TEST

PART I: Choice question

1.When left heart failure occurs, dyspnea is mainly due to ------

A. congestion of systemic circulation
B. pulmonary congestion
C. venous return obstruction
D. pleural fluid

2. ______ has been shown to reduce mortality in patients with congestive heart failure
A. Digitalis
B. Furosemide
C. Captoprial
D. Procainamide

3.Digitalis can be used in all the following EXCEPT ______

A. atrial fibrillation
B. hypertrophic obstruction cardiomypathy
C. systolic heart failure
D. acute pulmonary edema

4. The most common cardiac arrhythmia in mitral stenosis is:

A. AVB
B. ventricular premature beats.
C. atrial fibrillation.
D. ventricular fibrillation.

5. The most accurate auxiliary test of mitral stenosis is :

A. X-ray
B. ECHO
C. ECG
D. ECT

6.All of following can be used in acute pulmonary edema EXCEPT ______

A. furosemide
B. nitroprusside
C. morphine
D. β-blockers
7. A low-pitched diastolic rumble at the apex may indicate ______
A. mitral stenosis
B. mitral insufficiency
C. aortic stenosis
D. aortic insufficiency

8. Earlier presenting sign of RV dysfunction is ______

A. hepatomegaly
B. peripheral edema
C. jugular vein distension
D. gallop rhythm

9.The typical stable angina pectoris present as follows EXCEPT ______

A. chest pain or uncomfort located in the left precardium or midchest and can
radiated to shoulder
B. induction by exertion such as go up steers
C. chest pain or uncomfort transient a few seconds or minutes
D. chest pain relieved with nitrite drugs in 1 hour

10.A 48-year-old man was admitted to the coronary care unit with an acute inferior
myocardial infarction. Two hours after admission, his blood pressure is 86/52 mmHg.
His EKG is III°AVB. The most appropriate initial therapy should be ______
A. immediate insertion of a temporary transvenous pacemaker
B. intravenous administration of atropine sulfate
C. intravenous administration of dobutamine
D. intravenous administration of isoproterenol

PART II : Essay question .

1. What is functional classification of heart failure?

2. How to classify acute coronary syndrome?
3. what are there complications of Mitral Stenosis
4. What is indication of thrombolytic therapy?
5. A 50-year-old man come to the emergency department with new-onset
squeezing, retrosternal chest pain on exertion and relieved within 5
minutes by sublingual nitroglycerin. Also he had a history of hypertension
and smoking for over 20 years. The ECG was shown in Figure 1.
(1) What is the most appropriate diagnosis?
(2) How to manage?