
(3) PDA
(4) Bicuspid aortic valve

21. Which of the following is not Duct dependant defect ?
(1) Pulmonary atresia
(2) HLHS
(3) D-TGA
(4) Interrupted aortic arch

22. Best survival (without any intervention) is seen with
(1) TOF
(2) L-TGA
(3) D-TGA
(4) DORV-PS

23. “Vertical ductus” configuration of PDA Its seen in
(1) TOF with Pulmonary atresia
(2) Aortic atresia
(3) Bicuspid aortic valve
(4) D-TGA-VSD+PS

24. Regarding Asplenia syndrome all of the following are true except :
(1) Cyanotic heart disease
(2) Midline symmetrical liver present
(3) Complex cardiac abnormality present
(4) Bilateral hyparterial — bronchi present

25. Interventional management with Device closure is not effective in
(1) Peri membranous VSD
(2) Inlet VSD
(3) Ruptured sinus of Valsalva aneurysm
(4) Patent ductus arteriosus

26. Congenital complete Heart Block is not associated with
(1) Maternal lupus
(2) Left Isomerism
(3) TOF
(4) L-TGA

27. William syndrome is associated with
(1) Sub valvular AS
(2) Valvular AS
(3) Supra-valvular AS
(4) AR

28. Sail like Anterior tricuspid leaflet and apical displacement of septal tricuspid leaflet are found in
(1) RV dysplasia
(2) Single ventricle
(3) Congenital TS
(4) Ebstein Anomaly

29. Scimitar syndrome is
(1) ASD
(2) PAPVC
(3) TAPVC
(4) Interrupted [VC with azygos continuity

30. Not a component of “Fallot’s Triology”
(1) RVOT obstruction
(2) Inter-atrial communication
(3) Over-riding of aorta
(4) RV hypertrophy/enlargement

31. Pick up the false statement about “Cyanotic spell”
(1) Usually occur after the age of 2 years
(2) Begins with increased rate and depth of respiration
(3) Can cause seizures, syncope or death
(4) Do not coincide with degree of cyanosis

32. ALCAPA-false statement is
(1) 80-90% mortality in first year
(2) Continuous murmur can be heard
(3) Echocardiography can establish diagnosis
(4) ECG is usually normal

33. Most common site of distal opening in RSOV
(1) RV
(2) LV
(3) LA
(4) Ascending aorta

34. “Egg on side” appearance of cardiac silhouette in chest Xray is diagnostic of
(1) DORV
(2) TGA
(3) Ebstein anomaly
(4) TAPVC

35. “Sawing wood” or “See saw” murmur is heard in
(1) Classical TOF
(2) TOF with PDA
(3) TOF with pulmonary atresia
(4) TOF with absent pulmonary valve

36. Morphological Right Ventricle is identified by following except
(1) Elliptical shape
(2) Extensive trabeculation
(3) Moderator band
(4) Trileaflet AV valve

37. Which of the following is a venous palliative shunt for TOF ?
(1) BT shunt
(2) Pott shunt
(3) Glenn shunt
(4) Waterson shunt

38. Not an indication for closure of VSD
(1) Symptomatic, large VSD
(2) Outlet VSD with mild AR
(3) Irreversible PAH
(4) History of IE

39. Indication for intervention in adult after Total repair of TOF includes following except
(1) Severe PR causing RV dilation
(2) Arrythmias
(3) Residual Pulmonic stenosis
(4) Residual VSD (shunt < 1.5/1)

40. Not common complication of Fontan operation
(1) Thrombo-embolic complications
(2) Brain abscess
(3) Protein losing enteropathy
(4) Supraventricular Arrhythmias

41. Equal O2 saturation in all 4 cardiac chambers in an oximetry run is seen in
(1) TOF
(2) PAPVC
(3) TAPVC
(4) VSD

42. Cyanosis with continuous murmur- not a cause
(1) Pulmonary AV fistula
(2) Eisenmenger PDA
(3) TOF pulmonary atresia
(4) BT shunt

43. Snowman’s Heart appearance in chest X-Tay is seen in
(1) TAPVC
(2) D-TGA
(3) Tricuspid atresia
(4) Single ventricle

44. Crochetage-a notch in apex of R wave in inferior lead can be seen in
(1) PDA
(2) Coarctation of aorta
(3) Buicuspid aortic valve
(4) ASD

45. Which ASD is appropriate for device closure ?
(1) Osteum Primum
(2) Osteum secundum
(3) Sinus venosus
(4) Coronary sinus