CVS-midterm Exam 2017.

Collected by: Abdullah Barjas Qaswal.

Pharamcology:

1.common thing between methyldopa and clonidine :

Both produce sedation and mental depression

2. a patient with hypertension on an antihypertensive

agent, after blood pressure has been restored to normal

range she stopped taking the drug , after 2 days she

developed tachycardia nervousness and angina , this drug

is:

Propranolol or any Beta adrenoceptor antagonist was

mentioned in the choices

3. A patient on antihypertensive agent , this patient

develops a hypotension in normovlumic state, this agent is:

Sodium nitroprusside

: 4.Which of the following is reasonable combination

Dialtizam, nifedipine and thiazide diuretic.

: 5. contraindication in ACEIs and ARB is

Bilateral renal artery stenosis

year old man on antihypertensive drug 50 6.

he suffers from dry cough at night and wheezing, this drug

is:

Lisinopril

A patient on an agent against angina 7.

he feels throbbing headache and hypotension upon

standing, this drug is:

Nitroglycerin

: 8.Trure matching

Trimetazidine .....partial Fatty acid oxidation inhibitors

Physiology:

9.dicrotic notch :

Begins during isovlumic relaxation.

10.all the valves are closed in :

Isovlumic relaxation

11.during ejection phase, the least difference in pressure is

between:

Aorta and left ventricle.

Q of pressure-vloume figure, what is the wrong: 12

Ejection fraction =75%

13.A patient improved heart failure by taking a drug with

positive inotropic, this improvement is due to:

Decrease size of heart

14.Slow depolarization of SA node is due to:

The flow of sodium inside the cell

15.action potential of SA node in comparison to contractile

action potential has:

No platuea

-20 The angle of mean electrical axis is

: so

Lead ll is positive

First degree of AV block:

Prolonged PQ interval with P wave followed by QRS

complex

complete heart block :

PQ interval varies for each beat

19 .At the end of ejection phase:

T wave occurs

20.mitral valve incompetence and blood regurgitation:

Decrease or abscence of V wave

21.increase in jugular venous pressure:

Tricuspid stenosis

22The pressure in the ventricle is lower than the pressure in atrium during:.

diastasis

23 .What occurs during PQ interval:

Action potential conduction through AV node

24 .Longest Ventricular filling is in:

Bradycardia

Anatomy:

25 .directly related to esophsgus:

Left bronchus

26 .Not shown in x ray chest:

Left atrium

27 .Picture to fetal circulation, what is the wrong:

Umbilical artery recieves highly oxygenated blood

28.plumonary trunk emboli, what is the wrong:

Left Ventricular stroke volume rises

29 .Wrong statement:

Superficial cardiac dullness is on right lower quadrant of

sternum

30.wrong statement about surface markings of the heart:

Mitral auscultation is behind cardiac notch

31 .About blood vessels, what is the wrong:

Veins are more complaint than artries because of high

elastic content

32.complete AV block may occur with:

VSD surgery

33 .A child with aortic pressure equals pulmonary trunk ,

so the congenital anomaly is :

Patent ductus arterosus

34.wrong combination:

Postductal aortic coarctation......fatal condition because of

abscence of collateral circulation

35 .Wrong about SVC:

If Left SVC is present , it opens in left atrium

36 .Wrong about portal vein:

Pancreatic carcinoma compress both portal vein and bile

duct

37 .Wrong sratement:

Átrio Ventricular part of interventricular septum is behind

the septal cusp of tricuspid valve

38 .Wrong statement :

During Ventricular systol; right coronary flow is much

reduced than left one

Pathology:

39.all the following organs subjected to red infarcts except:

Quadricep muscle

40.wrong combination:

Monckberg sclerosis....superficial veins

41.paradoxial embolus:

May be associated with intra atrial septal defect

42.the most common origin of systemic thromboembolism:

Left Ventricular failure

43 .Highest mortality rate is associated with:

Amniotic fluid embolism

44 .Not related to mycotic aneurysm:

Syphilitic aneurysm

45.not true aneurysm:

Ventricular rupture

46 .Most common neoplasm which compresses SVC is:

Lung cancer

47 .Women with right sided breast cancer thus axillar

lymph nodes was removed, so lymphedema occur in:

Right arm

48 .Not a cause for stasis:

Hypercholesterolemia

#lab

1.The blood which is coming out of the left ventricle, thus the auscultation in:

Aortic valve , its number was 1

Increase the pressure in the pointed external jugular vein:

All of the above (right sided heart failure, pericardial effusion

)......

3 .Which of the following is partly or totally inside pericardium:

The answer was 1+2+3

4 .Slide for muscular artery, what is the correct:

1 and 2 are internal and external elastic lamina.

5 .Picture of left ventricle and unfolded aortic valve:

The answer was only B because A was muscular part of VS but the pointed was

the membranous

6 .Picture where crista terminalis was pointed with number 1, what the correct:

None of the above and the first choice was the AV node lies behind the upper

part of 1

7.CT scan and asking about the wrong about of arch of Aorta:

Present behind the upper half of sternum manubrium

8 .CT scan and asking about the incorrect about the ascending , descending and

pulmonary trunk:

....بس لو على اعتبار انو مش غلط هذا السؤال على االغلب راح ينحذف النو كل الخيارات كانت صح.

