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1) A 35-year-old healthy woman has a faint systolic murmur on physical examination.
An echocardiogram is performed, and she is found to have a bicuspid aortic valve. In
explaining the meaning of this finding to her, the most appropriate statement is that?
1 ) An aortic valve replacement is eventually likely to be required.
2 ) Other family members are likely to have the same condition
3 ) She should be treated with a cholesterol-lowering agent
4 ) The problem resulted from past injection drug usage
5 ) This is one manifestation of an underlying autoimmune disease process
2) Which of the following anti-microbials is associated with prolongation of the QT
interval? 1 ) Co-amoxiclav
2 ) Gentamicin
3 ) Cefuroxime
4 ) Erythromycin
5 ) Isoniazid
Macrolides, Quinines, levofloxacin
3) 21 year-old woman has a history of palpitations and light headedness. ECG shows short
PR interval and inferior Q waves. Her symptoms improve with atenolol 25 mg/day but she
has had two short episodes of similar symptoms in the previous 24 hours. What is the
long- term management of choice? WPW
1) Anticoagulation.
2) Oral amiodarone.
3) Oral digoxin.
4) Increase the dose of atenolol.
5) Radiofrequency ablation.
4) A 15 year old female presents following a sore throat with chest pain, fever, and a
skin rash. Examination reveals a diastolic murmur. Her ASO titre is elevated. Which
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of the following is a major criterion for the diagnosis of Rheumatic fever?
1) Fever
2) Raised ESR
3) Polyarthritis
4) Migratory erythema erythema marginatum
5) Prolonged PR interval
5) Which of the following concerning congenital heart disease is
correct? 1 ) ASD is the commonest malformation at birth vsd
2 ) congenital complete heart block is usually associated with Anti-Ro in the mother not
known
3 ) Ebstein's anomaly is associated with maternal exposure to lithium carbonate
4 ) Hypoplastic left heart syndrome is characterised by a large, dilated left ventricle no lft
vent developed
5 ) Osteogenesis imperfecta is associated with aortic stenosis AR
6) A 70-year-old man with dilated cardiomyopathy remains symptomatic in NYHA class
2 due to chronic heart failure. On examination his pulse is 90 regular, BP 140/90, heart
sounds normal, chest auscultation did not reveal any abnormalities. He is currently taking
Lisinopril 30 mg OD and Frusemide 80 mg OD. What is the best treatment option?
1) Amiodarone
2) Carvedilol Beta blockers improve in chronic heart failure
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2
3) Digoxin
4) Spironolactone
5) Valsartan
7) A 68-year-old man has been very ill for months following the onset of chronic liver
disease with hepatitis C infection. He experiences a sudden loss of consciousness and then
exhibits paraplegia on the right. A cerebral angiogram reveals lack of perfusion in the left
middle cerebral artery distribution. The most likely cardiac lesion to be associated with this
finding is?
1 ) Acute rheumatic fever
2 ) Left atrial myxoma
3 ) Libman-Sacks endocarditis
4 ) Non-bacterial thrombotic endocarditis Marantic endocarditis has platelet-fibrin
thrombi that are prone to embolize
5 ) Paradoxical thromboembolus
8) A 69-year-old woman presented with an ulcer over the left ankle, which had
developed over the previous 9 months. She had a history of right deep vein thrombosis
five years previously. On examination she had a superficial slough-based ulcer, 6cms in
diameter, over the medial malleolus with no evidence of cellulitis.
Which one of the following is the most appropriate next investigation?
1) ankle-brachial pressure index venous ulcerations
2) bacteriological swab of the ulcer
3) bilateral lower limb arteriogram
4) right leg venogram
5) venous duplex ultrasound scan
9) A 60-year-old man's echocardiogram shows a dilated left ventricular cavity with the
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remainder of the other chamber sizes normal. The most likely diagnosis is which of
the following?
1) aortic regurgitation AR would result in dilatation of the left ventricle
2) aortic stenosis
3) hypertensive heart disease
4) mitral regurgitation
5) mitral stenosis
10) A 40-year-old man attending a routing screening has a blood pressure of 166/100
mmHg. Two weeks later his blood pressure was 150/90 mmHg. He does not smoke. He
drinks 35 units alcohol / week. His body mass index (BMI) is 30 kg/m2 (20 - 25). What is
the best management strategy?
1) amlodipine
2) atenolol
3) bendrofluazide
4) enalapril
5) lifestyle advice obesity grades by his body mass index (Grade 1 = 25-30 , Grade 2 =
30-40 and Grade 3 = > 40)
11) A 66-year-old man has developed chronic renal failure with a serum urea of 60
mmol/L and creatinine of 650 micromol/L. Auscultation of the chest reveals a friction rub
over the cardiac apex. He is most likley to have a pericarditis that is termed?
1) Constrictive
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1) A 35-year-old healthy woman has a faint systolic murmur on physical examination.
