MCQ-Heart

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FRCPath Part1 Course

The Heart MCQ 1 A 56 year old man has increasing shortness of breath and is found to have isolated LVH. A CXR shows pulmonary oedema. What is the likely underlying pathology? A. B. C. D. E.

Bronchial chronic inflammation, mucus hypersecretion alveolar septal destruction Calcified and narrowed aortic valve Pulmonary fibrosis with asbestos bodies Hypertension undergoes valve replacement with a bioprosthesis Myocardial necrosis with coronary artery thrombosis

MCQ 2 A 70 year old woman develops congestive cardiac failure over a few years. She has bilateral pitting oedema. At PM she is found to have RV hypertrophy and dilation. The pulmonary trunk contains atherosclerosis. What is the likely underlying pathology? A. B. C. D. E.

Myocardial necrosis with coronary artery thrombosis A large thrombosis occluding the pulmonary artery Bronchial chronic inflammation, mucus hypersecretion and alveolar septal destruction Myocyte disarray Fatty replacement and fibrosis of the right ventricle

MCQ 3 A 60 year old man develops sudden onset retrosternal chest pain that radiates to the neck. Emergency CAA shows thrombosis of the LCA main stem. What is the most likely complication to occur in the next 1hr? A. B. C. D. E.

Ventricular tachycardia Myocardial rupture Pericarditis Ventricular aneurysm CVA

MCQ 4 A 60 year old man develops worsening shortness of breath and occasional LOC. He has pleural effusions, LVH and marked aortic stenosis. What best accounts for these findings? A. Smoking B. Diabetes C. Marfan’s D. Hypertension E. Bicuspid aortic valve MCQ 5 A 44 year old man with rheumatic aortic stenosis undergoes valve replacement with a bioprosthesis. After 10years, he develops exercise intolerance. What complication is likely to have occurred?

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FRCPath Part1 Course A. Haemolysis B. Thromboembolism C. Ishaemic heart disease D. Stenosis E. Paravalvular leak MCQ 6 A 16 year old girl is admitted to hospital 2 weeks after a sore throat. She has AF and develops pulmonary oedema and acute renal failure. Which is the most likely underlying pathology? A. Tamponade B. Acute myocardial infarction C. Hypertrophic cardiomyopathy D. Amyloidosis E. Acute rheumatic myocarditis MCQ 7 A 25 year old intravenous drug user is found dead at home. External examination finds splinter haemorrhages. At PM, the aortic valve bears a friable vegetation. Which finding is likely to provide the cause of the disease? A. Positive ANCA B. Raised Troponin T C. Positive blood culture forStaph aureus D. High double stranded-DNA antibody titre E. Raised antistreptolysin O level MCQ 8 A 44 year old man develops reduced exercise tolerance over 2 years. He has abdominal distention and a fluid wave. An echo shows an EF of 30%. Chronic use of which drug produces these findings? A. B. C. D. E.

Paracetamol Ethanol Nicotine Methotrexate Beta blockers

MCQ 9 A 15 year old boy collapses whilst playing rugby. Despite CPR, he cannot be revived. He was otherwise fit and healthy. Which of the following is the pathologist most likely to find at autopsy? A. B. C. D. E.

Haphazardly arranged hypertrophied septal myocytes? Myocardial haemosiderin deposition? Myocardial fibrosis? Myocardial hypertrophy with deposition of amorphous pinkish material? Aortic vegetations?

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FRCPath Part1 Course MCQ 10 A 50 year old man reports collapse with LOC on 6 occasions over the past 6 months. Following the last LOC, he developed left sided weakness. Doppler examination of the carotid arteries are normal. What is most likely present? A. B. C. D. E.

Carotid artery atherosclerosis Coronary artery thrombosis Tricuspid valve stenosis Atrial myxoma DVT

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