[MCQ] Tumors and Trauma of the Heart

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Tumors and Trauma of the Heart

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Question 1

Which of the following is the most common primary tumor of heart in adults ?

A	Myxoma
B	Rhabdomyoma
C	Fibroma
D	Hemangioma

Question 1 Explanation:

Myxomas are the most common type of primary cardiac tumor in all age groups, most commonly in third to sixth decade, with a female predilection

Question 2

Carney syndrome is characterized by all except ?

A	Spotty skin pigmentation
B	Myxomas
C	Cataract
D	Pituitary adenomas

Question 2 Explanation:

Carney complex comprises of myxomas (cardiac, skin, and/or breast), lentigines and/or pigmented nevi and endocrine overactivity (primary nodular adrenal cortical disease with or without Cushing’s syndrome, testicular tumors, and/or pituitary adenomas with gigantism or acromegaly).

Question 3

NAME syndrome includes all except ?

A	Nevi
B	Atrial myxoma
C	Atrial myxoma
D	Ephelides

Question 3 Explanation:

NAME syndrome consists of nevi, atrial myxoma, myxoid neurofibroma and ephelides

Question 4

LAMB syndrome includes all except ?

A	Lentigines
B	Atrial myxoma
C	Melanoma
D	Blue nevi

Question 4 Explanation:

LAMB syndrome consists of lentigines, atrial myxoma and blue nevi

Question 5

Most common tumor of the cardiac valves is ?

A	Lipoma
B	Papillary fibroelastoma
C	Sarcoma
D	Cardiac metastases

Question 5 Explanation:

Papillary fibroelastomas are the most common tumors of the cardiac valves

Question 6

Which of the following is the most common primary tumor of heart in adults ?

A	Lipoma
B	Myocytic hamartoma
C	Myxoma
D	Inflammatory psuedotumor

Question 7

Which of the following is the most common primary tumor of heart in children ?

A	Myxoma
B	Rhabdomyoma
C	Lipoma
D	Hemangioma

Question 7 Explanation:

Rhabdomyomas and fibromas are the most common cardiac tumors in infants and children and usually occur in ventricles. Rhabdomyomas are strongly associated with tuberous sclerosis.

Question 8

Which of the following heart tumour is intramyocardial in location ?

A	Myxoma
B	Rhabdomyoma
C	Lipoma
D	Hemangioma

Question 8 Explanation:

Hemangiomas and mesotheliomas most often are intramyocardial in location, and may cause atrioventricular (AV) conduction disturbances

Question 9

Relative incidence of cardiac metastases is highest in which of the following malignancies ?

A	Leukemia
B	Lymphoma
C	Malignant melanoma
D	None of the above

Question 9 Explanation:

Relative incidence of cardiac metastases is high in malignant melanoma.

Question 10

Most common primary originating site of cardiac metastases is ?

A	Carcinoma breast
B	Carcinoma thyroid
C	Carcinoma pancreas
D	Carcinoma testes

Question 10 Explanation:

Most common primary originating sites of cardiac metastases are carcinoma of breast & lung

Question 11

In cardiac metastases, which of the following is least involved ?

A	Pericardium
B	Myocardium
C	Endocardium
D	All of the above

Question 11 Explanation:

Cardiac metastases occur via hematogenous or lymphangitic spread or by direct tumor invasion. pericardium is most often involved, followed by myocardial and rarely by involvement of endocardium or cardiac valves.

Question 12

Which of the following investigation is most useful in diagnostic evaluation of cardiac metastases & cardiac tumors ?

A	Echocardiography
B	CT
C	Cardiac MRI
D	Angiography

Question 12 Explanation:

Cardiac MRI plays a central role in diagnostic evaluation of cardiac metastases & cardiac tumors.

Question 13

Characteristic endocardial lesions of SLE (Libman & Sacks) are most often located at ?

A	Atria
B	Ventricular surface of mitral valve
C	Left ventricular outflow tract
D	Left ventricular outflow tract

Question 14

What is meant by “commotio cordis” ?

