Cardiology
Cardiology Quiz
Test your knowledge on cardiology with our comprehensive quiz. This quiz covers various essential topics related to fetal circulation, heart sounds, and common congenital heart defects.
- Multiple choice questions
- Score explanations provided
- Perfect for medical students and cardiology enthusiasts
In fetal life, how many percentage of blood flow in to the lung?
20%
15%
25%
50%
90%
The saturation of oxygen of fetus is:
80% in IVC and 40% in SVC
80% in IVC and 50% in SVC
70% in IVC and 40% in SVC
70% in IVC and 50% in SVC
90% in IVC and 40% in SVC
The blood from IVC goes mostly over the foramen oval in the
Right atrium
Right ventricle
Left ventricle
Left atrium
Descending aorta
The blood from SVC goes in to the right ventricle and through the
PDA in the descending aorta
Left atrium go into left ventricle
PDA goes into the ascending aorta
ASD goes into the right atrium
ASD goes into the left atrium
The gas exchange of fetus is made in
The his both lung
The placenta
The lung and placenta
The uterus of mother
The heart of fetus
The systolic phase means:
Emptying of the atriums
Filling of the ventricles
Filling of the atriums
AV valves open and semilunar valves closed
Emptying of the ventricles and atriums
Diastolic phase means:
Filling of both of the atriums
Filling of the ventricles
Emptying of the atriums and ventricles
AV valves and semilunar valves open
AV valves closed and semilunar valves open
The placenta of fetus roles as
The heart
The lungs
The brains
The liver
The kidneys
The red blood comes from the placenta to the heart of fetus through
The descending aorta
The ascending aorta
The superior vena cava
The inferior vena cava
The umbilical arteries
The blood from the fetal heart to the placenta by
The umbilical vein
The umbilical arteries
The inferior vena cava
The descending aorta
The portal vein
Heart receive oxygenated blood from:
Lung
Liver
Kidney
Left chamber of heart
Brain
To auscultate the mitral valve, one‘s stethoscope should be placed in the
Right sternal border
Left upper sternal
Right fourth intercostal space
5th intercostal space,mid clavicular line(Apex)
Left upper sternal and Right fourth intercostal space
To auscultate the tricuspid valve, one‘s stethoscope should be placed in the
Right sternal border
Left upper sternal
Right fourth intercostal space
Apex
5th intercostal mid clavicular line
To auscultate the aortic semilunar valve, one’s stethoscope should be placed in the
Second intercostal space to the right of the sternum
Second intercostal space to the left of the sternum
5th intercostal space to the left nipple
In the right fifth intercostal
Apex
What percentage of people have a physiology split S1 heart sound?
10%
20%
40%
90%
100%
The closure of which two valve produces the S1 heart sound?
Aortic and Mitral Valve
Aortic and Pulmonic Valve
Mitral Valve and Tricuspid Valve
Tricuspid and Pulmonic Valve
Aortic and Mitral Valve and Aortic and Pulmonic Valve
The closure of which two valve produces the S2 heart sound?
Aortic and Mitral Valve
Aortic and Pulmonic Valve
Mitral and Tricuspid Valve
Tricuspid and Pulmonic Valve
Mitral and Tricuspid Valve and Tricuspid and Pulmonic Valve
Which heart sound is also known as the ventricular gallop
S1
S2
S3
S4
S1 & S2
Which heart sound is also known as the atrial gallop?
S1
S2
S3
S1 & S2
S4
What disease state can the presence of an S3 heart sound indicate?
Diastolic Congestive Heart Failure
Systolic Congestive Heart Failure
Myocardial Ischemia
Cardial Tamponade
Myocardial Ischemia and Cardial Tamponade
After receiving blood from lung, heart pumps it to the:
Right atria
Left atria
Arm and leg
Body
All answer are corrects
An abnormal heart sound:
S1
S2
S3
S4
Murmur
To auscultate the pulmonary semilunar valve, one's stethoscope should be place in the:
Second intercostal space to the right of the sternum
Second intercostal space to the left of the sternum
Left fourth intercostal space
Right fourth intercostal space
Apex
At which location in the S1 heart sound best heard:
Right upper sternal brother
Left lower sternal border
Left upper sternal border
Apex
All answer are corrects
A patient with mild mitral valve stenosis would have the S1 heart sound?
