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Pericardial Disease

মোট প্রশ্ন১৪এই পাতা১৪প্রতি পাতা১০০
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Pericardial Disease

PrepBank · পাতা ১ / ১ · ১–১৪ / ১৪

১.
What is the specific indicator of acute pericarditis in ECG?
  1. ক
    ক) ST depression
  2. খ
    খ) ST elevation with upward concavity
  3. গ
    গ) ST elevation with upward convexity
  4. ঘ
    ঘ) PR interval depression
ব্যাখ্যা
Reference: Davidson 23rd , Page : 542
Explanation : Specific indicator of acute pericarditis in ECG is PR interval depression .
২.
Cardiac tamponade causes which type of shock?
  1. ক
    ক) Hypovolaemic
  2. খ
    খ) Cardiogenic
  3. গ
    গ) Neurogenic
  4. ঘ
    ঘ) Obstructive
৩.
Definitive investigation for pericardial effusion is
  1. ক
    ECG
  2. খ
    Echocardiography
  3. গ
    CXR
  4. ঘ
    ETT
ব্যাখ্যা
Echocardiography is the definitive investigation and is helpful in monitoring the size of the effusion and its effect on cardiac function. The QRS voltages on the ECG are often reduced in the presence of a large effusion.
৪.
Which one is the most useful investigation for Cardiac tamponade?
  1. ক
    ECG
  2. খ
    CXR
  3. গ
    Echocardiography
  4. ঘ
    Cardiac MRI
ব্যাখ্যা
The pivotal investigation is echocardiography, which can confirm the diagnosis and also helps to identify the optimum site for aspiration of the fluid.
৫.
When ascites is out of proportion to peripheral edema, which of the following should be suspected?
  1. ক
    ক) Tricuspid regurgitation
  2. খ
    খ) Budd Chiari Syndrome
  3. গ
    গ) Constrictive pericarditis
  4. ঘ
    ঘ) Cirrhosis liver
ব্যাখ্যা
Constrictive pericarditis is a possibility when ascites is out of proportion to peripheral edema.
৬.
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.
৭.
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]
৮.
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.
৯.
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.
১০.
Clinical features of cardiac tamponade includes all except
  1. ক
    Dyspnoea
  2. খ
    Hypertension
  3. গ
    Tachycardia
  4. ঘ
    Collapse
১১.
Common cause of acute pericarditis?
  1. ক
    ক) Viral
  2. খ
    খ) Bacterial
  3. গ
    গ) Post MI
  4. ঘ
    ঘ) ARF
১২.
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]
১৩.
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
১৪.
Most common cause of pericardial effusion
  1. ক
    ক) Staphylococcus
  2. খ
    খ) Streptococcus
  3. গ
    গ) Viral
  4. ঘ
    ঘ) TB