Module11 Week5 Question

8/2/2019 Module11 Week5 Question

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Module: Cardiovascular System (module 11)

Name:

Duration:

Week: 5

Veins of upper limb & vessels of lower limb

1. Choose the correct answer regarding the venous drainage of upper limb:

A. Cephalic vein arises along the medial side of the forearm

B. Basilic vein terminate by piercing deep fascia to unite with brachial vein

C. Median cubital vein connect the basilic vein and brachial vein in cubital fossa

D. Palmar and dorsal digital vein anastomose and forming the superficial venous arch

2. Choose the correct branches of the femoral artery:

I. Profunda brachii artery

II. Lateral circumflex femoral artery

III. Superficial circumflex iliac

IV. Superficial external pudendal

A. I & II

B. I, II & III

C. II & IIII

D. III & IV

3. The following are the anastomose around the trochanteric fossa EXCEPT:

A. Descending genicular of femoral artery

B. Ascending branch of medial & lateral circumflex femoral of profunda femoris artery

C. Inferior branch of superior gluteal artery of internal iliac artery

D. Inferior gluteal artery of internal iliac artery

4. Choose the correct answer:

I. Lower border of popliteus muscle : Termination of popliteal artery

II. Adductor hiatus : Origin of popliteal artery

III. Saphenous opening : Long saphenous vein empty into the femoral vein

IV. Infront of lateral malleolus : Long saphenous vein pass

A. I ONLY

B. I & II

C. I, II & III

D. All of the above

5. Match the following:

a. Anterior&Posterior tibial recurrent ( ) Posterior tibial artery

b. Middle Genicular ( ) Dorsalis pedis artery

c. Circumflex fibular artery ( ) Anterior Tibial Artery

d. Lateral & Medial Tarsal arteries ( ) Popliteal artery

A. c, d, a, b

B. d, c, b, a

C. a, c, b, d

D. c, d, b, a



ANTIHYPERTENSIVE DRUGS 2

6. Which of the following is true about the indication in hypertension for calcium channel blocker?

A. Drug of choice in isolated systolic hypertension in elderly if diuretics is contraindicated

B. Hypertension in patient with diabetes in presence of contraindication to ACEIs and ARBs

C. All of the above

D. None of the above

7. Which of the following is not the side effect of the dihydropyridines calcium channel blocker?

A. Hypotension

B. Bradycardia

C. Flushing

D. Ankle oedema

8. All of the following drug combination can be used in the treatment of hypertertension except

A. Beta blocker and diuretics

B. ACEIs or ARBs and diuretics

C. Beta blocker and nifedipine

D. Beta blocker and diltiazem

9. Which of the following statement is false about the advantages of the non- dihydropyridine over the

dihydropyridine calcium channel blocker?

