CVS- PART 1 PAEDIATRICS

1. Cardiac catheterization therapeutic in (2008)

a)
b)
c)
d)
e)

Infundibular pulmonary stenosis

yMitral regurgitation
Aortic stenosis
Transposition of great vessels
Patent ductus arterioses

2. Pulmonary stenosis (2008)

a)
b)
c)
d)

Most common at pulmonary valve level

Valve dilatation done for dysplastic valves
Ejection click occurs in past stenotic dilatation
Surgery done when Rt ventricular pressure
exceeds 25 mmHg

3. ECG (2008)
a) Bifid P waves in large VSD
b) Complete Ht block in cyanotic attacks of
fallots
c) RBBB in Ebstein anomaly
d) Right axis deviation in tricuspid atresia
e) There is no depolarization waves during
refractory period
4. Normal Heart (2008)
a) Ventricular septal depolarization occurs from
Lt Rt
b) During tachycardia diastolic time reduced than
systolic time
5. Following are correctly matched(2003)
a) Tuberous sclerosis-Cardiac rhabdomyoma
b) WPW syndrome-SVT
c) Maternal SLE-Irreversible complete heart
block
d) Parvo B19-Roseola infectiosum
e) Infant of a diabetic mother Hypertrophic
cardio myopathy
6. Superior axis in ECG seen in (2003)
a)
b)
c)
d)
e)

AV canal defects
Ebstein anomaly
Tricuspid atresia
Single ventricle
TAPVD

7. Mitral valve prolapse(2003)

a) Occurs in congenital myxomatous valves
b) Need a Sx
c) Rare cause of MR

d) Need prophylactic antibiotics

e) Associated with arrhythmias
8. In a cyanotic spell of TOF(2003)
a)
b)
c)
d)
e)

Systemic vascular resistance is reduced

Murmur disappear
PO2 is reduced
Right to Left shunt is Increased
Blood PH is reduced

9. Regarding ECG in infancy(2001)

a)
b)
c)
d)
e)

T Wave inversion present

PR interval is < 0.16 s
P wave is < 3mm tall
QRS represent ventricular depolarization
At 3/12 RVH is normal

10. Regarding coarctation of aorta(2001)

a)
b)
c)
d)

Associated with Turners syndrome

Commenest is preductal type
Radio femoral delay is a feature
Systolic BP in lower limb is higher than in
upper limb
e) Can present with cardiac failure in neonates
11. Persistent Pulmonary Hypertension(2011)
a) Cause the blood to flow from Left to right
through the foramen ovale
b) Pulmonary Hypoplasia is a cause
c) Inhalation of Nitric Oxide (NO) given via ET
Tube
d) Treated with Sildenafil
e) Hypercapnoea is characteristic
12. Down syndrome and VSD(2011)
a) Doesnt close spontaneously as in children
without downs
b) Inaudible murmur is a characteristic feature /
Murmur is not audible
c) Pulmonary Hypertension is a late complication
d) If no murmur, condition need not be
investigated
e) After surgery should follow up till adolescence
(_FTFT)
13. Arrhythmia in Children, (2011)
a) Re entry Tachycardia is the commonest
b) Adenosine decreases the force of cardiac
contractility
c) SVT can cause hydrops foetalis
d) Valsalva maneuver can restore sinus rhythm

14. Changes that occur in CVS and Respiratory system

at birth(2002)
a) Increase in pulmonary Vascular resistance
b) Increase in Oxygen concentration in Aorta
c) Increase in the right Ventricular Pressure
d) Reversal of flow through the ductus arteriosus
15. Closure of the ductus arteriosus is likely to make
the following conditions worse (2002)
a) Transposition of great vessels
b) Tricuspid Atresia
c) Hypoplastic Left heart syndrome
d) Tetrology of Fallots
e) Preductal Coarctation of aorta
16. In congenital hypertophic pulmonary stenosis
(2002)
a) Metabolic alkalosis occurs
b) In some cases can be treated with non surgical
methods
c) During surgery tumor is removed
d) Is a caus of conjugated hyperbilirubinaemia in
neonate
e) A target lesion in USS is diagnostic
17. Vigorous exercise should be avoided in(2002)
a) Prolong QT interval
b) Maladie de Roger deformity
c) Aortic stenosis
d) Bicuspid aortic valve
e) Atrial Septal defects
18. SVT (2004)
a) HR . 220 /min
b) Adenosine helpful in management
c) Beat to beat variation is not present
d) Valsalvar maneuver is a treatment method
e) Asynchronous DC shock
19. Closure of ductus will worsen following
conditions(2004)
a) Coractation of Aorta
b) TGA without VSD
c) Pulmonary Atresia
d) Hypoplastic left heart
e) Aortic atresia
20. Pulmonary hypotension in a neonate associate
with(2004)
a) Diaphragmatic hernia
b) Oxygen therapy
c) Meconium aspiration
d) Pneumothrax
e) Anaemia
21. Displacement of apex to anterior axillary line
(2004)
a. TOF
b. Truncus arteriosus
c. Hypoplastic left heart syndrome
d. TAPVD
e. Ostium primum ASD

