Practice Questions

Practice Questions

Single Best Answers


1)    Whichof the following statements is true regarding bradycardia?


a.         Ittypically accompanies hyperthyroidism

b.         Itmay be a feature of atrial fibrillation

c.         Ifless than 50bpm, it should be treated to prevent renal impairment

d.         Itis classically associated with multiple small pulmonary emboli


2)    Whichof the following statements is true regarding hyperkalaemia?

a.            Itis typically associated with chronic rather than acute renal failure

b.            Itmay be exacerbated by treatment with salbutamol

c.             Emergencytreatments include pamidronate infusion

d.            TheT wave amplitude on the ECG tends to increase


3)    Whichof the following statements is false regarding atrial fibrillation?

a.            Itis a complication of atrial myxoma

b.            Itis a typical complication of hypothyroidism

c.             Itmay be caused by alcohol

d.            Itis associated with fatigue


4)    Whichof the following statements is false regarding Aortic Stenosis

a.    Can cause sudden death

b.    Is a cause of syncope

c.    Needs prophylactic antibioticsin surgery

d.    Causes right ventricularhypertrophy


5)    Regardingmyocardial infarctions which of the following is true:

a        There is ST depression on ECG

b.         Pre-existingangina may decrease after the MI

c.         Diamorphineis limited by hypotension

d.         Rwaves are pathological


6)    Whichof the following is a cyanotic congenital heart condition?

a.            Tetralogyof Fallot

b.            Patentductus arteriosus

c.             Ventricularseptal defect

d.            Atrialseptal defect


7)    Awater hammer pulse is palpated in which condition?

a.            Aorticstenosis

b.            Tricuspidregurgitation

c.             Aorticregurgitation

d.            Mitralregurgitation


8)    Inthe JVP waveform cannon ‘a’ waves are observed in

a.            Aorticstenosis

b.            Completeheart block

c.             Tricuspidregurgitation

d.            SVC1st degree heart block


9)     Kussmaul’ssign, a paradoxical rise in JVP on inspiration is seen in

a.Dilated cardiomyopathy

b.Atrial myxoma

c.Constrictive pericarditis

d. Transpositionof the great arteries


10) The following causes a ‘reverse tick’ ST appearanceon ECG






11) A 56 year old female presents to A&E withpalpitations; these suddenly started 2 hours prior to admission. Blood pressureis 80/40mmHg and clinical examination reveals elevated JVP and the assessingdoctor believes heart sounds are difficult to detect. What is the most likelydiagnosis?

a.      Pulmonary embolism

b.     Pericardial effusion

c.      Cardiac tamponade

d.     Infective Endocarditis


12) A 60 year old male is successfully treated for ananterior myocardial using PCI. He is discharged on aspirin, bisoprolol,clopidogrel and simvastatin. An echo is performed following discharge revealingmoderately impaired left ventricular systolic function. Which of the followingis most likely to improve his overall prognosis.

a.      Furosemide

b.     Doxazosin

c.      Ramipril

d.     Amlodipine

13) A 45 year old male is attends A&E with centralcrushing chest pain that radiates to his neck and arm; his ECG is assessed andhe is taken to the cath lab for PCI. There is thrombosis of the left anteriordescending artery. Which of the following is most likely to have been seen onhis ECG?

a.      ST elevation in leads II,III and aVF

b.     ST elevation in leads I,aVL,V1,V2 and V3

c.      ST depression in leads V1 and V2

d.     ST elevation in lead II only


14) A 65 year old female is admitted to cardiology withaortic stenosis. She is found to be in AF; Her stroke risk is assessed; Bloodpressure is 170/90mmHg, fasting glucose 9.2 mmol/l and cholesterol 6.1mmol/lWhat is the most appropriate medication to reduce her stroke risk?

a.      Aspirin

b.     Warfarin

c.      Bisoprolol

d.     Cardioversion


15) An 18 year old male is assessed following a historyof prolonged hypertension; home blood pressure readings show an average of170/90mmHg. On examination, a mid systolic murmur is noted in the aortic areaand a radio femoral delay is palpable; ECG shows left ventricular hypertrophy.What is the most likely diagnosis

a.      Coarctation of the aorta

b.     Patent Ductus Arteriosus

c.      Pulmonary Hypertension

d.     Aortic Stenosis


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