qmu cvs week 6

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    QMU CVS 2012

    5. Choose the correct way of transportation of molecules across the capillary wallA. Slit pores: Large quantities of water and solutesB. Pinocytosis : glucoseC. Fenestrae : proteinD. Transcellular transport : O2 & CO2

    HEART FAILURE DRUGS 1

    6. Choose the right answer about the sign and symptom for the congestive heart failureA. DyspnoeaB. OrthopnoeaC. Dependent oedemaD. All of the above

    7. What is the goal of treatment of congestive heart failure?A. To relieve the symptomsB. Delay cardiac remodellingC. All of the aboveD. None of the above

    8. Which of the following is not the cardiovascular system symptom of digitalis toxicity?A. Complete heart blockB. FatigueC. Conversion of atrial flutter to fibrillationD. Ventricular tachycardia and fibrillation

    9. All of the following answer is true about the factors and interactions predisposing to toxicityexcept

    A. QuinidineB. HypothyroidismC. HyperkalaemiaD. Hypoxia

    10.Choose the main cardiac effect of digitalis drugA. Increase force of contractionB. Impaired A-V conductionC. Decrease cardiac oxygen demandD. Bradycardia

    11.Choose the correct value of filtration pressure and reabsorption pressure of the capillaryrespectively

    A. 11 mmHg, 9 mmHgB. 40 mmHg, 29mmHgC. 9 mmHg, 11 mmHgD. 29 mmHg, 40 mmHg

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    12. Choose the correct differences between filtration and diffusion

    I Diffusion occurs in both directions while filtration is movement of fluid out of the capillaries

    II Filtration is movement of fluid out of capillaries at venous end

    III Diffusion rate is more than filtration rate by about 15 000 folds, normally

    IV Diffusion is a less important mechanism for transport of nutrients between interstitial fluid

    and plasma

    A. I and IIB. I and IIIC. II and IVD. III and IV

    13. Which of the following is the definition of oedema?A. Normal increase in the volume of interstitial fluidB. Normal increase in the volume of protein in interstitial fluidC. Abnormal increase in the volume of interstitial fluidD. Abnormal increase in the volume of protein in interstitial fluid

    14. Increased capillary permeability results in edema. Choose the correct causes of increased

    capillary permeability

    I Extremes of temperature

    II Hypoxia

    III Capillary dilation

    IV Nutritional deficiency

    A. I, II and IIIB. I, II and IVC. I, III and IVD. All of the above

    True or False

    15.Lymphatic system removes interstitium albumin and other macromolecules that escapesfrom microcirculation.

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    Heart failure drugs

    16. Which drug is given during intermittent acute exacerbations of cardiac heart failure as in some

    cases of cardiogenic shock?

    A. Amrinone

    B. Milrinone

    C. Dobutamine

    D. Atenolol

    17. Which drug is given to inhibit metabolism of cAMP?A. Dobutamine

    B. Amrinone

    C. Spironolactone

    D. ACEI

    18.Which drug is given to prevent angiotensin production and decreasing the norepinepherine andaldosterone?

    A. Dobutamine

    B.ACEI

    C. B-blocker

    D. Nitrates

    19.All the following are the humoral compensatory mediators responsible for perpetuating cardiacremodelling except?

    A. Aldosterone

    B. Norepinephrine

    C. Angiotensin II

    D. Angiotensin I

    20.All the following are the effect of diuretic except?A. Decrease preload

    B. Useful in dyspnea

    C. Causes hyperkalemiaD. Causes hypokalemia

    ANSWERS

    1 C 146 6 D 272 11 A 151 16 C

    2 D 147 7 C 272 12 B 152 17 B

    3 A 148 8 B 274 13 C 153 18 B

    4 C 148 9 C 274 14 D 153 19 D

    5 D 148 10 A 274 15 T 154 20 C

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