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FRACP PAST PAPERS - CARDIOVASCULAR - page 13 / 17

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b/  endomyocardial biopsy best to dx acute rejection

c/  constrictive pericarditis reflects chronic rejection

d/  pulmonary venous HT is a contraindication

41.

Which of the following congenital conditions is associated with a reduced life-expectancy:

a/  coronary AV fistula

b/  LAD arising from pulmonary artery

c/  single coronary artery

d/  anomaloustract between aorta and RV outflow tract

e/  LAD arising from R sinus of valsalva

42.

Concerning elective coronary angiography:

a/  has 1/1000 mortality

b/  arteial damage 5/1000

c/  nonfatal MI 7/1000

d/  CVA 1/100

e/  serious arrhythmia 6/1000

43.

Atrial fibrillation in non-rheumatic heart disease:

a/  the risk of embollism is inc 2-5times

b/  10-20% early (<2wks) recurrence rate

c/  commonly embollises to the lenticulostriate a.

d/  prevented by anticoagulation

e/  haemorrhagic transformation relates to infarct size

44.

Regaring thrombolysis:

a/  TPA dec mortality >SK

b/  SK readministered within <3/12 - allergic Rx

c/  PTCA to total occlusion post-lysis inc mortality

d/  PTCA post successful lysis prevents reocclusion

45.

Surgery is indicated for symptomatic pt with:

a/  AAA>7cm in 68yo

b/  PDA in adolescent with 3:2 shunt

c/  ASD secundum in adolexcent with 2.3:1 shunt

d/  MS in valve 1.2cm sq in nulliparous woman

e/  2VCADx with normal LV function

46.

ECG - SR with widespread deep TWI.   This would be consistent with:

a/  acute MI

b/  hypokalaemia

c/  proximal LAD lesion

d/  SAH

e/  Amiodarone Tx

47.

ECG - torsades :  Conditions predisposing to this include:

a/  digoxin

b/  hypomagnasaemia

c/  flecainide

d/  quinidine

e/  CAD

f/  MVP

48.

Coronary angiogram in 42 yo man with AP ,   RCA injection, told LCA is normal

a/  this is an LAO view

b/  demonstrates coronary atresia

c/  R posterior descending is not demonstrated

d/  a high se cholesterol would be expected

e/  surgery is indicated

49.

Concerning the chronic haemodynamic and pathological consequences of compensated MR:

a/ reduced pulmonary blood flow

b/ reduced pulmonary vascular resistance

c/ increased LV mass

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