Mock Exam 1 Cardiology Part One MRCPCH Educational Materials from MRCPCH2009 for Part 1 Number of questions: 20 Score: 100 marks Time: 30 Minutes
MRCPCH2009 SITE
ELBABA M.A.
Mock Exam Series Cardiology Test 1
MRCPCH2009 Site ELBABA M.A.
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EXTENDED MATCHING QUESTIONS Q. 1 (20 Marks) This is a list of cardiac Intervention: A. Percutaneou Atrial septostomy B. Percutaneou balloon valvoplasty C. Percutaneous device insertion D. Blalock-Taussig shunt E. Norwood operation F. Cardiac transplantation G. Valve replacement H. Ligation I. Switch operation J. Non of the above Choose the intervention of choice for each of the following: SELECT ONE ANSWER ONLY FOR EACH QUESTION Note: Each answer may be used more than once 1. 1 year old boy discovered to have asymptomatic pansystolic murmur maximally heard over the left forth and fifth intercostals spaces with normal heart sounds. There is clear thrill palpable on physical examination. The ECG & Chest X-ray are within normal. 2. 5 years old girl with asymptomatic ejection systolic murmur and fixed wide splitting of the second heart sound. No signs of heart failure or pulmonary hypertension. ECG Shows left axis deviation. Chest X-ray is normal 3. Asymptomatic 3 years old child with continues murmur over the left infraclavicular region and normal heart sounds. This murmur is not fixed and cease with turning the head to one side. No thrill or other signs. The ECG & Chest X-ray are within normal. 4. 2 year old girl with ejection systolic murmur maximally heard over the right second intercostals space proceeded by click and radiated to the neck. Thrill is palpable in suprasternal notch. The second heart sound is quite and single component. Mother has mentioned something like syncopal episodes occurred frequently.
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Mock Exam Series Cardiology Test 1
MRCPCH2009 Site ELBABA M.A.
____________________________________________________________________________
Q. 2 (15 Marks) This is a list of Syndromic diagnosis commonly associated with cardiac defect: A. Trisomy 21 B. Trisomy 13 C. Trisomt 18 D. Noonan syndrome E. Holt-Oram syndrome F. 22q deletion syndrome G. William syndrome H. Turner syndrome I. Allagil Syndrome J. Non of the above Choose the most likely diagnosis for each of the following: SELECT ONE ANSWER ONLY FOR EACH QUESTION Note: Each answer may be used more than once 1. Peripheral pulmonary artery stenosis in 2 months old baby presented with jaundice and pale stool. Dysmorphic features and characteristic finding in ophthalmologic examination. 2. Supravalvular aortic stenosis in 3 year old boy with dysmorphic child and characteristic way of speech “Cocktail party”. There is history of transient neonatal hypercalcemia. 3. Trancus arteriosis in 9 months old dysmorphic girl. She has a problem of persistant hypocalcemia and recurrent infections. Q. 3 (15 Marks) This is a list of Medications commonly used in heart diseases: A. Angiotensin converting enzyme inhibitors B. Loops diuretics C. Warafarin D. Aspirin E. Sildanafil F. Posentan G. Palivizumab H. Propranolol I. Adenosine J. Digoxin K. Nitric Oxide L. Prostaglandin __________________________________________________________________________ http://sites.google.com/site/mrcpch2009/
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Mock Exam Series Cardiology Test 1
MRCPCH2009 Site ELBABA M.A.
____________________________________________________________________________
Choose the drug of choice for each of the following: SELECT ONE ANSWER ONLY FOR EACH QUESTION Note: Each answer may be used more than once 1. Neonate presented with sepsis like picture and required ventilation. Echocardiogram proved hypoplastic left heart syndrome 2. Four month old baby with Down syndrome dependent on Oxygen. Echcardiogram proved complete atrioventricular septal defect and high pulmonary artery pressure. 3. 10 year old boy confirmed before as sever mitral stenosis after rheumatic fever. The child has an artificial mitral valve replacement.
BEST OF FIVE QUESTIONS (5 Marks each) 1. All of the following regarding fetal Dysrrhythmia are true EXCEPT: A. Supraventricular tachycardia can be minimized with maternal Digoxin B. Congenital heart block is one of complication of maternal SLE C. Heart block can be treated with maternal salbutamol D. Atrial fibrillation is common in Ebstein anomaly E. Hydrops fetalis may be the first presentation 2. Ventricular septal defect: SELECT ONE A. Represent less 20% of all congenital heart diseases B. Is the commonest congenital cardiac anomaly in Down syndrome C. Always require surgery D. Even small defect can present with heart failure E. Usually associated with finger clubbing 3. All of the following are essential to diagnose infantile heart failure EXCEPT: A. Tachycardia not related to other stress B. Gallop rhythm C. Variable degree of respiratory distress D. Sweating & inability to complete feeding E. Tender or non tender Hepatomegaly __________________________________________________________________________ http://sites.google.com/site/mrcpch2009/
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Mock Exam Series Cardiology Test 1
MRCPCH2009 Site ELBABA M.A.
____________________________________________________________________________
4. Finger clubbing is usually seen in all of the following EXCEPT: A. Longstanding Infective endocarditis B. 3 months old baby with Fallot’s tetralogy C. 10 years old with Eisenmeger’s syndrome D. 5 years old child with complex cyanotic heart disease E. Fallot’s tetralogy with cyanotic spells 5. Regarding Kawasaki disease: SELECT ONE A. Recently Herpes Virus 6 has isolated as a causative organism B. Characterized by vesiculbollus eruption C. Fever more than 5 days is essential for diagnosis in typical case D. Coronary aneurysm is always present in severe cases E. Steroid is the first line of therapy after diagnosis
MULTIPLE TRUE/FALSE QUESTIONS (5 Marks each) 1. In rheumatic fever: A. Erythema marginatum is present in most of the patient B. Right side systolic murmur is usually present if heart is involved. C. Chorea may be the only presentation D. Joint pains in different joins is one of the major criteria for diagnosis E. Group B hemolytic streptococci is the causative organism. 2. In supraventricular tachycardia : A. Adenosine slowly intravenous infusion is the drug of choice B. Never required cardioversion C. Flecainide can be used as a second line D. Immersion of face in cold water may be all that required E. May presented intrauterine with hydrops fetalis 3. All of the following can be found in Infective endocarditis : A. Hemorrhagic spots in fundus examination B. Negative blood culture C. Thrombosis of great vessels D. Hemopericardium E. Red blood cells in urine. __________________________________________________________________________ http://sites.google.com/site/mrcpch2009/
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Mock Exam Series Cardiology Test 1
MRCPCH2009 Site ELBABA M.A.
____________________________________________________________________________
4. In Long Q-T interval : A. It is the duration from the end of QRS complex to the end of T wave B. Should be corrected to the heart rate C. Can be present with Hypercalcemia D. Can be present with Hypothermia E. If associated with deafness, Jervell -Lange–Nielson may be the cause is 5. Central cyanosis : A. Is best seen in the lips. B. Nitrogen washout test differentiates cardiac from respiratory causes C. Practically can be monitored by pulse oximetery; oxygen saturation D. Can be seen in spinal muscular atrophy E. Methemoglobinemia is one of the commonest reasons.
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ELBABA 2011 2011
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