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Cardiovascular System

মোট প্রশ্ন২২৫এই পাতা১০০প্রতি পাতা১০০
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Cardiovascular System

PrepBank · পাতা ২ / ৩ · ১০১–২০০ / ২২৫

১০১.
Irregular QRS complexes and absent P waves in 12 leads ECG suggests
  1. ক
    AMI
  2. খ
    AF
  3. গ
    SVT
  4. ঘ
    VT
ব্যাখ্যা
During episodes of AF, the atria beat rapidly but in an uncoordinated and ineffective manner. The ventricles are activated irregularly at a rate determined by conduction through the AV node. This produces the characteristic ‘irregularly irregular’ pulse. The ECG shows normal but irregular QRS complexes; there are no P waves.
১০২.
The dominant symptom of MS
  1. ক
    ক) Chest pain
  2. খ
    খ) Cough
  3. গ
    গ) Effort related dyspnoea
  4. ঘ
    ঘ) Palpitation
ব্যাখ্যা
Reference: Davidson 23rd; P-518
১০৩.
All are the following condition causes AF, except
  1. ক
    Hypertension
  2. খ
    Hyperthyroidism
  3. গ
    Hypothyroidism
  4. ঘ
    Alcohol
১০৪.
How many chamber in the heart?
  1. ক
    ক) 2
  2. খ
    খ) 4
  3. গ
    গ) 3
  4. ঘ
    ঘ) 5
ব্যাখ্যা
Explanation: Four chamber. Right & left atrium. Right & left ventricle
১০৫.
ST elevation with upward concavity & PR interval depression in ECG suggests
  1. ক
    Acute myocardial infraction
  2. খ
    Heart failure
  3. গ
    Acute pericarditis
  4. ঘ
    Cardiac tamponade
ব্যাখ্যা
The diagnosis can often be made on the basis of clinical features and the ECG; the latter shows ST elevation with upward concavity over the affected area, which may be widespread. PR interval depression is a very specific indicator of acute pericarditis.
১০৬.
Characteristic ECG wave in hypothermia
  1. ক
    ক) S
  2. খ
    খ) Delta
  3. গ
    গ) J
  4. ঘ
    ঘ) F
১০৭.
Cannon waves in JVP is seen in-
  1. ক
    Pericardial effusion
  2. খ
    Atrial brillation
  3. গ
    Complete heart blocK
  4. ঘ
    Tricuspid stenosis
ব্যাখ্যা
MacLeod's Clinical Examination, Page 59
১০৮.
Which anti-hypertensive is contraindicated in pregnancy?
  1. ক
    ক) Amlodipine
  2. খ
    খ) Ramipril
  3. গ
    গ) Verapamil
  4. ঘ
    ঘ) Atenolol
ব্যাখ্যা
Explanation: ACE inhibitors & ARB are contraindicated in pregnancy
১০৯.
Nail change in infective endocarditis
  1. ক
    ক) Beau’s line
  2. খ
    খ) Lindsay’s nails
  3. গ
    গ) Muehrcke’s lines
  4. ঘ
    ঘ) Splinter haemorrhage
১১০.
Minor manifestations of rheumatic fever is
  1. ক
    Erythema marginatum
  2. খ
    Arthralgia
  3. গ
    Carditis
  4. ঘ
    Leukopenia
১১১.
Third heart sound is physiologically found in
  1. ক
    Anemia
  2. খ
    Pregnancy
  3. গ
    Thyrotoxicosis
  4. ঘ
    Fever
ব্যাখ্যা
Physiological third heart sound: young people, pregnancy
Pathologicalthird heart sound: heart failure, mitral regurgitation
১১২.
First step of management of acute heart failure is ‘Sit the patient up’, why this step is taken for?
  1. ক
    ক) Reduces preload
  2. খ
    খ) Reduces afterload
  3. গ
    গ) Combats fluid overload
  4. ঘ
    ঘ) Corrects hypoxia
১১৩.
