Multiple Choice Questions (MCQ)

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Category: Cardiology--->Valvular heart disease and Endocarditis
Page: 17

Question 81# Print Question

A 21-year-old man presents to your office for evaluation. He tells you that a murmur was noted a few days after birth. He is presently asymptomatic. On examination, he is normotensive. Pulse is 65 bpm and regular. Carotid upstrokes are normal. Chest is clear. Cardiac examination reveals a nondisplaced PMI. An RV lift is present. A systolic thrill is present in the suprasternal notch. A highpitched sound is heard after S1 . A crescendo–decrescendo systolic murmur is heard at the left second intercostal space. A2 is normal.

If intervention is recommended, what is the preferred treatment approach?

A. Percutaneous valvuloplasty
B. Ross procedure
C. Mechanical valve
D. Bioprosthetic valve

Question 82# Print Question

In the setting of AS with moderate insufficiency, which of the following methods would provide the most accurate estimate of aortic valve narrowing?

A. Invasive hemodynamics, using the Gorlin formula
B. Doppler echocardiography, using the continuity equation
C. Pressure half-time
D. Bernoulli equation

Question 83# Print Question

Which of the following valves has the lowest incidence of endocarditis?

A. Mechanical valve
B. Bioprosthetic valve
C. Aortic homograft
D. Stentless mitral valve

Question 84# Print Question

What is the most common cause of TR in an adult population?

A. Rheumatic tricuspid disease
B. Carcinoid
C. Congenital abnormalities
D. Pulmonary hypertension resulting from primary left-sided disease
E. Myxomatous disease of the tricuspid valve

Question 85# Print Question

The most common organism seen in native valve endocarditis is what?

A. Streptococcus viridans
B. Enterobacter faecalis
C. Staphylococcus aureus
D. Chlamydia pneumoniae
E. HACEK organisms

Category: Cardiology--->Valvular heart disease and Endocarditis
Page: 17 of 18