I n t e r n a L medicine questions Bank

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. 
    Signs of CHF include all of the following except :
    

1. 
   Jugular venous distention
   
2. 
   S3
   
3. 
   Inspiratory rales
   
4. 
   Displaced and sustained apical impulses
   
5. 
   Bradycardia
   

11. 
    Systems responsible for BP regulation include all of the following except :
    

1. 
   Heart
   
2. 
   Blood vessels
   
3. 
   Kidney
   
4. 
   Baroreceptors in aortic arch and carotid sinuses
   
5. 
   Direct CNS control
   

11. 
    Detrimental effects of HTN include all of the following except :
    

1. 
   LVH and dyastolic dysfunction
   
2. 
   Thromboembolic stroke
   
3. 
   Sclerotic and markedly spastic retinal arteries
   
4. 
   Aortic dissection
   
5. 
   Acute renal failure
   

11. 
    In renovascular hypertension the following statements are true except :
    

1. 
   Mechanism of hypertension is increased renin levels
   
2. 
   Etiology is fibromoscular dysplasia or atherosclerosis
   
3. 
   Onset < 30 years without family history or recent onset >55 years
   
4. 
   Treatment is usually by ACE-inhibitors if bilateral
   
5. 
   Reccurent pulmonary oedema is a clue for diagnosis
   

11.