Cardiology MCQs
Cardiology MCQs
Which of the following is an innocent murmur?
Gibson’s murmur
Roger’s murmur
Still’s murmur
Dock’s murmur
Correct answer: 3. Still’s murmur
Still’s murmur was described by George Frederic Still in 1909. This is a low pitched murmur heard in the lower left sternal area. It is best heard with the bell of the stethoscope. Still’s murmur is a mid systolic murmur, loudest in supine position and diminishes in intensity on sitting and standing as venous return decreases [Doshi AR. Innocent Heart Murmur. Cureus. 2018 Dec 5;10(12):e3689]. Gibson’s murmur is the train-in-tunnel murmur or machinery murmur of patent ductus arteriosus. Roger’s murmur or Bruit de Roger is heard in small ventricular septal defect. Dock’s murmur is due to stenosis of left anterior descending coronary artery.
Which of the following is NOT a feature of postural orthostatic tachycardia syndrome (POTS)?
Heart rate increase ≥30 beats per minute from supine to standing
Symptoms get worse with lying down and better on standing
Palpitation and light headedness
Dependent acrocyanosis
Correct answer: 2. Symptoms get worse with lying down and better on standing
In POTS, symptoms get worse with standing and better on lying down. Dependent acrocyanosis is a striking physical finding which occurs in 40-50% of patients. A dark red-blue discoloration of legs which are cold to touch can be seen [Raj SR. The Postural Tachycardia Syndrome (POTS): pathoph...
Source: Cardiophile MD - Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
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