(Single Best Answer) Question 1: A patient with atrial fibrillation on regular treatment presents with photosensitivity, skin discoloration and peripheral neuropathy. Which drug may be implicated ?
A) Digoxin B) Disopyramide C) Amiodarone D) Bisoprolol Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A 35-year-old labourer worker consulted a local medical practitioner for recurrent attack of chest pain. His elder brother had similar complaint and died at the age of 40 years. The labourer worker was advised to take sublingual nitroglycerin at the time of chest pain. But after taking nitroglycerin, the chest pain increased in intensity. Which one of the following is most likely ?
A) Hypertrophic obstrutive cardiomyopathy B) Chronic type A dissection of aorta C) Degenerative mitral regurgitation D) Sub-acute bacterial endocarditis involving aortic valve Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: Which one of the following statements is correct regarding Opening Snap in cardiac auscultation ?
A) It is a high pitched diastolic sound B) It is due to opening of stenosed aortic valve C) It indicates pulmonary arterial hypertension D) It preceedes the aortic component of second heart sound Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: A 35-year-old patient presents in the Emergency with sudden onset palpitations. His heart rate is 150/minute and gets reverted after carotid massage. The most probable diagnosis is :
A) Paroxysmal supraventricular tachycardia B) Ventricular tachycardia C) Ventricular fibrillation D) Atrial flutter with block Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: According to modified WHO classification of Heart Disease in Pregnancy, which cardiac lesion is a contraindication for pregnancy ?
A) Hypertrophic cardiomyopathy B) Uncomplicated, small or mild pulmonary stenosis C) Successfully repaired Tetralogy of Fallot D) Pulmonary arterial hypertension Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: Which of the following electro-cardio-graphic findings are manifestations of digitalis intoxication ? 1. Ventricular bigeminy 2. Ventricular tachycardia 3. Atrial flutter 4. Atrial tachycardia with variable block
Select the correct answer using the code given below :
A) 1, 2 and 3 B) 1, 2 and 4 C) 1, 3 and 4 D) 2, 3 and 4 Answer (Select an option above to get the answer):
(Single Best Answer) Question 7: A 50-year-old man reports to Emergency with breathlessness, palpitations and acute chest pain. On auscultation, there is systolic murmur at apex and ECG shows ST elevations in anterior chest leads. Which one of the following would be the next choice of investigation ?
A) Cardiac marker troponin T/I B) Echocardiography C) TMT D) 24-hour holter monitoring Answer (Select an option above to get the answer):
(Single Best Answer) Question 8: Which one of the following is a non-shockable rhythm in respect to use of AED (Automatic External Defibrillator) ?
A) Monomorphic ventricular tachycardia B) Polymorphic ventricular tachycardia C) Ventricular fibrillation D) Pulseless electrical activity Answer (Select an option above to get the answer):
(Single Best Answer) Question 9: Which one of the following is not a differential diagnosis of ST segment elevation in ECG ?
A) Acute pericarditis B) Trauma to ventricles C) Hypothermia D) Hypocalcemia Answer (Select an option above to get the answer):
(Single Best Answer) Question 10: A victim is found unconscious at the roadside. As a trained rescuer, after checking the victim's response and pulse, you decide on resuscitation. What is the recommended ratio of chest compression to ventilation during CPR ?
A) 90 : 4 B) 60 : 2 C) 30 : 2 D) 60 : 1 Answer (Select an option above to get the answer):