Clinical features of cardiac tamponade excludes
  1. ক
    Pulsus paradoxus
  2. খ
    Kussmaul’s sign
  3. গ
    Gross elevation of JVP
  4. ঘ
    Hepatomegaly
ব্যাখ্যা
Reference: Davidson 23rd; P-544
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১১৪.
ECG finding in TCA poisoning is..
  1. ক
    ক) Narrow QRS complex
  2. খ
    খ) Broad QRS complex
  3. গ
    গ) ST elevation
  4. ঘ
    ঘ) ST depression
১১৫.
Pansystolic murmur is found in
  1. ক
    MS
  2. খ
    MR
  3. গ
    AS
  4. ঘ
    AR
১১৬.
Which condition should be suspected in a patient with unexplained right heart failure and a small heart ?
  1. ক
    ক) Rrstrictive cardiomyopathy
  2. খ
    খ) Chronic constrictive pericarditis
  3. গ
    গ) Acute pericarditis
  4. ঘ
    ঘ) Cardiac tamponade
ব্যাখ্যা
Reference: Davidson 23rd , Page : 543
Explanation : chronic constrictive pericarditis is sometimes overlooked but should be suspected in any patient with unexplained right heart failure and a small heart.
Differential diagnosis of small heart : Chronic constrictive pericarditis,Addison’s disease, Starvation.
১১৭.
Which of the following conditions is most likely to present with pulsus paradoxus?
  1. ক
    Aortic stenosis
  2. খ
    Cardiac tamponade
  3. গ
    Pulmonary embolism
  4. ঘ
    Atrial fibrillation
ব্যাখ্যা
Pulsus paradoxus, a decrease in systolic blood pressure of more than 10 mmHg during inspiration, is a classic finding in cardiac tamponade. Davidson explains that in tamponade, fluid accumulation in the pericardium compresses the heart, reducing ventricular filling during inspiration and leading to a drop in blood pressure. Harrison adds that pulsus paradoxus can be detected by palpating the pulse or measuring blood pressure during the respiratory cycle.
১১৮.
Antihypertensive contraindicated in gout
  1. ক
    Thiazide
  2. খ
    ARB
  3. গ
    CCB
  4. ঘ
    Beta blocker
ব্যাখ্যা
Reference: Davidson 23rd; P-514
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১১৯.
Which of the following is an antiplatelet drug?
  1. ক
    ক) Warfarin
  2. খ
    খ) Ticagrelor
  3. গ
    গ) Rivaroxaban
  4. ঘ
    ঘ) Heparin
ব্যাখ্যা
Explanation: Ticagrelor is an antiplatelet drug. Warfarin, Rivaroxaban, Heparin are anticoagulants
১২০.
Which one is the most important modifiable risk factor of coronary artery disease?
  1. ক
    Smoking
  2. খ
    Alcohol
  3. গ
    Obesity
  4. ঘ
    Physical inactivity
ব্যাখ্যা
There is a strong relationship between cigarette smoking and CAD, especially in younger (< 70 years) individuals, and this is the most important modifiable risk factor.
১২১.
Which scoring system is used for assessment of bleeding risk in patients receiving oral anticoagulation ?
  1. ক
    ক) Ranson score
  2. খ
    খ) CHA2DS2-VASc
  3. গ
    গ) HAS-BLED
  4. ঘ
    ঘ) Blatchford score
ব্যাখ্যা
Reference: Davidson 23rd , Page : 473 , Box : 16.24
১২২.
Cause of pansystolic murmur-
  1. ক
    Mitral valve prolapse
  2. খ
    Patent ductus arteriosus
  3. গ
    Tricuspid regurgitation
  4. ঘ
    Pulmonary regurgitation
ব্যাখ্যা
Macleod's Clinical Examination
১২৩.
QRS complex of 12 lead ECG represents which of the following?
  1. ক
    ক) atrial depolarization
  2. খ
    খ) atrial repolarization
  3. গ
    গ) ventricular depolarization
  4. ঘ
    ঘ) ventricular repolarization
১২৪.