22. Primary Pulmonary Hypertension(2009)

a) Familial tendency
b) ECG bifid P wave
c) Ejection click
d) Increased RV after load
e) Heart lung transplant is the mode of treatment
23. Hypertrophic obstructive cardiomyopathy(2009)
a) Causes LV outflow tract obstruction
b) Occurs after adenoviral infection
c) Commonly occurs in infancy
d) Double apical impulse
e) Can cause sudden death
24. Congenital complete heart block(2009)
a) Corrected TGA
b) SLE mothers child
c) Plonged QT
d) MgSO4 therapy to mother
e) Stokes ADAMS attacks occur
25. Which of Following True, False
a) In fetal circulation ascending aorta has more
oxygenated blood than descending aorta
b) Antenatal indomethacin will keep the duct
open
c) Eisenmengers syndrome-accentuated diastolic
murmur .?
26. Regarding Tetralogy Of Fallot
a) Cyanosis in first few weeks
b) Heart failure is a common presentation
c) Balloon atrial septostomy will be beneficial
d) Associated with Downs
e) Parental smoking
27. Early diastolic murmur characteristically occurs in
a) T.O.F.
b) Severe M.S.
c) Ankylosing spondylitis
28. Prolonged QT syndrome(2007)
a. Hypocalcaemia
b. Hyperkalaemia
c. Romano- ward syndrome
d. Amiodorone Rx
29. TAPVD with obstruction(2007)
a. PGE1 is an effective treatment
b. Cardiomayopathy
c. Rt. Atrial dilatation
d. Minimal cyanosis
e. Infradiaphragmatic drains in to the inferior
venacava
30. Fetal circulation is different from neonatal
circulation(2006)
a) Higher oxygen saturation of inferior vena cava
b) Lower oxygen saturation of descending aorta
c) High venous resistance.
d) Low systemic resistance.

e) Increased left ventricular pressure.

31. Cyanosis in a 2 day old baby(2006)
a) Heart examination may be normal
b) Most likely diagnosis is Fallots tetralogy
c) Benefited by indomethacinc therapy
d) Left to right shunt should be there
32. Causes for hypertension in childhood(2006)
a. PDA
b. Hemolytic uremic syndrome
c. Guilin bare syndrome
d. Lead poisoning
33. In hyper cyanotic spells in Fallots tetralogy(2006)
a) Hypoxia is there
b) Murmur disappear
c) Right to left shunt increases
d) Acidosis occur
e) Increased venous resistance
34. Total anomalous pulmonary venous drainage(2005)
a) Infra diaphragmatic type is obstructive
b) RV hypertrophy is seen in supra diaphragmatic
type
c) Early pulmonary hypertension is a feature of
the infra diaphragmatic type
d) An enlarged heart is seen in the infra
diaphragmatic type
e) CXR shows egg on end appearance
35. A child with central cynosis remains despite 100%
Oxygen(2005)
a) Persistant pulmonary hypertension
b) Double outlet right ventricle
c) Pulmonary atresia
d) Pulmonary arteriovenous fistulae
e) Congenital pneumonia
36. Cardiac causes for sudden death(2005)
a) Aortic stenosis
b) Coronary aneurysm in Kawasaki Disease
c) Bicuspid aortic valve
d) Hypertrophic cardiomyopathy
e) Long QT syndrome
37. Rheumatic fever(2005)
a) Subcutaneous nodules are pathognomic
b) Streptococcal M protein is a marker of
virulence
c) T cells are important in the manifestation of
carditis
d) Life long prophylaxis is indicated in healed
carditis

e) Atropine is given to reverse the prolonged PR

interval
38. True, False(2005)
a) SA node situated closure to SVC drainage
b) The duration of diastole is shortened more than
Sytole during tachycardia
c) The interventricular septum is depolarized
from Right to Left
d) The SA node is supplied by Right vagus
e) Both ventricles eject blood at same time
39. Following conditions are associated with cardiac
anomalies(2005)
a) JCA
b) Mycoplasma
c) Tuberous Sclerosis
d) Homocystinuria
e) Duschene Muscular Dystophy
40. Foetal circulation (2005)
a) Systemic and pulmonary circulation is parallel
b) Pulmonary resistance is high
c) Ductus venosus causes direct blood flow into
the liver
d) SVC blood drain in to Left atrium through
foramen ovale
e) Umbilical vein blood drain in to the liver
through ductus venosus
41. Congenital pulmonary stenosis
a) Systolic click is due to postdilatation of the
artery
b) Valvular stenosis is increased with increasing
age
42. Foetal circulation
a) Pulmonary and systemic resistance is equal
b) Foramen ovale blood flows from right to left
c) Oxygen saturation is ascending aorta is more
then that of descending aorta
d) Coronary circulation is insignificant
e) Ductus venosus is non functioning
43. Cardiac arrhythmias in childhood
a) Most common SVT is re entry
b) IV Adenosine reduces the contractile force and
reduces the heart rate
c) Valsalva manour is not effective
d) Cardia lesions are found in > 50% of patients
with arrhythmias