Anatomy of The Heart

Which of the following regarding the anatomy of the heart is true?

1. The Aortic valve is Tricuspid
2. The Ascending aorta is entirely outside the pericardial sac
3. The left Atrial appendage is identified readily by transthoracic echocardiography
4. The Pulmonary trunk lies anterior to the ascending aorta
5. The Right atrium is posterior to the left atrium.

ANSWER (1) The Aortic Valve is Tricuspid

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Congenital Heart Disease

Which of the following concerning congenital heart disease is correct?

1. ASD is the commonest malformation at birth
2. Congenital complete heart block is usually associated with Anti-Ro antibodies in the mother
3. Ebstein's anomaly is associated with maternal exposure to lithium carbonate
4. Hypoplastic left heart syndrome is characterised by a large, dilated left ventricle
5. Osteogenesis Imperfecta is associated with Aortic Stenosis
   
   
   
   
   
   
   ANSWER is (3) 
   
   
   
   
   
   

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Prevention of Myocardial Infarction

A 68 year old  diabetic male presents to a clinic for advice on prevention of a further heart attack after having sustained a myocardial infarction four years previously. He takes Metformin 500 mg tds, bendrofluazide 2.5 mg daily and Asprin 150 mg daily. BMI was 34.5 kg/m², with a pulse of 85 beats per minute regular and a blood pressure of 150/90 mmHg. His cholesterol level is 3.4 mmol/l (< 5.5). What is the most appropriate strategy for this patient?

1. 24 hr Holter Monitoring
2. Atorvastatin
3. Increase the dose of Aspirin from 150 mg to 300 mg daily
4. Orlistat
5. Ramipril

ANSWER (5) Ramipril


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Cardiology MCQs - Long QT Syndrome

Which one of the following Antiarrhythmic agents can be used in the Management of long QT syndrome?

1. Amiodarone
2. Sotalol
3. Flecainide
4. Propafenone
5. Atenolol

ANSWER (5) Atenolol

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Cardiology MCQs - Myocardial Infarction

Which one of the following findings is the most specific for the diagnosis of Myocardial Infarction?

1. An akinetic area of Left Ventricle wall motion on ECH0
2. Elevated cardiac enzymes
3. ST Segment elevation on ECG
4. Positive history of severe chest pain
5. Evolution of Q waves on the ECG
   
   
   
   
   
   
   
   
   ANSWER (5) Evolution Q Waves on the ECG

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Cardiology MCQs - Myocarditis

Which of the following infections is least likely to cause myocarditis?

1. Coxsackie virus
2. Diphtheria
3. Chagas Disease
4. Syphillis
5. Toxoplasmosis

ANSWER (4) Syphilis, The answer is Syphilis as it involves CVS as ascending Aortic aneurysm and aortic regurgitation.


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Cardiology Mcqs - Choose the Most appropriate Mangement?

A 65-year-old male with a history of controlled HTN comes to the emergency department with acute onset weakness of his left upper limb, that resolved over twelve hours. He had suffered two similar episodes over the last 4 months. Examination reveals a B.P of 132/82 mmHg and ECG reveals atrial fibrillation with a ventricular rate of 85 per minute. CT brain scan is normal.
What is the most appropriate Management ?

1. Warfarin
2. Amiodarone
3. Dypiradamole
4. Aspirin 
5. Digoxin

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Cardiology Mcqs - Choose the Most Appropriate Treatment Option

A 58 year old man presents with acute breathlessness following a convulsion. On examining his blood pressure was 250/120 mmHg and fundal examination showed pailloedema with several haemorrhages and cotton wool spots. His urea, electrolytes and creatinine are normal but chest X-ray reveals pulmonary oedema and cardiomegaly. Which one of the following options is the most appropriate immediate treatment?

1. Nifedipine LA 30 mg P/O
2. Nifedipine 5 mg Sublingually
3. Intravenous Sodium Nitroprusside
4. Intravenous Labetalol
5. Atenolol 50 mg P/O

ANSWER IS 3
Patient is suffering from Malignant hypertension. Sodium Nitroprusside is treatment of choice in this Condition.


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Cardiology Mcqs - Most Likely Cardiac Lesion ?

A 50-year-old female had many syncopal episodes over the last one year. Each episode was followed by sudden but brief loss of consciousness. She has no chest pain or ankle edema. On brain MRI there is a 1.8 cm cystic area in the left parietal cortex. A chest X-ray shows no cardiomegaly, and her lung fields are clear. Her serum total cholesterol is 6.8 mmol/L. Which of the following cardiac lesions is she most likely to have?

1. Tuberculous Pericarditis
2. Mitral Valve Prolapse
3. Left Atrial Myxoma
4. Ischemic Cardiomyopathy
5. Cardiac Amyloidosis

ANSWER is 3 - Atrial Myxoma

Atrial Myxomas are found more often in the left side of Heart. They are benign but they can embolize small portions of themselves or thrombus formed on their surface. 

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Cardiology MCQs -Transmyocardial Revascularization ?

A 50 -year-old male with Type 2 DM and Ischaemic Heart Disease was browsing the Internet! He asks your opinion on Laser Transmyocardial Revascularisation. Which of the following statements regarding this technique is true?

1. This Procedure Avoids the need for Major Surgery
2. It can Damages the Endocardium
3. It can involve the Destruction of Coronary Stenoses
4. This technique is used severe proximal CAD
5. It can stimulate Collateral Vessel Formation

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Atrial Fibrillation ? (MRCP)

A female comes to the emergency with atrial fibrillation and later she is reverted back to  sinus rhythm. Under which one of the following conditions, the patient more likely to remain in sinus rhythm?

1. Age of the Patient more than 80 years 
2. Patient is on Warfarin
3. Size of Left Atrium more than 6 cm on ECHO
4. Short history of Atrial Fibrillation 
5. ventricular rate on presentation of 140 beats per minute

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