Which one is the most common cause of sudden cardiac death in the young?
  1. ক
    Dilated cardiomyopathy
  2. খ
    Acute coronary syndrome
  3. গ
    Hypertrophic obstructive cardiomyopathy
  4. ঘ
    Acute pericarditis
ব্যাখ্যা
HOCM is the most common cause of sudden cardiac death in the young. 
Always consider HOCM in sudden death & unusual collapse in young person
১২৫.
CVS cause of haemoptysis is
  1. ক
    ক) AMI
  2. খ
    খ) Right heart failure
  3. গ
    গ) Mitral stenosis
  4. ঘ
    ঘ) unstable angina
১২৬.
Example of autosomal dominant condition-
  1. ক
    Brugada syndrome
  2. খ
    Cystic fibrosis
  3. গ
    Pendred syndrome
  4. ঘ
    Alport syndrome
১২৭.
Which of the following drugs should be avoided while managing hypertension in acute aortic dissection?
  1. ক
    ক) Labetalol
  2. খ
    খ) Sodium nitroprusside
  3. গ
    গ) Hydralazine
  4. ঘ
    ঘ) Verapamil
ব্যাখ্যা
For acute dissection, parenteral beta-adrenergic blockers (IV propranolol, metoprolol, labetalol or esmolol) should be administered to achieve a heart rate of ~60 beats/min. Sodium nitroprusside infusion is used to lower SBP to <120 mmHg. Verapamil, diltiazem or enalaprilat may be used parenterally. Isolated use of direct vasodilators like diazoxide and hydralazine is contraindicated because these agents can increase hydraulic shear and may propagate dissection.
১২৮.
A patient with severe chest pain for 30 minutes, waht will be the most initial investigation?
  1. ক
    ক) Echocardiography
  2. খ
    খ) Excercise ECG
  3. গ
    গ) 12-lead ECG
  4. ঘ
    ঘ) Troponin I
ব্যাখ্যা
Explanation: 12-lead ECG is the initial investigation for acute onset chest pain.
১২৯.
Chest pain on exertion suggests
  1. ক
    MI
  2. খ
    Coronary artery disease
  3. গ
    Angina pectoris
  4. ঘ
    Unstable angina
ব্যাখ্যা
Chest pain on exertion suggests angina pectoris. The reproducibility, predictability and relationship to physical exertion (and occasionally emotion) of the chest pain are the most important features.
১৩০.
P wave of 12 lead ECG indicates
  1. ক
    Atrial depolarisation
  2. খ
    Ventricular depolarisation
  3. গ
    Atrial repolarisation
  4. ঘ
    Ventricular repolarisation
১৩১.
Pivotal investigation in infective endocarditis
  1. ক
    ক) ECG
  2. খ
    খ) Echocardiography
  3. গ
    গ) Blood culture
  4. ঘ
    ঘ) CXR
ব্যাখ্যা
Reference: Davidson 23rd; P-530
১৩২.
Clinical features of cardiac tamponade includes all except
  1. ক
    Dyspnoea
  2. খ
    Hypertension
  3. গ
    Tachycardia
  4. ঘ
    Collapse
১৩৩.
Most common risk factor of aortic dissection?
  1. ক
    ক) HTN
  2. খ
    খ) DM
  3. গ
    গ) Atherosclerosis
  4. ঘ
    ঘ) Coarctation
১৩৪.
Common cause of acute pericarditis?
  1. ক
    ক) Viral
  2. খ
    খ) Bacterial
  3. গ
    গ) Post MI
  4. ঘ
    ঘ) ARF
১৩৫.
Differential cyanosis is best related to?
  1. ক
    ক) ASD
  2. খ
    খ) VSD
  3. গ
    গ) Patent ductus arteriosus
  4. ঘ
    ঘ) Tetralogy of Fallot
ব্যাখ্যা
In PDA, severe pulmonary vascular disease results in reversal of flow through ductus thereby unoxygenated blood is shunted to descending aorta leading to cyanosis and clubbing of the toes, but not fingers. This is called differential cyanosis.
