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Ed-10 new batch exam-06

1. Which of the following is a criterion for diagnosis of a prior myocardial infarction?
Symptoms of ischemia.
Imaging evidence of loss of viable myocardium without acute symptoms.
Dynamic change in Troponin I level.
New ST T changes.
New LBBB.
2. Which of the following is a not a dangerous rhythm in patients with Myocardial infarction?
Ventricular fibrillation.
Accelerated Idioventricular rhythm (AIVR).
Ventricular tachycardia.
Sinus bradycardia.
Third degree AV block.
3. Which marker should be used for diagnosing recurrent MI within a few days of primary event?
Troponin I
Troponin T
CK-MB
AST.
LDH.
4. A hospitalized patient with myocardial infarction develops chest pain in third day of admission. The pain is increased during inspiration and relieved somewhat during bending forward. What is the most likely diagnosis?
Acute pericarditis.
Acute heart failure.
Dressler syndrome.
Recurrent angina.
Recurrent MI.
5. A 50-year-old patient with history of MI 2 months back comes with the complaints of shortness of breath. ECG shows ST elevation in V1-V4. Patient does not have any current chest pain. What is the most likely diagnosis?
Ventricular septum rupture.
Brugada syndrome.
Ventricular aneurysm.
Pericarditis.
Hyperkalemia.
6. ST elevation in which of the following leads suggest anterolateral infarction?
V1-V2.
V1-V4.
V4-V6, I, aVL.
II, III, aVF.
I, aVL.
7. ST depression and tall R wave in leads V1-V4 suggest which infarction?
Posterior infarction.
Anterior infarction.
Anteroseptal infarction.
Septal infarction.
Lateral infarction.
8. Which of the following is not a feature of successful reperfusion after thrombolysis?
Rapid pain relief.
Resolution of Q waves.
Occasional transient arrhythmias such as AIVR.
Resolution of ST elevation.
Angiogram showing vessel free of thrombus.
9. Which of the following is not a contraindication to thrombolytic therapy?
Previous hemorrhagic stroke.
Previous ischemic stroke.
Blood pressure more than 185/110 mm Hg.
Active peptic ulcer disease.
Pregnancy.
10. Which of the following is not part of the definition of critical limb ischemia?
Rest pain requiring opioids.
Ankle BP more than 50 mm Hg.
Ulcer for more than 2 weeks.
Ankle BP less than 50 mm Hg.
Gangrene for more than 2 weeks.
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