The document discusses various clinical features of different heart conditions including murmurs, heart sounds, pulse characteristics, and jugular venous pressure waves. Some key points mentioned are: 1- Mitral regurgitation is characterized by an early diastolic murmur, accentuated first heart sound, and pansystolic murmur. Aortic incompetence features a systolic murmur at the left second intercostal space and loud second heart sound. 2- Pulmonary hypertension is identified by accentuated or weak second heart sounds. Jugular venous pressure directly reflects left atrial pressure. 3- Accentuated first heart sounds are present in mitral stenosis, aortic stenosis, and pulmonary stenosis. The

2. One of the clinical feature of the mitral
regurge is :
1-An early diastolic murmur.
2-accentuated first heart sound.
3-pansystolic murmur.

3. One of clinical features of aortic incompetence is:
1- systolic murmur at the left 2nd intercostal
space.
2- collapsing pulse with pulsating nailbed
capillaries.
3- Loud second heart sound.

4. pulmonary hypertension is characterized
by :
1- accentuated first heart sound.
2- week second sound.
3- accentuated second heart sound.

5. Jugular venous pressure direcly reflects:
1- Left atrial pressure.
2- right atrial pressure.
3- Left ventricular pressure.

6. Accentuated first heart sound is present
in:
1- Aortic Stenosis.
2- pulmonary stenosis.
3- mitral stenosis.

7. The pan systolic murmur of tricuspid
regurge is:
1- increased with inspiration.
2- decreased with inspiration.
3- not changed with respiration.

8. One of the features of severe AR is :
1- BP in LL is more than UL by 20 mmHg.
2- BP in LL is more than UL by 50 mmHg.
3- BP in LL is lower than UL.

9. In LV dilatation, the cardiac apex is :
1- shifted downward and laterally.
2- shifted laterally.
3- shifted downward.

10. Left parasternal pulsation in the form
of RV heave is found in:
1- pulmonary hypertension.
2- mitral regurge.
3- tricuspid regurge.

11. Epigastric pulsation may be a feature
of:
1- LV dilatation.
2- RV dilatation.
3- RA dilatation.

12. S4 may be audible in:
1- MR with sinus rhythm.
2- AS with sinus rhythm.
3- AS with AF.

13. Opening snap is characteristic sound
of:
1- MR.
2- MS.
3- TR.

14. Ejection systolic click may be audible
in:
1- pulmonary hypertension.
2- MR.
3- TR.

15. The characteristic murmur of AS is:
1- pansystolic murmur.
2- ejection systolic murmur.
3- early diastolic murmur.

16. In severe AR, the diastolic murmur
which may be heard over the apex
is:
1- Carey Coomb murmur.
2- Graham Steel murmur.
3- Austin Flint murmur.

17. In TR, the JVP is characterized by:
1- prominent A wave.
2- prominent V wave.
3- absent A wave.

18. Pulmonary hypertension is characterized by:
1- accentuated S2 with wide splitting.
2- accentuated S2 with paradoxical splitting.
3- weak S2 with paradoxical splitting.

19. The major criteria of rheumatic fever
includes all of the following except:
1- carditis and arthralgia.
2- carditis and arthritis.
3- arthritis and subcutaneous nodules.

20. The following manifestation can be
found in infective endocarditis except:
1- splenomegaly and hematuria .
2- splinter hemorrhage and clubbing.
3- central cyanosis and clubbing.

21. One of the following is NOT a feature of
AR:
1- Muller’s sign.
2- Kaussmul’s sign.
3- Hill’s sign.

22. AS may be associated with:
1- systolic thrill over aortic area.
2- diastolic thrill over aortic area
3- systolic thrill over mitral area.

23. AF is associated with:
1- pulsus paradoxus.
2- pulsus deficit.
3- pulsus alternans.

24. Left parasternal pulsations in the form
of RV lift are associated with:
1- TR.
2- TS.
3- PS.

25. PS may be associated with the following
except:
1- waek S2.
2- accentuated S2.
3- ejection systolic click.

26. The pulse volume is an indicator for:
1- systolic pressure.
2- diastolic pressure.
3- pulse pressure

27. Pulsus paradoxus means:
1- increased systolic BP with inspiration.
2- decreased systolic BP with inspiration.
3- decreased systolic BP with
expiration.

28. Summation gallop (S3 & S4) may be present in:
1- MS, AS with sinus rhythm.
2- MR, AS with sinus rhythm.
3- MR, AS with AF.

29. Graham Steel murmur is associated with the
following EXCEPT:
1- weak S2 with wide splitting.
2- accentuated S2 with paradoxical splitting.
3- ejection systolic click.

30. Differential clubbing is associated with:
1- PDA with pulmonary hypertension.
2- PDA with Eisenmenger’s syndrome.
3- VSD with Eisenmenger’s syndrome.

31. The murmur of aortic regurgitation is:
a)Pan systolic
b)Early diastolic
c)Mid diastolic
d)Ejection systolic

32. Prominent V wave in JVP occurs in:
a)Tricuspid stenosis
b)Pulmonary stenosis
c)Tricuspid regurgitation
d)Pulmonary regurgitation

33. Normal jugular venous pressure waves
composed of two visible positive waves:
a)a, v
b)a, c
c)a, x
d)a, y

34. Diastolic shock can be felt in:
a)Fifth left intercostal space
b)Second right intercostal space
c)Second left intercostal space
d)Third left intercostal space

35. The character of the pulse in isolated severe
aortic stenosis is:
a)Water hummer pulse
b)Pulsus parvus et tardus
c)Pulsus bisferiense
d)Pulsus alternans

36. Diastolic thrill over the apex is felt in:
a)Grade 4/6 murmur of mitral stenosis
b)Grade 3/6 murmur of mitral stenosis
c)Grade 4/6 murmur of mitral regurgitation
d)Grade 3/6 murmur of mitral regurgitation

37. Heaving apex is found in patients with:
a)Aortic regurgitation
b)mitral regurgitation
c)Mitral stenosis
d)Aortic stenosis

38. Pulmonary stenosis may be associated with:
a)Accentuated second heart sound
b)Weak second heart sound
c)Opening snap
d)Pan systolic murmur

39. Pulmonary hypertension is characterized by:
a) Accentuated second heart sound with wide
splitting
b)Accentuated second heart sound with close
splitting
c) Weak second heart sound with wide splitting
d)Weak second heart sound with close splitting

40. Left sternal border is the:
a) Right ventricular area.
b)Left atrial area.
c) Left ventricular area.
d)All of the above

41. Chest pain of cardiac origin should be taken
seriously in:
a) Mitral valve prolapse.
b)Acute myocardial infarction.
c) Pulmonary hypertension
d)Hypertrophic cardiomyopathy.
e) All of the above

42. Mechanism of palpitation:
a) Change in heart rate.
b)Change in heart rhythm.
c) Change in contraction force.
d)All of the above

43. S3 coincide with:
a) Early systole.
b)Late systole.
c) Early diastole.
d)Late diastole.

44. In ASD with pulmonary hypertension, S2 is:
a) Weak with fixed splitting.
b)Accentuated with fixed splitting.
c) Weak with paradoxical splitting
d)Normal with wide splitting.