{"id":46648,"date":"2021-07-03T19:12:44","date_gmt":"2021-07-03T13:42:44","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=46648"},"modified":"2021-07-03T19:12:44","modified_gmt":"2021-07-03T13:42:44","slug":"cardiology-mcqs","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/cardiology-mcqs\/","title":{"rendered":"Cardiology MCQs"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/3TO9LOtK5Vk\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Cardiology MCQs<\/span><\/h2>\n<p><strong><span style=\"color: #0000ff;\">Surgical correction for congenitally corrected transposition of great arteries is:<\/span><\/strong><\/p>\n<ol>\n<li>Jatene operation<\/li>\n<li>Mustard operation<\/li>\n<li>Senning operation<\/li>\n<li>Double switch operation<\/li>\n<\/ol>\n<p><span style=\"color: #008000;\"><strong>Correct answer: 4. Double switch operation<\/strong><\/span><\/p>\n<p>Definitive surgical correction of c-TGA is known as double switch. Atrial switch is by a modified Senning procedure for rerouting the pulmonary and systemic venous return. Arterial switch is done for correction of ventriculoarterial discordance [Sharma R, Bhan A, Juneja R, Kothari SS, Saxena A, Venugopal P. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10333023\/\">Double switch for congenitally corrected transposition of the great arteries<\/a>. Eur J Cardiothorac Surg. 1999 Mar;15(3):276-81; discussion 281-2].<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Most common valvular abnormality seen in congenitally corrected transposition of great arteries is of:<\/strong><\/span><\/p>\n<ol>\n<li>Systemic AV valve<\/li>\n<li>Pulmonary valve<\/li>\n<li>Aortic valve<\/li>\n<li>Mitral valve<\/li>\n<\/ol>\n<p><span style=\"color: #008000;\"><strong>Correct answer: 1. Systemic AV valve<\/strong><\/span><\/p>\n<p>Since the atrioventricular (AV) valves are a property of the ventricles, the systemic right ventricle in this case has a tricuspid valve. In up to 70% of cases it is displaced inferiorly, the Ebstein&#8217;s anomaly. It is an important cause of systemic AV valve regurgitation. Systemic AV valve disease was the only independent predictor of death in congenitally corrected transposition of the great arteries in certain series [Prieto LR, Hordof AJ, Secic M, Rosenbaum MS, Gersony WM. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9737520\/\">Progressive tricuspid valve disease in patients with congenitally corrected transposition of the great arteries<\/a>. Circulation 1998;98:997-1005].<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Which of the following is not a boundary of the Koch&#8217;s triangle?<\/strong><\/span><\/p>\n<ol>\n<li>Eustachian valve<\/li>\n<li>Coronary sinus<\/li>\n<li>Tendon of Todaro<\/li>\n<li>Septal tricuspid leaflet<\/li>\n<\/ol>\n<p><span style=\"color: #008000;\"><strong>Correct answer: 1. Eustachian valve<\/strong><\/span><\/p>\n<p>Eustachian valve is the valve of the inferior vena cava. All the others are the boundaries of Koch&#8217;s triangle. Atrioventricular node is situated at the apex of Koch&#8217;s triangle [Shanubhogue S, Mohamed T, Shankar N. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28228296\/\">Morphometry of the triangle of Koch and position of the coronary sinus opening in cadaveric fetal hearts<\/a>. Indian Heart J. 2017 Jan-Feb;69(1):125-128].<\/p>\n<p><b><span style=\"color: #0000ff;\">Which of the following is used in the treatment of chronic thromboembolic pulmonary<\/span> <span style=\"color: #0000ff;\">hypertension?<\/span><\/b><\/p>\n<ol>\n<li>Vericiguat<\/li>\n<li>Ranolazine<\/li>\n<li>Riociguat<\/li>\n<li>Vernakalant<\/li>\n<\/ol>\n<p><span style=\"color: #008000;\"><strong>Correct answer: 3. Riociguat<\/strong><\/span><\/p>\n<p>Riociguat is a soluble guanylate cyclase stimulator useful in the treatment of chronic thromboembolic pulmonary hypertension (CTEPH) and pulmonary arterial hypertension (PAH) [Ghofrani HA, D\u2019Armini AM, Grimminger F, Hoeper MM, Jansa P, Kim NH, Mayer E, Simonneau G, Wilkins MR, Fritsch A, Neuser D, Weimann G, Wang C; CHEST-1 Study Group. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23883377\/\">Riociguat for the treatment of chronic thromboembolic pulmonary hypertension<\/a>. N Engl J Med. 2013 Jul 25;369(4):319-29].&nbsp; Vericiguat is a new medication for heart failure with reduced ejection fraction (HFrEF). It is an oral soluble guanylate cyclase stimulator. Ranolazine is an antianginal agent with antiarrhythmic properties. Vernakalant was an antiarrhythmic agent used for conversion of atrial fibrillation.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Paradoxical splitting of second heart sound may be heard in all of the following EXCEPT:<\/strong><\/span><\/p>\n<ol>\n<li>Aortic stenosis<\/li>\n<li>Left bundle branch block<\/li>\n<li>Left ventricular pacing<\/li>\n<li>Right ventricular ectopic beat<\/li>\n<\/ol>\n<p><span style=\"color: #008000;\"><strong>Correct answer: 3. Left ventricular pacing<\/strong><\/span><\/p>\n<p>Paradoxical or reverse splitting of second heart sound can occur in right ventricular pacing and the other conditions listed above [Towne WD, Rahimtoola SH, Sinno MZ, Loeb HS, Rosen KM, Gunnar RM. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1132108\/\">The effects of right atrial and ventricular pacing on the auscultatory findings in patients with mitral valve prolapse<\/a>. Circulation. 