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1 All the following are features of acute

myocardial infarction except:

A It leads to rupture of papillary muscles.

B Serum CK-MB level is raised.

C Occlusion of the right coronary artery


precedes the infarct.
D The involved myocardium shows coagulative
necrosis.
2 Following are common sequelae of
myocardial infarction, except:

A Cardiac tamponade.

B Portal hypertension

C Pulmonary oedema.

D Stroke.
3 Serum enzyme elevated in the first 3
hours of myocardial infarction is:

A LDH.

B SGPT.

C Acid phosphatase.

D CPK-MB.
4. A 70 yr male got severe chest pain and profuse sweatings . He also complained severe chest
tightness and breathlessness while climbing the steps. Subsequently he was admitted in hospital .
Which of the following test will be diagnostic?

A. ECG

B. Stress test

C. Troponin T

D. Creatinine phosphtase
5

A B

A. Cross section of the heart of a 65-year-old male died following sudden


chest pain
B. Histopathology of the affected myocardium

Q.1. Describe the gross features in pic. A.


(2 marks)

Q.2. Describe the histopathology in pic.B. (2


marks)
ANSWERS
1 All the following are features of acute
myocardial infarction except:

A It leads to rupture of papillary muscles.

B Serum CK-MB level is raised.

C Occlusion of the right coronary artery


precedes the infarct.
D The involved myocardium shows coagulative
necrosis.
2 Following are common sequelae of
myocardial infarction, except:

A Cardiac tamponade.

B Portal hypertension

C Pulmonary oedema.

D Stroke.
3 Serum enzyme elevated in the first 3
hours of myocardial infarction is:

A LDH.

B SGPT.

C Acid phosphatase.

D CPK-MB.
4. A 70 yr male got severe chest pain and profuse sweatings . He also complained severe chest
tightness and breathlessness while climbing the steps. Subsequently he was admitted in hospital .
Which of the following test will be diagnostic?

A. ECG

B. Stress test

C. Troponin T

D. Creatinine phosphtase
5

A B

A. Cross section of heart of a 65-year-old male died following sudden chest pain
B. Histopathology of the affected myocardium

Q.1. Describe the gross features in pic A. (2


marks)
Ans: Irregular, haemorrhagic transmural infarct at posterolateral wall involving the

interventricular septum.

Q.2. Describe the histopathology in pic. B.


(2 marks)
Ans; Cardiac myocytes show loss of nuclei, infiltration of PMN; coagulative
necrosis.

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