Kasr Al Aini Exams

Kasr Al Aini Exams

Cairo University – Faculty of Medicine

Cardiology Department

Examination of the Master Degree in Cardiovascular Diseases

May, 2001. Paper 1.

All questions should be attempted

Time: 3 hours

1) a- Outline the factors responsible for the high virulence of staphylococcus aureus.

(10 marks)

b- Explain the mechanisms of the cardiovascular complications of infection by this organism. Discuss the treatment of one of these complications in detail.

(20 marks)

2) How would you proceed to investigate the following cases:

a- A 55 year old diabetic female patient presenting with shortness of breath and complete left bundle branch block.

(20 marks)

b- The recent development of congestive heart failure in a 35 year old patient ; 5 years following successful mitral valve replacement for rheumatic heart disease.

(20 marks)

Cairo University – Faculty of Medicine

Cardiology Department

Examination of the Master Degree in

Cardiovascular Diseases

Basic Cardiology

May, 2001.

Answer all questions

Time: 3 hours

1) a- Outline the actions of Angiotensin-II.

(15 marks)

b- Discuss the mode of action, and pharmacologic effects of drugs acting

on the rennin-angiotensin system.

(15 marks)

2) Write a short account of each of the following:

a- Normal development of the cono-truncus.

(10 marks)

b- The diagnostic value of trans-oesophageal echocardiography.

(15 marks)

c- Role of the vascular endothelium in modulating arterial thrombosis.

(15 marks)

3) a- Describe the anatomy of the right atrium.

(15 marks)

b- Briefly describe the performance of 3 percutaneous cardiovascular therapeutic procedures through the interior of the right atrium.

(15 marks)

Cairo University – Faculty of Medicine

Cardiology Department

Examination of the Master Degree in

Cardiovascular Diseases

May, 2001. Paper II

Answer all questions

Time: 3 hours

1) a- Discuss the clinical diagnostic value of non-cardiac stigmata of congenital heart disease.

(20 marks)

2) Outline the definition, clinical significance and management of each of the following:

a- Insulin resistance syndrome.

(20 marks)

b- Atrial arrhythmias in acute myocardial infarction.

(15 marks)

c- Systolic hypertension.

(15 marks)

Cairo University – Faculty of Medicine

Cardiology Department

Examination of the Master Degree in

Cardiovascular Diseases

May, 2001. Paper II

Answer all questions

Time: 3 hours

3) A 45 year old male patient received radiotherapy to the mediastinum for treatment of Hodjkin’s disease in 1991. His condition remained stable until four months ago when he noticed the development of palpitation, facial swelling on waking up and progressive oedema which started in the legs and marched upwards. Other findings on examination included sinus tachycardia 105/min, BP 110/85 mmHg, JVP was elevated 8 cm showing prominent X descent. The liver was enlarged 3 fingers. Chest showed diminished breath sounds at the lung bases. Cardiac auscultation revealed an S₃ sound. The ECG showed sinus tachycardia, low voltage and nonspecific ST-T changes. Chest x-ray showed mild cardiomegaly and small bilateral pleural effusions. Blood picture was normal, serum creatinine 0.9 mg/dl, AST 26 U/L, ALT 19 U/L, serum albumin 3.4 Gm/dL and urine protein 0.14 Gm/24 hours.

a- What are the other investigations that should be obtained in this patient.

(10 marks)

b- Discuss the diagnosis and differential diagnosis of this case.

(20 marks)

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