Cardiology: Infective endocarditis

1.The composition of vegetation includes:
a) Fibrin
b) Platelet
c) Microorganism
d) Inflammatory cells
e) All of the above

2.Dukes criteria for diagnosis of IE was published in:
a) 1900
b) 1985
c) 1994
d) 2000

3.Fever of IE is typically absent in patients with:
a) CCF
b) Diabetes
c) CRF
d) Liver failure
e) Previous Rx with antibiotics
f) Less virulent organisms
g) All of the above

4. The best predictive sign of myocardial abscess in IE of aortic valve is:
a) Tachycardia
b) Ejection systolic murmur
c) S3 of LV
d) ECG showing new onset AV block

5. Duke criteria is based on a/an:
a) Physician
b) Patient
c) Hospital
d) University

6.Emboli of IE commonly affect in the following order:
a) Kidney>spleen>liver>mesenteric arteries
b) Mesenteric arteries>liver>spleen>kidney
c) Spleen>kidney>liver>mesenteric arteries
d) Liver>spleen>kidney>mesenteric arteries

7. Drug of choice for HACEK organisms in IE:
a) Vancomycin
b) Ceftriaxone
c) Ampicillin
d) Metronidazole

8.The strongest indication for surgery in IE is:
a) Persistence of fever
b) Septic embolism
c) Congestive cardiac failure
d) Perivalvular invasive disease

9. All are true regarding Libman sach’s endocarditis except:
a) Seen in ventricular surface of valves
b) Multiple
c) Commonly affects aortic valve than mitral valve
d) Recur after valve replacement

10.Roth spots are seen in :
a) IE
b) Leukaemias
c) Scurvy
d) Aplastic anaemia
e) All of the above

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