১৩৬.
Which is the Investigations in peripheral arterial disease ?
  1. ক
    Duplex ultrasound
  2. খ
    Magnetic resonance imaging
  3. গ
    Angiography
  4. ঘ
    All
১৩৭.
Which one is the most common cause of aortic dissection?
  1. ক
    HTN
  2. খ
    Atherosclerosis
  3. গ
    Marfan syndrome
  4. ঘ
    Pregnancy
১৩৮.
What is the most important modifiable risk factor for coronary artery disease?
  1. ক
    ক) Age and sex
  2. খ
    খ) Alcohol
  3. গ
    গ) Smoking
  4. ঘ
    ঘ) Hypertension
ব্যাখ্যা
Explanation: smoking is probably the most important modifiable risk factor.
১৩৯.
Definitive investigation for pericardial effusion
  1. ক
    ECG
  2. খ
    Echocardiography
  3. গ
    Blood culture
  4. ঘ
    CXR
ব্যাখ্যা
Reference: Davidson 23rd; P-543
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১৪০.
Acute coronary syndrome almost always occurs in patients who have which of the following condition?
  1. ক
    ক) DM
  2. খ
    খ) HTN
  3. গ
    গ) Vulvular heart disease
  4. ঘ
    ঘ) Atherosclerosis
ব্যাখ্যা
Explanation: Acute coronary syndrome almost always occurs in patients who have atherosclerosis, The culprit lesion.
১৪১.
When multiple drug treatments do not give adequate control of BP, it is called
  1. ক
    Malignant hypertension
  2. খ
    Reactive hypertension
  3. গ
    Refractory hypertension
  4. ঘ
    Resistant hypertension
ব্যাখ্যা
Refractory hypertension refers to the situation where multiple drug treatments do not give adequate control of BP. Although this may be due to genuine resistance to therapy in some cases, a more common cause of treatment failure is non-adherence to drug therapy.
১৪২.
Pathological causes of trachcardia is..
  1. ক
    ক) Exercise
  2. খ
    খ) Emotion
  3. গ
    গ) Fever
  4. ঘ
    ঘ) Pregnancy
ব্যাখ্যা
Explanation: see question no: 7
১৪৩.
Features of recovery period of cardiac syncope-
  1. ক
    Lightheadedness
  2. খ
    Flushing
  3. গ
    Prolonged delirium
  4. ঘ
    Headache
১৪৪.
Upper left sternal border is the best side for hearing which heart sound
  1. ক
    S1
  2. খ
    S2
  3. গ
    S3
  4. ঘ
    S4
১৪৫.
Which forms a conduction barrier between atria & ventricle?
  1. ক
    ক) Bundle of His
  2. খ
    খ) Annulus fibrosus
  3. গ
    গ) Purkinje fiber
  4. ঘ
    ঘ) Papillary muscle
১৪৬.
Which antihypertensive is contraindicated in pregnancy?
  1. ক
    ক) β-blockers
  2. খ
    খ) ACE inhibitors
  3. গ
    গ) Calcium channel blockers
  4. ঘ
    ঘ) All above
ব্যাখ্যা
Reference: Davidson 23rd, Box-16.72
১৪৭.
Which of the following is the hallmark of angina pectoris?
  1. ক
    ক) Chest pain on rest
  2. খ
    খ) chest pain on effort
  3. গ
    গ) Palpitation
  4. ঘ
    ঘ) Breathlessness
ব্যাখ্যা
Explanation: Chest pain on effort is the hallmark of angina pectoris
১৪৮.
Which one is the minor criteria of rheumatic fever?
  1. ক
    ক) Carditis
  2. খ
    খ) Arthralgia
  3. গ
    গ) Chorea
  4. ঘ
    ঘ) Erythema marginatum
১৪৯.
Flame-shaped or blot haemorrhages and ‘cotton wool’ exudates are the features of which grade of hyepertensive retinopathy?