Widely split
Paradoxically split
Loud
Lower split
Medium split
How many types of atrial septal defect?
1
2
3
4
5
Most common type of atrial septal defect is?
Ostiumprimum
Ostiumsecundum
Sinus venusos
Endocardial cushion defect
All answer are correct
What are the symptomatic of atrial septal defect?
Fatigue
Asymptomatic
Failure thrive
Pulmonary infection
All answers are correct
What is the complication of atrial septal defect?
Palpitation
Atrial fibrillation
Syncope
Dyspnea
Palpitation, Atrial fibrillation and Syncope
What is the first order diagnostic confirm of atrial septal defect?
Chest x-ray
Echocardiography
ECG
Scan, IRM
Echocardiography + Scan, IRM
What are the treatment of atrial septal defect depend on?
Age
Location
Size
Severity of defect
All answers are correct
What are the problems arise of atrial septal defect?
Heart failure
Pulmonary hypertension
Stroke
Atrial fibrillation
All answers are correct
Which type of shunt for atrial septal defect?
Right to left shunt
Left to right shunt
Bidirectional shunt
No shunt
All answer are correct
How many type for treatment atrial septal defect?
Follow evolution
Surgical closure
Percutaneous closure
Drug therapy
All answers are correct
How many percentage of atrial septal defect in congenital heart defect?
1- 6 %
6- 10 %
10- 40 %
40- 60 %
60- 100 %
What effect would atrial septal defect have on the oxygenation of the blood?
Heart murmur
Create a swishing sound
Increase blood flow to the lung
Mixes with oxygen-poor blood through the hole
All answers are correct
Why is atrial septal defect dangerous?
Causing excessive blood to flows through the lung
Reversal of deoxygenated blood from the right to the left atrium
Increase resistance to flow develop in the lung
The further of cyanosis, where the body doesn’t get oxygenated blood
All answers are correct
How is atrial septal defect surgically repair?
Use of the cardiopulmonary bypass or a heart-lung machine
Open up the right chamber of the heart
The heart maybe stop 10-30 minutes during procedure
The repairing of atrial septal defect ranges from one three hours
All answers are correct
All true regarding atrial septal defect except
Atrial septal defect is the second most common congenital heart defect in children and adults
Patients with atrial septal defect may have an embolic stroke as initial presentation
Most children with atrial septal defect are asymptomatic
The most common yet least serous type of atrial septal defect is an ostiumsecundum defect
The most common yet least serious type of atralseptal defect is ostiumprimum defect
Which one of following does not produce cyanosis in the first year of life?
Atrial septal defect
Hypoplastic left heart syndrome
Truncusarteriosus
Double outlet right ventricular
All answer are correct
The following congenital heart disease, which one is the most frequent?
Atrial Septal Defect (ASD)
Total Anomalous Pulmonary Venous Return
Ventricular septal Defect (VSD)
Tetralogy Of Fallot
Atrio-ventricular septal defect
Witch one is the most common anatomical lesion of ventricular septal defect (VSD)?
Muscular VSD
Apical VSD
Inlet VSD
Outlet VSD
Perimembranous VSD
The diagnostic confirmation of ventricular septal defect is:
Electrocardiogram
Chest X-Ray
Echocardiogram
Ct Scan
MRI
A 6 months old boy visited de doctor at the outpatient station because acute upper respiratory infection. By auscultation the lung was clear and systolic heart murmur. Echocardiogram was asked and showed a small ventricular septal defect without hemodynamic consequences. What is following management?
Hospitalize the patient to ICU
Operation to close the VSD
Lasix
Digoxin
Follow up the VSD and treat the upper respiratory infection
Which one is the hemodynamic consequence of large ventricular septal defect?
