FIRST AID CARDIOVASCULAR TEST

1. Coronary artery occlusion most commonly occurs in?

2. Cardiac output =??
3. Stroke Volume affected by?? Name three parameters
4. Most posterior part of heart?
5. Vasodilators decrease?? Preload/after load
6. EF is the index of?
7. Viscosity depends mostly on??
8. Fixed splitting is seen in?
9. S4 is in? Mid diastole/ late/ early
10. Period of highest oxygen consumption?
11. Isovolumetric relaxation?
12. Expiration inc intensity of which side of heart sounds? Left/right
13. Murmur of Mitral stenosis is best heard in which area?
14. Myxomatoys degeneration causes which valvular lesion?
15. Cardiac muscle action potential has plateau due to ??
16. Rapid depolarization caused by?
17. Pacemaker action potential occurs in??
18. QRS complex shows??
19. AV nodal delay is useful because??
20. Lyme disease causes which heart block?
21. Sawtooth appearance??
22. Cushing triad??
23. Aortic arch responds??? And transmits via???
24. Highest blood flow per gran of tissue???
25. Pulmonary vascular hypoxia cause?
26. Autoregulation In brain caused by?
27. Pulmonary capillary wedge pressure good approximation of which
pressure?
28. Boot shape heart?
29. Preductal coarctation of aorta associated with which congenital
syn?
30. Drug to close PDA?
31. Infant of diabetic mother --- > congenital defect??
32. Hyperplasia onion skinning seen in??
33. Most common site of atherosclerosis ??
34. Thoracic aortic aneurysm associated with?
35. Common cause of sudden death first few hours after MI?

36. Marker for reinfarction?

37. V1-V2 ----> infarction location?
38. Autoimmune pericarditis after MI?
39. Sudden death in young athlete?
40. Gold standard in first 6 hours of MI?
41. Etiology of dialated cardiomyopathy?
42. Isolated right heart failure is due to???
43. Heart failure cells ? LHF/RHF
44. IV drug abusers endocarditis valves involved?
45. Colon cancer having IE?? Organism
46. In rheumatic fever early death die to??
47. RF which type of hypersensitivity ?
48. Atrial myxoma involves which site of heart?
49.early lesion in rheumatic fever ??
50. Most frequent primary cardiac tumor on children?
51. Eosinophilia is seen in which vasculitis?
52. Pulseless disease?
53. Vasculitis associated with heavy smokers?
54. Angiosarcoma associated with?
55. Benign painful , red blue tumor under finger Nails?
56. Vitamin causing hyperglycemia ?
57. Torsa de pointes caused by drug??? Name 2
58. Adenosine action time?
59. Name 2 important function of digoxin?
60. Which drugs decrease effect of bad cholesrterol ??
61. Dysphagia is caused by enlargement of which part of heart ?
62. In JVP a wave shows?
63. Carotid body responds to dec Po2 at which level ?
64. Risk of ventricular rupture on which day of post MI??? 2 / 3-7/ 10/
14
65. In rheumatic fever antibodies are formed against which protein??
66. Patient having prosthetic valve having IE ? Agent?
67. Cardiac cirrhosis caused by?? RHF/LHF
68. Tree bark appearance ??
69. Most common heart tumors??
70. Print metal angina?? St elevation / depression
71. Dirotic notch in aortic pressure curve coincides with which heart
sound?
72. Structure with richest blood supplyee?
73. Artificial pacemaker is connected to which part of heart?

74. Aj J point of ECG what happens??

75. Principal source of energy to heart in healthy individual is ???
76. Myocardial infarction that damages the anterior interventricular
septum and the apex .. Which artery is occluded?
77. Which parameter does the viscosity depends upon??
78. During physical examination what diagnostic sign might be
observed in the neck of a patient with right heart failure?
79. What is meant by pulses parvus tardus?
80. Which murmur is often cause by age related calcification?
81. What are the most dangerous sequelae or torsa de pointes?
82. Patient with wolf parkinson white syndrome have higher risk of
which type of arrhythmia?
83. An ECG shows no identifiable waves. What is the most likely
diagnosis?
84. How does neonates with tricuspid atresia remain viable given with
severely compromised circulation?
85. Six days after having myocardial infarction a patient presents with
a new onset murmur , which type of murmur is this most likely?
86. Quinine causes symptoms of headache and tinnitus , which
collectively called ?
87. Adverse effect of diazoxide?
88. Name the potentially fatal adverse effect of ibutilide?
89. Which ion is infused to treat torsades de pointed and digoxin
toxicity?
90. Name three toxocities of antiarrhythmatic drug adenosine?

KEYS
1. Coronary artery occlusion most commonly occurs in? LAD
2. Cardiac output =??HR*CO
3. Stroke Volume affected by?? Name three
parameters...Contractility, preload, afterload
4. Most posterior part of heart? Left atrium
5. Vasodilators decrease?? Preload/after load?? Ans= afterload
6. EF is the index of? Ventricular contractility
7. Viscosity depends mostly on?? Hematocrit
8. Fixed splitting is seen in? ASD
9. S4 is in? Mid diastole/ late/ early?? Ans= late
10. Period of highest oxygen consumption? isovolumetric contraction
11. Isovolumetric relaxation? Period between aortic valve closing and
opening of mitral valve
12. Expiration inc intensity of which side of heart sounds?
Left/right??ans=left
13. Murmur of Mitral stenosis is best heard in which area? Mitral area
14. Myxomatoys degeneration causes which valvular lesion? MVP
15. Cardiac muscle action potential has plateau due to ?? Ca influx
16. Rapid repolarization caused by? Massive K efflux
17. Pacemaker action potential occurs in?? SA AV node
18. QRS complex shows?? Ventricular depolarization
19. AV nodal delay is useful because?? Allows time for ventricular
filling
20. Lyme disease causes which heart block? 3rd degree
21. Sawtooth appearance?? Atrial flutter
22. Cushing triad?? Hypertension, bradycardia and respiratory
depression
23. Aortic arch responds??? And transmits via??? Inc Bp only -vagus nerve
24. Highest blood flow per gran of tissue??? Kidney
25. Pulmonary vascular hypoxia cause? Vasoconstriction
26. Autoregulation In brain caused by? Co2(ph)
27. Pulmonary capillary wedge pressure good approximation of which
pressure? Left atrial pressure
28. Boot shape heart? TOF
29. Preductal coarctation of aorta associated with which congenital
syn? Turner syndrome

