Valvular Heart Disease Practice Questions

Question 1

The severity of mitral stenosis can be judged by-

Accepted Answer

Loud S1

Answer

Duration of murmur

Answer

Intensity of murmur

Answer

Presence of left ventricular S3

Question 2

274. A young athlete was found to have hypertrophic cardiomyopathy during testing for a competitive sport. Which of the following maneuvers will increase the murmur?

Accepted Answer

Valsalva maneuver

Answer

Handgrip

Answer

Squatting

Answer

Leaning forward

Answer

Passive leg raise

Question 3

Murmur heard in aortic stenosis

Accepted Answer

Right 2nd intercostal, high pitch systolic ejection murmur

Answer

Apex, low pitch murmur associated with mitral valve issues

Answer

Pan-systolic murmur, high pitch murmur associated with mitral regurgitation

Answer

Left Sternal area, murmur indicating mitral regurgitation

Question 4

A 60-year-old lady presents with shortness of breath (SOB) and episodes of angina pectoris. Work-up reveals aortic stenosis. Which of the following is the most likely reason behind these chest pain episodes?

Accepted Answer

Increased oxygen consumption in the heart

Answer

Increased pressure in aorta

Answer

Decreased pressure in aorta

Answer

Increase in volume overload of the heart

Answer

Decreased coronary blood flow

Question 5

All of the following are true about rheumatic fever/rheumatic heart disease except:

Accepted Answer

Mitral stenosis is evident in the early stage of the disease

Answer

Presence of Anitschkow cells is pathognomonic

Answer

MacCallum plaques are commonly seen in left atrium

Answer

Mitral valve is most commonly affected

Question 6

Which of the following describes aortic regurgitation murmur?

Accepted Answer

Diastolic murmur

Answer

Ejection systolic murmur

Answer

Ventricular contraction

Answer

Systolic murmur

Question 7

About carey coombs murmur which is false –

Accepted Answer

Can be associated with AR

Answer

Mid-diastolic murmur

Answer

Seen in rheumatic fever

Answer

Low pitched murmur

Question 8

Which of the following conditions is LEAST likely to cause peripheral edema?

Accepted Answer

Venous insufficiency

Answer

Nephrotic syndrome

Answer

Congestive heart failure

Answer

Hyperthyroidism

Question 9

Fish mouth stenosis in rheumatic heart disease is due to which of the following mechanisms?

Accepted Answer

Calcification and fibrosis bridging across valvular commissures

Answer

Fibrinoid necrosis

Answer

Acute inflammation leading to valvular damage

Answer

Myxomatous degeneration of the valve, which can occur in rheumatic heart disease

Question 10

Which of the following has the most friable vegetations:

Accepted Answer

Infective endocarditis

Answer

SLE

Answer

Rheumatic heart disease

Answer

Libman Sack's endocarditis

Valvular Heart Disease — MCQs

Valvular Heart Disease — MCQs

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