Cardiovascular System Past Paper PDF 2021/2022

CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162  Home / My courses / Universitas Pelita Harapan / Kedokteran / Pend. Dokter / Semester Ganjil 2021/2022 / CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5...

CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162  Home / My courses / Universitas Pelita Harapan / Kedokteran / Pend. Dokter / Semester Ganjil 2021/2022 / CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162 / Overview / Final Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Question 1 Answer saved Marked out of 1.00 Mr Nichols, 60-year-old, submitted to the emergency department because of acute decompensated heart failure. From the physical examination of the heart sound, you heard a gallop after the second heart sound. What is the mechanism of this gallop? a. Rapid ventricular filling into a non-compliant left ventricle b. Closing of the aortic valve Time left 1:32:58 c. Opening of the mitral valve d. Atrial contraction into a “stiff” left ventricle e. Opening of the pulmonic valve Clear my choice  Question 2 Answer saved Marked out of 1.00 The major difference of action potential of cardiac muscle cell from the skeletal muscle cell is the presence of plateau phase (phase 2). What is actually happened at the phase 2? a. Rapid influx of natrium ion b. Influx of chloride ion c. Influx of magnesium ion d. Influx of calcium ion e. Influx of potassium ion Clear my choice Question 3 Answer saved Marked out of 1.00 A 56-year old man with congestive heart failure presents to the Emergency Department because of a pink- frothy sputum. Which of the following vessels are most likely responsible for the sputum in this patient? a. Pulmonary lymphatics b. Pulmonary veins c. Pulmonary trunk d. Pulmonary artery e. Pulmonary capillaries Clear my choice  Question 4 Answer saved Marked out of 1.00 Following a myocardial infarction, changes occur in the geometry of both infarcted and noninfarcted ventricular muscle. Such alteration phenomenon is termed: a. Ventricular remodelling b. Ventricular hypertrophy c. Ischemic preconditioning d. Ventricular necrosis e. Ventricular preconditioning Clear my choice Question 5 Answer saved Marked out of 1.00 Coronary artery disease is caused by atherosclerotic plaque in the coronary artery. What is the initial event of atherosclerosis formation? a. Activation of scavenger receptor in the macrophages b. Disruption of the single layer endothelium c. Migration of smooth muscle onto subintimal layer d. Activation of the monocytes become macrophages e. Phagocytosis of LDL cholesterol by the macrophages Clear my choice  Question 6 Answer saved Marked out of 1.00 During fetal life, oxygenated blood leaves the placenta through umbilical vein to the fetus. There are shunts that allow most of the blood to bypass the liver and lungs. Which shunt that allow that bypass the liver to the inferior venous cava? a. Ductus arteriosus b. Truncus arteriosus c. Septum secundum d. Ductus venosus e. Foramen ovale Clear my choice Question 7 Answer saved Marked out of 1.00 A 63-year-old man, with a past history of myocardial infarction. He has been experiencing shortness of breath on exertion. His legs were edematous. At the Emergency Department, he was diagnosed of having acute lung edema. What is the mechanism of his situation? a. Increased oncotic pressure b. Vasoconstriction of pulmonary arteriole c. Impaired lymphatic drainage d. Increased permeability of the arteriole e. Increased hydrostatic pressure Clear my choice  Question 8 Answer saved Marked out of 1.00 Phase 1 of myocyte action potential is a brief episode of transient repolarisation. The responsible current / activity of phase 1 is: a. Transient influx of magnesium ion b. Transient activation of potassium channel c. Transient outflow of sodium ion d. Transient inflow of potassium ion e. Transient activation of calcium channel Clear my choice Question 9 Answer saved Marked out of 1.00 Acute coronary syndrome occurs due to sudden occlusion of the coronary artery. What is the mechanism of the sudden occlusion? a. Progressive thickening of the atherosclerosis plaque b. Thrombosis process due to infection at the atherosclerotic plaque c. Thrombosis process due to increased blood viscosity d. Vessel wall rupture e. Thrombosis process that was triggered by the ruptured plaque Clear my choice Question 10 Answer saved Marked out of 1.00 The resting membrane potential of myocardial cells is about -90 mV. Below are the reason why does the inside of the cell is negative relative to the outside, except? a. Gradient concentration of K+ b. Gradient concentration of Cl- c. Gradient concentration of Na+ d. Gradient concentration of Cae. e. Gradient concentration of Mg Clear my choice  ◄ OSPE Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Jump to...   CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162  Home / My courses / Universitas Pelita Harapan / Kedokteran / Pend. Dokter / Semester Ganjil 2021/2022 / CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162 / Overview / Final Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Time left 1:32:31 Question 11 Answer saved Marked out of 1.00 Echocardiography was done to assess the cardiac valves problem for Mr. Hariono, 14-year-old. It shown that he suffered from mitral valve regurgitation. While performing cardiac auscultation, you heard a systolic murmur of grade 5/6. What can be found while you do cardiac palpation examination? a. Thrill b. Irregular heart rate c. Ictus cordis d. Nothing e. Heaving Clear my choice Question 12 Answer saved Marked out of 1.00 During a normal cardiac cycle, an amount of blood is ejected from the heart. Refer to this figure, at which period is the ejection phase? a. From point A to point D b. From point D to point A c. From point B to point C d. From point A to point B e. From point C to point D Clear my choice Question 13 Answer saved Marked out of 1.00 QRS wave at the ECG describe the depolarization process of the ventricle. The small R wave at lead V1 records the first part of ventricle depolarization. Which part of the ventricle is the first to depolarized? a. Apex of the left ventricle b. Mid portion of lateral wall of left ventricle c. Left side of ventricle septum d. The basal part of left ventricle e. Apex of the right ventricle Clear my choice Question 14 Answer saved Marked out of 1.00 Mr R, 53 yo, presented with dyspnea, swelling of both legs, and nausea. He has been diagnosed as kidney failure 3 years ago, and declined for dialysis recommendation. Which electrolite problem showed in his ECG? a. Hypokalemia b. Hyperkalemia c. Hypocalcemia d. Hypercalcemia e. None of above Clear my choice Question 15 Answer saved Marked out of 1.00 Which basic tissue type predominates in the tunica media? a. Nerve b. Connective tissue c. Muscle d. Neuron e. Epithelium Clear my choice Question 16 Answer saved Marked out of 1.00 Mr. Damar, 28 years old, is suffered from mitral stenosis. This figure revealed his chest X-ray. Dr Otte noted from this X-ray that the left atrium is enlarged. Which is NOT the sign of left atrium enlargement in chest X- ray? a. Enlarged cardiac waist b. Upward cardiac apex c. Double contour at right side border d. Widened trachea carina e. Enlarged left atrium border to the left side Clear my choice Question 17 Answer saved Marked out of 1.00 Dr. Otte was doing an echocardiogram to Mr. Damar, 28 years old, who suffered from mitral stenosis. The echo revealed a restricted opening of mitral valve. Describe what chambers marked by A and B! a. A = aorta; B = left ventricle b. A = left ventricle; B = aorta c. A = left atrium; B = left ventricle d. A = left ventricle; B = left atrium e. A = right atrium; B = right ventricle Clear my choice Question 18 Answer saved Marked out of 1.00 An action potential was recorded in a myocyte, as revealed in the picture. What is the best explanation of the occurrence of phase 0? a. Efflux of chloride ion out of the cell through fast channels b. Influx of natrium ion into the cell through fast channels c. Influx of magnesium ion into the cell through fast channel d. Influx of potassium ion into the cell through fast channels e. Influx of calcium ion into the cell through fast channels Clear my choice Question 19 Answer saved Marked out of 1.00 Phase 3 of myocyte action potential is the final phase of repolarization that returns the transmembrane voltage back to the resting potential. What is the ion current that responsible for this phase? a. Inward Na currents b. Outward Na currents c. Inward K currents d. Outward K currents e. Outward Ca currents Clear my choice Question 20 Answer saved Marked out of 1.00 Phase 2 of myocyte action potential is a relatively long plateau phase. What cause this long plateau phase? a. The slow opening of L-type Na channels b. The near equality of current from inward Na influx and outward K efflux c. Long period of potassium channels d. The resting state of all channels resulting in zero net current e. The near equality of current from inward Ca influx and outward K efflux Clear my choice ◄ OSPE Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Jump to...  CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162  Home / My courses / Universitas Pelita Harapan / Kedokteran / Pend. Dokter / Semester Ganjil 2021/2022 / CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162 / Overview / Final Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Time left 1:32:13 Question 21 Answer saved Marked out of 1.00 A 20-year-old lady was diagnosed with severe mitral stenosis. Her ECG was shown below. She was told that her left atrium was enlarged. Which part of the ECG show that abnormality? a. The ST segment b. The T wave c. The P wave d. The QRS wave e. The PR interval Clear my choice Question 22 Answer saved Marked out of 1.00 The correct order of atherosclerosis process is: a. Endothelial dysfunction – migration of LDL to intimal layer – oxidation of LDL – monocyte adhesion – expression of scavenger receptor – migration of smooth muscle cells – formation of foam cells b. Endothelial dysfunction – migration of LDL to intimal layer – migration of smooth muscle cells – expression of scavenger receptors - formation of foam cells c. Endothelial dysfunction – oxidation of LDL – migration of smooth muscle cells – monocyte adhesion – expression of scavenger receptor - formation of foam cells d. Migration of LDL to intimal layer – endothelial dysfunction – oxidation of LDL –– expression of scavenger receptor - monocyte adhesion – migration of smooth muscle cells – formation of foam cells e. Migration of LDL to intimal layer – endothelial dysfunction – oxidation of LDL – monocyte adhesion – expression of scavenger receptor – migration of smooth muscle cells – formation of foam cells Clear my choice Question 23 Answer saved Marked out of 1.00 Slowing of heart beat can be due to abnormal impulse formation or impaired impulse conduction. Which of the arrhythmia below is due to abnormal impulse formation? a. Sick sinus syndrome b. Ventricular tachycardia c. Second degree AV block d. Total AV block e. Supraventricular tachycardia Clear my choice Question 24 Answer saved Marked out of 1.00 Electrical signal in the heart is generated in the sinoatrial node; and then conducted throughout the heart via anatomical conduction system. In which part of the conduction system was the electrical signal was delayed? a. Atrium b. Atrioventricular node c. Left bundle branch d. Bundle of His e. Right bundle branch Clear my choice Question 25 Answer saved Marked out of 1.00 Cardiac contraction is an excitation-contraction coupling phenomenon. Action potential conducted to the myocyte induce contraction of the myocyte. What is the mechanism of excitation-contraction coupling? a. Depolarization phase 0 of action potential induces cross-bridging of actin and myosin b. Influx of Ca at phase 2 trigger a process of inhibition of Troponin-Tropomyosin c. Influx of K+ induces ATP hydrolysis at myosin head d. Influx of Na ion into the cytoplasm trigger release of Ca ion e. Influx of Na+ induces ATP hydrolysis at myosin head Clear my choice Question 26 Answer saved Marked out of 1.00 You are studying anatomy of an ECG. It was shown here. What happened in the marker 3 of the ECG? a. Atrial depolarisation b. Ventricular depolarisation c. Atrial repolarisation d. Atrioventricular delay e. Ventricular repolarisation Clear my choice Question 27 Answer saved Marked out of 1.00 A patient with severe chest pain and bradycardia brought to Emergency room. The cardio X-ray CT revealed that the left anterior descending (LAD) coronary artery was blocked 70% What sulci is LAD artery located? a. Coronary sinus b. Right Marginal c. Left marginal d. Anterior Interventricular e. Posterior Interventricular Clear my choice Question 28 Answer saved Marked out of 1.00 Sympathetic stimulation to increase blood pressure through mechanisms, except: a. Increase respiratory rate b. Induce vasoconstriction c. Increase heart rate d. Increase respiratory rate e. Increase heart contractility Clear my choice Question 29 Answer saved Marked out of 1.00 Histology of myocyte is different compared to smooth muscle cell and skeletal muscle cell. Which property that characterize the uniqueness of myocardial cells? a. Myocyte does not have cross-striated banding pattern b. Myocyte does not connect at the intercalated disk c. Myoctye contains only one or two centrally located nuclei d. Myocytes are not arranged in sarcomeres and so are not striated e. Cardiac muscle cells contract consciously Clear my