14. Mitral Valve Disease.

***) Rheumatic heart disease affects most commonly one of the following:

1. Pulmonary valve

2. Aortic valve

3. Mitral valve

4. Tricuspid valve

5. Aortic and tricuspid valve

Answer: C* Mitral valve

***) Signs of mitral stenosis include all of the following, except:

1. Loud first heart sound

2. Wide pulse pressure

3. Opening snap

4. Pre-systolic murmur

5. Rumbling mid-diastolic murmur

Answer: B* Wide pulse pressure

15. Aortic Valve Disease.

***) All of the following about aortic stenosis are true, except:

1. May be of rheumatic origin

2. Causes sudden death

3. May present as angina of effort

4. Causes wide pulse pressure

5. Causes left ventricular hypertrophy

Answer: D* Causes wide pulse pressure

***) In aortic stenosis all of the following are true, except:

1. Causes fainting attacks

2. Angina is a common symptom

3. The second heart sound is quite

4. There is often previous history of syphilis

5. Sudden death may occur

Answer: D* There is often previous history of syphilis

***) Signs of aortic regurgitation include all of the following, except:

1. Capillary pulsation in the nail beds

2. Head nodding

3. High-pitched early diastolic murmur

4. Pistol shot femoral pulses

5. Small volume pulse (slow-rising pulse)

Answer: E* Small volume pulse (slow-rising pulse)

***) Signs of aortic regurgitation include all of the following, except:

1. Wide pulse pressure

2. Early diastolic blowing murmur

3. Pulsus paradoxus

4. Left ventricular impulse

5. Pistol shot femoral pulses

Answer: C* Pulsus paradoxus

16. Infective Endocarditis.

***) The site of endocarditis in drug abusers is: Q2012

1. Mitral valve

2. Tricuspid valve

3. Aortic valve

4. ASD

5. SA node

Answer: B* Tricuspid valve

***) The most common organism in infective endocarditis is:

1. Streptococcus fecalis

2. Staphylococcus aureus

3. Staphylococcus epidermis

4. Streptococcus viridans

5. Candida albicans

Answer: D* Streptococcus viridans

***) All of the following are features of infective endocarditis, except:

1. Clubbing

2. Hepatomegaly

3. Anemia

4. Osler's nodes

5. Splinter hemorrhages

Answer: B* Hepatomegaly

***) All of the following are recognized finding in infective endocarditis, except:

1. Hematuria

2. Changing murmur

3. Koilonychia

4. Osler's node

5. Splenomegaly

Answer: C* Koilonychia

***) Clinical features of subacute bacterial endocarditis (SBE) may include all of the following, except:

1. Anemia

2. Splenomegaly

3. Low grade fever

4. General weakness

5. Anorexia

Answer: C* Low grade fever

***) The following physical signs can be found on examination of the hands of a patient with infective endocarditis, except:

1. Erythema marginatum

2. Osler's nodules

3. Splinter hemorrhage

4. Clubbing of the fingers

5. Janeway lesion

Answer: A* Erythema marginatum

***) All of the following are important aspects in the prevention of subacute bacterial endocarditis in patients with ventricular septal defect, except:

1. The general condition of teeth

2. The use of antibiotics for dental extraction

3. The use of antibiotics for tonsillectomy

4. Early use of antibiotics for bacterial infections of the respiratory tract

5. Monthly injections of long acting penicillin

Answer: E* Monthly injections of long acting penicillin