Cardiology: Valvular heart diseases

1.Mitral valve prolapse (MVP) commonly affects:
a) Anterior mitral leaflet.
b) Posterior mitral leaflet
c) Both equally.
d) None of the above.

2. In MVP the duration of murmur decreases with:
a) Digoxin
b) Amyl nitrate
c) Squatting.
d) Standing.
e) Valsalva maneuver

3. Click in MVP narrows with:
a) Digoxin
b) Valsalva
c) Amylnitrate
d) Standing
e) All of the above

4. All are features of severe MR except:
a) Cardiomegaly
b) S3
c) Loud S1
d) Diastolic rumble
e) Systolic thrill over apex

5.Which of the following is a true statement:
a) Systolic murmur at apex is seen in AS and MS.
b) In a patient with AF intensity of murmur varies from beat to beat in AS.
c) In a patient with AF intensity of murmur varies from beat to beat in MR
d) AF is poorly tolerated in MR than MS.
e) Aneurysmal dilatation of LA is seen in MS than in MR of equal severity

6. Which of the following is correctly matched in case of AS:
a) Syncope= 2years survival.
b) LVF = 4 years survival.
c) Angina = 2 years survival.
d) Syncope= 3 year survival.

7. LBBB in a patient with AS is commonly due to involvement of :
a) Left posterior fascicle
b) Left anterior fascicle
c) RBB
d) SA node
e) AV node

8. “Mayne’s sign” is seen in:
a) Aortic stenosis
b) Aortic regurgitation
c) Mitral stenosis
d) Mitral regurgitation
e) All of the above

9. Causes of low pulse pressure in severe AR are the following except:
a) Acute AR
b) AR with AS or MS
c) AR with CCF
d) AR with systemic hypertension
e) AR with MR

10. All are features of acute AR except:
a) Pulse pressure normal
b) Austin flint (presystolic) murmur present
c) S3 common
d) ECG and CXRs normal.
e) None of above.