  1. ক
    ক) 1
  2. খ
    খ) 2
  3. গ
    গ) 3
  4. ঘ
    ঘ) 4
১৫০.
Which of the following is the first-line treatment for hypertensive emergency?
  1. ক
    Labetalol
  2. খ
    Nifedipine
  3. গ
    Amlodipine
  4. ঘ
    Furosemide
ব্যাখ্যা
Labetalol, a combined alpha- and beta-blocker, is commonly used in hypertensive emergencies to rapidly lower blood pressure. Davidson explains that hypertensive emergencies require immediate reduction of blood pressure to prevent organ damage, and labetalol is effective due to its rapid onset and short half-life. Harrison emphasizes that intravenous administration is preferred in emergencies, and care must be taken to avoid an excessive drop in blood pressure.
১৫১.
A continuous machinery murmur is found in
  1. ক
    MR
  2. খ
    AS
  3. গ
    PDA
  4. ঘ
    TOF
ব্যাখ্যা
Continuous murmurs
These result from a combination of systolic and diastolic flow, such as occurs with a persistent ductus arteriosus, and must be distinguished from extracardiac noises such as bruits from arterial shunts, venous hums (high rates of venous flow in children) and pericardial friction rubs
১৫২.
Echocardiography is commonly indicated for assessment of function of
  1. ক
    ক) RA
  2. খ
    খ) RV
  3. গ
    গ) LA
  4. ঘ
    ঘ) LV
১৫৩.
Feature of jugular venous pulsation-
  1. ক
    One peak per heart beat
  2. খ
    Rapid outward movement
  3. গ
    Palpable
  4. ঘ
    Rises with abdominal pressure
ব্যাখ্যা
MacLeod's Clinical Examination, Page 57
১৫৪.
Which one of the following is the most common cause of sudden arrhythmic death?
  1. ক
    Mitral stenosis
  2. খ
    Congenital Heart disease
  3. গ
    Coronary artery disease
  4. ঘ
    Hypertrophic cardiomyopathy
১৫৫.
Which antihypertensive is contraindicated in pregnancy ?
  1. ক
    Amlodipine
  2. খ
    Methyldopa
  3. গ
    Losartan
  4. ঘ
    Bisoprolol
ব্যাখ্যা
ACE inhibitor and ARB are contraindicated 

Davidson Box: 16.72
১৫৬.
in which grade murmur can be heard without sthethoscope?
  1. ক
    3
  2. খ
    4
  3. গ
    5
  4. ঘ
    6
১৫৭.
Antihypertensive contraindicated in gout
  1. ক
    ক) Thiazide
  2. খ
    খ) ARB
  3. গ
    গ) Beta blocker
  4. ঘ
    ঘ) Alpha blocker
ব্যাখ্যা
Reference: Davidson 23rd; P-514
১৫৮.
Altered colour vision is associated with toxicity of
  1. ক
    ক) Digoxin
  2. খ
    খ) Amiodarone
  3. গ
    গ) Verapamil
  4. ঘ
    ঘ) ACEi
ব্যাখ্যা
Reference: Davidson 23rd; P-482
১৫৯.
Tetralogy of Fallot comprises all except
  1. ক
    Aortic stenosis
  2. খ
    Overriding aorta
  3. গ
    Ventricular septal defect
  4. ঘ
    Right ventricular hypertrophy
১৬০.
Which of the following is the preferred investigation for vulvular heat disease?
  1. ক
    ক) Echocardiography
  2. খ
    খ) ECG
  3. গ
    গ) ETT
  4. ঘ
    ঘ) CT chest
ব্যাখ্যা
Explanation: Echocardiography is a pivotal investigation for vulvular heat disease
১৬১.
Which can causes both tachycardia & bradycardia?
  1. ক
    ক) TCAs
  2. খ
    খ) Digoxin
  3. গ
    গ) CCB
  4. ঘ
    ঘ) OPC
ব্যাখ্যা
Reference: Davidson 23rd; P-133
১৬২.
