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Heart Failure

মোট প্রশ্ন২৯এই পাতা২৯প্রতি পাতা১০০
প্রশ্ন দেখুনঅনুশীলন
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Heart Failure

PrepBank · পাতা ১ / ১ · ১–২৯ / ২৯

১.
Cause of heart failure due to increased metabolic and cardiac demand
  1. ক
    Myocardial infarction
  2. খ
    Paget’s disease
  3. গ
    Left ventricular hypertrophy
  4. ঘ
    Dilated cardiomyopathy
ব্যাখ্যা
Ref: Macleod's Clinical Examination
২.
Feature of left heart failure
  1. ক
    ক) Cardiomegaly
  2. খ
    খ) Hepatomegaly
  3. গ
    গ) Ascites
  4. ঘ
    ঘ) Splenomegaly
৩.
Altered colour vision is associated with toxicity of
  1. ক
    GTN
  2. খ
    Digoxin
  3. গ
    Amiodarone
  4. ঘ
    Verapamil
ব্যাখ্যা
Reference: Davidson 23rd; P-482
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৪.
Diastolic dysfunction occurs in
  1. ক
    MI
  2. খ
    Thyrotoxicosis
  3. গ
    DCM
  4. ঘ
    Restrictive Cardiomyopathy
৫.
Feature suggesting of acute left ventricular failure is?
  1. ক
    Raised JVP
  2. খ
    Peripheral Oedema
  3. গ
    Pulmonary oedema
  4. ঘ
    Hepatomegaly
৬.
Which of the following is the primary treatment for acute decompensated heart failure?
  1. ক
    Beta-blockers
  2. খ
    Digoxin
  3. গ
    Diuretics
  4. ঘ
    ACE inhibitors
ব্যাখ্যা
Diuretics, particularly loop diuretics like furosemide, are the first-line treatment for acute decompensated heart failure (ADHF) to relieve fluid overload. Davidson notes that diuretics reduce pulmonary congestion and improve symptoms of breathlessness and edema. Harrison emphasizes that while ACE inhibitors and beta-blockers are important in chronic heart failure, diuretics are crucial for acute management to quickly reduce volume overload.
৭.
Sputum of pulmonary oedema isn’t
  1. ক
    ক) Serous
  2. খ
    খ) Frothy
  3. গ
    গ) Pink
  4. ঘ
    ঘ) Mucopurulent
ব্যাখ্যা
Reference: Davidson 23rd; P-546
৮.
Breathlessness with orthopnoea suggests
  1. ক
    ক) ALVF
  2. খ
    খ) CCF
  3. গ
    গ) COPD
  4. ঘ
    ঘ) Br asthma
৯.
Soft first heart sound is found in which of the following condition?
  1. ক
    ক) Pregnancy
  2. খ
    খ) Thyrotoxicosis
  3. গ
    গ) Heart failure
  4. ঘ
    ঘ) Mitral stenosis
১০.
Which of the following feature is closely related to left heart failure?
  1. ক
    ক) Raised JVP
  2. খ
    খ) Ascites
  3. গ
    গ) Hepatomegaly
  4. ঘ
    ঘ) Pulmonary oedema
ব্যাখ্যা
Explanation:
১১.
Sudden death in patient with heart failure is most probably due to
  1. ক
    Atrial fibrillation
  2. খ
    Ventricular fibrillation
  3. গ
    Thromboembolism
  4. ঘ
    Hypokalemia
ব্যাখ্যা
Reference: Davidson 23rd; P-464
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১২.
Physiological cause of third heart sound is
  1. ক
    ক) heart failure
  2. খ
    খ) mitral regurgitation
  3. গ
    গ) Pregnancy
  4. ঘ
    ঘ) AMI
ব্যাখ্যা
Explanation: Some added sounds are physiological but may also occur in pathological conditions; for example, a third sound is common in young people and in pregnancy but is also a feature of heart failure
Davidson 23rd, Box-16.8
১৩.
Which one of the following is the feature of right heart failure?
  1. ক
    ক) Cardiomegaly
  2. খ
    খ) Pulmonary oedema
  3. গ
    গ) Hepatomegaly
  4. ঘ
    ঘ) Pleural effusion
১৪.
Which one is the most appropriate in left heart failure?
  1. ক
    Ascites
  2. খ
    Pleural effusions
  3. গ
    Pitting edema
  4. ঘ
    Raised JVP
১৫.
Cause of heart failure due to increased metabolic demand-
  1. ক
    Myocardial infarction
  2. খ
    Diabetes mellitus
  3. গ
    Patent ductus arteriosus
  4. ঘ
    Paget’s disease
ব্যাখ্যা
Macleod's Clinical Examination, Page-46
১৬.
Soft first heart sound is found in
  1. ক
    Anemia
  2. খ
    Mitral stenosis
  3. গ
    Heart failure
  4. ঘ
    Pregnancy
ব্যাখ্যা
First Heart Sound: 
Loud: hyperdynamic circulation (anaemia, pregnancy, thyrotoxicosis); mitral stenosis
Soft: heart failure; mitral regurgitation
১৭.
Features of jugular venous pulsation-
  1. ক
    Palpable
  2. খ
    Independent of respiration
  3. গ
    One peak per heart beat
  4. ঘ
    Rises with abdominal pressure
ব্যাখ্যা
Macleod's Clinical Examination
১৮.
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
১৯.
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
২০.
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
২১.
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
২২.
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
২৩.
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
২৪.
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
২৫.
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
২৬.
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
২৭.
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.
২৮.
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]
২৯.
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