A	Impact to chest wall overlying heart
B	Torsion injury of heart
C	Kinking of coronary artery
D	Aneurysmal rupture of coronary artery

Question 14 Explanation:

Blunt, nonpenetrating injuries to chest that trigger ventricular fibrillation is referred to as commotio cordis. Impact to chest wall overlying heart during the susceptible pha

Question 15

Which of the following is false about Tako-Tsubo syndrome ?

A	Sudden emotional trauma
B	Hyperdynamic function at ventricular base
C	Anterior ST-segment elevation
D	None of the above

Question 15 Explanation:

Tako-Tsubo syndrome or apical ballooning syndrome is due to sudden emotional or physiologic trauma leading to dysfunction of mid-portion & apex of LV with hyperdynamic function at ventricular base. More common in women, it presents with chest pain, anterior ST-segment elevation & mildly elevated cardiac enzymes without significant epicardial coronary artery disease. Prognosis is favorable & complete & spontaneous resolution of ventricular dysfunction occurs within weeks.

Question 16

Which of the following is the most common vascular deceleration injury ?

A	Post-pericardiotomy syndrome
B	Tako-Tsubo syndrome
C	Commotio cordis
D	Rupture of the aorta

Question 16 Explanation:

Rupture of aorta, usually just above aortic valve or at the site of ligamentum arteriosum, is the most common vascular deceleration injury with clinical presentation similar to that of aortic dissection

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See all quizzes of the Tumors and Trauma of the Heart at here:

1.Which of the following is the most common primary tumor of heart in adults ?
A. Myxoma
B. Rhabdomyoma
C. Fibroma
D. Hemangioma

2. Carney syndrome is characterized by all except ?
A. Spotty skin pigmentation
B. Myxomas
C. Cataract
D. Pituitary adenomas

3. NAME syndrome includes all except ?
A. Nevi
B. Atrial myxoma
C. Myxoedema
D. Ephelides

4. LAMB syndrome includes all except ?
A. Lentigines
B. Atrial myxoma
C. Melanoma
D. Blue nevi

5. Most common tumor of the cardiac valves is ?
A. Lipoma
B. Papillary fibroelastoma
C. Sarcoma

D. Cardiac metastases

6. Which of the following is the most common primary tumor of heart in adults ?
A. Lipoma
B. Myocytic hamartoma
C. Myxoma
D. Inflammatory psuedotumor
7. Which of the following is the most common primary tumor of heart in children ?
A. Myxoma
B. Rhabdomyoma
C. Lipoma
D. Hemangioma

8. Which of the following heart tumour is intramyocardial in location ?
A. Myxoma
B. Rhabdomyoma
C. Lipoma
D. Hemangioma
.
9.Relative incidence of cardiac metastases is highest in which of the following malignancies ?
A. Leukemia
B. Lymphoma
C. Malignant melanoma
D. None of the above

10. Most common primary originating site of cardiac metastases is ?
A. Carcinoma breast
B. Carcinoma thyroid
C. Carcinoma pancreas
D. Carcinoma testes

11. In cardiac metastases, which of the following is least involved ?
A. Pericardium
B. Myocardium
C. Endocardium
D. All of the above

12. Which of the following investigation is most useful in diagnostic evaluation of cardiac metastases & cardiac tumors ?
A. Echocardiography
B. CT
C. Cardiac MRI
D. Angiography

13 Characteristic endocardial lesions of SLE (Libman & Sacks) are most often located at ?
A. Atria
B. Ventricular surface of mitral valve
C. Left ventricular outflow tract
D. Right ventricular outflow tract
14. What is meant by “commotio cordis” ?
A. Impact to chest wall overlying heart
B. Torsion injury of heart
C. Kinking of coronary artery
D. Aneurysmal rupture of coronary artery

15. Which of the following is false about Tako-Tsubo syndrome ?
A. Sudden emotional trauma
B. Hyperdynamic function at ventricular base
C. Anterior ST-segment elevation
D. None of the above

16. Which of the following is the most common vascular deceleration injury ?
A. Post-pericardiotomy syndrome
B. Tako-Tsubo syndrome
C. Commotio cordis
D. Rupture of the aorta

Tumors and Trauma of the Heart

[MCQ] Tumors and Trauma of the Heart

I. Start the exam by click the “Start” button

Tumors and Trauma of the Heart

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