Cardiology AMC
1. Which of the following is the least likely characteristic of
pulmonary embolism?a. Decreased second heart soundb. tachycardiac.
dyspnead. pleural rube. bronchial breath sound
2. 56 year old pacific islander, male, presents with ventricular
failure, BP 148/96, edema, enlarged liver, hr 56, JVP extremely
high, abdomen distension. What is the most likely diagnosis?a. ca
lung with secondaries in liver and svc obstructionb. alcoholic hep
cirhosisc. constrictive pericarditis with previous tb esposured.
budd chiari syndromee. inferior venacaval obstruction
3. a. ascitesb. digitalix toxiccityc. hypokalemiad. mesenteric
embolisme. hepatic congestion
4. a. CXRb. EKGC. full blodd countd. respiratory function teste.
ct scan of chest
5. history of COAD, what is the cause for RHFa. increase PaCO2b.
Decrease paO2c. increase work of breathing
6. you are working at ED, a patient with hx of heart disease,
p/w chest pain increasing in severity, what is true?a. if ecg
normal no trombolitikb. iv heparin not indicatedc. no need for ecg
monitoringd. immediate stress test
7. a patient with history of MI and AF, family doctors have
tried adenosine, verapamil, and also digoxin 0.125 mg daily now p/w
irregular heart rate 90/min palpitation, otherwise well, what would
you do to minimize the complicationa. check digoxin level, if
sub-therapeutic, increase the doseb. do echo to check for mitral
stenosis complicated AFc. digoxin and adenosined. start
anticoagulant
8. patient with AF p/w WFW syndrome what s the best
management?a. verapamilb. digoxinc. beta blockerd. captoprile. DC
cardioversion
9. what drug cause decrease gradient of HOCM?a. verapamilb.
furosemide
10.
11. a. aortic valve stenosisb. complete heart blockc.
hypertensiond. heart failuree. myocardial infarction
12. a. cardiac failureb. tension pneumothoraxc. hypovolemic
shokd. cardiac tamponadee. vasovagal syncope
13. ace inhibitors are the 1st line of treatment in all of the
following excepta. aortic stenosisb. essential hypertensionc. left
anterior infarctiond. congestive heart failuree. diastolic
hypertension
14. a. multiple ventricular ectopic beatsb. WPW syndromec.
atrial fibrilationd. sinus tachycardiae. myocardial infarction
15. a. left bundle branch blockb. pulmo embolismc. acute
inferior myocardial infarctiond. acute anterior myocardial
infaction
16. A. CardioversionB. TPAc. lidocained. amiodaronee.
verapamil
17.
a. she has ischaemic heart diseaseb.. right ventricular
hypertrophy with RBBBc. she has WPW syndromed. RBBB is diagnostic
of pulmo embolisme. ECG has evidence of digoxin toxicity
18. a. 2nd degree heart blockb. ventricular tachycardiac. atrial
fibrilationd. LBBB
19. a. increase ramipril to 10 mg ODb. prescribe nicotin
patchesc. add diuretic to ramiprild. stop ramipril and substitue
with diuretice. sprionolactone
soal amc 2008
20.
21. 22.
soal amc 2009
23. a. ecg with VTb. ECG with 1st heart blockc. ecg with VESd.
ECG with atrial fibrilaion
24. what is the diagnosis
25. a. verapamilb. diureticc. acei
26. a. furosemid, diclofenac, ramiprilb. slow k, atenolol,
diclofenacc. slow k, ramipril, atenolol
27.
28. opening snap indicates:a. mitral valve mobilityb. atrial
fibrilation causes disappearance of the opening snapc. replaces
s3d. best heard at 2nd right icse. remains unaltered despite
progesion of the disease
29. a. LV ejection fractionb. LV end diastolic pressurec.
cardiac outputd. LV hypertrophye. LV sistolic pressure
30. a. aspirinb. ace ic. beta blockerd. nifedipine.
streptokinase
31. a. holter monitorb. echocardiogramc. suess testd. bp in
supine n lying downe. ct scan
32. abcde
33.
a. CXRb. ECGc. Echod. usge. CT pulmo angiogram
34. 35. a. digoxinb. prozocia?c/ gtn patchd. b blocke.
spironolactone
36.
37.
38. a. AMIb. VTc. HEART BLOCKd. ectopic
39.
40. a. another shock with 360 joulesb. iv adrenalinec. iv
atropined. iv lidocainee. mouth to mouth resus
41. a. inverted t waveb. peaked t wave with prolong prc.
presence of u waved. wide qrse. ventricular arit
42. a. 2nd left icsb. lower left sternal borderc. apexd. right
lower sternal bordere. mid axilary line
43. a. MIb. pUlmo embolismc. infective endocarditisd. heart
failure