Pneumonia
Pleurisy
Atelectasis
Pulmonary Hypertension
Lung Emphysema
A13 year old boy hospitalized because of dyspnea. He had saturation 75% and clubbing nail, echocardiogram confirmed a large ventricular septal defect with right to left shunt. What is the management?
Epinephrine
Close the VSD by Interventional Catheterization
Operation to Close the VSD
Inoperable Patient
Digoxin
The ventricular septal defect patient with congestive heart failure, which drug should be used?
Ceftriaxone
Rifampicin
Digoxin
Propranolol
Phenobarbital
The criteria for ventricular septal defect closer, except one:
Failure to Thrive
Pulmonary Hypertension
Recurrent Pulmonary Infection
Congestive Heart Failure
Convulsion
A7 month’s old boy presented complete A-V block (3th degree) following ventricular septal defect surgery. The temporary pacemaker was used until 3 week but the A-B block didn’t recover. What is the management?
Permanent pacemaker implantation
Atropine
Epinephrine
Continue temporary pacemaker
Digoxin
How is the evolution of large ventricular septal defect without surgical closer
Pneumonia
Tricuspid regurgitation
Obstructive pulmonary vascular disease
Mitral regurgitation
Pulmonary regurgitation
A continuous murmur is heard in:
PDA
VSD
ASD
TOF
Mitral Stenosis
Complication of untreated patent ductus arteriosus (PDA) are:
Bacterial Endocarditis
Congestive Heart Failure (Chf)
Pulmonary Vascular Obstructive Disease
Ventilator Abnormalities
All answers are correct
The indication for surgical treatment of Patent ductus arteriosus (PDA) include the following:
Failure of indomethacin treatment
Contraindication to medical therapy (e.g: thrombocytopenia)
Signs and symptoms of congestive heart failure (CHF)
Patent ductus arteriosus (PDA) found in an older infant
All answers are correct
The premature neonate with a significant patent ductus arteriosus (PDA) is usually treated with:
Ibuprofen
Digoxin
Propranolol
Aspirin
Vitamin K
Differential cyanosis is seen in:
PDA with reversal of shunt
Eisenmenger`s complex
Coarctation of aorta
Eisenmenger`s complex and Coarctation of aorta
All answer are correct
Congestive cardiac failure is seen in all except:
PDA
Coarctation of aorta
Tetralogy of Fallot
TAPVC
PDA and TAPVC
The most type of congenital heart disease are:
ASD
VSD
PDA
TOF
VSD and TOF
With regard to the posterior descending artery, to what does “Left dominant” refer?
ASD
PDA
VSD
TOS
Mitral regurgitation
Mid-diastolic rumble in the tricuspid region is seen in all except:
Mitral regurgitation
VSD
PDA
ASD
All answer are correct
A newborn is noted to be cyanotic in the first few hours of life. She comfortable and in no respiratory distress. The remainder of her physical examination is remarkable only for a single second heart sound. By echocardiography d-transposition of the great arteries are true except:
The Aortic Valve Is To the Right of the Pulmonary Artery
The Aortic Valve Is Posterior To the Pulmonary Valve
The Right Ventricular Pressure Is Elevated
A Balloon Arterial Septostomy Should Be Performed To Improve Systemic Oxygenation
The Aortic Valve Is To the Right of the Pulmonary Artery and the Aortic Valve Is Posterior To the Pulmonary Valve
The most appropriate management for maintaining patency of ductusarteriosus in a neonate is?
Prostaglandin E1
Nitric oxide
Oxygen
Indomethacin
Steroid
Therapeutic used of Prostaglandin E1 include all the following, except?
Medical termination of pregnancy
Impotence
Primary pulmonary hypertension
Maintenance of PDA
Impotence and Maintenance of PDA
A 6 month old child is suffering from patent ductusarterious (PDA) with congestive cardiac failure. Ligation of ductusarterious was decided for surgical management. The most appropriate inhalational anesthetic agent of choice with minimal hemodynamic alteration for induction of anesthesia is?
