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Cardiovascular System- Internal Medicine 3rd Year PMU

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Cardiovascular System- Internal Medicine 3rd Year PMU
Med Student
Quiz por Med Student , atualizado more than 1 year ago
Med Student
Criado por Med Student quase 6 anos atrás
1948
22
0

Resumo de Recurso

Questão 1

Questão
The upper relative heart border is found
Responda
  • Along the lower margin of I rib
  • Along the lower margin of II rib
  • Along the lower margin of III rib

Questão 2

Questão
The right absolute heart border is found
Responda
  • Along the right sternal margin
  • Along the left sternal margin
  • Along linea mediana anterior

Questão 3

Questão
Which are the components of S1
Responda
  • Closure of mitral and tricuspid valves, isometric ventricular contraction, vibrations of chordae tendineae
  • Closure of aortic and pulmonary valves
  • Opening of mitral and tricuspid valves

Questão 4

Questão
Which statements, referring to SI and 52 are correct
Responda
  • S1 is systolic and is louder on the apex, S2 is diastolic and is louder on the basis of the heart
  • S2 coincides with the beginning of the carotid pulse wave
  • Simultaneous weakening of 5 1 and 52 is found in myocarditis andexudative pericarditis

Questão 5

Questão
Which statements, referring Io the gallop rhythm are correct
Responda
  • S3 is a protodiastolic gallop rhythm
  • S4 is presystolic
  • S4 might be heart in children i n and young people till 30 years of age

Questão 6

Questão
Features of pericardial friction rub are
Responda
  • Heard best on the basis of the heart, does not vanish during apnoea
  • Auscultated best over the absolute heart dullness, it is not influenced by respiration and does not vanish during apnoea
  • Auscultated during systole and diastole, stronger in systole

Questão 7

Questão
Pericardial friction rub is heard
Responda
  • During systole
  • During diastole
  • During both phases

Questão 8

Questão
Pulsus defitiens is established in
Responda
  • Peripheral vasculitis
  • High frequent atrial fibrillation
  • Shock

Questão 9

Questão
Pulsus celer is defected in
Responda
  • Graves' disease
  • Mitral regurgitation
  • Aortic regurgitation

Questão 10

Questão
Pulsus parvus, tardus et rarus is detected
Responda
  • Aortic stenosis
  • Aortic regurgitation
  • Mitral stenosis

Questão 11

Questão
Pulsus celer, altus, magnus et frequens is met in
Responda
  • Aortic stenosis
  • Aortic regurgitation
  • Mitral regurgitation

Questão 12

Questão
Which statements, referring to atrial fibrillation are correct
Responda
  • Pulse deficit might be palpated
  • Ectopic atrial rhythm is concerned, atrial systole rate 350-600/min. ECG criteria: lack of p waves, absolute irregular RR intervals, f waves are replacing the isoline
  • Atrial ectopic regular rhythm with atrial rate 250-350/min. ECG criteria lack of p waves, regular RR intervals, F saw-like waves, replacing the isoline

Questão 13

Questão
In atrial fibrillation the auscultated heart activity is
Responda
  • Rhythmic
  • Arrhythmic
  • Variable, depending on the presence of a constant or transitory AV block

Questão 14

Questão
Which are the typical physical findings in a patient with mitral stenosis
Responda
  • On inspection facies hectica is observed
  • Apex cordis is shifted to the left in V intercostals space, due to dilated right ventricle; accentuated S1 and diastolic rolling murmur are heard on auscultation
  • Weak S1 and a systolic murmur are auscultated

Questão 15

Questão
In which valve disease diastolic fremissement is palpated
Responda
  • Mitral stenosis
  • Mitral regurgitation
  • Aortic stenosis

Questão 16

Questão
In mitral stenosis on the apex one can auscultate
Responda
  • Diastolic rolling murmur, propagating to the left armpit
  • Diastolic rolling: murmur that does not propagate
  • Systolic murmur

Questão 17

Questão
In mitral regurgitation on the apex one can auscultate
Responda
  • Diastolic rolling murmur without any propagation
  • Pansystolic murmur, propagating to the left armpit
  • Presystolic murmur

