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MBBS FINAL PROF - MEDICINE PAPER A MCQs
QUESTIONS AND VERIFIED CORRECT ANSWERS
CVS
1. A 58 year old professor suffered from acute Myocardial Infarction 4 hours ago.
He got shifted to ICU. There are multiple runs of Ventricular tachycardia on ECG.
Which is the most appropriate drug of choice to be administered for arrhythmia in
this case?
a) Verapamil
b) Lidocaine
c) Salbutamol
d) Nitrates
e) Furosimide
2. An acute trauma patient is brought to ER in a state of Shock with the pulse rate
of 110/min, and BP 60/40mmHg. He was intubated, resuscitated with fluids, and
given inotropes. Cardiac monitor showed normal sinus rhythm, CVP of 20cm H2O,
R/R 20/min & BP of 50/30 mmHg despite inotropic support and fluid boluses.
Clinical exam revealed normal respiratory findings with muffled heart sounds.
What you're your diagnosis?
a) Acute Aortic Dissection
b) Tension Pneumothorax
c) Cardiac Tamponade
d) Septic shock
e) Pulmonary embolism
3. A 3 year old boy with a routine visit to a GP with delayed developmental
,2
milestones. On auscultation there is murmur grade 3/6 continuous accentuating
close to 2nd heart sound and best heard at left infra-clavicular area. What is the
most likely abnormality?
a) VSD (ventricular septal defect)
b) ASD (atrial septal defect)
c) Truncus arteriosus
d) Dextrocardia
e) PDA (patent ductus arteriosus)
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4. In a patient presenting with sudden onset chest pain that radiates to the left
jaw, which of the following enzymes is the most specific for investigation of his
condition?
a) a.Troponin I
b) b.CPK
c) c.AST
d) d.Troponin C
e) e.ALT
5. A patient presents to your clinic with an Acute myocardial infarction with ST
segment elevations in Leads I and AVL. Which is the likely vessel to be affected?
a) Lateral Circumflex Artery
b) Lateral Anterior Descending
c) Right Coronary Artery
d) Left Coronary Artery
e) Right circumflex artery
6. You are asked to interpret an ECG during the early days of your cardiology ward.
You note an increase in the PR interval leading to a sudden line (a dropped beat).
In your knowledge of this condition, which pathway in the heart is likely affected?
a) a.Sino atrial node
b) b.Atrial fibres
c) c.Right bundle branch
d) d .Left bundle branch
e) e.AV node
7. A patient comes into your clinic complaining of a rapid heartbeat to which she is
well aware of. She says it has been going on for a couple of minutes and she is
becoming increasingly anxious regarding it. What would be the best advice to
, 4
provide this lady?
a) a.Immediately shift to emergency dept.
b) b .Refer to a specialist for follow up after 1 week
c) c.Immediate DC cardioversion
d) d.Administer warfarin orally
e) Administer beta blocker and send home
MBBS FINAL PROF - MEDICINE PAPER A MCQs
QUESTIONS AND VERIFIED CORRECT ANSWERS
CVS
1. A 58 year old professor suffered from acute Myocardial Infarction 4 hours ago.
He got shifted to ICU. There are multiple runs of Ventricular tachycardia on ECG.
Which is the most appropriate drug of choice to be administered for arrhythmia in
this case?
a) Verapamil
b) Lidocaine
c) Salbutamol
d) Nitrates
e) Furosimide
2. An acute trauma patient is brought to ER in a state of Shock with the pulse rate
of 110/min, and BP 60/40mmHg. He was intubated, resuscitated with fluids, and
given inotropes. Cardiac monitor showed normal sinus rhythm, CVP of 20cm H2O,
R/R 20/min & BP of 50/30 mmHg despite inotropic support and fluid boluses.
Clinical exam revealed normal respiratory findings with muffled heart sounds.
What you're your diagnosis?
a) Acute Aortic Dissection
b) Tension Pneumothorax
c) Cardiac Tamponade
d) Septic shock
e) Pulmonary embolism
3. A 3 year old boy with a routine visit to a GP with delayed developmental
,2
milestones. On auscultation there is murmur grade 3/6 continuous accentuating
close to 2nd heart sound and best heard at left infra-clavicular area. What is the
most likely abnormality?
a) VSD (ventricular septal defect)
b) ASD (atrial septal defect)
c) Truncus arteriosus
d) Dextrocardia
e) PDA (patent ductus arteriosus)
,3
4. In a patient presenting with sudden onset chest pain that radiates to the left
jaw, which of the following enzymes is the most specific for investigation of his
condition?
a) a.Troponin I
b) b.CPK
c) c.AST
d) d.Troponin C
e) e.ALT
5. A patient presents to your clinic with an Acute myocardial infarction with ST
segment elevations in Leads I and AVL. Which is the likely vessel to be affected?
a) Lateral Circumflex Artery
b) Lateral Anterior Descending
c) Right Coronary Artery
d) Left Coronary Artery
e) Right circumflex artery
6. You are asked to interpret an ECG during the early days of your cardiology ward.
You note an increase in the PR interval leading to a sudden line (a dropped beat).
In your knowledge of this condition, which pathway in the heart is likely affected?
a) a.Sino atrial node
b) b.Atrial fibres
c) c.Right bundle branch
d) d .Left bundle branch
e) e.AV node
7. A patient comes into your clinic complaining of a rapid heartbeat to which she is
well aware of. She says it has been going on for a couple of minutes and she is
becoming increasingly anxious regarding it. What would be the best advice to
, 4
provide this lady?
a) a.Immediately shift to emergency dept.
b) b .Refer to a specialist for follow up after 1 week
c) c.Immediate DC cardioversion
d) d.Administer warfarin orally
e) Administer beta blocker and send home