Sevoflurane
Isoflurane
Enflurane
Halothane
Propofol
A continuous murmur is heard in all of the following condition except?
Ventricular septal defect with aortic regurgitation
Patent ductus arteriosus
Coronary arterio venous fistula
Venous hum
PDA and venous hum
Physical examination of PDA are
Bounding pulses
Wide pulse pressure
Continuous Machinery murmur at left sternal border
Cyanosis
All answers are correct
How many percentage of tetralogy of fallot in congenital heart abnormalities?
5 to 7%
7 to 10%
10 to 15%
15 to 20%
20 to 25%
There are 4 defects of tetralogy of fallot, which one is right?
Atrium septal defect, pulmonary stenosis, R. Ventricular hypertrophy, overriding aorta
Atrium septal defect, pulmonary stenosis, L. Ventricular hypertrophy, overriding aorta
Ventricular septal defect, pulmonary stenosis, R. Ventricular hypertrophy, overriding aorta
Ventricular septal defect, pulmonary stenosis, L. Ventricular hypertrophy, overriding aorta
Atrium septal defect, ventricular septal defect, pulmonary stenosis, R. Ventricular hypertrophy
Image on chest x-ray was the definitive method of diagnosis of tetralogy of fallot, which one is right?
Boot Shaped
Consolidation with air bronchogram
Micronodular opacity with both lungs parenchyma
Cavitation of the lung
Hilar lymnode calcivication
Hemogram of tetralogy of fallot, which one is right?
Decrease hematocrit
Decrease platelet
Increase hematocrit
Increase platelet
Decrease hematocrit and increase platelet
A child 4 years old boy presented with clinical on set of bluish discoloration of lips, tongue, fingers and digital clubbing of the nail and also breathlessness, which one is the diagnosis for this child?
Ventricular septal defect (VSD)
Atrium septal defect (ASD)
Patent ductus arteriosus (PDA)
Tetralogy of fallot (TOF)
Mitral valve stenosis
Which one is the factor that increase the risk of the tetralogy of fallot during pregnancy?
Alcoholism
Tuberculosis
Diabetes
Rubella
Alcoholism, diabetes, rubella
What is the management the most frequent of tetralogy of fallot?
Digoxin
Propranolol
Aspirin
Ceftriaxone
Open heart surgery
The diagnostic confirmative of tetralogy of fallot the most frequent?
Chest x-ray
Echocardiography
CT scan
MRI
Echocardiography and CT scan
Complications of the tetralogy of fallot?
Residual ventricular septal defect
Right ventricular dysfunction
Heart block
Reperfusion injury
Residual ventricular septal defect, right ventricular dysfunction, heart block, reperfusion injury
The first surgical repair was carried out in which year?
1954
1955
1956
1957
1958
Recurrent respiratory tract infections may occur in all of the following except?
Ventricular septal defect
Tetralogy of Fallot
Transposition of great arteries
Total anomalous venous return
Coarctation of the aorta
All of the following are true regarding tetralogy of fallot except?
Ejection systolic murmur in second intercostal space
Single second heart sound
Predominantly left to right shunt
Normal jugular venous pressure
Predominantly right to left shunt
A 15 year old female present with history of dyspnea on exertion. On examination, she has wide, fixed split of S2 with ejection systolic murmur (III/IV) in left second intercostal space. Her EKG shows left axis deviation. The most probable diagnosis is?
Total anomalous pulmonary venous connection
Tricuspid atrial septal defect
Ostium primum atrial septal defect
Tetralogy of Fallot
Ventricular septal defect
In Tetralogy of Fallot, the tetralogy comprises all except?
Pulmonary stenosis
Overriding of the ventricular septal defect by the aorta
Ventricular septal defect
Left ventricular hypertrophy
Right ventricular hypertrophy
Eisenmenger syndrome can develop in all of the following situations except?
Tetralogy of Fallot
Aorto pulmonary window
Truncus arteriosus
Total anomalous pulmonary venous connection
Ventricular septal defect
Which one describes obstructive lesions in pediatric cardiac defects?