Questão 18

Questão
Sound of mitral opening is typical for
Responda
  • Mitral stenosis
  • Mitral regurgitation
  • Aortic stenosis

Questão 19

Questão
Mitral stenosis is accepted when the mitral valve orifice is under
Responda
  • 5 cm
  • 3 cm
  • 1 cm

Questão 20

Questão
Ictus cordis is dilated to left and downwards (in V1 or VII intercostals) in
Responda
  • Mitral stenosis
  • Mitral regurgitation
  • Exudative pleuritis

Questão 21

Questão
Which heart disease is presented by a functional diastolic murmur in the left intercostals (Graham-Steel murmur)
Responda
  • Mitral stenosis
  • Chronic constrictive pericarditis
  • Aortic regurgitation

Questão 22

Questão
Auscultatory findings in mitral regurgitation are
Responda
  • Weaker S1
  • Systolic murmur on the apex with axilar propagation
  • Diastolic murmur on the apex without propagation

Questão 23

Questão
Austin-Flint murmur is
Responda
  • Functional diastolic, due to relative mitral stenosis in organic aortic regurgitation
  • Functional systolic, due to relative mitral regurgitation in organic aortic regurgitation
  • Organic diastolic in aortic regurgitation

Questão 24

Questão
The continuous (systolic-diastolic) Duroziers murmur over the femoral artery is auscultated i
Responda
  • Mitral stenosis
  • Aortic stenosis
  • Aortic regurgitation

Questão 25

Questão
Carey-Coombs murmur is
Responda
  • Systolic in relative mitral stenosis
  • Middiaatolic in relative mitral stenosis
  • Diastolic in organic mitral stenosis

Questão 26

Questão
Which are the typical physical findings in patients with aortic stenosis
Responda
  • Ictus cordis is shifted to the left ; diastolic murmur on the apex
  • Systolic murmur on the apex, propagating to the left armpit
  • Ictus cordis is dilated to left and downwards, systolic rough murmur on aortic valve, propagating to the carotids

Questão 27

Questão
Where is punctum maximum of the diastolic murmur in aortic regurgitation
Responda
  • Aortic place-II right intercostals
  • Botkin-Erb point
  • Ictus cordis

Questão 28

Questão
Which valve disease is presented by a rough systolic murmur with p. max. In II right intercostals, propagating to the carotids
Responda
  • Mitral regurgitation
  • Aortic regurgitation
  • Aortic stenosis

Questão 29

Questão
In aortic regurgitation is auscultated
Responda
  • Accentuated S2, systolic murmur on aortic place
  • Weak A2, diastolic murmur with p. max. on Erb point
  • Apical systolic murmur

Questão 30

Questão
In aortic regurgitation the second sound (A2) is
Responda
  • Accentuated
  • Normal
  • Weaker

Questão 31

Questão
Musset's sign is met in
Responda
  • Mitral regurgitation
  • Aortic regurgitation
  • Aortic stenosis

Questão 32

Questão
Muller's sign is
Responda
  • Systolic pulsation of the uvula in organic aortic regurgitation
  • Nodding of the head synchronous with the heart contractions in organic aortic regurgitation
  • Loud systolic and diastolic sounds over the femoral artery in organic aortic regurgitation

Questão 33

Questão
Which statements, referring to stable angina are correct
Responda
  • Newly appeared retrosternal pain in like tale 48h and/or at rest
  • Retrosternal pain, lasting 15-30 min, whose severity, provoking and relieving factors have worsened in the last week
  • Retrosternal pain, lasting 3-15 min, relieved by rest and nitroglycerin intake. Its severity, duration, provoking factors have remained stable during the last month

Questão 34

Questão
The duration of pain in myocardial infarction is
Responda
  • A few seconds
  • Up to 15 minutes
  • Over 30 min

Questão 35

Questão
Manifestations of right ventricle heart failure are
Responda
  • Orthopnoea
  • Gravitation oedemata
  • Hepatomegaly

Questão 36

Questão
Manifestations of left ventricle heart failure are
Responda
  • Cardiac asthma
  • Gravitation oedemata
  • Pulmonary oedema

