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Medical Qs of Heartj Volume 4
In patients with acute Rheumatic fever who are allergic to penicillin, the next drug of choice is :

Tetracyclines. 
Chloramphenicol  
Erythromycin. 
Sulfadiazine. 
Medical Qs of Heartj Volume 5
Hormonal replacement is suggested to reduce coronary disease in postmenopause.

Estrogen tablets alone. 
Estrogen and progestron tablets.  
Not indicated above 70 yr of age. 
Risk of cancer is about 5%. 
Medical Qs of Heartj Volume 6
Pregnancy should be avoided and is highly advised to be terminated in all, except:

Asymptomatic mild Aortic Regurgitation in Marfan. 
Prosthetic valve.  
Cyanotic Congenital heart disease. 
Moderate to severe Pulmonary Hypertension. 
Medical Qs of Heartj Volume 7
The most sensitive test for diagnosing renal artery stenosis is:

Magnetic resonance. 
Arteriography.  
Captopril renography. 
Digital Subtraction Angiography. 
Medical Qs of Heartj Volume 8
First line of management for typical angina with non-specific ECG changes in ER.

CCU admission. 
Thrombolytic therapy.  
ER observation and enzymes. 
Coronary angiography. 
Medical Qs of Heartj Volume 9
The drug of choice for Primary Pulmonary Hypertension (PPH):

Calcium blockers. 
Digoxin.  
Oral Anticoagculants. 
Prostacyclines. 
Medical Qs of Heartj Volume 9
Treatment of paroxysmal AF in diabetic hypertensive with normal heart:

No treatment. 
Aspirin.  
Full dose Warfarin. 
Low dose Warfarin + Aspirin. 
Medical Qs of Heartj Volume 10
The best drug for hypertension during pregnancy is:

Aldomet (Methyldopa). 
Atenolol (B-blocker).  
Nifedipine (Ca-Blocker). 
ACE or Angiotensin-II inhibitors. 
Medical Qs of Heartj Volume 11
Aortic Balloon Valvotomy for AS is contraindicated in:

Children and adolescents. 
Adults.  
Above age of 80 years. 
AS and refractory pulmonary edema. 
Medical Qs of Heartj Volume 13
The major risk factor for Mitral Valve Prolapse is:

Flail valve. 
Moderate to severe MR.  
Presence of AF. 
LV dilatation. 
Medical Qs of Heartj Volume 14
The best noninvasive test for the diagnosis of either ischemic or dilated cardiomyopathy is:

ECG. 
X-ray.  
2-D echo. 
MRA. 
Medical Qs of Heartj Volume 15
TEE is highly recommended in AF:

Recent AF (<24 hr). 
AF with HR of >150 bpm.  
Drug conversion of AF of >24 hr. 
AF after mitral valve replacement. 
Medical Qs of Heartj Volume 16
All is correct in cryptogenic-ischemic stroke EXCEPT:

Due to undiagnosed mitral-vegetation. 
Common with large PFO.  
Common in the young with stroke. 
Recurrent stroke is low with aspirin alone. 
Medical Qs of Heartj Volume 17
Morbidity and mortality are high in a 70 yr old patient with BP:

150/100 mmHg 
170/50 mmHg  
170/ 90 mmHg 
100/50 mmHg 
Medical Qs of Heartj Volume 18
All about Adactone is true except:

K+ sparing diuretic. 
Used as 100 mg in severe HF.  
Can be used with ACE inhibitor. 
Not used with renal failure. 
Medical Qs of Heartj Volume 19
Hormone Replacement is advised for Postmenopausal Women with:

Stable Angina. 
Unstable Angina.  
Pulmonary Hypertension. 
Advanced Heart Failure. 
Medical Qs of Heartj Volume 20
All about off-pump CABG is true except:

For low risk patients. 
For high risk patients.  
Higher incidence of post-OP AF. 
Higher incidence of graft occlusion. 
Medical Qs of Heartj Volume 21
All about natriuretic peptide (BNP) is true except:

Higher in CHF than CAD. 
Higher in systolic than diastolic HF.  
Its level predicts mortality. 
Can be used to treat CHF. 
Medical Qs of Heartj Volume 23
All are true about artificial hearts except:

They are better than transplantation. 
Improve condition before transplantation.  
They replace either LV or 2 ventricles. 
Contraindicated above 70 years old. 
Medical Qs of Heartj Volume 24
All improve metabolism of myocardium except.

Insulin 
Heparin  
Trimetazidine 
Ranolazine 
Medical Qs of Heartj Volume 27
All about LDL-cholesterol is true except:

Level should be around 100 mg/dL. 
It forms 65% of total Cholesterol.  
Called non-HDL cholesterol. 
Synergistic risk with apo B. 
Medical Qs of Heartj Volume 30
The best antiplatelet regimen for CVD is:

Clopidogrel + Aspirin. 
Clopidogrel alone.  
Aspirin alone. 
I do not know. 
Medical Qs of Heartj Volume 30
The best antiplatelet regimen for CVD is:

Clopidogrel + Aspirin. 
Clopidogrel alone.  
Aspirin alone. 
I do not know. 
Medical Qs of Heartj Volume 31
ACEs and ARBs are not preferred in HF with all except:

Pregnancy 
Severe anemia  
Acute MI 
Renal artery stenosis 
Medical Qs of Heartj Volume 35
The highest rate of structural deterioration of mechanical prostheses with:

Bjork-Shiley C-C 
Carbomedics  
St. Jude 
Medtronic-Hall 
Medical Qs of Heartj Volume 35
The highest rate of structural deterioration of mechanical prostheses with:

Bjork-Shiley C-C 
Carbomedics  
St. Jude 
Medtronic-Hall 
Medical Qs of Heartj Volume 35
The highest rate of structural deterioration of mechanical prostheses with:

Bjork-Shiley C-C 
Carbomedics  
St. Jude 
Medtronic-Hall 

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