A. It will causes more arterial vasodilatation

B. It can decrease the cardiac contractility

C. it will decrease the heart rate

D. it do not cause reflex tachycardia

10. Choose the statement which is not true about the uses of the verapamil

A. Essential hypertension

B. Heart failureC. Angina pectoris

D. Supraventricular arrhythmia

hardening of arteries

11. Which of following the correct term of the definition above :

A. Aneurysm

B. Thrombosis

C. Arteriosclerosis

D. Infarction

12. Which of following the TRUE match of risk factors:

I. Major risk factor – familial predisposition

II. Constitutional risk factor - age

III. Minor risk factor – sedentary life

IV. Major risk factor – hyperlipidemia

A. I AND II

B. I, II AND III

C. II, III AND IV

D. I,II,III AND IV



13. Pathogenesis of atherosclerosis is?

A. Response to endothelial injury

B. Fatty spots and streaks

C. Calcium deposition

D. None of above

14. Arteriosclerosis common in ALL the following EXCEPT:

A. Spleen

B. Pancreas

C. Brain

D. Kidney

15. Which of following is characteristics of monckeberg’s sclerosis:

A. Vessels become soft and rupture

B. Calcium deposition in media

C. Its complication is aneurysmal dilatation

D. All of above

ANTIHYPERLIPIDAEMIC DRUGS

16. The following are true about pravastatin EXCEPT

A. It is taken orally

B. One of HMG-CoA reductase inhibitors

C. Better to be taken at bedtime

D. It is enhanced if taken with food

17. Which of the following drugs is contraindicated to be taken with simvastatin?

I. Fenofibrate

II. Niacin

III. ColestipolIV. Ezetimibe

A. I and II

B. I and III

C. II and III

D. III and IV

18. Choose the true statements regarding Nicotinic acid (Niacin)

I. It cause flushing of skin

II. Contraindicated in patients with hepatotoxicity

III. Cause myopathy

IV. It is the most effective antihyperlipidemia drugs

A. I, II and III

B. I, II and IV

C. I, III and IV

D. II, III and IV

19. The following are the adverse effects of taking colestipol, EXCEPT

A. Impair absorption of fat-soluble vitamin

B. Constipation



C. Dyspepsia

D. Hyperglycemia

20. Which of the following drugs is the drug of choice in hypertriglyceridaemias?

A. Statins

B. Fibrates

C. Ezetimibe

D. Bile acid binding resins

21. The contraindication of taking statins is

A. Pregnancy

B. Peptic ulcer

C. Gout

D. Diabetes mellitus

ANASTOMOSIS OF LL and VEINS OF LL

22. Which of the following will form genicular anastomosis?

I- Descending genicular arteryII- Descending branch of lateral circumflex femoral artery

III- Descending branch of medial circumflex femoral artery

IV- Circumflex fibular artery

A. I and II

B. III and IV

C. I,II and IV

D. II,III and IV

23. Ascending branch of 1st perforating artery shares in which anastomosis?

A. Trochanteric

B. CruciateC. Genicular

D. Around ankle joint

24. Which of the following is TRUE statement regarding great saphenous vein?

A. Deep external pudendal vein is one of its tributaries

B. Ascends behind the medial malleolus

C. It enters the saphenous opening where it pierces cribriform fascia

D. It contains few valves

25. Which of the following is TRUE regarding deep venous drainage.

I- There is numerous anastomosis between great and small saphenous vein.

II- There is few anastomosis between superficial and deep venous system.

III- Superficial and deep venous system is connected by perforating veins.

IV- Varicose vein is due to backflow of blood from deep to superficial system.

A. I and II

B. III and IV

C. I,III and IV

D. II,III and IV



26. Which of the following is the tributaries of femoral vein?

I- Great saphenous vein

II- Small saphenous vein

III- Superficial circumflex iliac vein

IV- Deep external pudendal vein.

A. I and IV

B. II and III

C. I,III and IV

D. I,II and III

ISCHAEMIC HEART DISEASE

27. Which of the following are the main causes of ischaemic heart disease?

I. Coronary atherosclerosis associated with thrombosis and vasospasm

II. Severe tachycardia

III. Aortic valve stenosis

IV. Severe hypertension

A. I,II,IIIB. II,III

C. I,II,IV

D. All of the above

28. All of the following are the risk group for ischaemic heart disease,EXCEPT

A. Familial hypercholesterolemia

B. Hard workers,competitive

C. Pre-menopause woman

D. Physical inactive person

29. Which of the following cause endothelial injury?

I. Hyperlipidaemia

II. Diabetes mellitus

III. Hypertension

IV. Cigarette smoking

A. I,II

B. II,III

C. I,II,IV

D. All of the above

30. Ischaemic heart diseases is classified according to onset and severity of ischaemia.All of the

following are best to describe them,EXCEPT

A.

crushing,squeezing,knife like.

B. usion of

arterial supply with deficient collateral.

C.

multivessels coronary atherosclerotic narrowing.



D. n one hour of symptom-onset.It mostly

due to ventricular fibrillation.

31. Choose the correct sequence of gross appearance regarding the infarction.

A. Defined area of slight pallor > pale/yellow softened infarct with definite red margin>pale infarct

surrounded by definite red margin

B. Defined area of slight pallor> pale infarct surrounded by definite red margin> yellow softened

infarct> progressive replacement of red purple tissue

C. Gray white infarct> defined area of slight pallor> pale infarct surrounded by definite red margin

D. Slight pallor> gray white infarct > progressive replacement y red purple tissue.

32. Drug used in coronary vascular insufficiency

Which of the following is false about organic nitrate?

A. It act directly to vascular smooth muscle

B. Nitroglycerine has significant first pass metabolism in the liver

C. It act directly to the heart

D. Nitric Oxide activate guanylate cyclase

33. Which of the following is not the side effect organic nitrate?

A. Postural hypotension

B. Reflex tachycardia

C. Reflex bradycardia

D. Visual disturbance

34. All the following are precaution during taking organic nitrate drug except?

A. Never stop nitrate therapy suddenly

B. 1-2 hours nitrate free period

C. Do not take double dose

D. Do not use after expiry date

35. Which is not true about verapamil?

A. Most appropriate antianginal therapy for patients with hypertension

B. Have –ve inotropic and -ve chronotropic at heart

C. Non-dihydropyridine group

D. Decreases myocardial oxygen demand

36. Which of the following is false about B-adrenergic blocker?

A. Decreases myocardial oxygen demand

B. –ve chronotropic and –ve inotropic

C. vasodilation

D. Selective B-blocker is atenolol

VESSELS OF THE LOWER LIMB [2]

TRUE OR FALSE

37. Great saphenous vein start from medial end of dorsal venous arch, running in front of lateral

malleolus.

