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  1. Exercise ecg Test.

***) All of the following are contraindications of exercise electrocardiography, except:

  1. Recent myocardial infarction

  2. Unstable angina

  3. Diagnosis of chest pain

  4. Uncompensated heart failure

  5. Malignant hypertension

Answer: C* Diagnosis of chest pain

  1. Cardiac Anatomy.

***) The heart chamber that is situated most posterior is the:

  1. Right atrium

  2. Right ventricle

  3. Left atrium

  4. Left ventricle

  5. A+D

Answer: C* Left atrium

  1. Cardiovascular Drugs.

  1. Beta-blockers.

***) Indications for the use of Beta-blockers include all of the following, except:

  1. Hypothyroidism

  2. Angina

  3. Hypertension

  4. After myocardial infarction

  5. Congestive heart failure

Answer: A* Hypothyroidism

***) Indications for the use of Beta-blockers include all of the following, except:

  1. Hypertension

  2. Ischemic heart disease

  3. Migraine

  4. Bronchial asthma

  5. Anxiety

Answer: D* Bronchial asthma

***) Side effects of propranolol include all of the following, except:

  1. Cold extremities

  2. Depression

  3. Nightmares

  4. Bronchospasm

  5. Tremors

Answer: E* Tremors

  1. Digoxin.

***) The treatment of digitalis-induced arrhythmia may include all of the following, except:

  1. Withdrawal of digitalis

  2. Phenytoin administration

  3. Calcium gluconate administration

  4. Potassium supplements

  5. Xylocaine administration

Answer: E* Xylocaine administration

***) All of the following are side effects of digoxin therapy, except:

  1. Nausea and vomiting

  2. Yellow vision

  3. AV block

  4. Ventricular extrasystole

  5. Insomnia

Answer: E* Insomnia

  1. Ace inhibitors.

***) All of the following are side effects of ACE-inhibitors, except: Q2012

  1. Hypokalemia

  2. Angioneurotic edema

  3. Hyperkalemia

  4. Dry cough

  5. Hypotension

Answer: A* Hypokalemia

  1. Cardiac Diseases and Conditions.

  1. Angina Pectoris.

***) A 65 year old male, presented complaining of retrosternal chest pain of 4 months duration, the pain precipitated with walking uphill, last 5 minutes, relieved with rest. Clinical examination was normal, and electrocardiogram was normal sinus rhythm. The most likely diagnosis is:

  1. Stable angina pectoris

  2. Unstable angina

  3. Chronic pericarditis

  4. Musculoskeletal

  5. Reflux esophagitis

Answer: A* Stable angina pectoris

***) Which of the following drug is useful in the treatment of angina pectoris:

  1. Salbutamol

  2. Propranolol

  3. Digoxin

  4. Quinidine

  5. Phenytoin

Answer: B* Propranolol

  1. Acute Coronary Syndrome (acs).

***) 50 years old male presented with 1 hour retrosternal chest pain, BP 85/62, JVP is 10 cm, ECG shows 3 mm ST elevation in II, III, aVF and ST depression in V1, V4, and troponin is negative. The most likely diagnosis is: Q2012

  1. Unstable angina

  2. Stable angina

  3. Anterior wall MI

  4. Inferior wall and right ventricular MI

  5. Stroke

Answer: D* Inferior wall and right ventricular MI

***) All the following can cause false positive troponin except: Q2012

  1. Septic shock

  2. Pulmonary embolism

  3. Pulmonary edema

  4. Uncontrolled HTN

  5. Renal failure

Answer: D* Uncontrolled HTN

***) All the following can cause increased in troponin except: Q2012

  1. Pulmonary edema

  2. MI

  3. Pneumonia

  4. Congestive heart failure

  5. Myocarditis

Answer: C* Pneumonia

***) All the following are features of metabolic syndrome except: Q2012

  1. BP over than 135/85

  2. LDL over than 160

  3. FBS over than 110

  4. HDL less than 50 in females

  5. Waist circumference over than 40 inches in males

Answer: B* LDL over than 160

***) Risk factors for ischemic heart disease include all the following, except:

  1. Hypertension

  2. Smoking

  3. Obesity

  4. High cholesterol level

  5. High level of high density lipoproteins (HDL)

Answer: E* High level of high density lipoproteins (HDL)

***) Risk factors for ischemic heart disease include all the following, except:

  1. Excessive exercise

  2. Positive family history

  3. Cigarette smoking

  4. Hypertension

  5. Hyperlipidemia

Answer: A* Excessive exercise

***) Major risk factors for coronary artery disease include all the following except:

  1. Hypertension

  2. Smoking

  3. Male sex

  4. Elevated low density lipoprotein level (LDL)

  5. Elevated high density lipoprotein level (HDL)

Answer: E* Elevated high density lipoprotein level (HDL)

***) All of the following are risk factors for coronary artery disease, except:

  1. Hyperlipoproteinemia

  2. Diabetes mellitus

  3. Hypertension

  4. Obesity

  5. Diet rich in polyunsaturated fats

Answer: E* Diet rich in polyunsaturated fats

***) The prognosis of myocardial infarction is adversely affected by all of the following, except: