লগ ইননিবন্ধন
বিষয়সমূহ

PrepBank · বিষয়ভিত্তিক প্রশ্ন

Cardiovascular System

মোট প্রশ্ন২২৫এই পাতা২৫প্রতি পাতা১০০
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Cardiovascular System

PrepBank · পাতা ৩ / ৩ · ২০১–২২৫ / ২২৫

২০১.
Which of the following is the pivotal investigation for infective endocarditis?
  1. ক
    ক) Echocardiography
  2. খ
    খ) ECG
  3. গ
    গ) ETT
  4. ঘ
    ঘ) Blood culture
ব্যাখ্যা
Explanation: Blood culture is the pivotal investigation to identify the organism that is the cause of the infection and to guide antibiotic therapy.
২০২.
Which enzyme breaks down ANP & BNP?
  1. ক
    ক) Adenosine
  2. খ
    খ) Bradykinin
  3. গ
    গ) Neprilysin
  4. ঘ
    ঘ) Endothelin 1
ব্যাখ্যা
Reference: Davidson 23rd , Page : 447
Explanation : Neprilysin breaks down ANP , BNP & other proteins.
২০৩.
Collapsing pulse may be found in-
  1. ক
    Severe aortic stenosis
  2. খ
    Severe aortic regurgitation
  3. গ
    Mitral stenosis
  4. ঘ
    Mitral regurgitation
ব্যাখ্যা
Macleod's Clinical Examination
২০৪.
Which one of the following is the cornerstone of the diagnosis of acute myocardial infarction?
  1. ক
    ECG
  2. খ
    Echocardiography
  3. গ
    Troponin I
  4. ঘ
    Cardiac MRI
ব্যাখ্যা
Troponin I and troponin T are structural cardiac muscle proteins that are released during myocyte damage and necrosis, and represent the cornerstone of the diagnosis of acute myocardial infarction

Ref: Davidson P-393
২০৫.
Which of the following is the most common cause of sudden cardiac death in young athletes?
  1. ক
    Myocardial infarction
  2. খ
    Hypertrophic cardiomyopathy
  3. গ
    Aortic dissection
  4. ঘ
    Coronary artery disease
ব্যাখ্যা
Hypertrophic cardiomyopathy (HCM) is the most common cause of sudden cardiac death in young athletes. Davidson explains that in HCM, abnormal thickening of the heart muscle, particularly the interventricular septum, can obstruct blood flow and predispose to fatal arrhythmias. Harrison emphasises the importance of screening athletes with family histories of sudden cardiac death or unexplained syncope for HCM.
২০৬.
Dopamine-depleting drug is
  1. ক
    OCP
  2. খ
    Methyldopa
  3. গ
    metoclopramide
  4. ঘ
    Antidepressants
২০৭.
Causes of RBBB excludes
  1. ক
    ক) PE
  2. খ
    খ) ASD
  3. গ
    গ) CAD
  4. ঘ
    ঘ) HTN
২০৮.
Acute coronary syndrome includes
  1. ক
    Unstable angina
  2. খ
    ST elevated MI
  3. গ
    NSTEMI
  4. ঘ
    All are true
ব্যাখ্যা
Acute coronary syndrome is a term that encompasses both unstable angina and myocardial infarction
২০৯.
Dorsalis pedis pulse is related to
  1. ক
    The tendon of extensor hallucis longus
  2. খ
    the medial malleolus
  3. গ
    the tibial tuberosity
  4. ঘ
    Femoral Artery
ব্যাখ্যা
Dorsalis pedis pulse
Using the pads of your middle three fingers, feel at the origin of the first web space just lateral to the tendon of extensor hallucis longus 
২১০.
Which drug causes sinus bradycardia?
  1. ক
    Salbutamol
  2. খ
    Verapamil
  3. গ
    Amlodipine
  4. ঘ
    All
২১১.
Pansystolic murmur
  1. ক
    ক) VSD
  2. খ
    খ) ASD
  3. গ
    গ) PDA
  4. ঘ
    ঘ) TOF
২১২.
Features of right heart failure excludes
  1. ক
    Raised JVP
  2. খ
    Hepatomegaly
  3. গ
    Cardiomegaly
  4. ঘ
    Ascites
ব্যাখ্যা
Reference: Davidson 23rd; P-463
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
২১৩.
Physiological cause of bradycardia is?
  1. ক
    ক) MI
  2. খ
    খ) Athletes
  3. গ
    গ) Hypothermia
  4. ঘ
    ঘ) Hypothyroidism
ব্যাখ্যা
Explanation:
২১৪.
Normal systolic Blood pressure is..
  1. ক
    ক) < 120 mmHg
  2. খ
    খ) < 130 mmHg
  3. গ
    গ) 120-139 mmHg
  4. ঘ
    ঘ) 130-139 mmHg
ব্যাখ্যা
Explanation
২১৫.
Which of the following feature is closely related to Right heart failure?
  1. ক
    ক) Pleural effusions
  2. খ
    খ) Pulmonary oedema
  3. গ
    গ) Cardiomegaly
  4. ঘ
    ঘ) Peripheral pitting oedema
ব্যাখ্যা
Explanation: see question no: 5
২১৬.
Vessels used in coronary artery bypass grafting except
  1. ক
    Internal mammary artery
  2. খ
    Radial artery
  3. গ
    Saphenous vein
  4. ঘ
    Brachial artery
ব্যাখ্যা
Reference: Davidson 23rd; P-491
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
২১৭.
Goes along with AF in thyrotoxicosis?
  1. ক
    Occur in 10% of people with thyrotoxicis
  2. খ
    Cardioversion is 1st line treatment
  3. গ
    Respond to BB
  4. ঘ
    Respond to Digoxin
২১৮.
Most common cause of coronary artery disease is?
  1. ক
    Atherosclerosis
  2. খ
    Aortitis
  3. গ
    Vasculitis
  4. ঘ
    Autoimmune connective tissue diseases.
ব্যাখ্যা
In the vast majority of patients, CAD is caused by atherosclerosis but rarely it can occur as the result of aortitis, vasculitis and autoimmune connective tissue diseases
২১৯.
1st line investigation of a patient with sudden severe chest pain is
  1. ক
    CXR
  2. খ
    12 Lead ECG
  3. গ
    Echocardiography
  4. ঘ
    Troponin I
ব্যাখ্যা
The standard 12-lead ECG is central to confirming the diagnosis and deciding immediate management of ACS Patients
২২০.
What is the most common cause of aortic aneurysm?
  1. ক
    ক) Hyperlipidaemia
  2. খ
    খ) Atherosclerosis
  3. গ
    গ) Hypertension
  4. ঘ
    ঘ) Diabetes Mellitus
ব্যাখ্যা
Reference: Davidson 23rd , Page : 505
Explanation : The most common cause of aortic aneurysm is atherosclerosis.
২২১.
Physiological cause of Sinus bradycardia is?
  1. ক
    ক) Hypothermia
  2. খ
    খ) Hypothyroidism
  3. গ
    গ) Athletes
  4. ঘ
    ঘ) Cholestatic jaundice
ব্যাখ্যা
Explanation: All are the causes of bradycardia, Option A, B, D are pathological cause.
২২২.
Antihypertensive indicated for isolated systolic hypertension is
  1. ক
    Losartan
  2. খ
    Amlodipine
  3. গ
    Frusemide
  4. ঘ
    Ramipril
ব্যাখ্যা
Isolated systolic hypertension: 
1. Calcium channel blockers (dihydropyridine)
2. Thiazides or thiazide-like diuretics
২২৩.
Features of ventricular tachycardia
  1. ক
    Atrioventricular dissociation
  2. খ
    Very broad QRS complex
  3. গ
    Capture/fusion beats
  4. ঘ
    All are true
২২৪.
Antihypertensive contraindicated in gout
  1. ক
    ক) Thiazide
  2. খ
    খ) ARB
  3. গ
    গ) CCB
  4. ঘ
    ঘ) Beta blocker
ব্যাখ্যা
Reference: Davidson 23rd; P-514
২২৫.
Painless MI may occurs in
  1. ক
    Young people
  2. খ
    BA
  3. গ
    COPD
  4. ঘ
    DM
ব্যাখ্যা
Chest pain at rest is the cardinal symptom of MI but breathlessness, vomiting and collapse are also common features. Painless or ‘silent’ MI may also occur and is particularly common in older patients or those with diabetes mellitus