30. Drug to close PDA? Indomethacin

31. Infant of diabetic mother --- > congenital defect?? transposition of
great vessels
32. Hyperplasia onion skinning seen in?? Malignant hypertension
33. Most common site of atherosclerosis ?? Abdominal aorta
34. Thoracic aortic aneurysm associated with? Hypertension
35. Common cause of sudden death first few hours after MI?
Arrhythmia
36. Marker for reinfarction? Ck-MB
37. V1-V2 ----> infarction location? Anterioseptal
38. Autoimmune pericarditis after MI? Dressler syndrome
39. Sudden death in young athlete? HOCM
40. Gold standard in first 6 hours of MI? ECG
41. Etiology of dialated cardiomyopathy? Alcohol abuse, beriberi,
cocaine use, Chaga disease, doxuebecin, hemochromatosis
42. Isolated right heart failure is due to??? Cor pulmonale
43. Heart failure cells ? LHF/RHF?? Ans=LHF
44. IV drug abusers endocarditis valves involved? Tricuspid
45. Colon cancer having IE?? Organism?? Strep bovis
46. In rheumatic fever early death die to?? Myocarditis
47. RF which type of hypersensitivity ? Type 2
48. Atrial myxoma involves which site of heart? Left atrium
49.early lesion in rheumatic fever ?? MVP
50. Most frequent primary cardiac tumor on children?
Rhabdomyosarcoma
51. Eosinophilia is seen in which vasculitis? Churg Strauss
syndrome
52. Pulseless disease? Takayasu arteritis
53. Vasculitis associated with heavy smokers? Buergers disease (
thromboangitis obliterans )
54. Angiosarcoma associated with? chloride, thorium dioxide and
arsenic
55. Benign painful , red blue tumor under finger Nails? Glomus tumor
56. Vitamin causing hyperglycemia ? Niacin
57. Torsa de pointes caused by drug??? Name 2 ?quinidine, sotalol
and ibutilide
58. Adenosine action time? 15 secs
59. Name 2 important function of digoxin? Inhibition NaK atpase and
vagus nerve stimulation
60. Which drugs decrease effect of bad cholesrterol ?? Statins

61. Dysphagia is caused by enlargement of which part of heart? left

atrium
62. In JVP a wave shows? Atrial contraction
63. Carotid body responds to dec Po2 at which level ? <60 mmhg
64. Risk of ventricular rupture on which day of post MI??? 2 / 3-7/ 10/
14??ans= 3-7 (in goljan ) 5-10 days in ( first aid)
65. In rheumatic fever antibodies are formed against which protein??
M protein
66. Patient having prosthetic valve having IE ? Agent? Strep
epidermidis
67. Cardiac cirrhosis caused by?? RHF/LHF?? Ans= RHF
68. Tree bark appearance ?? Syphilitic heart disease
69. Most common heart tumors?? Metastases
70. Print metal angina?? St elevation / depression?? Ans= St
elevation
71. Dirotic notch in aortic pressure curve coincides with which heart
sound? S2 heart sound (second)
72. Structure with richest blood supply?? Carotid body
73. Artificial pacemaker is connected to which part of heart? Right
ventricle
74. Aj J point of ECG what happens?? All part of ventricles are
depolarized.
75. Principal source of energy to heart in healthy individual is ???
Free fatty acids
76. Myocardial infarction that damages the anterior interventricular
septum and the apex .. Which artery is occluded? Left anterior
decending artery
77. Which parameter does the viscosity depends upon?? Hematocrit
78. During physical examination what diagnostic sign might be
observed in the neck of a patient with right heart failure? Elevated
jugular venous pressure
79. What is meant by pulses parvus tardus? Pulses are weak, and
the strongest part of the peripheral pulse occurs late after the S1 is
heard;
this is because it takes a long time for blood to cross the stenotic
aortic valve to fill the vessels.
80. Which murmur is often cause by age related calcification? Aortic
stenosis
81. What are the most dangerous sequelae or torsa de pointes?
Ventricular fibrillation and death

82. Patient with wolf parkinson white syndrome have higher risk of
which type of arrhythmia? Supra ventricular tachycardia
83. An ECG shows no identifiable waves. What is the most likely
diagnosis? Ventricular fibrillation
84. How does neonates with tricuspid atresia remain viable given with
severely compromised circulation? Both ASD and VSD required
85. Six days after having myocardial infarction a patient presents with
a new onset murmur , which type of murmur is this most likely? Holo
systolic murmur of mitral regurgitation
86. Quinine causes symptoms of headache and tinnitus , which
collectively called ? Cinchonism
87. Adverse effect of diazoxide? Hyperglycemia secondary to insulin
release
88. Name the potentially fatal adverse effect of ibutilide? Torsades de
pointes
89. Which ion is infused to treat torsades de pointed and digoxin
toxicity? Magnesium
90. Name three toxocities of antiarrhythmatic drug adenosine?
Flushing, hypotension and chest pain

REGARS
DR NOOR UL BASAR