Download MRCP Cardiology MCQs by Brennan Stephen PDF

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A Negative blood cultures b Increased PR-Interval on ECG c Urine output 10 mL/hr d Splenomegaly e Finger clubbing Q107 What are features of endocarditis that warrant surgical intervention? a First-degree heart block b Fungal growth on blood cultures c Pansystolic murmurs d Fever >38°C for 1 week e No improvement after 2 weeks IV antibiotics Q108 In patients with infective endocarditis: a Cardiac failure is a major cause of death b Atrial septal defect of secundum type is the most common predisposing congenital lesion 46 CARDIOLOGY c Staphylococcus aureus is the most common infecting organism d Cardiac surgery should not be undertaken until there has been at least two negative blood cultures e Retinal haemorrhages are a recognised feature Q109 Endocarditis: a Can be ruled out if the echocardiogram is normal b Usually responds to IV antibiotics within 72 hours c Most abscesses are para-aortic d Transthoracic echo is superior to transoesphageal echo in diagnosis of vegetations e Vegetations do not form on a healthy endocardial surface 47 MRCP CARDIOLOGY MCQs Interventional cardiology Q110 Regarding the anatomy of coronary arteries: a The circumflex is a branch of the RCA b Occlusion of the left main stem results in ST elevation in leads II, III, and AVF c LAD runs in the atrio-ventricular groove d LAD supplies the LV apex e LCx never supplies the AV node Q111 Coronary stenting: a Is associated with lower re-stenosis rate compared with PTCA b Patients must be heparinised for 10 days post-stenting c In patients prescribed aspirin, they take this for life d In patients prescribed clopidogrel, they take this for life e In patients prescribed warfarin, they take this for life Q112 Following PTCA: a Patients return to work quicker compared with CABG b There is a higher rate of re-stenosis compared with CABG c <5% require emergency (females have a higher rate of re-stenosis due to smaller arteries) d Patients may drive after 1 week Q113 What factors are associated with increased risk of post-PTCA restenosis?

A Atenolol b Bendrofluazide c Carvedilol d Ramipril e Verapamil Q83 A 60-year-old Nigerian is being treated with a drug for essential hypertension. His GP checks routine biochemistry, which shows low serum potassium and high levels of calcium, uric acid, and glucose. The likely agent is: a Methyldopa b Bumetanide c Frusemide d Spironolactone e Enalapril 36 CARDIOLOGY Q84 A 60-year-old female has recently been started on an antihypertensive. A few weeks later, she develops joint pains in her arms and legs.

Which of the following is the likely cause? 6 s. Which of the following could be responsible? a Clopidogrel b Augmentin c Erythromycin d Sotalol e Digoxin Q97 A prominent R wave in V1 may occur with which of the following? a Wolf–Parkinson–White syndrome type A b RBBB c Posterior infarction d Dextrocardia e Wolf–Parkinson–White syndrome type B Q98 The most common type of dysrhythmia associated with WPW syndrome is: a Atrial fibrillation b Ventricular fibrillation c Multifocal PVCs d Atrial tachycardia e AV-nodal re-entry tachycardia Q99 Which of the following electrolyte abnormalities may cause long QT segment?