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Ischemic Heart Disease

মোট প্রশ্ন৩৭এই পাতা৩৭প্রতি পাতা১০০
ঘনত্ব
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উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Ischemic Heart Disease

PrepBank · পাতা / · ৩৭ / ৩৭

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Valuable 1st aid measure in unstable angina
  1. Sublingual GTN
  2. Morphine
  3. Oxygen
  4. PCI
ব্যাখ্যা
Reference: Davidson 23rd; P-500
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
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What is the earliest change in ECG in AMI?
  1. T inversion
  2. Pathological Q
  3. ST segment deviation
  4. Wide QRS complex
ব্যাখ্যা
The standard 12-lead ECG is central to confirming the diagnosis. The initial ECG may be normal or non-diagnostic in one-third of cases. Repeated ECGs are important, especially where the diagnosis is uncertain or the patient has recurrent or persistent symptoms. The earliest ECG change is usually ST-segment deviation.
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Coronary blood flow occurs mainly in
  1. Systole
  2. Diastole
  3. Isometric contraction
  4. Protodiastole
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Which form of GTN has longest duration of action?
  1. ক) Sublingual
  2. খ) Buccal
  3. গ) Transdermal
  4. ঘ) Oral
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Which of the following is a prominent feature of cardiac chest pain?
  1. ক) Sharp pain
  2. খ) Localized
  3. গ) Provoked by posture
  4. ঘ) Quick response to nitrates
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Which one is a common factors that precipitating angina?
  1. ক) Vivid dreams
  2. খ) Lying flat
  3. গ) Heavy meals
  4. ঘ) Hot weather
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Acute chest pain with nausea and sweating is seggestive of which of the following?
  1. ক) IHD
  2. খ) Acute myocardial infarction
  3. গ) Pulmonary embolism
  4. ঘ) Anxiety.
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Example of antiplatelet drug-
  1. Aspirin
  2. Warfarin
  3. Heparin
  4. Rivaroxaban
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Non cardio respiratory cause of elevated serum troponin?
  1. Pulmonary embolism
  2. Aortic dissection
  3. Pneumothorax
  4. Prolonged hypotension
১০.
Secondary prevention drug therapy for a myocardial infraction
  1. ক) Antiplatelet therapy
  2. খ) ACE inhibitor/ARB
  3. গ) Statin
  4. ঘ) All above
১১.
Which one of the following is coronary artery disease?
  1. Aortic stenosis
  2. Myocardial ischaemia
  3. Dilated cardiomyopathy
  4. WPW syndrome
১২.
ACS includes..
  1. ক) ST elevated MI
  2. খ) NSTMI
  3. গ) unstable angina
  4. ঘ) All above
ব্যাখ্যা
Explanation: Acute coronary syndrome is a term that encompasses both unstable angina and myocardial infarction
১৩.
Commonest cause of cardiogenic shock
  1. ক) AMI
  2. খ) DCM
  3. গ) SVT
  4. ঘ) AF
ব্যাখ্যা
Reference: Practical Manual in Clinical Medicine by ABM Abdullah Sir; P-797
১৪.
Nausea & vomiting are more in
  1. ক) Anterior MI
  2. খ) Inferior MI
  3. গ) Lateral MI
  4. ঘ) Posterior MI
১৫.
The earliest change in ECG of MI is
  1. ক) T inversion
  2. খ) ST deviation
  3. গ) Pathological Q
  4. ঘ) Tall T
ব্যাখ্যা
Reference: Davidson 23rd; P-496
১৬.
What is the sign of old MI in ECG?
  1. T inversion
  2. ST elevation
  3. Long QT interval
  4. Q waves
ব্যাখ্যা
Q waves May signify previous myocardial infarction
ST elevation may signify myocardial infarction, pericarditis or left ventricular aneurysm
ST depression may signify ischaemia or infarction
T-wave inversion has many causes, including myocardial ischaemia or infarction, and electrolyte disturbances
QT prolongation may occur with congenital long QT syndrome, low K+, Mg2+ or Ca2+, and some drugs
১৭.
Most common cause of angina pectoris is
  1. HTN
  2. AMI
  3. Atherosclerosis
  4. Acute pericarditis
ব্যাখ্যা
Angina pectoris is a symptom complex caused by transient myocardial ischaemia, which occurs whenever there is an imbalance between myocardial oxygen supply and demand. Coronary atherosclerosis is by far the most common cause of angina pectoris
১৮.
Which of the following is an antiplatelet drug?
