| Post Name | ASSISTANT PROFESSOR IN CARDIOLOGY- MEDICAL EDUCATION SERVICES |
|---|---|
| Question Paper Code | 002/2021/OL |
| Category Code | 011/2020 |
| Date of Test | 4 March 2021 |
| Medium of Question | ENGLISH |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
Myocardial bridging most commonly involves
Answer
A. LAD
2
TIMI risk score (NSTE-ACS) includes all the following except
Answer
D. Betablocker use within 30 days
3
Which of the following is implicated in the pathogenesis of Takotsubo cardiomyopathy ?
Answer
C. Epinephrine
4
Which of the following is most commonly associated with spontaneous coronary artery dissection ?
Answer
B. Fibromuscular dysplasia
5
Which one of the following echocardiographic finding is the strongest predictor of survival following STEMI ?
Answer
D. Left ventricular ejection fraction
6
All are true regarding free wall rupture of the ventricle following myocardial infarction except Occurs more often in
Answer
C. Inferior wall myocardial infarction
7
All the following atherosclerotic plaque characteristics indicate increased vulnerability to rupture except
Answer
C. Increased number of smooth muscle cells
8
Angiotensin II receptors of AT1 subtype is responsible for all the following actions except
Answer
D. Promotes endothelium dependent vasodilation
9
Ticagrelor affects which one of the following ?
Answer
D. ADP induced platelet aggregation
10
The most common benign pediatric cardiac tumour is
Answer
B. Rhabdomyoma
11
Most common site of fibroma affecting the heart is
Answer
C. Ventricle and interventricular septum
12
Which of the following physical finding may be seen in patients with left ventricular failure ?
Answer
A. Pulsusalternans
13
Right heart enlargement is usually not a feature of
Answer
D. Patent foramen ovale
14
Which of the following statements about Partial Anomalous Pulmonary Venous Return (PAPVR) is/are correct ? (i) Sinus venosus ASD is often associated with anomalous pulmonary veins (ii) PAPVR can lead to right heart enlargement and always results in pulmonary hypertension (iii) Upto 10% of secondum ASD may be associated with PAPVR (iv) Saline contrast echocardiography can easily identify PAPVR
Answer
C. Only (i), (iii) are correct
15
A ventricular septal defect is usually not associated with which of the following congenital heart diseases?
Answer
D. Partial AVSD
16
Square root sign in left ventricular pressure tracing is seen in (i) Constrictive pericarditis (ii) Restrictive cardiomyopathy (iii) Cardiac tamponade (iv) Left ventricular failure
Answer
A. (i) and (ii) are correct
17
Most specific finding of constrictive pericarditis is
Answer
B. Exaggerated ventricular interdependence
18
Echocardiographic findings suggestive of pericardial tamponade include all the following except
Answer
D. Reduced lateral mitral annular velocity
19
Annulus reversus is seen in which of the following condition?
Answer
B. Constrictive pericarditis
20
Which is the most important predictor of hemodynamic consequences of a pericardial effusion ?
Answer
C. Rate of accumulation
21
McConnell's sign is an echocardiographic manifestation of which of the following condition ?
Answer
C. Acute pulmonary embolism
22
Bidirectional ventricular tachycardia is a manifestation of which of the following conditions ?
Answer
D. CPVT
23
Which of the following is not a feature of metabolic syndrome ?
Answer
A. High HDL
24
In right atrial pressure tracing, X descent occurs during
Answer
A. Atrial diastole
25
All are true about short QT syndrome except
Answer
D. Hypocalcemia may mimic short QT syndrome
26
Cardiac events occurring during sleep or rest are associated with which of the following ?
Answer
C. LQT 3
27
Diverticula of the coronary sinus is associated with
Answer
B. Pre-excitation syndromes
28
Which of the following FFR values are considered hemodynamically significant ?
Answer
A. Less than 0.80
29
An anomalous left circumflex coronary artery from the right cusp is usually
Answer
A. Benign
30
In patients with acquired long QT syndrome and torsades de pointes which of the following is least likely to prevent recurrence?
Answer
D. Intravenous Amidarone
31
In HOCM post extrasystolic beat produces which of the following ?
