The document contains 20 multiple choice questions about various topics in cardiology. It tests knowledge about topics like the components of an ECG, parts of the heart's conduction system, hemodynamic effects of carotid sinus pressure changes, cardiac tamponade, effects of alcohol on warfarin therapy, treatments for bradycardia, and more. For each question there are 4 answer choices listed and the correct answer is provided.

2. 1. What does T wave represent
in an ECG
a) Atrial diastole
b) Atrial systole
c) Ventricular diastole
d) Joint diastole

3. Ans:- Ventricular diastole

4. 2. Which is called pacemaker of
heart:-
a) SA node
b) AV node
c) Bundle of His
d) Purkinje fibres

5. Ans:- SA node

6. 3. Rise in carotid sinus pressure
leads to-
a. Reflex hypercapnea
b. Reflex hyperapnea
c. Reflex tachycardia
d. Reflex Bradycardia

7. Ans:- Reflex bradycardia

8. 4. Duration of the absolute
period; when the whole heart
is in diastole is-
a. 0.2 sec
b. 0.1 sec
c. o.4 sec
d. o.7 sec

9. Ans:- 0.2 Sec

10. 5. What is the most common
congenital heart defect with a left
to right shunt causing congenital
heart failure in pediatric age group
a. ASD
b. VSD
c. PDA
d. COA

11. Ans:- VSD

12. 6. Which of the following is the
best choice for management of
Tet spell-
a. Precedex
b. Propanolol
c. Making the baby cry
d. Fluid resuscitation

13. Ans:- Propanolol

14. 7. One specific ECG change in
hypokalemia is-
a. ST segment elevation
b. U wave
c. Tall peaked T wave
d. Widening of QRS complex

15. Ans:- U wave

16. 8. The location of nerve centre
activity of the heart is-
a. Mid brain
b. Pons
c. Cerebrum
d. Medulla oblongata

17. Ans:- Medulla oblongata

18. 9. The ventricular muscle
accepts impulses directly from-
a. AV node
b. Bundle of His
c. Purkinje system
d. Right and left bundle approach

19. Ans:- Purkinje system

20. 10. Which is characteristic triad
associated with cardiac tamponade-
a. Beck’s triad
b. Murphy’s eye
c. Whipple’s triad
d. Virchow’s triad

21. Ans:- Beck’s triad

22. 11.Excessive alcohol use while
on warfarin therapy leads to-
a. Decreased anticoagulation effect
b. Increased vit K absorption
c. Decreased INR
d. Increased anticoagulation effect

23. Ans:- Increased anticoagulation
effect

24. 12. The most common congenital
cyanotic heart disease:-
a. TOF
b. TGA
c. Tricuspid atresia
d. Total anomalous pulmonary venous
connection

25. Ans:- TOF

26. 13. What is most common site
for IABP insertion-
a. Carotid
b. Femoral
c. Subclavian
d. Axillary

27. Ans:- Femoral

28. 14. IABP deflates when the heart-
a. Contracts
b. Fills with blood
c. Relaxes
d. Stop beating

29. Ans:- Contracts

30. 15. Full form of IABP is-
Intra-arterial ballon pump
Intra-aortic ballon pump
Inter-arterial ballon pump
Inter-aortic ballon pump

31. Ans:- Intra-aortic ballon pump

32. 16. The volume of blood in the left
ventricle at the end of diastole is -
Afterload
Stroke volume
Preload
contractility

33. Ans:- Preload

34. 17. What is the normal range of
cardiac output in adult-
a. 1-3 lit/min
b. 4-8lit/min
c. 8-11 lit/min
d. 9-12 lit/min

35. Ans:- 4-8lit/min

36. 18. In an effort to improve cardiac
output a positive ionotropic drug is
given to-
a. Increase the contractility of the heart
b. Increase heart rate
c. Increase conduction velocity
d. Increase automaticity of heart

37. Ans:- Increase the
contractility of the heart

38. 19. The nurse caring for a patient whose
sudden onset of sinus bradycardia is not
responding adequately to atropine; what
is treatment of choice-
a. Implanted pacemaker
b. Trancutaneous pacemaker
c. ICD
d. Asynchronus defribillator

39. Ans:- Trancutaneous pacemaker

41. 20. A increased CVP value
indicates:-
a. Hypervolemia
b. Hypovolemia
c. Hyperkalemia
d. Hyponatremia

42. Ans:- Hypervolemia

43. THANK
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