38. Short saphenous vein start from lateral end of dorsal venous arch, running behing lateral malleolus.



39. Great saphenous vein will drain inside femoral vein while short saphenous vein will drain into

popliteal vein.

40. Choose the correct statement below;I Tributaries of great saphenous vein correspond directly to superficial branches of femoral

artery.

II Great saphenous vein is the only major vein in lower limb.

III Superficial and deep veins connected by perforating arteries

IV Short saphenous vein runs posteriorly.

A I, II, III

B I, III, IV

C II, III. IV

D All of the above

41. Choose the best statement regardi ng varicose vein

A The hyperdilatation of veins of lower limb

B The dilatation , elongation and tortuosity of all veins in lower limb

C Sitting too long will cause mild varicose vein

D The dilatation, elongation and tortuosity of superficial veins of lower limb

Pericardial disease and heart failure

42. All of the following are CORRECT about purulent pericarditis EXCEPT

A. Fate : Heart appears hypertrophied and dilated

B. Infection by the pyogenic organisms might be from adjacent organs

C. Healing may result in restriction of diastolic filling and cardiac output which ends in heart failure

D. Visceral layer covered by dirty yellow- coloured purulent exudates with fibrin threads (mantile

like)

43. Which of the following are regarding fibrinous and serofibrinous pericarditis ?

I. Most frequent type of pericarditis

II. May caused by rheumatic fever, chest radiation and tuberculosis

III. Sometime heart failure may occur

IV. Usually ends by resolution

V. There is marked fibrosis around the great vessels

A. II and III

B. I and IV

C. I, III and IV

D. All of the above

44. Haemopericardium is accumulation of exudates formed of blood mixed with fibrinous or

suppurative effusion.

A. True

B. False

45. All of the following do not cause left heart failure EXCEPT



A. Constrictive pericarditis

B. Ventricular septal defect

C. Severe arrhythmia

D. Emphysema

46. Which of the following are TRUE about the effect of heart failure?

I. Left backward failure leads to pulmonary edema, dysnea and hypxemia

II. Activation of rennin- angiotensin-aldosterone pathway is the pathogenesis of cardiac edema

III. Right side heart hypertrophy due to core pulmonale

IV. Forward failure cause hypoxia, easily fatigability, decrease renal blood flow and hypertension

A. I and II

B. I, II and III

C. II, III and IV

D. All of the above

47. The following are good combination of drugs in anti angina therapy EXCEPT

A. Nitroglycerin and propranololB. Nifedipine and propranolol

C. Verapamil and propranolol

D. Isosorbide dinitrate and propranolol

48. The following drugs are to be used in acute myocardial infarction management EXCEPT

A. Morphine

B. Nifedipine

C. Aspirin

D. Sublingual nitroglycerin

49. The following are true EXCEPT

I. Aspirin inhibit COX enzyme reversibly up to life time of platelets ( 8-10 days)

II. Aspirin is administered in cases of stable and unstable angina

III. Fibrinolytics are one of drug of choice in acute attack of unstable angina

IV. Beta blocker is taken as prophylaxis to decrease reinfarction after attacks of myocardial

infarction

A. I and III

B. II and IV

C. I, II and III

D. II, III and IV

50. The following are true EXCEPT

I. ACE inhibitors avoid post myocardial infarction remodeling

II. Verapamil is one of the drug used in treatment of myocardial infarction

III. Beta blocker can be used in treatment of patient having myocardial infarction with diabetes

IV. Streptokinase is one of the drug used in acute myocardial infarction

A. I and II

B. II and III

C. III and IV

D. II, III and IV



51. The following are therapeutic regimens of acute coronary syndrome EXCEPT

A. Morphine for alleviation of pain and induce anxiolytic effect

B. Aspirin with loading dose of 150-300 mg

C. Nitrates by IV infusion to decrease myocardial damage and remodeling

D. Streptokinase which is given only in hospital



Answer:

1.B (pg.45) 17.A 33.C 49.A

2.D (pg.46) 18.B 34.B 50.B

3.A (pg.52) 19.D 35.A 51.C

4.C 20.B 36.C5.A 21.A 37.False

6.C (pg.262) 22.C (pg.53) 38.True

7.B (pg.262) 23.B (pg.53) 39.True

8.D (pg.263) 24.C (pg.55) 40.B

9.A (pg.262) 25.C (pg.55) 41.D

10.B (pg.262) 26.A (pg.55) 42.D (pg.232)

11.C 27.A 43.C (pg.231)

12.C 28.C 44.B (pg.230)

13.A 29.D 45.C (pg.233)

14.C 30.B 46.B (pg.236)

15.B 31.B 47.C16.D 32.C 48.B

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