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Cardiovascular System- Internal Medicine 3rd Year PMU

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Cardiovascular System- Internal Medicine 3rd Year PMU
Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student over 6 years ago
2051
22
0

Resource summary

Question 1

Question
The upper relative heart border is found
Answer
  • Along the lower margin of I rib
  • Along the lower margin of II rib
  • Along the lower margin of III rib

Question 2

Question
The right absolute heart border is found
Answer
  • Along the right sternal margin
  • Along the left sternal margin
  • Along linea mediana anterior

Question 3

Question
Which are the components of S1
Answer
  • Closure of mitral and tricuspid valves, isometric ventricular contraction, vibrations of chordae tendineae
  • Closure of aortic and pulmonary valves
  • Opening of mitral and tricuspid valves

Question 4

Question
Which statements, referring to SI and 52 are correct
Answer
  • S1 is systolic and is louder on the apex, S2 is diastolic and is louder on the basis of the heart
  • S2 coincides with the beginning of the carotid pulse wave
  • Simultaneous weakening of 5 1 and 52 is found in myocarditis andexudative pericarditis

Question 5

Question
Which statements, referring Io the gallop rhythm are correct
Answer
  • S3 is a protodiastolic gallop rhythm
  • S4 is presystolic
  • S4 might be heart in children i n and young people till 30 years of age

Question 6

Question
Features of pericardial friction rub are
Answer
  • Heard best on the basis of the heart, does not vanish during apnoea
  • Auscultated best over the absolute heart dullness, it is not influenced by respiration and does not vanish during apnoea
  • Auscultated during systole and diastole, stronger in systole

Question 7

Question
Pericardial friction rub is heard
Answer
  • During systole
  • During diastole
  • During both phases

Question 8

Question
Pulsus defitiens is established in
Answer
  • Peripheral vasculitis
  • High frequent atrial fibrillation
  • Shock

Question 9

Question
Pulsus celer is defected in
Answer
  • Graves' disease
  • Mitral regurgitation
  • Aortic regurgitation

Question 10

Question
Pulsus parvus, tardus et rarus is detected
Answer
  • Aortic stenosis
  • Aortic regurgitation
  • Mitral stenosis

Question 11

Question
Pulsus celer, altus, magnus et frequens is met in
Answer
  • Aortic stenosis
  • Aortic regurgitation
  • Mitral regurgitation

Question 12

Question
Which statements, referring to atrial fibrillation are correct
Answer
  • Pulse deficit might be palpated
  • Ectopic atrial rhythm is concerned, atrial systole rate 350-600/min. ECG criteria: lack of p waves, absolute irregular RR intervals, f waves are replacing the isoline
  • Atrial ectopic regular rhythm with atrial rate 250-350/min. ECG criteria lack of p waves, regular RR intervals, F saw-like waves, replacing the isoline

Question 13

Question
In atrial fibrillation the auscultated heart activity is
Answer
  • Rhythmic
  • Arrhythmic
  • Variable, depending on the presence of a constant or transitory AV block

Question 14

Question
Which are the typical physical findings in a patient with mitral stenosis
Answer
  • On inspection facies hectica is observed
  • Apex cordis is shifted to the left in V intercostals space, due to dilated right ventricle; accentuated S1 and diastolic rolling murmur are heard on auscultation
  • Weak S1 and a systolic murmur are auscultated

Question 15

Question
In which valve disease diastolic fremissement is palpated
Answer
  • Mitral stenosis
  • Mitral regurgitation
  • Aortic stenosis

Question 16

Question
In mitral stenosis on the apex one can auscultate
Answer
  • Diastolic rolling murmur, propagating to the left armpit
  • Diastolic rolling: murmur that does not propagate
  • Systolic murmur

Question 17

Question
In mitral regurgitation on the apex one can auscultate
Answer
  • Diastolic rolling murmur without any propagation
  • Pansystolic murmur, propagating to the left armpit
  • Presystolic murmur