choice Question 30 Answer saved Marked out of 1.00 The cardiac cycle consists of precisely timed mechanical events. This figure displays the pressure of left- sided cardiac chambers during a normal cardiac cycle. Describe the events which occur at point A, B, C and D! a. A = aortic valve opens; B = mitral valve opens; C = aortic valve closes; D = mitral valve opens b. A = Mitral valve opens; B = aortic valve opens; C = aortic valve closes; D = mitral valve closes c. A = Mitral valve opens; B = aortic valve opens; C = aortic valve closes; D = mitral valve opens d. A = Mitral valve closes; B = aortic valve opens; C = aortic valve closes; D = mitral valve opens e. A = aortic valve close; B = aortic valve opens; C = mitral valve closes; D = mitral valve opens  Clear my choice ◄ OSPE Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Jump to...  CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162  Home / My courses / Universitas Pelita Harapan / Kedokteran / Pend. Dokter / Semester Ganjil 2021/2022 / CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162 / Overview / Final Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Question 31 Answer saved Marked out of 1.00 Frank-Starling mechanism is one the particular feature in cardiac muscle contractility. What is the correct statement regarding the Frank-Starling mechanism? a. Cardiac output in heart failure can be increased significantly with increasing preload b. Frank-Starling mechanism works more efficiently in heart failure c. Within physiologic limit, the more a normal ventricle is distended during diastole, the lower is the cardiac output d. In heart failure, the increase of LV end-diastolic pressure can result to harmful condition (pulmonary congestion) without significant increase in stroke volume e. In situation with increased contractility, the stroke volume will be the same as in the normal heart Clear my choice Time left 1:31:49  Question 32 Answer saved Marked out of 1.00 Echocardiography is an ultrasonography-based diagnostic tools in evaluating cardiac problem. It can NOT be used to evaluate: a. Congenital heart disease b. Stenosis of coronary artery c. Heart valves anatomy d. left ventricle ejection fraction e. Pericardial effusion Clear my choice Question 33 Answer saved Marked out of 1.00 Congenital heart lesions can be categorized as cyanotic or acyanotic. What is cyanosis refers to? a. A blue-purple discoloration of the skin and mucous membranes caused by left-to-right shunt intracardiac b. A blue-purple discoloration of the skin and mucous membranes caused by an elevated level of deoxygenated hemoglobin c. A blue-purple discoloration of the skin and mucous membranes caused by stenosis of pulmonary artery d. A blue-purple discoloration of the skin and mucous membranes caused by decrease level of hemoglobin e. A blue-purple discoloration of the skin and mucous membranes caused by an elevated level of oxygenated hemoglobin Clear my choice  Question 34 Answer saved Marked out of 1.00 What is the after load factor in the regulation of strokes volume? a. degree of stretch of cardiac muscle cells before they contract b. Varying degree of stretching of myocardium by EDV c. contractile strength at a given muscle length, dependent of EDV d. pressure that must be overcome for ventricles to eject blood e. pressure that must be overcome for Atrial to eject blood Clear my choice Question 35 Answer saved Marked out of 1.00 Renin-angiotensin-aldosterone system (RAAS) blood pressure regulation through mechanisms, except: a. Arteriolar vasoconstriction b. Increase water excretion c. Thirst sensation to increase fluid intake d. Increase preload e. Increase sodium reabsorption Clear my choice Question 36 Answer saved Marked out of 1.00 Several distinct proteins are responsible for cardiac muscle cells contraction. The major proteins contributing in cardiac muscle cells contraction are? a. Myosin and Titin b. Actin and Titin c. Troponin and Myosin d. Tropomyosin and Troponin e. Actin and Myosin Clear my choice  Question 37 Answer saved Marked out of 1.00 A 60-year old man with mitral valve regurgitation is undergoing echocardiography examination. The flow Doppler from the echocardiogram can reveal the blood flow in the heart. Which of the heart chamber will the regurgitating blood reenter? a. Left atrium during diastole b. Left ventricle during diastole c. Right atrium during systole d. Right atrium during diastole e. Left atrium during systole Clear my choice Question 38 Answer saved Marked out of 1.00 Mr. B was diagnosed