Answer
C. Fall in aortic pressure
32
Kussmaul sign is associated with (i) constrictive pericarditis (ii) Restrictive cardiomyopathy (iii) Right ventricular infarction (iv) Pulmonary embolism
Answer
D. All of the above
33
The most common site of drainage of congenital coronary artery fistula is to
Answer
B. Right ventricle
34
In which of the following conditions the heart is most likely to be structurally normal ?
Answer
C. Situs inversus with dextrocardia
35
Which of the following additional abnormality is most commonly associated with Ebstein anomaly ?
Answer
C. PFO or ASD
36
Which of the following cardiac procedures can lead to protein-losing enteropathy ?
Answer
D. Fontan procedure
37
Congenital aneurysm of the sinus of valsalva arising in the non coronary sinus most often rupture into which chamber ?
Answer
B. Right atrium
38
Intensity of the click decreases with inspiration in which of the following conditions ?
Answer
B. Pulmonic valve stenosis
39
Which of the following is a reversible inhibitor of P2Y12 receptor ?
Answer
A. Ticagrelor
40
All the following statements are true about Arrhythmogenic right ventricular cardiomyopathy except
Answer
A. Epsilon wave is a very sensitive finding
41
Which of the following conditions is most commonly associated with development of complete heart block ?
Answer
D. Physiologically corrected TGA
42
Which of the following condition is the most common cause of sudden death in young athletes ?
Answer
B. Hypertrophic cardiomyopathy
43
Which of the following structure is seen in the parasternal long axis view of the echocardiogram ?
Answer
D. Descending thoracic aorta
44
Surasternal "Crab view" is good to visualise which of the following ?
Answer
D. Pulmonary veins
45
Which is correct regarding Tissue Doppler Imaging signals ?
Answer
C. TDI-low frequency
46
Which is the most common site of occurrence of Papillary fibroelastoma ?
Answer
B. Aortic valve
47
Which of the following finding is the most specific for the diagnosis of pericardial tamponade ?
Answer
C. Right ventricular diastolic collapse
48
Which of the following findings is not usually seen in acute mitral regurgitation ?
Answer
D. LA enlargement
49
Which statement is true regarding involvement of papillary muscle in coronary artery disease ?
Answer
A. Posteromedial papillary muscle is more frequently involved
50
Right coronary artery dominance is seen in approximately
Answer
A. 80%
51
Angiosarcoma involving the heart is predominantly found on the
Answer
A. Right side of the heart
52
Which of the following is the most common cause of cardiac metastasis ?
Answer
B. Lung cancer
53
In ARVC which of the following protein most likely has a defect in its gene coding ?
Answer
B. Plakoglobin
54
Which of the following is likely to increase the risk of anthracycline induced cardiomyopathy ?
Answer
D. Prior mediastinal radiation
55
Which of the following is not an ECG manifestation of Hyperkalemia ?
Answer
B. QT prolongation
56
Which of the following is not true regarding white coat hypertension ?
Answer
D. No effect on cardiovascular risk or all cause mortality
57
AIVR can be usually managed by
Answer
C. Continuous ECG monitoring
58
Which statement is/are true regarding lone AF ?
Answer
D. All of the above
59
In mitral valve prolapse which is true ?
Answer
A. With standing click and murmur move close to S1
60
All of the following are true in cholesterol embolism except
Answer
D. Absent pedal pulses
61
Following statements about oxygen saturation in a normal person are correct except
Answer
D. When cardiac output decreases venous oxygen saturation increases
62
Well trained athletes may have (i) First degree heart block (ii) Mobitz 1 second degree AV block (iii) Third degree AV block during sleep (iv) Positive tilt table test
Answer
D. All are correct
63
In which of the following men are more likely to be affected ?
Answer
B. Bicuspid aortic valve
64
Which of the following is among the most important determinants of mortality after aortic valve replacement ?
Answer
C. Depressed LVEF
65
Which among the following are identified as infectious agents in myocarditis ? (i) Adeno viruses (ii) Entero viruses (iii) Parvo viruses (iv) Influenza virus
Answer
D. All of the above
66
Cardiac hydatid cysts are most commonly located in
Answer
A. Interventricular septum or LV free wall
67
Which of the following is the most common ethanol induced arrhythmia ?
Answer
B. Atrial fibrillation
68
Which is correct about dobutamine in low doses ?
