X hits on this document

Word document

FRACP PAST PAPERS - CARDIOVASCULAR - page 6 / 17

126 views

0 shares

1 downloads

0 comments

6 / 17

a.VSD

b.Aortic incompetence with a VSD

c.Ruptured sinus of Valsalva

d.Intra-atrial shunt

e.ASD

Question 13

A 38 year old male presents with sudden onset of dyspnoea and hypotension. Examination reveals a continuous murmur over the left sternal edge. The following oxygen staurations ar eobtained by cardiac catheter:

IVC75%LA98%

SVC73%LV97%

RA85%AO97%

PA84%

These findings are consistent with:

A)Ruptured sinus valsalva

B)Tetralogy of Fallot

C)VSD

D)ASD

E)Patent ductus arteriosus

FRACP 1997 (Paper A)

1.

Heart failure with normal LV systolic function in a 70 year old.  Common cause

A.

Increased atrial contraction

B.

Decreased heart rate

C.

Myocardial ischaemia

D.

Deacreased LV compliance

E.

AV degeneration

2.Pregnant lady 20 weeks, with mitral stenosis.  Best indicator of severity is

A.

Pre pregnancy exercise tolerance

B.

Duration of murmur

C.

Cardiac echo

D.

Displaced apex

E.

Symptoms prior to pregnancy

3.All the following are actions of blockers except:

A.

AV conduction

B.

insulin secretion

C.

glycogenolysis

D.

venodilation

E.

Hypnogogic hallucinations

4.Nitric oxide induced vasodilatation.  Least likely reason:

A.

Platelet aggregation

B.

Serotonin

C.

Acetyl choline

D.

Blood flow

E.

Haemoglobin

5.Question on prolonged QT  -  most likely cause:

A.

Inherited defect of Na+ channels

B.

Inherited defect of K+ channels

C.

Hypocalcaemia

D.

Myocardial infarction

E.

ACE inhibitors

FRACP 1997 (Paper B)

1.

46 year old pilot with a history of chest pains on exertion.  ECG shows sloping ST changes.  Stopped due to chest pain.  No echo changes.  Thallium scan done with exercise showed anterior ischaemic changes.  Most probable:

A.

anterior ischaemia with exercise

B.

false positive thallium scan

C.

post MI

D.

3 vessel disease

E.

2.

65 year old female, history of claudication, angina and hypertension for 2 years that has been very difficult to control.  Already on thiazide and blocker, now needs a Ca2+ channel blocker.  BP 150/90.  Renal U/S – R/kidney 10 cm, L/kidney 10.3cm.  Urine – Alb +1, trace blood.  Na+ 140, K+ 3.0, Urea 9, Creatinine 0.12, urinary catecholamines – NA 700 (normal <600), A 80 (normal).

Document info
Document views126
Page views149
Page last viewedFri Dec 09 03:03:29 UTC 2016
Pages17
Paragraphs1240
Words5917

Comments