[MCQ] Pericardial Disease- Part 2

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Pericardial Disease- Part 1| Pericardial Disease- Part 2

1.Prominent “x” descent is rare in ?
A. Cardiac tamponade
B. Constrictive pericarditis
C. Restrictive cardiomyopathy
D. RVMI

2. Pericardial knock is often present in ?
A. Cardiac tamponade
B. Constrictive pericarditis
C. Restrictive cardiomyopathy
D. RVMI

3.  Pulsus paradoxus is defined as a decrease in systolic arterial pressure of ?
A. > 10 mm Hg with inspiration
B. > 20 mm Hg with inspiration
C. > 30 mm Hg with inspiration
D. > 40 mm Hg with inspiration

4. Pulsus paradoxus is most common in ?
A. Cardiac tamponade
B. Constrictive pericarditis
C. Restrictive cardiomyopathy
D. All of the above

5.  Pulsus paradoxus is observed in which of the following condition ?
A. Hypovolemic shock
B. Acute and chronic obstructive airways disease
C. Pulmonary embolus
D. All of the above

6.  Doppler ultrasound in cardiac tamponade shows marked  increase in flow velocities during inspiration across ?
A. Pulmonic valve
B. Pulmonic vein
C. Mitral valve
D. Aortic valve

7.  Most common cause of acute pericarditis is ?
A. Viral or unknown (idiopathic)
B. Trauma to the chest
C. Neoplastic invasion of the pericardium
D. Tuberculosis

8.  Which of the following drugs is not indicated in treatment of idiopathic acute pericarditis ?
A. Phenylbutazone
B. Colchicine
C. Prednisone
D. Ibuprofen

9.  In constrictive pericarditis, right & left atrial pressure pulses display a contour of the shape of ?
A. A – shape
B. M – shape
C. V – shape
D. W – shape

10. Broadbent’s sign is a feature of ?
A. Cardiac tamponade
B. Constrictive pericarditis
C. Restrictive cardiomyopathy
D. RVMI

11.The possible sequelae of pericarditis include ?
A. Cardiac tamponade
B. Recurrent pericarditis
C. Pericardial constriction
D. All of the above
12.  The presence of which of the following is most sensitive indicator of cardiac tamponade ?
A. Systemic arterial hypotension
B. Tachycardia
C. Elevated jugular venous pressure
D. Pulsus paradoxus
13.  The appearance of cardiomegaly on chest radiography indicates a pericardial effusion of ?
A. > 150 ml
B. > 250 ml
C. > 350 ml
D. > 450 ml
14.  Drugs implicated in the causation of pericarditis include ?
A. Dantrolene

B. Doxorubicin
C. Hydralazine
D. All of the above
15. Drugs implicated in the causation of pericarditis include ?
A. Isoniazid
B. Methysergide
C. Pergolide
D. All of the above
16.  Drugs implicated in the causation of pericarditis include ?
A. Phenylbutazone
B. Phenytoin
C. Procainamide
D. All of the above
17.  Drugs implicated in the causation of pericarditis include ?
A. Isoniazid
B. Cromolyn
C. Minoxidil
D. All of the above
18.  Plasma troponin concentrations are elevated in what percent of patients with pericarditis ?
A. 10 to 15 percent
B. 20 to 25 percent
C. 35 to 50 percent
D. 50 to 60 percent
19. A large pericardial effusion is diagnosed if the echo-free space on 2D echocardiography is ?
A. > 10 mm
B. > 20 mm
C. > 30 mm
D. > 40 mm
20. In rheumatoid arthritis, pericardial fluid has which of the following features ?
A. Exudate
B. Decreased concentrations of complement and glucose
C. Elevated cholesterol
D. All of the above
21. Interferon alpha is reported to be beneficial in pericarditis caused by ?
A. Cytomegalovirus
B. Coxsackie B
C. Adenovirus
D. Parvovirus

22. Hyperimmune globulin is reported to be beneficial in pericarditis caused by ?
A. Cytomegalovirus
B. Adenovirus
C. Parvovirus
D. All of the above