Saturday, February 25, 2012

Solved paper of MEDICINE -Congenital Heart Diseases

1. Persistent ductus arteriosus, which one is not a clinical sign/symptom?

a. Growth maybe reterted

b. dysponea is the 1st symptom

c. mechinary murmur

d. right to left shunt at infancy may lead to rise pulmonary artery pressure

e. ECG alters in all cases



2. Regarding coarctation of Aorta which one is incorrect ?



a. A diastolic murmur is usualy heard posteriorly

b. Femoral pulse is weaker

c. MRI is ideal for demostrating the lesion

d. The ECG may show left venticular hypertrphy

e. Headches may occur from hypertension



3. Death may occur from Coarctation of Aorta if left untreated not likely due to ?

a. Left venticular failure

b. Aortic dissection

c. Cerebral hemorrahge

d. Sudden Cardiac death


4. Following all are Tetralogy fallot's clinical sign/symptoms except ?



a. Right to left shunt

b. loud ejection systolic murmur

c. cynosis, digital clubbing

d. Anemia

e. Polycythemia



5. BOOT-shaped heart is seen in which of the following disorder?

a. Coarctation of aorta
b. Tetralogy fallot
c. Venttcular septal defect
d. PDA
e. none of above

6. Most effective single investigation test for Tetralogy fallot is ?

a. ECG
b. Cardiac markers
c. Echocardiography
d. CPC
e. MRI

7. what happens in Ebstein's anomaly ?

a. Tricuspid valve is dysplastic and displaced
b. Aorta arises from RV
c. Aorta arises from both of RV and LV
d. Absent Tricuspid orifice
e. Pulmonary artery hypoplastic

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