Answer
D. Increase in cardiac output and decrease in systemic vascular resistance
69
Which of the following is the most important risk factor for in hospital mortality among patients with acutely decompensated heart failure ?
Answer
C. Elevated serumcreatinine and blood urea
70
Which of the following is/are better to optimize stent expansion following stenting ?
Answer
C. Either IVUS or OCT
71
Which of the following is useful to reduce radiation exposure in cardiac catheterization laboratory ?
Answer
A. Reduce steep angulations
72
Which is preferred method of imaging for left heart structural interventions ?
Answer
B. Transesophageal echocardiography
73
Which of the following imaging modality can see 'behind' calcific plaques ?
Answer
B. OCT
74
Idarucizumab is used as a reversal agent for which of the following ?
Answer
D. Dabigatran
75
Which of the following is not correct regarding biological effects of X-ray exposure ?
Answer
B. Deterministic effects have no minimal threshold
76
Which of the following not correct regarding coronary artery dissection occurring during coronary angioplasty ?
Answer
A. Coronary angiography can easily distinguish true and false lumen
77
Which of the following medications should be avoided in patients receiving sildenafil ?
Answer
D. Nitroglycerin
78
Which of the following medication is best suited for a 65 year old male with anterior wall STEMI with BP of 80/40, heart rate 100 bpm who is planned for percutaneous coronary intervention ?
Answer
A. Dopamine
79
The following are true regarding acute coronary syndrome except
Answer
B. Spontaneous coronary artery dissection in majority of patients
80
Which of the following is not true regarding diastolic heart sounds ?
Answer
B. Pericardial knock is a low pitched early diastolic sound
81
Which of the following produce mid diastolic murmurs ? (i) Mitral stenosis (ii) Atrialmyxoma (iii) Acute rheumatic valvulitis (iv) Complete heart block
Answer
D. All are correct
82
Which of the following is not correct ?
Answer
C. The intensity of murmur of MR becomes louder in post premature beat
83
Which of the following is not associated with sudden cardiac death in hypertrophic cardiomyopathy ?
Answer
D. Sigmoid septum
84
Regarding Athlete's heart all are true except
Answer
D. Global longitudinal strain is below normal
85
In adults the most common cardiac tumor affecting the cardiac valves is
Answer
B. Papillary fibroelastoma
86
Echocardiographic description of a dumbbell-shaped mass in the inter atrial septum is classical of which of the following ?
Answer
A. Lipomatous hypertrophy of the inter atrial septum
87
Intracardiac Echocardiography (ICE) is used to guide which of the following procedures ? (i) Transseptal puncture (ii) Percutaneous closure of ASD (iii) Closure of PFO (iv) Electrophysiological procedures
Answer
D. All of the above
88
To match an FFR of 0.80 or less, the best iFRcutoff is
Answer
C. 0.89
89
Which of the following imaging modality has higher vessel wall penetration ?
Answer
A. IVUS
90
Which of the following is better to understand coronary plaque lipid burden ?
Answer
C. NIRS
91
Which of the following imaging modality is better for discriminating between red and white thrombus ?
Answer
B. OCT
92
The following is/are the cause of elevated natriuretic peptide values (i) Leftventricular systolic dysfunction (ii) Leftventricular diastolic dysfunction (iii) Constrictive pericarditis (iv) Hyperdynamic states including sepsis
Answer
D. All are correct
93
Which of the following is correct regarding Galectin 3 ?
Answer
B. Predicts adverse outcomes in heart failure
94
Which of the following statement is not correct regarding Levosimendan ?
Answer
B. Peripheral vasoconstriction
95
Which of the following is not correct regarding Omecamtiv mecarbil ?
Answer
C. Decrease systolic ejection time
96
Which of the following is the most common antecedent disease leading to HFpEF ?
Answer
A. Systolic hypertension
97
Which of the following E/e' values on echo-Doppler indicate elevated PCWP ?
Answer
A. Greater than 15
98
Which is the most significant adverse effect of ibutilide ?
Answer
B. QT prolongation related TdP
99
Which of the following statement is true regarding adenosine and ventricular tachycardia ?
Answer
B. May terminate VT of RVOT origin
100
A synchorised shock is used for all cardioversions except
Answer
D. Ventricular fibrillation
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