Cardiovascular System- Internal Medicine 3rd Year PMU

Descripción

Cardiovascular System- Internal Medicine 3rd Year PMU
Med Student
Test por Med Student , actualizado hace más de 1 año
Med Student
Creado por Med Student hace alrededor de 6 años
1991
22

Resumen del Recurso

Pregunta 1

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

Pregunta 2

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

Pregunta 3

Pregunta
Which are the components of S1
Respuesta
  • 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

Pregunta 4

Pregunta
Which statements, referring to SI and 52 are correct
Respuesta
  • 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

Pregunta 5

Pregunta
Which statements, referring Io the gallop rhythm are correct
Respuesta
  • 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

Pregunta 6

Pregunta
Features of pericardial friction rub are
Respuesta
  • 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

Pregunta 7

Pregunta
Pericardial friction rub is heard
Respuesta
  • During systole
  • During diastole
  • During both phases

Pregunta 8

Pregunta
Pulsus defitiens is established in
Respuesta
  • Peripheral vasculitis
  • High frequent atrial fibrillation
  • Shock

Pregunta 9

Pregunta
Pulsus celer is defected in
Respuesta
  • Graves' disease
  • Mitral regurgitation
  • Aortic regurgitation

Pregunta 10

Pregunta
Pulsus parvus, tardus et rarus is detected
Respuesta
  • Aortic stenosis
  • Aortic regurgitation
  • Mitral stenosis

Pregunta 11

Pregunta
Pulsus celer, altus, magnus et frequens is met in
Respuesta
  • Aortic stenosis
  • Aortic regurgitation
  • Mitral regurgitation

Pregunta 12

Pregunta
Which statements, referring to atrial fibrillation are correct
Respuesta
  • 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

Pregunta 13

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

Pregunta 14

Pregunta
Which are the typical physical findings in a patient with mitral stenosis
Respuesta
  • 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

Pregunta 15

Pregunta
In which valve disease diastolic fremissement is palpated
Respuesta
  • Mitral stenosis
  • Mitral regurgitation
  • Aortic stenosis

Pregunta 16

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

Pregunta 17

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

Pregunta 18

Pregunta
Sound of mitral opening is typical for
Respuesta
  • Mitral stenosis
  • Mitral regurgitation
  • Aortic stenosis

Pregunta 19

Pregunta
Mitral stenosis is accepted when the mitral valve orifice is under
Respuesta
  • 5 cm
  • 3 cm
  • 1 cm

Pregunta 20

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

Pregunta 21

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

Pregunta 22

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

Pregunta 23

Pregunta
Austin-Flint murmur is
Respuesta
  • 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

Pregunta 24

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

Pregunta 25

Pregunta
Carey-Coombs murmur is
Respuesta
  • Systolic in relative mitral stenosis
  • Middiaatolic in relative mitral stenosis
  • Diastolic in organic mitral stenosis

Pregunta 26

Pregunta
Which are the typical physical findings in patients with aortic stenosis
Respuesta
  • 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

Pregunta 27

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

Pregunta 28

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

Pregunta 29

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

Pregunta 30

Pregunta
In aortic regurgitation the second sound (A2) is
Respuesta
  • Accentuated
  • Normal
  • Weaker

Pregunta 31

Pregunta
Musset's sign is met in
Respuesta
  • Mitral regurgitation
  • Aortic regurgitation
  • Aortic stenosis

Pregunta 32

Pregunta
Muller's sign is
Respuesta
  • 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

Pregunta 33

Pregunta
Which statements, referring to stable angina are correct
Respuesta
  • 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

Pregunta 34

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

Pregunta 35

Pregunta
Manifestations of right ventricle heart failure are
Respuesta
  • Orthopnoea
  • Gravitation oedemata
  • Hepatomegaly

Pregunta 36

Pregunta
Manifestations of left ventricle heart failure are
Respuesta
  • Cardiac asthma
  • Gravitation oedemata
  • Pulmonary oedema

Pregunta 37

Pregunta
Rheumatic fever is characterized by
Respuesta
  • 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

Pregunta 38

Pregunta
Erythema marginatum is met in
Respuesta
  • Mitral stenosis
  • Chronic constrictive pericarditis
  • Rheumatic fever

Pregunta 39

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

Pregunta 40

Pregunta
In myocarditis are present
Respuesta
  • Sound of mitral opening (opening snap)
  • Tachycardia
  • Gallop rhythm

Pregunta 41

Pregunta
Which characteristics of the normal ECG are valid
Respuesta
  • 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

Pregunta 42

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

Pregunta 43

Pregunta
ECG criteria of atrial fibrillation are
Respuesta
  • 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

Pregunta 44

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

Pregunta 45

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

Pregunta 46

Pregunta
P mitrale is
Respuesta
  • 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

Pregunta 47

Pregunta
Right ECG type is present in
Respuesta
  • Mitral stenosis
  • Arterial hypertension
  • Aortic regurgitation

Pregunta 48

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

Pregunta 49

Pregunta
Prolonged PQ interval is met in
Respuesta
  • AV block I grade
  • Liver cirrhosis
  • Rheumatic fever

Pregunta 50

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

Pregunta 51

Pregunta
Heart function in complete AV block is
Respuesta
  • Slow and rhythmic
  • Slow and arrhythmic
  • Fast and rhythmic

Pregunta 52

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

Pregunta 53

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

Pregunta 54

Pregunta
Which diagnostic techniques are used to prove infectious endocarditis
Respuesta
  • Haemocultures
  • Transthoracic echocardiography
  • Transoesophageal echocardiography

Pregunta 55

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