According to Canadian Cardiovascular Society: functional classification of stable angina include --------------grade
  1. ক
    3
  2. খ
    4
  3. গ
    5
  4. ঘ
    6
১৬৩.
Slow rising carotid pulse is the characteristic feature of
  1. ক
    MS
  2. খ
    MR
  3. গ
    AS
  4. ঘ
    AR
১৬৪.
Pivotal investigation in infective endocarditis is
  1. ক
    ECG
  2. খ
    CXR
  3. গ
    Echocardiography
  4. ঘ
    Blood culture
ব্যাখ্যা
Blood culture is the pivotal investigation to identify the organism that is the cause of the infection and to guide antibiotic therapy. Three to six sets of blood cultures should be taken prior to commencing therapy and should not wait for episodes of pyrexia. Echocardiography is key for detecting and following the progress of vegetations, for assessing valve damage and for detecting abscess formation
১৬৫.
All of the following endocrine diseases causes HTN except
  1. ক
    Hypothyroidism
  2. খ
    Hyperthyroidism
  3. গ
    Acromegaly
  4. ঘ
    Addison's disease
১৬৬.
Night sweats is a clinical feature of which of the following condition?
  1. ক
    ক) Infective endocarditis
  2. খ
    খ) Heart failure
  3. গ
    গ) Cardiac temponade
  4. ঘ
    ঘ) Enteric fever
ব্যাখ্যা
Explanation: Night sweats is common in TB & infective endocarditis
১৬৭.
Collapsing pulse is found in-
  1. ক
    Severe aortic stenosis
  2. খ
    Severe aortic regurgitation
  3. গ
    Congestive cardiac failure
  4. ঘ
    Myocarditis
ব্যাখ্যা
Macleod's Clinical Examination, Page- 54
১৬৮.
Diastolic murmur found in
  1. ক
    AS
  2. খ
    VSD
  3. গ
    TR
  4. ঘ
    MR
১৬৯.
Altered colour vision is associated with toxicity of
  1. ক
    ক) GTN
  2. খ
    খ) Digoxin
  3. গ
    গ) Amiodarone
  4. ঘ
    ঘ) Verapamil
ব্যাখ্যা
Reference: Davidson 23rd; P-482
১৭০.
Giant V wave in JVP is found in which of the following condition?
  1. ক
    ক) AF
  2. খ
    খ) TR
  3. গ
    গ) CHB
  4. ঘ
    ঘ) HF
ব্যাখ্যা
Explanation: Tricuspid regurgitation produces giant v waves that coincide with ventricular systole. Davidson 23rd, P-443
১৭১.
Giant V wave is found in
  1. ক
    ক) Tricuspid stenosis
  2. খ
    খ) Tricuspid regurgitation
  3. গ
    গ) Aortic stenosis
  4. ঘ
    ঘ) Aortic regurgitation
ব্যাখ্যা
Reference: Davidson 23rd , Page : 443, Box : 5
১৭২.
Effects of adenosine is greatly potentiated by
  1. ক
    ক) Digoxin
  2. খ
    খ) Dipyridamole
  3. গ
    গ) Theophylline
  4. ঘ
    ঘ) Nicorandil
ব্যাখ্যা
Reference: Davidson 23rd , Page : 482
Explanation : Adenosine effects are greatly potentiated by dipyridamole and inhibited by theophylline.
১৭৩.
JVP waveforms reflect pressure changes in which of the following cardiac chambers?
  1. ক
    ক) Right atrium
  2. খ
    খ) Right ventricle
  3. গ
    গ) Left atrium
  4. ঘ
    ঘ) Left ventricle
ব্যাখ্যা
JVP reflects phasic pressure changes in right atrium and consists of a, c and v positive waves and x and y negative waves.
১৭৪.
Which of the following condition causes Ventricular inflow obstruction?
  1. ক
    Hypertension
  2. খ
    AS
  3. গ
    AR
  4. ঘ
    MS
১৭৫.
