CARDIOVASCULAR  SYSTEM (PART -2)

 






                                                QUESTIONS


1. Which of the following is the feature of vegetations in Libmann Sacks endocarditis? 

(a) Large and fragile 

(b) Small warty along the line of closure of valve 

(c) Small or medium sized on either or both sides of valve 

(d) Small bland vegetations 

2. Which type of endocarditis has vegetation on both sides of the valves ? 

(a) Infective endocarditis 

(b) Libman Sack’s endocarditis 

(c) Rheumatic fever 

(d) Non bacterial thrombotic enodcarditis 

3. Mc Callum’s patch is diagnostic of ?

(a) Infective endocarditis 

(b) Rheumatic endocarditis 

(c) Myocardial infarction 

(d) Tetralogy of Fallot (ToF) 

4. Heart failure cells are seen in which of the following organs? 

(a) Kidney 

(b) Heart

 (c) Lungs 

(d) Brain 

5. Tigered effect in myocardium is due to ?

(a) Malignant change 

(b) Fat deposition 

(c) Seen in rheumatic fever 

(d) Associated with myocarditis 

6. ASLO titers are used in the diagnosis of ?

(a) Acute rheumatoid arthritis 

(b) Acute rheumatic fever 

(c) Ankylosing spondylitis 

(d) Osteoarthritis 

7. Mitral valve vegetations do not embolise usually to ?

(a) Brain  

(b) Liver 

(c) Spleen

 (d) Lung 

8. Which of the following cardiac valves is not commonly involved in rheumatic fever? 

(a) Mitral 

(b) Aortic 

(c) Pulmonary 

(d) Tricuspid 

9. Most common heart valve involved in IV drug user is ?

(a) Mitral valve 

(b) Aortic valve 

(c) Pulmonary valve 

(d) Tricuspid valve

10. 7 day old MI the most sensitive biochemical marker ?

(a) Troponin T 

(b) CPK MB 

(c) LDH 

(d) Myoglobin 

11. Post MI day 10 which enzyme is raised ?

(a) CPK 

(b) Troponin 

(c) LDH 

(d) Myoglobin

12. The cells seen after 72 hours in the infarcted area in MI are ?

(a) Neutrophils 

(b) Lymphocytes

 (c) Macrophages 

(d) Monocytes

 13. In myocardial reperfusion injury, the maximum effect is caused due to which of the following? 

(a) Neutrophil 

(b) Monocytes 

(c) Eosinophils 

(d) Free radicals 

14. In myocardial infarctions, microscopes picture of coagulation necrosis with neutrophilic infiltration is seen after ?

(a) 4-12 hr 

(b) 12-24 hr 

(c) 1-3 days

 (d) 3-7 days 

15. Myocarditis is most commonly caused by ?

(a) Influenza

 (b) Measles virus

 (c) Coxsackie virus 

(d) Epstein barr virus


                                                   ANSWERS

1) c   2) b   3) b   4) c    5) b    6) b   7) d    8) c   9) d   10) a   11) c   12) c   13) d   14) c 

15) c