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: Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs