Cardiology AMC

1. Which of the following is the least likely characteristic of pulmonary embolism?a. Decreased second heart soundb. tachycardiac. dyspnead. pleural rube. bronchial breath sound

2. 56 year old pacific islander, male, presents with ventricular failure, BP 148/96, edema, enlarged liver, hr 56, JVP extremely high, abdomen distension. What is the most likely diagnosis?a. ca lung with secondaries in liver and svc obstructionb. alcoholic hep cirhosisc. constrictive pericarditis with previous tb esposured. budd chiari syndromee. inferior venacaval obstruction

3. a. ascitesb. digitalix toxiccityc. hypokalemiad. mesenteric embolisme. hepatic congestion

4. a. CXRb. EKGC. full blodd countd. respiratory function teste. ct scan of chest

5. history of COAD, what is the cause for RHFa. increase PaCO2b. Decrease paO2c. increase work of breathing

6. you are working at ED, a patient with hx of heart disease, p/w chest pain increasing in severity, what is true?a. if ecg normal no trombolitikb. iv heparin not indicatedc. no need for ecg monitoringd. immediate stress test

7. a patient with history of MI and AF, family doctors have tried adenosine, verapamil, and also digoxin 0.125 mg daily now p/w irregular heart rate 90/min palpitation, otherwise well, what would you do to minimize the complicationa. check digoxin level, if sub-therapeutic, increase the doseb. do echo to check for mitral stenosis complicated AFc. digoxin and adenosined. start anticoagulant

8. patient with AF p/w WFW syndrome what s the best management?a. verapamilb. digoxinc. beta blockerd. captoprile. DC cardioversion

9. what drug cause decrease gradient of HOCM?a. verapamilb. furosemide

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11. a. aortic valve stenosisb. complete heart blockc. hypertensiond. heart failuree. myocardial infarction

12. a. cardiac failureb. tension pneumothoraxc. hypovolemic shokd. cardiac tamponadee. vasovagal syncope

13. ace inhibitors are the 1st line of treatment in all of the following excepta. aortic stenosisb. essential hypertensionc. left anterior infarctiond. congestive heart failuree. diastolic hypertension

14. a. multiple ventricular ectopic beatsb. WPW syndromec. atrial fibrilationd. sinus tachycardiae. myocardial infarction

15. a. left bundle branch blockb. pulmo embolismc. acute inferior myocardial infarctiond. acute anterior myocardial infaction

16. A. CardioversionB. TPAc. lidocained. amiodaronee. verapamil

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a. she has ischaemic heart diseaseb.. right ventricular hypertrophy with RBBBc. she has WPW syndromed. RBBB is diagnostic of pulmo embolisme. ECG has evidence of digoxin toxicity

18. a. 2nd degree heart blockb. ventricular tachycardiac. atrial fibrilationd. LBBB

19. a. increase ramipril to 10 mg ODb. prescribe nicotin patchesc. add diuretic to ramiprild. stop ramipril and substitue with diuretice. sprionolactone

soal amc 2008

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soal amc 2009

23. a. ecg with VTb. ECG with 1st heart blockc. ecg with VESd. ECG with atrial fibrilaion

24. what is the diagnosis

25. a. verapamilb. diureticc. acei

26. a. furosemid, diclofenac, ramiprilb. slow k, atenolol, diclofenacc. slow k, ramipril, atenolol

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28. opening snap indicates:a. mitral valve mobilityb. atrial fibrilation causes disappearance of the opening snapc. replaces s3d. best heard at 2nd right icse. remains unaltered despite progesion of the disease

29. a. LV ejection fractionb. LV end diastolic pressurec. cardiac outputd. LV hypertrophye. LV sistolic pressure

30. a. aspirinb. ace ic. beta blockerd. nifedipine. streptokinase

31. a. holter monitorb. echocardiogramc. suess testd. bp in supine n lying downe. ct scan

32. abcde

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a. CXRb. ECGc. Echod. usge. CT pulmo angiogram

34. 35. a. digoxinb. prozocia?c/ gtn patchd. b blocke. spironolactone

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38. a. AMIb. VTc. HEART BLOCKd. ectopic

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40. a. another shock with 360 joulesb. iv adrenalinec. iv atropined. iv lidocainee. mouth to mouth resus

41. a. inverted t waveb. peaked t wave with prolong prc. presence of u waved. wide qrse. ventricular arit

42. a. 2nd left icsb. lower left sternal borderc. apexd. right lower sternal bordere. mid axilary line

43. a. MIb. pUlmo embolismc. infective endocarditisd. heart failure