Physical Examination of the Cardiovascular System
1 Stethoscope was first introduced by ?
A. Austin Flint
B. Barlow
C. René Laennec
D. Richard Cabot
2 Which of the following is not related to infective endocarditis ?
A. Subungual hemorrhages
B. Osler’s nodes
C. Nikolsky’s sign
D. Janeway lesions
3 Which of the following is false about diabetic retinopathy ?
A. Microaneurysms just temporal to fovea
B. Cotton-wool infarcts circularly around the disc
C. Yellow exudates
D. Nonproliferative retinopathy found in almost all individuals with DM for >10 years
4 Which of the following retinal emboli is most common ?
A. Platelet emboli
B. Hollenhorst plaques
C. Calcium emboli
D. Uric acid emboli
5 When ascites is out of proportion to peripheral edema, which of the following should be suspected ?
A. Tricuspid regurgitation
B. Budd Chiari Syndrome
C. Constrictive pericarditis
D. Cirrhosis liver
6 Atherosclerosis of the peripheral arteries may produce intermittent claudication of ?
A. Buttock
B. Calf
C. Thigh
D. Any of the above
7 What resting ankle-brachial index is consistent with critical ischemia, rest pain & tissue loss ?
A. < 0.3
B. < 0.5
C. < 0.7
D. < 0.9
8 Which of the following statements is false ?
A. Anacrotic shoulder is present on ascending limb
B. Incisura coincides with the aortic valve closure
C. Peripherally, incisura is replaced by dicrotic notch
D. None of the above
9 Pulse more evident in a peripheral artery is ?
A. Pulsus bigeminus
B. Pulsus bisferiens
C. Pulsus paradoxus
D. Dicrotic pulse
10 Pulse more evident in a peripheral artery is ?
A. Pulsus bigeminus
B. Pulsus alternans
C. Pulsus paradoxus
D. Dicrotic pulse
11 “Trisection” is a method for ?
A. Assessing chest expansion
B. Assessing character of arterial pulse
C. Assessing postural fall of blood pressure
D. Assessing pulse, BP and respiration
12 Pulsus parvus is found in which of the following conditions ?
A. Diminished left ventricular stroke volume
B. Narrow pulse pressure
C. Increased peripheral vascular resistance
D. All of the above
13 Pulsus tardus is found in ?
A. Mitral stenosis
B. Aortic valve stenosis
C. Aortic regurgitation
D. Mitral regurgitation
14 Bounding or hyperkinetic pulse is associated with ?
A. Increased left ventricular stroke volume
B. Wide pulse pressure
C. Decrease in peripheral vascular resistance
D. All of the above
15 Which of the following about bisferiens pulse is false ?
A. Has two systolic peaks
B. Characteristic of aortic regurgitation (AR)
C. Characteristic of hypertrophic cardiomyopathy (HOCM)
D. First systolic peak in HOCM is called “tidal wave”
16 Which of the following about dicrotic pulse is false ?
A. Has 2 palpable waves, one each in systole & diastole
B. Usually denotes a very low stroke volume
C. Found in restrictive cardiomyopathy
D. Found in dilated cardiomyopathy
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