(Dr/M.Ali ) Local Examination Exam

1) Precordial bulge occurs in :

a) Systemic hypertension

B) Fallot tetrology

c) VSD

d) Rt-sided heart failure

2) Gynacomastia is characterized by the following Except 2:

a) Usually bilateral

B) Increased fat content

c) Glandular hyperplasia

d) Reversible

e) Ranitidine is incriminated in pathogenesis

3) Suprasternal pulsation occurs in except :

a) Pregnancy female

B) Exercise

c) Aortic stenosis

d) Aortic regurge

4) Right ventricular enlargement is characterized by :

a) Left parasternal pulsation

B) Right parasternal pulsation

c) Downward shift of the apex

d) Dullness outside the apex

5)The following occurs in left vent. enlargement except :

a) Systolic bulge

B) Diffuse apex

c) Localized apex

d) Shift downward of the apex

6) Percussion criteria of RV enlargement are the following except 2 :

a) Increased dullness area of bare area

b)Dullness outside the apex

c) Dullness over lower 1/3 of sternum

d) Dullness from the Rt of sternum

7) S3 occurs in the following except :

a) Anemia

B) MR

c) A.S

d) Left ventricular failure

Opening snap is a criteria of :

a) MR

B) LV failure

c) Hypertension

d) MS

9) S4 occurs in

a) During systole

B) Late diastole

c) Early diastole

d) AR

10) Wide splitting of S2 occurs in :

a) Systemic HTN

B) Pul. HTN

c) VSD

d) PDA

11) wide fixed splitting of S2 occurs in :

a) RBBB

B) pul. Stenosis

c) ASD

d) VSD

12) S1 is muffled in the following except :

a) TR

B) Calcified mitral valve

c) Bradycardia

d) Tachycardia

13) MR is characterized by :

a) Soft , localized

B) Harsh , propagated to axilla

c) Increase by deep inspiration

d) None of above

14) MS is characterized by :

a) soft

B) Muffled S1

c) Rumbling

d) Propagated in severe cases

15) The murmur is considered systolic

a) Occurs during apical bulge

B) Occurs during apical retraction

c) Occurs during carotid pulse

d) If associated with thrill