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New Mansoura University

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cardiology medicine multiple choice questions mcqs

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This document contains multiple choice questions on cardiology, covering topics like acute pericarditis, myocarditis, and pericardial effusions. The questions assess understanding of common causes, presentations, and potential complications.

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Part One: Simple MCQs 1. Which of the following is a common cause of hydropericardium? a) Bacterial infection b) Trauma c) Congestive heart failure d) Tuberculosis 2. What is the most common cause of acute pericarditis? a) Bacterial infection b) Viral infection c) Fungal infect...

Part One: Simple MCQs 1. Which of the following is a common cause of hydropericardium? a) Bacterial infection b) Trauma c) Congestive heart failure d) Tuberculosis 2. What is the most common cause of acute pericarditis? a) Bacterial infection b) Viral infection c) Fungal infection d) Parasitic infection 3. Which type of pericarditis is characterized by a fibrin-rich exudate? a) Serous pericarditis b) Fibrinous pericarditis c) Purulent pericarditis d) Hemorrhagic pericarditis 4. What is the most common clinical presentation of tuberculous pericarditis? a) Dry stage b) Effusive stage c) Absorptive stage d) Constrictive stage 5. Which of the following is a common cause of myocarditis? a) Bacterial infection b) Fungal infection c) Viral infection d) Parasitic infection 6. What is the most common viral cause of myocarditis? a) Coxsackie B virus b) Influenza virus c) HIV d) Cytomegalovirus 7. Which of the following is a non-infective cause of myocarditis? a) Trypanosoma cruzi b) Sarcoidosis c) Streptococcus pneumoniae d) Adenovirus 8. Which drug can cause hypersensitivity myocarditis? a) Aspirin b) Ibuprofen c) Penicillin d) Acetaminophen 9. What is the most common clinical presentation of myocarditis? a) Asymptomatic b) Mimicking myocardial infarction c) Heart failure d) Arrhythmias 10. Which of the following is a serious complication of pericardial effusion? a) Cardiac tamponade b) Pulmonary edema c) Stroke d) Pneumonia Part Two: Complex MCQs 1. A patient presents with chest pain that worsens when lying down. What is the most likely diagnosis? a) Myocardial infarction b) Acute pericarditis c) Constrictive pericarditis d) Myocarditis 2. A patient with a history of intravenous drug use presents with fever, chills, and chest pain. What is the most likely cause of his condition? a) Viral infection b) Bacterial infection c) Fungal infection d) Parasitic infection 3. A patient with a history of tuberculosis presents with dyspnea and fatigue. On examination, he has elevated jugular venous pressure and ascites. What is the most likely diagnosis? a) Acute pericarditis b) Constrictive pericarditis c) Myocarditis d) Dilated cardiomyopathy 4. A patient presents with chest pain and a pericardial friction rub. Which type of pericarditis is most likely? a) Serous pericarditis b) Fibrinous pericarditis c) Purulent pericarditis d) Hemorrhagic pericarditis 5. A patient with a history of rheumatic fever presents with pericardial effusion. Which type of pericarditis is most likely? a) Serous pericarditis b) Fibrinous pericarditis c) Purulent pericarditis d) Hemorrhagic pericarditis 6. A patient presents with a large pericardial effusion that has developed gradually. Which of the following is most likely? a) The patient will have symptoms of cardiac tamponade. b) The patient may be asymptomatic. c) The patient will have a pericardial friction rub. d) The patient will have a history of trauma. 7. A patient presents with a small pericardial effusion that has developed rapidly. Which of the following is most likely? a) The patient will be asymptomatic. b) The patient may have symptoms of cardiac tamponade. c) The patient will have a pericardial friction rub. d) The patient will have a history of tuberculosis. 8. A patient with a history of pericarditis presents with signs of right-sided heart failure. What is the most likely diagnosis? a) Acute pericarditis b) Constrictive pericarditis c) Myocarditis d) Restrictive cardiomyopathy 9. A patient with a history of heart surgery presents with pericardial effusion. Which type of pericardial effusion is most likely? a) Hydropericardium b) Hemopericardium c) Chylopericardium d) None of the above 10. A patient with a history of mediastinal malignancy presents with pericardial effusion. Which type of pericardial effusion is most likely? a) Hydropericardium b) Hemopericardium c) Chylopericardium d) None of the above 11. A patient with a history of acute myocardial infarction presents with pericardial effusion. Which type of pericardial effusion is most likely? a) Hydropericardium b) Hemopericardium c) Chylopericardium d) None of the above 12. A patient with a history of nephrotic syndrome presents with pericardial effusion. Which type of pericardial effusion is most likely? a) Hydropericardium b) Hemopericardium c) Chylopericardium d) None of the above 13. A patient with a history of chronic liver disease presents with pericardial effusion. Which type of pericardial effusion is most likely? a) Hydropericardium b) Hemopericardium c) Chylopericardium d) None of the above 14. A patient with constrictive pericarditis is most likely to have which of the following clinical findings? a) Elevated jugular venous pressure b) Hypotension c) Tachycardia d) All of the above 15. Which of the following is a common finding in a patient with myocarditis? a) Chest pain b) Dyspnea c) Fatigue d) All of the above 16. Which of the following is a potential complication of myocarditis? a) Heart failure b) Arrhythmias c) Sudden death d) All of the above 17. Which of the following is a common cause of chronic pericarditis? a) Previous acute pericarditis b) Tuberculosis c) Radiation therapy d) All of the above 18. Which of the following is a characteristic finding in a patient with chronic pericarditis? a) Pericardial thickening b) Pericardial calcification c) Pericardial effusion d) All of the above The correct answer is d) All of the above. 19. Which of the following imaging modalities is most useful for evaluating pericardial disease? a) Echocardiography b) Computed tomography (CT) scan c) Magnetic resonance imaging (MRI) d) All of the above 20. Which of the following is a potential treatment for constrictive pericarditis? a) Pericardiocentesis b) Pericardiectomy c) Diuretics d) All of the above Answer Guide: Part One: 1. c 2. b 3. b 4. b 5. c 6. a 7. b 8. c 9. a 10. a Part Two: 1. b 2. b 3. b 4. b 5. b 6. b 7. b 8. b 9. b 10. c 11. b 12. a 13. a 14. a 15. d 16. d 17. d 18. d 19. d 20. b Done

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