Questão 37

Questão
Rheumatic fever is characterized by
Responda
  • Reactive poststreptococcal arthritis without any damage of other organs
  • Migratory polyarthritis is present without late joint deformities; carditis is often met, leading to a chronic valve disease
  • Chronic erosive arthritis is present, accompanied by high fever

Questão 38

Questão
Erythema marginatum is met in
Responda
  • Mitral stenosis
  • Chronic constrictive pericarditis
  • Rheumatic fever

Questão 39

Questão
Migratory poly arthritis, carditis, erythema marginatum, chorea minor, subcutaneous nodules are major criteria for
Responda
  • Infectious endocarditis
  • Rheumatic fever
  • Rheumatoid arthritis

Questão 40

Questão
In myocarditis are present
Responda
  • Sound of mitral opening (opening snap)
  • Tachycardia
  • Gallop rhythm

Questão 41

Questão
Which characteristics of the normal ECG are valid
Responda
  • PQ duration is 0.12-0.20 sec
  • QRS complex reflects ventricular depolarization on and lasts up to 0.15 sec
  • p wave reflects atrial depolarization, it is positive in I, II and negative in avR leads, its duration is 0.11 sec and its amplitude is 2.5 mm

Questão 42

Questão
In ECG with paper speed 25 mm/sec, 1mm in horizontal direction lasts
Responda
  • 0.04 sec
  • 0.02 sec
  • 0.03 sec

Questão 43

Questão
ECG criteria of atrial fibrillation are
Responda
  • Lack of p waves, wide, deformed QRS, changes in repolarisation
  • F waves of fibrillation, deformed, wide QRS, changes in repolarization
  • Lack of p waves, irregular RR intervals; f waves are present

Questão 44

Questão
Which part of the ECG is prolonged in AV block
Responda
  • QRS complex
  • P wave
  • PQ interval

Questão 45

Questão
In left bundle branch block wide and deformed QRS complex is met in
Responda
  • I, aVL, V5, V6
  • I, III, V3
  • III, aVF, V1

Questão 46

Questão
P mitrale is
Responda
  • Reflects hypertrophy and dilatation of the right atrium, its height is 2.5 mm and above
  • Reflects hypertrophy and dilatation of the right atrium, its height is 2.5 mm and abovephy and dilatation of the left atrium, it is wide with two peaks and lasts over 0. 11 sec
  • Reflects left atrium hypertrophy, its height is 2. 5 mm and above paper speed 25 mm/sec) 1 mm in horizontal direction

Questão 47

Questão
Right ECG type is present in
Responda
  • Mitral stenosis
  • Arterial hypertension
  • Aortic regurgitation

Questão 48

Questão
Which heart disease is presented by Pardee wave
Responda
  • Mitral stenosis
  • Acute myocardial infarction
  • Aortic regurgitation

Questão 49

Questão
Prolonged PQ interval is met in
Responda
  • AV block I grade
  • Liver cirrhosis
  • Rheumatic fever

Questão 50

Questão
Wider than 0.04 sec, deep Q wave is typical for
Responda
  • Acute myocardial infarction
  • Acute myocarditis
  • Arterial hypertension

Questão 51

Questão
Heart function in complete AV block is
Responda
  • Slow and rhythmic
  • Slow and arrhythmic
  • Fast and rhythmic

Questão 52

Questão
ECG changes in unstable angina are met in
Responda
  • p wave
  • QRS complex
  • ST segment and T wave

Questão 53

Questão
Which diagnostic methods are used for diagnosing suspected coronaryartery disease (CAD)
Responda
  • ECG
  • Coronarography
  • Mediastinoscopy

Questão 54

Questão
Which diagnostic techniques are used to prove infectious endocarditis
Responda
  • Haemocultures
  • Transthoracic echocardiography
  • Transoesophageal echocardiography

Questão 55

Questão
On facial chest radiography the right heart border is formed by
Responda
  • Right atrium and right ventricle
  • Right atrium and vena cava superior
  • Right atrium, aortic arch and right ventricle

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