  1. ক) Warfarin
  2. খ) Ticagrelor
  3. গ) Rivaroxaban
  4. ঘ) Heparin
ব্যাখ্যা
Explanation: Ticagrelor is an antiplatelet drug. Warfarin, Rivaroxaban, Heparin are anticoagulants
১৯.
Which one is the most important modifiable risk factor of coronary artery disease?
  1. Smoking
  2. Alcohol
  3. Obesity
  4. 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.
২০.
A patient with severe chest pain for 30 minutes, waht will be the most initial investigation?
  1. ক) Echocardiography
  2. খ) Excercise ECG
  3. গ) 12-lead ECG
  4. ঘ) Troponin I
ব্যাখ্যা
Explanation: 12-lead ECG is the initial investigation for acute onset chest pain.
২১.
Chest pain on exertion suggests
  1. MI
  2. Coronary artery disease
  3. Angina pectoris
  4. 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.
২২.
What is the most important modifiable risk factor for coronary artery disease?
  1. ক) Age and sex
  2. খ) Alcohol
  3. গ) Smoking
  4. ঘ) Hypertension
ব্যাখ্যা
Explanation: smoking is probably the most important modifiable risk factor.
২৩.
Acute coronary syndrome almost always occurs in patients who have which of the following condition?
  1. ক) DM
  2. খ) HTN
  3. গ) Vulvular heart disease
  4. ঘ) Atherosclerosis
ব্যাখ্যা
Explanation: Acute coronary syndrome almost always occurs in patients who have atherosclerosis, The culprit lesion.
২৪.
Which of the following is the hallmark of angina pectoris?
  1. ক) Chest pain on rest
  2. খ) chest pain on effort
  3. গ) Palpitation
  4. ঘ) Breathlessness
ব্যাখ্যা
Explanation: Chest pain on effort is the hallmark of angina pectoris
২৫.
Which one of the following is the most common cause of sudden arrhythmic death?
  1. Mitral stenosis
  2. Congenital Heart disease
  3. Coronary artery disease
  4. Hypertrophic cardiomyopathy
২৬.
According to Canadian Cardiovascular Society: functional classification of stable angina include --------------grade
  1. 3
  2. 4
  3. 5
  4. 6
২৭.
Relative contraindications to thrombolytic therapy of a patient of AMI?
  1. HTN
  2. Recent surgery (within 3 month)
  3. Previous history of Peptic Ulcer disease
  4. Pregnancy
২৮.
What is the most powerful independent risk factor for atherosclerosis?
  1. ক) Hypertension
  2. খ) Genetics
  3. গ) Age
  4. ঘ) Smoking
ব্যাখ্যা
Reference: Davidson 23rd , Page : 486
Explanation : Age is the most powerful independent risk factor for atherosclerosis.
২৯.
What is the initial investigation for a patient with sudden severe chest pain?
  1. ক) Echo
  2. খ) ETT
  3. গ) ECG
  4. ঘ) X-ray
ব্যাখ্যা
Explanation: ECG is the initial investigation for a patient with sudden severe chest pain
৩০.
Acute coronary syndrome includes all of the following, except...
  1. ক) Unstable angina
  2. খ) Stable angina
  3. গ) ST elevated MI
  4. ঘ) Non ST elevated MI
ব্যাখ্যা
Explanation: Acute coronary syndrome is a term that encompasses both unstable angina and myocardial infarction
৩১.
Signs of vagal activation during acute coronary syndrome
  1. Hypotension
  2. Tachycardia
  3. Vomiting
  4. Sweating
৩২.
Which one of the following is the cornerstone of the diagnosis of acute myocardial infarction?
  1. ECG
  2. Echocardiography
  3. Troponin I
  4. 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
৩৩.
Acute coronary syndrome includes
  1. Unstable angina
  2. ST elevated MI
  3. NSTEMI
  4. All are true
ব্যাখ্যা
Acute coronary syndrome is a term that encompasses both unstable angina and myocardial infarction
৩৪.
Vessels used in coronary artery bypass grafting except
  1. Internal mammary artery
  2. Radial artery
  3. Saphenous vein
  4. Brachial artery
ব্যাখ্যা
Reference: Davidson 23rd; P-491
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
৩৫.
Most common cause of coronary artery disease is?
  1. Atherosclerosis
  2. Aortitis
  3. Vasculitis
  4. 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
৩৬.
1st line investigation of a patient with sudden severe chest pain is
  1. CXR
  2. 12 Lead ECG
  3. Echocardiography
  4. Troponin I
ব্যাখ্যা
The standard 12-lead ECG is central to confirming the diagnosis and deciding immediate management of ACS Patients
৩৭.
Painless MI may occurs in
  1. Young people
  2. BA
  3. COPD
  4. 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