D-Transpostion of the great ateries
Ventricular Septal Defect
All valvulars stenosis
Total anomalous pulmonary venous return
Truncus ateriosus
Which is the therapy indication of moderate to severe pulmonary valve stenosis without any additional defect ?
None, except endocarditis prophylaxis
Balloon valvuloplasty
Surgical intervention
Pulmonary valve replacement
Prostaglandin to re-open the Ductus
One of these is not a recommendation to follow up concerning pulmonary stenosis:
After valvuloplasty over 80% need no more intervention
Sometimes re-intervention is needed
In case of severe regurgitation post balloon dilatation
Control echocardiography every month for one year after successful valvuloplasty
Lifelong endocarditis prophylaxis is recommended
Which one is not a complications of Balloon valvuloplasty in pumonary valve stenosis?
Pulmonary regurgitation
Arrhythmias
Vascular lesions
Perforation of the myocardium
Mitral regurgitation
What is the etiology of aortic valve stenosis?
Congenital
Rheumatic valvulitis
Fibrocalcific senile aortic stenosis
Systemic Lupus Erythematosus (SLE)
Congenital, Rheumatic valvulitis and Fibrocalcific senile aortic stenosis
Which one is the pathological consequence of aortic valve stenosis?
Left ventricular hypertrophy
Right ventricular hypertrophy
Dilatation of the both atriums
Post-stenotic dilatation
Global heart failure
Base on the classification in Echocardiography of aortic valve stenosis, which systolic gradient [mm Hg] indicates severe stenosis ?
< 40 mm Hg
40 - 60 mm Hg
60 - 80 mm Hg
>80 mm Hg or dysfunction of the left ventricle
100 -120mmHg
Which one is true concerning the follow up of aortic valve stenosis?
In mild stenosis there is no restriction
Restriction from competitive sport is necessary for children with moderate stenosis
After valvuloplasty most patients need another intervention or surgery
Lifelong endocarditis prophylaxis is recommended in any case
All answers are correct
Which is not a usual manifestation concerning coarctation of the aorta (CaA)?
CHF with poor feeding, dyspnea and failure to thrive
In older children: headache, pain in the legs while running
Weak or absent inguinal pulses
Systolic murmur at the upper left sternal border sometimes with transmission to the back
Weak or absent radial pulses compared to inguinal pulses
Surgical procedures in coarctation of the aorta(CoA):
Resection and end-to-end anastomosis
Subclavian-flap procedure
Patch-aortoplasty
Conduit for long-segment CoA
All answers are correct
Mitral stenosis is judged to be critical when the mitral valve orifice is:
1cm2 or less
2cm2
3cm2
4cm2
All answer are correct
Mitral stenosis predominantly effects on female patients between:
20-30 years old.
10-20 years old.
25-35 years old.
50 years old.
40 years old
The most common etiology is:
Thoracic aortic aneurysm.
Constrictive pericarditis.
Bronchogenic carcinoma.
Acute cholecystitis.
Rheumatic fever.
The definitive test used to confirm the diagnosis of mitral valve stenosis is:
TOGD.
Scanner.
Echocardiogram.
Bronchoscope.
Chest X-ray.
As mitral valve stenosis progresses, children may show the following symptoms:
Rapid breathing
Slow growth or weight gain
Fatigue
Frequent respiratory infections
All answers are correct
Children with more advanced mitral stenosis are likely to require:
Interventional catheterization
Valve surgery
Follow up and treated
Monitoring
All answers are correct
Mild to moderate mitral stenosis is managed with medications such as:
Diuretics
Metronidazole
Antihistamine
Rifater
Mesporine
Children with congenital mitral stenosis that go untreated have a high mortality rate, with a mean survival to:
1 years of age.
4years of age.
6years of age.
3 years of age.
5 years of age.
The need for re-operation on mitral valve is
3years.
5years.
1month.
1 week.
Not uncommon.
Complications of mitral stenosis that not treated are:
Atrial fibrillation and atrial flutter
Stroke
Congestive heart failure
Pulmonary hypertension
All answers are correct
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