(Single Best Answer) Question 601: A patient s serological report reveals HBsAg +ve, HBeAg Negative, Anti HBe +ve, anti HBc IgM negative, HBV DNA quantitative 19,00,000 IU/ml. The diagnosis based on serology is ?
A) chronic HBsAg carrier wild type B) chronic HBsAg carrier with acute exacerbation C) chronic HBsAg carrier with pre core mutation D) HBV related acute viral hepatitis Answer (Select an option above to get the answer):
A) is located in left 6th intercostal space B) is located in the same horizontal plane as V4 C) is in left posterior axillary line D) shows ST depression in acute lateral myocardial infarction Answer (Select an option above to get the answer):
(Single Best Answer) Question 603: A patient who has undergone AICD implantation reports to emergency room with history of multiple AICD shocks in the last one hour. ECG done in the emergency room shows atrial fibrillation with rapid ventricular rate. Management would be ?
A) I.V. amiodarone bolus followed by infusion over 12 hours B) I.V. adenosine C) I.V. verapamil D) Apply magnet over AICD pulse generator Answer (Select an option above to get the answer):
(Single Best Answer) Question 604: Which of the following food types have a significant effect on altering the risk of coronary heart disease 1. high fruit and vegetable intake 2. total coffee intake 3. dairy food consumption 4. intermittent moderate alcohol consumption
A) Only 1, 2 and 3 are correct B) Only 1 and 3 are correct C) Only 2 and 4 are correct D) Only 4 is correct Answer (Select an option above to get the answer):
(Single Best Answer) Question 605: A 50 year old man, an alcoholic and a smoker presents with a 3 hours history of increasing shortness of breath and chest pain. He started having this pain while eating, which was constant and radiated to the back and interscapular region. He was a known hypertensive. On examination, he was cold and clammy with a heart rate of 130/min, and a BP of 80/40 mm Hg. JVP was normal. All peripheral pulses were present and equal, and ejection systolic murmur was heard. Which one of the following is the most likely diagnosis ?
A) acute aortic dissection B) acute myocardial infarction C) rupture of the esophagus D) acute pulmonary embolism Answer (Select an option above to get the answer):
A) significant increase in heart rate and blood pressure B) significant increase in heart rate with no significant change in BP C) significant increase in heart rate with significant fall in BP D) inappropriate increase in resting heart rates with no significant further change Answer (Select an option above to get the answer):
(Single Best Answer) Question 607: Large v waves on pulmonary capillary wedge (PCW) tracing are seen in all of the following except ?
A) papillary muscle dysfunction B) rheumatic mitral regurgitation C) acute AR D) ventricular septal defect Answer (Select an option above to get the answer):
A) complete RBBB B) WPW syndrome C) complete LBBB D) electronically paced ventricular rhythm Answer (Select an option above to get the answer):
(Single Best Answer) Question 609: Assertion: during percutaneous coronary intervention smaller ST segment changes are noticed in balloon inflations subsequent to initial inflation
Reason: ischemic preconditioning is the proposed mechanism for cardiac protection
A) Both Assertion and Reason are true, and Reason is the correct explanation for Assertion B) Both Assertion and Reason are true, and Reason is not the correct explanation for Assertion C) Assertion is true, but Reason is false D) Assertion is false, but Reason is true Answer (Select an option above to get the answer):
(Single Best Answer) Question 610: Which of the following measure / measures is / are highly recommended by ACC/AHA in the treatment of patients with endstage heart failure 1. cardiac transplantation 2. intermittent infusion of positive inotrope agents 3. left ventricular assist device in patients expected to survive for less than a year with medical therapy 4. mitral valve repair for severe secondary mitral regurgitation
A) Only 1, 2 and 3 are correct B) Only 1 and 3 are correct C) Only 2 and 4 are correct D) Only 4 is correct Answer (Select an option above to get the answer):