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  • Cardiology oxf.

  1. Common Cardiac Presentations.

  1. Chest Pain.

***) Young medical student complains of chest pain, palpitation, dyspnea, and feeling of impending death. The symptoms occur every time when he is studying. The most likely diagnosis is: Q2012

  1. Conversion disorder

  2. Panic attack

  3. Somatoform disorder

  4. Hypochondriasis

  5. Syncope

Answer: B* Panic attack

***) All of the following can cause chest pain, except:

  1. Angina

  2. Myocardial infarction

  3. Hypertrophic cardiomyopathy

  4. Pericarditis

  5. Dissecting aortic aneurysm

Answer: C* Hypertrophic cardiomyopathy

  1. Syncope.

***) Which of the following is classical feature of cardiac syncope:

  1. Gradual onset

  2. Warning symptoms

  3. Rapid recovery

  4. Residual neurological deficit

  5. Precipitated by sudden turning of the head

Answer: C* Rapid recovery

  1. Postural Hypotension.

***) All of the following are causes of postural hypotension, except:

  1. Diabetes

  2. Hypovolemia

  3. Prolonged bed rest

  4. Addison's disease

  5. Hyperthyroidism

Answer: E* Hyperthyroidism

  1. Pulses.

***) Collapsing pulse is found in all of the following, except:

  1. Aortic regurgitation

  2. Patent ductus arteriosus

  3. Mitral stenosis

  4. Pregnancy

  5. Anemia

Answer: C* Mitral stenosis

  1. Heart Murmurs.

***) One of the following can cause pansystolic murmur: Q2012

  1. Coarctation of the aorta

  2. Aortic regurgitation

  3. Mitral regurgitation

  4. Atrial septal defect

  5. Aortic stenosis

Answer: C* Mitral regurgitation

***) Diastolic murmur occurs in all of the following conditions, except:

  1. Mitral stenosis

  2. Aortic stenosis

  3. Austin Flint murmur

  4. Graham-Steel murmur

  5. Aortic regurgitation

Answer: B* Aortic stenosis

***) All of the following can cause systolic murmur, except:

  1. Aortic regurgitation

  2. Aortic stenosis

  3. Pulmonary stenosis

  4. Ventricular septal defect

  5. Mitral regurgitation

Answer: A* Aortic regurgitation

  1. Cardiac Arrest.

***) In cardiac arrest all of the following drugs may be used, except:

  1. Adrenaline

  2. Neostigmine

  3. Calcium chloride

  4. Isoprenaline

  5. Lignocaine

Answer: B* Neostigmine

  1. Cardiac Investigations.

  1. Ecg Abnormalities.

***) All of the following are causes of sinus tachycardia, except:

  1. Fever

  2. Hypothyroidism

  3. Pregnancy

  4. Anemia

  5. Cardiac failure

Answer: B* Hypothyroidism

***) All of the following may cause bradycardia, except:

  1. Myxedema

  2. Atenolol

  3. Raised intracranial pressure

  4. Jaundice

  5. Salbutamol

Answer: E* Salbutamol

***) Bradycardia can be caused by all of the following, except:

  1. Digoxin

  2. Obstructive jaundice

  3. Anticholinergic drug

  4. Hypothyroidism

  5. Heart block

Answer: C* Anticholinergic drug

***) The characteristic ECG finding in ventricular aneurysm is:

  1. Persistent ST depression

  2. Left bundle branch block

  3. Lack of Q waves

  4. First degree AV Block

  5. Persistent ST elevation

Answer: E* Persistent ST elevation

  1. Ecg Additional Points.

***) Concerning right ventricular hypertrophy all are true, except:

  1. It is a characteristic feature of transposition of great vessels

  2. It is a characteristic feature of tetralogy of Fallot

  3. It is a characteristic feature of tricuspid atresia

  4. It is diagnosed when R in V1 exceeds 20mm

  5. It is associated with plethoric lung fields

Answer: C* It is a characteristic feature of tricuspid atresia