...بس مش pB of ascending is higher than that of descendingهي الصح النو Aاظن انو

اكيد يعني ال توخذو بكالمي

9.CT scan , what is the structure which is not related to ductus arterosus:

Superior vena cava

10 .Picture of the posterior aspect of the heart and there were numbers 1 2 3 for

a structures:

The answer was none of the above

11 .CT scan of heart, which of the pointed structures will develop higher

pressure in mitral stenosis:

Left atrium

1اظن رقمه كان

12 .Pointed papillary muscles:

CVS-final Exam 2017.

Collected by: Abdullah Barjas Qaswal.

Lab: every Q was with ECG and asked about its interpretation:

1.left axis deviation.

2.normal rhythm.

3.V1:right fourth intercostal space.

4.elevated ST segment: myocardial infarction.

. degree AV block st5.1

physiology:

1.reduction in venous compliance results in:

Increase in MSFP.

2.does not increase pulse pressure:

Decrease in velocity of ejection.

3.most complaint structure:

Veins.

4.decrease in carotid artery pressure will result in:

Increase secretion of rennin.

5.decrease in atrial pressure will result in:

Increase in ADH secretion.

6.stimulation of baroreceptors will result in:

7.wrong statement:

Metabolic theory :when the pressure decreases accumulating waste products ;

this will induce vasoconstriction.

8.long term blood pressure regulation:

Change in tissue vascularity.

9.when the diameter of an artery increases:

The blood flow increases, resistance decreases and conductance increases.

10.a person with severe bleeding, this will result in:

Decrease in urine output.

11.true about flow in the left coronary artery:

Highest blood flow in early diastole.

12.mismatching:

Bradykinin>>>vasoconstriction.

13.true about peripheral chemoreceptors:

Low PO2 stimulates them.

14.does not increase venous return:

Parasympathetic.

15.which of the following affects ECG:

Electrolytes disturbance.

Pharmacology:

16.a person with systolic dysfunction, he was given a drug which reduced HR,

prolonged PQ interval, and shorten QT interval:

Digoxin.

17.patient with bronchial asthma and sustained high blood pressure, we give:

Dialtizem.

18.most appropriate antihypertensive drug for a pregnant:

Methyldopa.

19.true matching:

Adenosine>>> bronchospasm.

20.mismatching:

Fibric acid derivative>>> decrease LPa

21.true matching:

Statin>> myopathy.

22.most important in digitalis-induced arrhythmia :

Hypokalemia.

23.a drug which down regulates an inhibitor of lipolysis:

Gemfibrozil.

and some Na channels, also weak adrenergic K c use, inhibit Iduring chroni.24

and Ca++ blocker:

Amiodarone.

25.a drug converts atrial fibrillation into normal rhythm :

Ibutilide.

26.in congestive heart failure, we use:

Feurisemide+valstran.

27.most common side effect of digitalis outside the heart:

Nausea and vomiting.

Pathology:

28.wrong statement:

Proteinuria causes edema by increasing the osmotic pressure.

29.most common site of venous thrombus:

Lower limb.

30.tobacco associated disease:

Burger disease.

31.ischemia of the heart develops at rest foe less than 15 minutes and relieved

by nitroglycin:

Prinzmetal angina.

32.hyperplastic arteriosclerosis:

Malignant hypertension.

33.event occurs before stable angina:

Critical stenosis.

34.during first 24 hours of MI:

Wavy fibers.

35.first area to be necrotic in the heart:

Sub-endocardial.

36.wrong about rheumatic fever:

Caused by valve invasion by bacteria.

37.most common valve to be affected by an acquired manner:

Mitral valve.

PBL:

38.a person with BP 128/86, you should:

Advise him to change lifestyle.

39.most common presentation of hypertension:

Asymptomatic.

40.not from MI complications:

Aortic regurgitation.

41.not a candidate vessel used in bypass graft surgery:

Mesenteric artery.

42.Q about the balance of coronary arteries:

right and left coronary arferies gives post. Interventricular branches

Microbiology:

43.infective endocarditis:

44.transient bacterimia except:

Embolization.

45.most common viral agent of myocarditis :

Coxsacivirus B

46.responds to rbavarin:

Lass virus ??

47.not from the viruses that cause hemorrhagic fever:

Aberoviridea.

Anatomy:

48.elastic recoil:

Fenestrated elastic lamina.

49.false statement:

Both septum primum and secondum reach septum intermedium.

50.sharp object piercing the left fifth intercostals space near the sternum hitting:

a.right ventricle. B.anterior surface of left ventricle.

51.wrong statement:

AV bundle and AV node are supplied by LAD.

52.wrong about turbulence:

Turbulent flow rate is proportional to cube root of driving pressure.

53.shifting CO curve upward:

Sympathetic stimulation.

54. In a baby with transposition of the great vessels, which of the following is true

- he has right to left shunt.

*Which of the following is wrong regarding skeletal and cardiac muscles55.

-Cardiac muscles don't have sarcomeres

1

56.a drug blocks the mitogenic activity of the catecholamines:

Carvidelol.

57.most common cause of headache:

Primary.

58. arterial content of oxygen =150ml/L, venous content of oxygen=110ml/L

and VO2=280ml/minute, then cardiac output=

7L/minute.

59.wrong statement:

Metarterioles and precapillary have rich sympathetic tone.

60. Which of the following is from Dallas criteria:

Borderline myocarditis

Active myocarditis

Non myocarditis

All of the above....it is the answer

It is over.