An echocardiogram is performed, and she is found to have a bicuspid aortic valve. In
explaining the meaning of this finding to her, the most appropriate statement is that?
1 ) An aortic valve replacement is eventually likely to be required.
2 ) Other family members are likely to have the same condition
3 ) She should be treated with a cholesterol-lowering agent
4 ) The problem resulted from past injection drug usage
5 ) This is one manifestation of an underlying autoimmune disease process
2) Which of the following anti-microbials is associated with prolongation of the QT
interval? 1 ) Co-amoxiclav
2 ) Gentamicin
3 ) Cefuroxime
4 ) Erythromycin
5 ) Isoniazid
Macrolides, Quinines, levofloxacin
3) 21 year-old woman has a history of palpitations and light headedness. ECG shows short
PR interval and inferior Q waves. Her symptoms improve with atenolol 25 mg/day but she
has had two short episodes of similar symptoms in the previous 24 hours. What is the
long- term management of choice? WPW
1) Anticoagulation.
2) Oral amiodarone.
3) Oral digoxin.
4) Increase the dose of atenolol.
5) Radiofrequency ablation.
4) A 15 year old female presents following a sore throat with chest pain, fever, and a
skin rash. Examination reveals a diastolic murmur. Her ASO titre is elevated. Which
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,Med12 Cardiology Questions And Answers
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of the following is a major criterion for the diagnosis of Rheumatic fever?
1) Fever
2) Raised ESR
3) Polyarthritis
4) Migratory erythema erythema marginatum
5) Prolonged PR interval
5) Which of the following concerning congenital heart disease is
correct? 1 ) ASD is the commonest malformation at birth vsd
2 ) congenital complete heart block is usually associated with Anti-Ro in the mother not
known
3 ) Ebstein's anomaly is associated with maternal exposure to lithium carbonate
4 ) Hypoplastic left heart syndrome is characterised by a large, dilated left ventricle no lft
vent developed
5 ) Osteogenesis imperfecta is associated with aortic stenosis AR
6) A 70-year-old man with dilated cardiomyopathy remains symptomatic in NYHA class
2 due to chronic heart failure. On examination his pulse is 90 regular, BP 140/90, heart
sounds normal, chest auscultation did not reveal any abnormalities. He is currently taking
Lisinopril 30 mg OD and Frusemide 80 mg OD. What is the best treatment option?
1) Amiodarone
2) Carvedilol Beta blockers improve in chronic heart failure
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,Med12 Cardiology Questions And Answers
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2
3) Digoxin
4) Spironolactone
5) Valsartan
7) A 68-year-old man has been very ill for months following the onset of chronic liver
disease with hepatitis C infection. He experiences a sudden loss of consciousness and then
exhibits paraplegia on the right. A cerebral angiogram reveals lack of perfusion in the left
middle cerebral artery distribution. The most likely cardiac lesion to be associated with this
finding is?
1 ) Acute rheumatic fever
2 ) Left atrial myxoma
3 ) Libman-Sacks endocarditis
4 ) Non-bacterial thrombotic endocarditis Marantic endocarditis has platelet-fibrin
thrombi that are prone to embolize
5 ) Paradoxical thromboembolus
8) A 69-year-old woman presented with an ulcer over the left ankle, which had
developed over the previous 9 months. She had a history of right deep vein thrombosis
five years previously. On examination she had a superficial slough-based ulcer, 6cms in
diameter, over the medial malleolus with no evidence of cellulitis.
Which one of the following is the most appropriate next investigation?
1) ankle-brachial pressure index venous ulcerations
2) bacteriological swab of the ulcer
3) bilateral lower limb arteriogram
4) right leg venogram
5) venous duplex ultrasound scan
9) A 60-year-old man's echocardiogram shows a dilated left ventricular cavity with the
Med12 Cardiology Questions And Answers
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remainder of the other chamber sizes normal. The most likely diagnosis is which of
the following?
1) aortic regurgitation AR would result in dilatation of the left ventricle
2) aortic stenosis
3) hypertensive heart disease
4) mitral regurgitation
5) mitral stenosis
10) A 40-year-old man attending a routing screening has a blood pressure of 166/100
mmHg. Two weeks later his blood pressure was 150/90 mmHg. He does not smoke. He
drinks 35 units alcohol / week. His body mass index (BMI) is 30 kg/m2 (20 - 25). What is
the best management strategy?
1) amlodipine
2) atenolol
3) bendrofluazide
4) enalapril
5) lifestyle advice obesity grades by his body mass index (Grade 1 = 25-30 , Grade 2 =
30-40 and Grade 3 = > 40)
11) A 66-year-old man has developed chronic renal failure with a serum urea of 60
mmol/L and creatinine of 650 micromol/L. Auscultation of the chest reveals a friction rub
over the cardiac apex. He is most likley to have a pericarditis that is termed?
1) Constrictive
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