1975 Jun;51(6):988-96]. In paradoxical splitting of second heart sound, split closes in inspiration while it is heard in expiration.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Idarucizumab is a monoclonal antibody fragment used to reverse the effect of:<\/strong><\/span><\/p>\n<ol>\n<li>Digoxin<\/li>\n<li>Dabigatran<\/li>\n<li>Sulodexide<\/li>\n<li>Heparin<\/li>\n<\/ol>\n<p><span style=\"color: #008000;\"><strong>Correct answer: 2. Dabigatran<\/strong><\/span><\/p>\n<p>Idarucizumab reverses the anticoagulant effect of direct thrombin inhibitor dabigatran [Pollack CV Jr, Reilly PA, Eikelboom J, Glund S, Verhamme P, Bernstein RA, Dubiel R, Huisman MV, Hylek EM, Kamphuisen PW, Kreuzer J, Levy JH, Sellke FW, Stangier J, Steiner T, Wang B, Kam CW, Weitz JI. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26095746\/\">Idarucizumab for Dabigatran Reversal<\/a>. N Engl J Med. 2015 Aug 6;373(6):511-20]. Heparin antidote is protamine sulphate.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>ST segment elevation in aVR more than that in V1 is suggestive of:<\/strong><\/span><\/p>\n<ol>\n<li>Left circumflex coronary artery occlusion<\/li>\n<li>Left anterior descending coronary artery occlusion<\/li>\n<li>Left main coronary artery occlusion<\/li>\n<li>Right coronary artery occlusion<\/li>\n<\/ol>\n<p><span style=\"color: #008000;\"><strong>Correct answer: 2. Left main coronary artery occlusion<\/strong><\/span><\/p>\n<p>ST segment elevation can occur in left main occlusion as well as in proximal LAD occlusion. But in left main occlusion, ST elevation in aVR is more than that in V1 [Yamaji H, Iwasaki K, Kusachi S, Murakami T, Hirami R, Hamamoto H, Hina K, Kita T, Sakakibara N, Tsuji T. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11691506\/\">Prediction of acute left main coronary artery obstruction by 12-lead electrocardiography. ST segment elevation in lead aVR with less ST segment elevation in lead V(1)<\/a>. J Am Coll Cardiol. 2001 Nov 1;38(5):1348-54].<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Which of the following is NOT a feature of athlete&#8217;s heart?<\/strong><\/span><\/p>\n<ol>\n<li>Sinus arrhythmia<\/li>\n<li>Sinus tachycardia<\/li>\n<li>Early repolarization syndrome<\/li>\n<li>Wandering atrial pacemaker<\/li>\n<\/ol>\n<p><strong><span style=\"color: #008000;\">Correct answer: 2. Sinus tachycardia<\/span><\/strong><\/p>\n<p>Sinus bradycardia is the usual hallmark of athlete&#8217;s heart. Most of the ECG changes due to increased parasympathetic tone disappear on exercise ECG, usually indicating their benign nature [Fagard R. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14617564\/\">Athlete\u2019s heart<\/a>. Heart. 2003 Dec;89(12):1455-61].<\/p>\n<p><strong><span style=\"color: #0000ff;\">Omecamtiv mecarbil, a drug for heart failure with reduced ejection fraction is a:<\/span><\/strong><\/p>\n<ol>\n<li>Angiotensin Receptor-Neprilysin Inhibitor<\/li>\n<li>Cardiac myosin activator<\/li>\n<li>Angiotensin converting enzyme inhibitor<\/li>\n<li>Bradykinin inhibitor<\/li>\n<\/ol>\n<p><span style=\"color: #008000;\"><strong>Correct answer: 2. Cardiac myosin activator<\/strong><\/span><\/p>\n<p>GALACTIC-HF trial evaluated omecamtiv mecarbil, a cardiac myosin activator in heart failure with reduced ejection fraction [Teerlink JR, Diaz R, Felker GM, McMurray JJV, Metra M, Solomon SD, Adams KF, Anand I, Arias-Mendoza A, Biering-S\u00f8rensen T, B\u00f6hm M, Bonderman D, Cleland JGF, Corbalan R, Crespo-Leiro MG, Dahlstr\u00f6m U, Echeverria LE, Fang JC, Filippatos G, Fonseca C, Goncalvesova E, Goudev AR, Howlett JG, Lanfear DE, Li J, Lund M, Macdonald P, Mareev V, Momomura SI, O\u2019Meara E, Parkhomenko A, Ponikowski P, Ramires FJA, Serpytis P, Sliwa K, Spinar J, Suter TM, Tomcsanyi J, Vandekerckhove H, Vinereanu D, Voors AA, Yilmaz MB, Zannad F, Sharpsten L, Legg JC, Varin C, Honarpour N, Abbasi SA, Malik FI, Kurtz CE; GALACTIC-HF Investigators. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33185990\/\">Cardiac Myosin Activation with Omecamtiv Mecarbil in Systolic Heart Failure<\/a>. N Engl J Med. 2021 Jan 14;384(2):105-116].<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cardiology MCQs Surgical correction for congenitally corrected transposition of great arteries is: Jatene operation Mustard operation Senning operation Double switch operation Correct answer: 4. Double switch operation Definitive surgical correction of c-TGA is known as double switch. Atrial switch is by a modified Senning procedure for rerouting the pulmonary and systemic venous return. Arterial switch [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":31012,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[3,5],"tags":[],"class_list":["post-46648","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiology-mcq","category-dm-dnb-cardiology-entrance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cardiology MCQs - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/cardiology-mcqs\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cardiology MCQs - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"Cardiology MCQs Surgical correction for congenitally corrected transposition of great arteries is: Jatene operation Mustard operation Senning operation Double switch operation Correct answer: 4. 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