Which of the following is the most common symptom attributable to pulmonary hypertension ?
  1. ক
    ক) Fatigue
  2. খ
    খ) Exertional dyspnea
  3. গ
    গ) Syncope
  4. ঘ
    ঘ) Peripheral edema
ব্যাখ্যা
Most common symptom attributable to pulmonary hypertension is exertional dyspnea. Other symptoms are fatigue, angina pectoris (RV ischemia), syncope, near syncope & peripheral edema.
১৭৬.
Relative contraindications to thrombolytic therapy of a patient of AMI?
  1. ক
    HTN
  2. খ
    Recent surgery (within 3 month)
  3. গ
    Previous history of Peptic Ulcer disease
  4. ঘ
    Pregnancy
১৭৭.
A continuous machinery murmur is found in
  1. ক
    ক) ASD
  2. খ
    খ) VSD
  3. গ
    গ) PDA
  4. ঘ
    ঘ) TOF
ব্যাখ্যা
Reference: Davidson 23rd; P-533
১৭৮.
Murmur in MS
  1. ক
    ক) Ejection systolic
  2. খ
    খ) Pan systolic
  3. গ
    গ) Early diastolic
  4. ঘ
    ঘ) Mid diastolic
১৭৯.
Ideal time for taking antihypertensive drug is?
  1. ক
    ক) Once at night
  2. খ
    খ) Once in the morning
  3. গ
    গ) With food
  4. ঘ
    ঘ) When required
ব্যাখ্যা
Explanation: Blood pressure is higher during the daytime
১৮০.
Which type of murmur found in mitral regurgitation?
  1. ক
    Ejection systolic
  2. খ
    Pansystolic
  3. গ
    Early diastolic
  4. ঘ
    Mid diastolic
ব্যাখ্যা
Pansystolic murmur heard best at apex and left sternal edge (diaphragm), radiates to axilla
১৮১.
Measurement of NT-proBNP are indicated for diagnosis of
  1. ক
    ক) LA dysfunction
  2. খ
    খ) LV dysfunction
  3. গ
    গ) RA dysfunction
  4. ঘ
    ঘ) RV dysfunction
১৮২.
What is the most powerful independent risk factor for atherosclerosis?
  1. ক
    ক) Hypertension
  2. খ
    খ) Genetics
  3. গ
    গ) Age
  4. ঘ
    ঘ) Smoking
ব্যাখ্যা
Reference: Davidson 23rd , Page : 486
Explanation : Age is the most powerful independent risk factor for atherosclerosis.
১৮৩.
Which is the most effective drug currently available for controlling paroxysmal atrial fibrillation?
  1. ক
    ক) Sotalol
  2. খ
    খ) Flecainide
  3. গ
    গ) Amiodarone
  4. ঘ
    ঘ) Digoxin
ব্যাখ্যা
Reference: Davidson 23rd , Page : 481
Explanation : Amiodarone is probably the most effective drug currently available for controlling paroxysmal AF.
১৮৪.
Which one is the major criteria for diagnosis of rheumatic fever?
  1. ক
    Fever
  2. খ
    Raised ESR
  3. গ
    Polyarthritis
  4. ঘ
    Leukocytosis
১৮৫.
Absent a wave in JVP is found in which of the following condition?
  1. ক
    ক) Tricuspid regurgitation
  2. খ
    খ) Atrial fibrillation
  3. গ
    গ) ASD
  4. ঘ
    ঘ) VSD
ব্যাখ্যা
Explanation: Absent a wave in JVP is found in Atrial fibrillation, Tricuspid regurgitation produces giant v waves
১৮৬.
What is the initial investigation for a patient with sudden severe chest pain?
  1. ক
    ক) Echo
  2. খ
    খ) ETT
  3. গ
    গ) ECG
  4. ঘ
    ঘ) X-ray
ব্যাখ্যা
Explanation: ECG is the initial investigation for a patient with sudden severe chest pain
১৮৭.