of having heart failure. What is the pathophysiologic basic of his clinical situations? a. Vagal activation b. Thrombosis of the plaque in coronary artery c. Blockage of renin system d. Activation of angiotensin system e. Deactivation of sympathetic neurohormonal system Clear my choice Question 39 Answer saved Marked out of 1.00 During light microscopic examination of a tissue, you notice a vessel with endothelial cells and a few layers of smooth muscle. Which of the following vessels are you examining? a. Elastic artery b. Capillary c. Large vein d. Arteriole e. Venule Clear my choice  Question 40 Answer saved Marked out of 1.00 A 20-year-old man has a car accident. An Xray showed fracture of sternum. The heart surgeon open the thorax to stop bleeding. What vessel is the most possible torn in mediastinum anterior? a. Ascending aorta b. Internal Thoracic artery c. Pulmonary artery d. Subclavian artery e. Intercostals artery Clear my choice ◄ OSPE Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Jump to...   CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162  Home / My courses / Universitas Pelita Harapan / Kedokteran / Pend. Dokter / Semester Ganjil 2021/2022 / CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162 / Overview / Final Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Time left 1:31:31 Question 41 Answer saved Marked out of 1.00 Mr. Damar, 28 years old, is having an abnormal cardiac valve problem. The hemodynamic profile of her valve problem is shown in this picture. Which valve is having the abnormality? a. Aortic valve b. Tricuspid valve c. All valves are normal d. Mitral valve e. Pulmonary valve Clear my choice Question 42 Answer saved Marked out of 1.00 What is the normal electrical conduction pathway in the heart? a. SA node, bundle of His, AV node, bundle branches, Purkinje b. SA node, AV node, bundle branches, bundle of His, Purkinje c. SA node, AV node, Purkinje, bundle branches, bundle of His d. AV node, SA node, bundle of His, bundle branches, Purkinje e. SA node, AV node, bundle of His, bundle branches, Purkinje Clear my choice Question 43 Answer saved Marked out of 1.00 Mr. Damar, 28 years old, is suffered from mitral stenosis. Lying down with head up 30 degree, the jugular vein was measured at 5 + 4 cmH2O. Blood pressure was 110/70 mmHg. Heart catheterisation revealed: pulmonary pressure (PA) pressure was 40/20 mmHg, pulmonary capillary wedge (PCW) pressure 26. Mean gradient trans-mitral was 19 mmHg. Using the data above, describe the cardiac pressure of Aeach chamber. a. Right atrial = 4; right ventricle = 40/9; left atrium = 26; left ventricle = 110/7 b. Right atrial = 9; right ventricle = 40/9; left atrium = 26; left ventricle = 110/7 c. Right atrial = 9; right ventricle = 40/9; left atrium = 19; left ventricle = 110/7 d. Right atrial = 9; right ventricle = 40/9; left atrium = 26; left ventricle = 110/70 e. Right atrial = 9; right ventricle = 40/20; left atrium = 26; left ventricle = 110/70 Clear my choice Question 44 Answer saved Marked out of 1.00 Mr T, 62 years old, hypertensive and smoker, presented at emergency unit with palpitation since one hour ago. The rhythm of his ECG is: a. Sinus rhythm b. Atrial fibrillation c. SVT (Supraventricle tachycardia) d. VT (Ventricle tachycardia) e. None of above Clear my choice Question 45 Answer saved Marked out of 1.00 During the formation of atherosclerotic plaque, you learned formation of foam cell. What is the mechanism of formation of foam cell? a. Macrophage engorgement of cholesterol particles – promoted by scavenger receptors b. Rupture of the intimal layer c. Thrombus formation at the intimal layer d. Platelet activation at the intimal layer e. Migration of smooth muscle cell into the intimal layer Clear my choice Question 46 Answer saved Marked out of 1.00 This is ECG of Mr. Visek, 35 years old. Statements below are correct about this ECG, except: a. QRS duration is < 100 ms b. PR interval is 300 ms c. The rhythm is sinus d. There is no abnormal Q wave e. There is no ST elevation Clear my choice Question 47 Answer saved Marked out of 1.00 The heart muscle is supplied by a system artery named coronary artery. This is a figure illustrating anatomical course of main branch of coronary artery. Mention the name of these arteries! a. A = left circumflex artery; B = left anterior descending artery; C = right coronary artery b. A = left anterior descending artery; B = left circumflex artery; C = right coronary artery c. A = left anterior descending artery; B = right coronary artery; C = left circumflex artery d. A = right coronary artery; B = left anterior descending artery; C = left circumflex artery e. A = right coronary artery; B = left circumflex artery; C = left anterior descending artery Clear my choice Question 48 Answer saved Marked out of 1.00 You are studying the cardiac pressure using this schematic drawing of the heart. What is the normal pressure (cmH2O) of the cardiac chamber? a. RA = 2-8; LA = 2-10; RV = 15-30/2-8; LV 100-140/2-10 b. RA = 15-30; LA = 15-30; RV = 15-30/2-8; LV 100-140/2-10 c. RA = 15-30; LA = 15-30; RV = 15-30/2-8; LV 15-30/2-10 d. RA = 2-8; LA = 2-10; RV = 100-140/2-8; LV 100-140/2-10 e. RA = 15-30; LA = 15-30; RV = 100-140/2-8; LV 100-140/2-10 Clear my choice Question 49 Answer saved Marked out of 1.00 You are measuring the jugular vein pressure (JVP) of Mr. Bambang, 50-year-old. He has suffered from the congestive heart failure. The result of the JVP measurement was 5 + 4 cmH2O. What information contained in this measurement? a. The sternal angle is located approximately 5 cm above the center of the left ventricle b. The estimate right atrial pressure was 9 cmH2O c. The vertical height of the external jugular vein was 4 cm above the sternal angle d. The estimate left atrial pressure was 9 cmH20 e. The estimate left ventricle pressure was 5 cmH2O Clear my choice Question 50 Answer saved Marked out of 1.00 Pacemaker cells are endowed with the property of automaticity. This property occurred due to certain characteristics of action potential which are different from those of myocyte action potential. Which property is not unique for action potential of pacemaker cell? a. The maximum negative voltage of pacemaker cell is less negative b. Phase 4 of pacemaker cell action potential has an upward slope c. The phase 0 upstroke of the pacemaker cell action potential relies mainly on Na influx d. The ion channel through which the pacemaker current passes is different from the fast sodium channel responsible for phase 0 of the myocyte e. All of those statements are correct Clear my choice ◄ OSPE Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Jump to...  CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162  Home / My courses / Universitas Pelita Harapan / Kedokteran / Pend. Dokter / Semester Ganjil 2021/2022 / CARDIOVASCULAR SYSTEM [Shared Materials] 1683 1684 1685 5157 5158 5159 5160 5161 5162 / Overview / Final Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Question 51 Answer saved Marked out of 1.00 Mr. Sederhana, 70 years old, had a severe chest pain 1 hour before admission to the hospital. TheTime ECGleft was1:31:08 shown here. What signs at the ECG that support the early onset of the myocardial infarction? a. The rhythm was still sinus b. The tall and peaked T wave at V2 to V6 c. ST depression at lead III and aVF d. The heart rate was not too fast ( 100% Clear my choice Question 77 Answer saved Marked out of 1.00 A 30-year-old man felt down from the tree. He feel very pain on his upper left chest. He went to the hospital, and an X ray photograph showed a fracture of his 5th left ribs near the cartilage joint. What nerve is the most probably injured? a. Thoracic suprema nerve b. Phrenic nerve c. Intercostal nerve d. Subcostal nerve e. Vagal nerve Clear my choice  Question 78 Answer saved Marked out of 1.00 Mr. Bowo, 50-year-old, suffered from anterior myocardial infarction 2 months ago. Previously healthy, now he is having shortness of breath due to heart failure. Chest X Ray revealed his enlarged heart. What can cause enlargement of the heart after myocardial infarction? a. Increased contractility b. Increased afterload c. Left ventricle remodeling d. Increased preload e. Chronic myocardial ischemia Clear my choice Question 79 Answer saved Marked out of 1.00 Myocardial infarction results when coronary occlusion is sufficiently severe to cause myocyte necrosis. Early changes in during the process of myocardial infarction included, EXCEPT: a. Shift from aerobic to anaerobic metabolism b. Coagulation necrosis c. Decreased membrane potential and susceptibility to arrhythmia d. ATP levels fall e. Ventricular remodelling and dilation Clear my choice  Question 80 Answer saved Marked out of 1.00 The chest X-ray of Mr. Vistom, 65 yo, with heart failure was shown here. Which signs related to heart failure can NOT be seen in chest X-ray? a. Kerley-B lines b. Gallop c. Cranialisation d. Cardiomegaly e. Enlarged left atrium Clear my choice ◄ OSPE Exam Block Cardiovascular System Semester Ganjil Tahun Ajaran 2021/2022 Jump to... 