Question 18

Question
Sound of mitral opening is typical for
Answer
  • Mitral stenosis
  • Mitral regurgitation
  • Aortic stenosis

Question 19

Question
Mitral stenosis is accepted when the mitral valve orifice is under
Answer
  • 5 cm
  • 3 cm
  • 1 cm

Question 20

Question
Ictus cordis is dilated to left and downwards (in V1 or VII intercostals) in
Answer
  • Mitral stenosis
  • Mitral regurgitation
  • Exudative pleuritis

Question 21

Question
Which heart disease is presented by a functional diastolic murmur in the left intercostals (Graham-Steel murmur)
Answer
  • Mitral stenosis
  • Chronic constrictive pericarditis
  • Aortic regurgitation

Question 22

Question
Auscultatory findings in mitral regurgitation are
Answer
  • Weaker S1
  • Systolic murmur on the apex with axilar propagation
  • Diastolic murmur on the apex without propagation

Question 23

Question
Austin-Flint murmur is
Answer
  • Functional diastolic, due to relative mitral stenosis in organic aortic regurgitation
  • Functional systolic, due to relative mitral regurgitation in organic aortic regurgitation
  • Organic diastolic in aortic regurgitation

Question 24

Question
The continuous (systolic-diastolic) Duroziers murmur over the femoral artery is auscultated i
Answer
  • Mitral stenosis
  • Aortic stenosis
  • Aortic regurgitation

Question 25

Question
Carey-Coombs murmur is
Answer
  • Systolic in relative mitral stenosis
  • Middiaatolic in relative mitral stenosis
  • Diastolic in organic mitral stenosis

Question 26

Question
Which are the typical physical findings in patients with aortic stenosis
Answer
  • Ictus cordis is shifted to the left ; diastolic murmur on the apex
  • Systolic murmur on the apex, propagating to the left armpit
  • Ictus cordis is dilated to left and downwards, systolic rough murmur on aortic valve, propagating to the carotids

Question 27

Question
Where is punctum maximum of the diastolic murmur in aortic regurgitation
Answer
  • Aortic place-II right intercostals
  • Botkin-Erb point
  • Ictus cordis

Question 28

Question
Which valve disease is presented by a rough systolic murmur with p. max. In II right intercostals, propagating to the carotids
Answer
  • Mitral regurgitation
  • Aortic regurgitation
  • Aortic stenosis

Question 29

Question
In aortic regurgitation is auscultated
Answer
  • Accentuated S2, systolic murmur on aortic place
  • Weak A2, diastolic murmur with p. max. on Erb point
  • Apical systolic murmur

Question 30

Question
In aortic regurgitation the second sound (A2) is
Answer
  • Accentuated
  • Normal
  • Weaker

Question 31

Question
Musset's sign is met in
Answer
  • Mitral regurgitation
  • Aortic regurgitation
  • Aortic stenosis

Question 32

Question
Muller's sign is
Answer
  • Systolic pulsation of the uvula in organic aortic regurgitation
  • Nodding of the head synchronous with the heart contractions in organic aortic regurgitation
  • Loud systolic and diastolic sounds over the femoral artery in organic aortic regurgitation

Question 33

Question
Which statements, referring to stable angina are correct
Answer
  • Newly appeared retrosternal pain in like tale 48h and/or at rest
  • Retrosternal pain, lasting 15-30 min, whose severity, provoking and relieving factors have worsened in the last week
  • Retrosternal pain, lasting 3-15 min, relieved by rest and nitroglycerin intake. Its severity, duration, provoking factors have remained stable during the last month

Question 34

Question
The duration of pain in myocardial infarction is
Answer
  • A few seconds
  • Up to 15 minutes
  • Over 30 min

Question 35

Question
Manifestations of right ventricle heart failure are
Answer
  • Orthopnoea
  • Gravitation oedemata
  • Hepatomegaly

Question 36

Question
Manifestations of left ventricle heart failure are
Answer
  • Cardiac asthma
  • Gravitation oedemata
  • Pulmonary oedema

