Spmp Acute Lv Failure

Front 1

IV. 1.
A patient c/o sudden onset of dyspnoea. You will now take the following history:
A. Effort intolerance
B. Orthopnea
C. PND
D. Angina pectoris
E. All of the above

Back 1

E. All of the above

Hint 1

Acute dyspnoea in LVF is due to flooding of pulmonary alveoli

Front 2

IV. 2.
The following illnesses in the Past History is important here EXCEPT:

A. Systemic Hypertension

B. Coronary Artery Heart Disease

C. Aortic Valve Stenosis

D. Chronic Aortic Regurgitation

E. Mitral Valve Stenosis

Back 2

D. Chronic Aortic Regurgitation

Front 3

IV. 3.
Acute bronchial asthma should be excluded by the following history:
A. Onset in childhood
B. Dyspnoea with wheeze
C. Seasonal variation
D. History of allergy
E. All of the above.

Back 3

E. All of the above.

Front 4

IV. 4.
You will now proceed to examine the patient for the following EXCEPT:
A. Tachycardia
B. High or low Blood Pressure
C. Gallop rhythm
D. B/L Basal crepitations
E. Complete CNS examination

Back 4

E. Complete neurological examination

Front 5

IV. 5.
The following investigations will have to be sent EXCEPT:
A. Random Blood Sugar
B. Spirometry
C. 12 lead ECG
D. EEG
E. Chest X-ray PA view

Back 5

D. EEG

Front 6

IV. 6.
Chest X Ray taken as soon as the patient is better will show all the following EXCEPT:
A. Cardiomegaly
B. Hyper-translucent lung fields
C. Kerly B lines
D. Bilateral hydrothorax
E. Bat wing appearance

Back 6

B. Hyper-translucent lung fields

Front 7

IV. 7.
The following general measures have to be taken:

A. Reassurance the patient

B. Explain the prognosis to bystanders

C. Propped up position

D. Oxygen Inhalation

E. All the above

Back 7

E. All the above

Front 8

IV. 8.
Blood pressure <90 mm Hg will be indication for administering:

A. Betamethazone 0.5mg IV

B. Adrenaline 0.5mg IV

C. Pentazocine 50mg IV

D. Dopamine 25 ug/kg

E. All of the above

Back 8

E. All of the above

Front 9

IV. 9.
If BP is >90 mm Hg following drugs should be given EXCEPT:

A. Morphine 3mg slow IV

B. Eptoin 100mg IV

C. Frusemide 40mg IV

D. Aminophyllin 250mg IV.

E. Dobutamine 2.5-10ug/kg/min IV

Back 9

B. Eptoin 100mg IV

Front 10

IV. 10.
Nitroglycerine may be given in the setting of hypertension or angina as:

A. 10-20 ug/kg orally

B. 10-20ug/mt IV infusion

C. 100-200 ug/kg bolus dose

D. 100-200 ug/mt IV infusion

E. None of the above

Back 10

B. 10-20ug/mt IV infusion

Front 11

IV. 11.
The contraindication for giving intravenous nitroglycerine in Acute LVF is:

A. Mitral stenosis

B. Aortic stenosis

C. BP>150/100

D. CAHD

E. None

Back 11

B. Aortic stenosis

Front 12

IV. 12.
IV Sodium Nitroprusside can be administered in the following dose:

A. 20-30 ug/min IV infusion

B. 40-50 ug/min IV infusion

C. 60-70 ug/min IV infusion

D. 20-30 ug/min IV bolus

E. 20-30 ug/min IM injection

Back 12

A. 20-30 ug/min IV infusion

Front 13

IV. 13.
The indication for digoxin in cardiac failure is the following:

A. Systolic heart failure

B. Diastolic heart failure

C. Acute Myocardial Infarction

D. Atrial Flutter with block

E. Hypertrophic cardiomyopathy

Back 13

A. Systolic heart failure

Front 14

IV. 14.
Refractory cases of LVF can be managed by the following EXCEPT:

A. Further doses of diuretic

B. Dopamine/Dobutamine infusion

C. Physiological venesection

D. Intra aortic balloon pump

E. Cardiac transplantation

Back 14

B. Dopamine/Dobutamine infusion

Front 15

IV. 15.
Physiological venesection involves the following steps EXCEPT:

A. Using three rubber tourniquet

B. BP Apparatus cuff used alternatively

C. Tied till pulse is absent

D. Three limbs are tied at a time

E. Rotated every 15minutes

Back 15

C. Tied till pulse is absent

Front 16

IV. 16.
Surgical venesection in the management of acute LVF means removal of :

A. 050ml venous blood

B. 150ml venous blood

C. 250ml venous blood

D. 350ml venous blood

E. 450ml venous blood

Back 16

C. 250ml venous blood

Front 17

V. 17.
Indications for continuous positive pressure ventilation in LVF are the following EXCEPT:

A. Patient exhaustion

B. PaO2 < 8 KPa

C. Raising PaCO2

D. Worsening acidosis pH < 7

E. All the above

Back 17

E. All the above