I n t e r n a L medicine questions Bank

In pericarditis the chracterstic EKG changes ; A:T wave invertion

B; ST segent depression C Atrial fibrillation
D;ST segment elevation covex upwards
E; ST segment elevation with cocave downwards

10. 
    IN idiopathic hypertrophic sub aortic stenosis (IHSS) One is true
    

A; it is a type of dilated cardiomyophy
B; AN important cause of sudden death in athelets C;Left ventricle is dilated
D; pulse examination is normal in character E:need nitrate for treatment
Answer: b

11. 
    One of the following is not a cause of pericarditis :
    

1. 
   TB
   
2. 
   SLE
   
3. 
   Lymphoma d) COPD
   

e) Uremia

11. 
    In the management of DCM all are true except :
    

1. 
   Salt and water restriction
   
2. 
   ACE-inhibitors
   
3. 
   Diuretics
   
4. 
   Beta blockers
   
5. 
   Complete bed rest
   

11. 
    In hypertrophic CMP one statement is false :
    

1. 
   Diagnosis is based on hypertrophied non-dilated left ventricle in the absence of another disease.
   
2. 
   Small LV cavity , asymmetrical septal hypertrophy ( ASH ) and systolic anterior motion of the mitral valve leaflet ( SAM ) .
   
3. 
   50% of cases of familial hypertrophic cardiomyopathy is autosomal dominant d) Pathophysiologically associated with impaired systolic function.
   

e) Patients with HCMP usually die because of SCD

Answer: D  Imparied diastolic function  Imparied filling of the left ventricle!

11. 
    Pathophysilogical abnormalities in heart failure include all of the following except :
    

1. 
   Reduced myocyte shortening and wall motion
   
2. 
   Sodium retention and circulatory congestion
   
3. 
   Systemic vasodilation that increase impedence of the LV ejection
   
4. 
   Structural remodelling and dilation of the LV
   
5. 
   Renin-Angiotensin-Aldosterone activation
   

11.