Question 37

Question
Rheumatic fever is characterized by
Answer
  • Reactive poststreptococcal arthritis without any damage of other organs
  • Migratory polyarthritis is present without late joint deformities; carditis is often met, leading to a chronic valve disease
  • Chronic erosive arthritis is present, accompanied by high fever

Question 38

Question
Erythema marginatum is met in
Answer
  • Mitral stenosis
  • Chronic constrictive pericarditis
  • Rheumatic fever

Question 39

Question
Migratory poly arthritis, carditis, erythema marginatum, chorea minor, subcutaneous nodules are major criteria for
Answer
  • Infectious endocarditis
  • Rheumatic fever
  • Rheumatoid arthritis

Question 40

Question
In myocarditis are present
Answer
  • Sound of mitral opening (opening snap)
  • Tachycardia
  • Gallop rhythm

Question 41

Question
Which characteristics of the normal ECG are valid
Answer
  • PQ duration is 0.12-0.20 sec
  • QRS complex reflects ventricular depolarization on and lasts up to 0.15 sec
  • p wave reflects atrial depolarization, it is positive in I, II and negative in avR leads, its duration is 0.11 sec and its amplitude is 2.5 mm

Question 42

Question
In ECG with paper speed 25 mm/sec, 1mm in horizontal direction lasts
Answer
  • 0.04 sec
  • 0.02 sec
  • 0.03 sec

Question 43

Question
ECG criteria of atrial fibrillation are
Answer
  • Lack of p waves, wide, deformed QRS, changes in repolarisation
  • F waves of fibrillation, deformed, wide QRS, changes in repolarization
  • Lack of p waves, irregular RR intervals; f waves are present

Question 44

Question
Which part of the ECG is prolonged in AV block
Answer
  • QRS complex
  • P wave
  • PQ interval

Question 45

Question
In left bundle branch block wide and deformed QRS complex is met in
Answer
  • I, aVL, V5, V6
  • I, III, V3
  • III, aVF, V1

Question 46

Question
P mitrale is
Answer
  • Reflects hypertrophy and dilatation of the right atrium, its height is 2.5 mm and above
  • Reflects hypertrophy and dilatation of the right atrium, its height is 2.5 mm and abovephy and dilatation of the left atrium, it is wide with two peaks and lasts over 0. 11 sec
  • Reflects left atrium hypertrophy, its height is 2. 5 mm and above paper speed 25 mm/sec) 1 mm in horizontal direction

Question 47

Question
Right ECG type is present in
Answer
  • Mitral stenosis
  • Arterial hypertension
  • Aortic regurgitation

Question 48

Question
Which heart disease is presented by Pardee wave
Answer
  • Mitral stenosis
  • Acute myocardial infarction
  • Aortic regurgitation

Question 49

Question
Prolonged PQ interval is met in
Answer
  • AV block I grade
  • Liver cirrhosis
  • Rheumatic fever

Question 50

Question
Wider than 0.04 sec, deep Q wave is typical for
Answer
  • Acute myocardial infarction
  • Acute myocarditis
  • Arterial hypertension

Question 51

Question
Heart function in complete AV block is
Answer
  • Slow and rhythmic
  • Slow and arrhythmic
  • Fast and rhythmic

Question 52

Question
ECG changes in unstable angina are met in
Answer
  • p wave
  • QRS complex
  • ST segment and T wave

Question 53

Question
Which diagnostic methods are used for diagnosing suspected coronaryartery disease (CAD)
Answer
  • ECG
  • Coronarography
  • Mediastinoscopy

Question 54

Question
Which diagnostic techniques are used to prove infectious endocarditis
Answer
  • Haemocultures
  • Transthoracic echocardiography
  • Transoesophageal echocardiography

Question 55

Question
On facial chest radiography the right heart border is formed by
Answer
  • Right atrium and right ventricle
  • Right atrium and vena cava superior
  • Right atrium, aortic arch and right ventricle
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