Right atrial pressure is reflected by-
  1. ক
    Cardiac output
  2. খ
    Central venous pressure
  3. গ
    Pulmonary artery capillary wedge pressure
  4. ঘ
    Transpulmonary gradient
১৮৮.
Fixed splitting (unaffected by respiration) of S2 is found in
  1. ক
    ASD
  2. খ
    VSD
  3. গ
    Thyrotoxicosis
  4. ঘ
    Hypertrophic cardiomyopathy
১৮৯.
which of the following is a feature of LVF?
  1. ক
    ক) Hepatomegaly
  2. খ
    খ) Ascites
  3. গ
    গ) Pulmonary oedema
  4. ঘ
    ঘ) Peripheral oedema
১৯০.
Most common congenital cardiac malformation?
  1. ক
    ক) ASD
  2. খ
    খ) VSD
  3. গ
    গ) TOF
  4. ঘ
    ঘ) PDA
১৯১.
Specialised investigation of hypertension is
  1. ক
    Urine RME
  2. খ
    12 lead ECG
  3. গ
    Thyroid function test
  4. ঘ
    CXR
১৯২.
faeture of a wave in JVP
  1. ক
    corresponds to right atrial contraction
  2. খ
    corresponds to left atrial contraction
  3. গ
    occurs just after the first heart sound
  4. ঘ
    occurs just after the 2nd heart sound
ব্যাখ্যা
The ‘a’ wave corresponds to right atrial contraction and occurs just before the first heart sound.
In atrial fibrillation the ‘a’ wave is absent.

Macleod 14th/52
১৯৩.
What is the most common major manifestation of rheumatic fever?
  1. ক
    ক) Carditis
  2. খ
    খ) Arthritis
  3. গ
    গ) Subcutaneous nodules
  4. ঘ
    ঘ) Fever
ব্যাখ্যা
Reference: Davidson 23rd , Page : 516
Explanation : The most common major manifestation of rheumatic fever is arthritis.
১৯৪.
Anti-arrhythmic acting on SA node excludes
  1. ক
    ক) Atropine
  2. খ
    খ) Verapamil
  3. গ
    গ) Lidocaine
  4. ঘ
    ঘ) Diltiazem
১৯৫.
ST elevation with upward concavity & PR interval depression in ECG suggests
  1. ক
    ক) Cardiac tamponade
  2. খ
    খ) Acute pericarditis
  3. গ
    গ) Acute myocarditis
  4. ঘ
    ঘ) Infective endocarditis
ব্যাখ্যা
Reference: Davidson 23rd; P-542
১৯৬.
Most common cause of pericardial effusion
  1. ক
    ক) Staphylococcus
  2. খ
    খ) Streptococcus
  3. গ
    গ) Viral
  4. ঘ
    ঘ) TB
১৯৭.
Angiotensin II doesn’t work by
  1. ক
    By Decreasing The Sensitivity Of The Baroreflex
  2. খ
    By Decreasing The Secretion Of Vasopressin (ADH) And ACTH
  3. গ
    Rise In Systolic And Diastolic Blood Pressure.
  4. ঘ
    Constriction Of Efferent Arteriole
১৯৮.
Acute coronary syndrome includes all of the following, except...
  1. ক
    ক) Unstable angina
  2. খ
    খ) Stable angina
  3. গ
    গ) ST elevated MI
  4. ঘ
    ঘ) Non ST elevated MI
ব্যাখ্যা
Explanation: Acute coronary syndrome is a term that encompasses both unstable angina and myocardial infarction
১৯৯.
Haemodynamic effect of expiration-
  1. ক
    Pulse accelerates
  2. খ
    JVP falls
  3. গ
    Systolic BP rises
  4. ঘ
    Second heart sound spluts
ব্যাখ্যা
Macleod's Clinical Examination
২০০.
Signs of vagal activation during acute coronary syndrome
  1. ক
    Hypotension
  2. খ
    Tachycardia
  3. গ
    Vomiting
  4. ঘ
    Sweating