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daira
Forum Senior

Topics: 29
Posts: 138

07/07/04 - 06:34 AM

1) wof congenital heart dis. is most 'commonly' involved in SBE

2) wof congenital heart dis. is most 'frequently' involved in SBE

a) VSD
b) ASD
c) PDA
d) AS
e) cong. mitral insuff.
f) transposition of great vessels

3) 58 y old man is undergoing cardiac cath. As part of obtaining consent you advise that this procedure:
a) is contraindicated in cyanosis
b) is considered non-invasive
c) generally performed with cardiopulm. bypass
d) may cause renal failure
e) requires carotid puncture

4) 17 y old girl has fixed splitting of 2nd heart sound. Investigations will likely show that:
a) pulm blood flow is greater than systm blood flow
b) pulm blood flow is less than systm blood flow
c) pulm blood flow is equal to systm blood flow
e) left vent is enlarged
e) syst. blood pressure is elevated

5) 47y man have constrictive pericarditis. MCC?
a) Rh. fever
b) TB
c) Unknown
d) prev acute pericarditis
e) neoplastic involvement

6) 63 y old with atrial flutter is given digoxin. She is likely to develop:
a) atrail asystole
b) atrial bigeminey
c) atrial tachycardia
d) paraoxysmal tachcardia with block
e) atrial fibrill.

7) 73 y old man comes for followup visit. He has Acute MI 3 months back. Which of the ECG findings would suggest a ventricular aneurysm:
a) Tall T waves
b) RS-T depression in V5-6
c) ST segment elevation
d) presence of RS in VL
e) T inversion in one precordial lead

8 ) 49 y old man comes for serum lipid levels. WOF has least risk for CAD:
a) Total Chol =215, HDL=28
b) Total Chol =215, HDL=43
c) Total Chol =180, HDL=29
d) Total Chol =202, HDL=45
e) Total Chol =225, HDL=40

9) 39 y old present with exertional chest pain. PE shows lumps on achille' tendon, yellow lesions around eyes and pigmentatio or iris. This is due to:
a) Type 1 hyperlipidemia
b) myxedema
c) Ch Renal fail.
d) abnormality on chromosome 19
e) abnormality on chromosome 5
f) glycogen utilization defect

10) finding an orthostatic change in a pt with moderate hypertension indicates:
a) better prognosis
b) less end organ damage
c) younger age group
d) possibility of DM
e) rare variant of essential hypertension

___________________
Roz barhta hoon jahan se aagey
lout kar phir waheen aa jata hoon
baaraha tor chuka hoon jinko
phir unhin dewaroon se takrata hoon...

asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/07/04 - 07:47 AM

1.VSd
2. may cause renal failure
3.pulmonary blood flow > systemic blood flow

4.unknown

Rest later,gotto run :wink:

docdoc
Forum Senior

Topics: 20
Posts: 104

07/07/04 - 11:22 AM

1. VSD is most commonly associated with endocarditis.

2. I dont know what 'most frequent' means? does it mean that high rate of reinfection? If its anything other than VSD then it should be PDA or ASD.. or...

3. dye reaction .. D

4. ASD.. so A

5. In my country its TB but in US its idopathic... C

6. ?? bigeminey in cases of toxicity.

7. Persistent ST elevation signifies pt has developed ventricular aneurysm

8. Confusing, but I think D (as high HDL is protective)

9. Its familial hyperlipidemia (angina in young pts).. D?

10. Diabetics have orthostatic hypotension.. D

tess
Forum Guru

Topics: 131
Posts: 368

07/07/04 - 02:58 PM

"guest" wrote:
1) wof congenital heart dis. is most 'commonly' involved in SBE ---------

(a. VSD)

2) wof congenital heart dis. is most 'frequently' involved in SBE ---

(d, AS)

3) 58 y old man is undergoing cardiac cath. As part of obtaining consent you advise that this procedure:

a) is contraindicated in cyanosis

4) 17 y old girl has fixed splitting of 2nd heart sound. Investigations will likely show that:

a) pulm blood flow is greater than systm blood flow

5) 47y man have constrictive pericarditis. MCC?

c) Unknown

6) 63 y old with atrial flutter is given digoxin. She is likely to develop:

d) paraoxysmal tachcardia with block

7) 73 y old man comes for followup visit. He has Acute MI 3 months back. Which of the ECG findings would suggest a ventricular aneurysm:

b) RS-T depression in V5-6

8 ) 49 y old man comes for serum lipid levels. WOF has least risk for CAD:

a) Total Chol =215, HDL=28

9) 39 y old present with exertional chest pain. PE shows lumps on achille' tendon, yellow lesions around eyes and pigmentatio or iris. This is due to:

d) abnormality on chromosome 19

10) finding an orthostatic change in a pt with moderate hypertension indicates:

d) possibility of DM

:shock:

usmleasr
Forum Guru

Topics: 105
Posts: 970

07/07/04 - 03:04 PM

i agree with doc doc smiling face

except , i guess
6) e

9)a

daira
Forum Senior

Topics: 29
Posts: 138

07/10/04 - 07:00 AM

Thnks. Here are answers
1 a
2 c
3 d
4 a
5 c
6 d
7 c
8 d
9 d
10 d

___________________
Roz barhta hoon jahan se aagey
lout kar phir waheen aa jata hoon
baaraha tor chuka hoon jinko
phir unhin dewaroon se takrata hoon...

drnamita
Forum Newbie

Topics: 0
Posts: 3

07/10/04 - 12:15 PM

Hello . Ia m new to this forum. want to know whether Chr 19 - Hypercholestrolemia type 2 a/b are the same?

docdoc
Forum Senior

Topics: 20
Posts: 104

07/11/04 - 11:55 AM

Thanks, Can somebody explain 2 and 6?

tess
Forum Guru

Topics: 131
Posts: 368

07/13/04 - 11:53 AM

docdoc,

For 2, I think the reason PDA is more involved SBE than ASD is becaue the velocity of blood flow is higher in PDA.

For 6, I read in kaplan and q i did: the most common abnormal arrhythmia caused by use of digitalis is "paraxysmal superventricular tachycardia with block".
-----------------------------------------

Drnamita,

No, there are not the same. Type Ia is def in LDL receptors; tyep IIb is def in HMA synthase.

------------------------------------------

My question:

Can you or other fellows explain question 8? It seems there is a formula or calculation for it, right? Anyone know? :idea:

Thanks!

docdoc
Forum Senior

Topics: 20
Posts: 104

07/13/04 - 12:18 PM

#10

thanks, good explanation for PDA.

I dont know of any formula for risk calculation, only thing I thought of was HDL cholesterol is protective and low HDL levels are considered as an independent risk factor for CAD. So if high total cholesterol is there in presence of high HDL, it should be considered relatively safe.

As far as AHA recommendations are concerned, I think low HDL and high total cholesterol are independent risk factors.

There is something called cholesterol ratio, which is Total cholesterol:HDL ratio. It should be below 5:1 in all cases, while optimal levels are 3.5:1. As far as I know this is not in the recommendations, so unlikely to show on exam.

There is a formula for calculation of different cholesterols, but doesnt tell anything about the risk.

Total Cholesterol= HDL+ LDL + VLDL
Where VLDL = TGL/5.

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