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 hemodynamic MCQ

         


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: 373
: 15/10/2007
: 30

: hemodynamic MCQ    19, 2007 3:12 am

1- Shock can be commonly seen to be associated with all of the following EXCEPT :

a- systemic hypertension.

b-





HEMODYNAMIC
Massive hemorrhage .

c- Myocardial infraction .

d- Anaphylaxis .

e- Metabolic acidosis .


2- Hemorrhage infarct are most likely to occur in the :

a- Kidney .

b- Spleen .

c- Liver .

d- Lung .

e- Heart .


3- All of the following are true about fat embolism EXCEPT :

a- Commonly complicate bone fracture .

b- May cause pulmonary embolism .

c- May cause cerebral infarcts .

d- Is a type of embolism seen in obese or overweight people .

e- Thrombocytopenia and skin rash may be seen .


4- Causes of edema may include :

a- Congestive heart failure .

b- Cirrhosis of liver .

c- Protein loosing enteropathy .

d- Surgical removal of lymph node .

e- All of the above .


5- Factors predisposing to thrombosis may include all of the following EXCEPT :

a- Atherosclerotic plaques .

b- Rheumatic heart disease .

c- Aneurysms .

d- Decrease platelets count .

e- Infarction of the heart .


6- Regarding non-inflammatory oedema , all are true EXCEPT :

a- Constructive pericarditis causes edema by increased hydrostatic pressure .

b- Generalized edema of brain can be a life threatening condition .

c- Edema and congestion commonly co-exist .

d- In chronic renal failure, edema is caused by increased osmotic pressure .

e- Sodium and water retention cause edema by 2ry increase in hydrostatic pressure .


7- Pulmonary emboli may originate from any of the following sites EXCEPT :

a- Pulmonary veins .

b- Prostatic veins .

c- Mural thrombus in right atrium .

d- Hepatic veins .

e- Superior vena cava .
    


avatar

: 373
: 15/10/2007
: 30

: : hemodynamic MCQ    19, 2007 3:12 am

1- The fate of thrombus may include all of the following EXCEPT :

a- Propagation .

b- Embolization .

c- Lysis .

d- Organization .

e- Neoplastic transformation .


2- A small renal infarct undergoes :

a- Caseation .

b- Fibrosis .

c- Gangrenous change .

d- Regeneration .

e- Resolution .


3- The development of edema secondary to venous thrombosis is mainly due to :

a- Increased hydrostatic pressure .

b- Increased aldosterone production .

c- Endothelial damage .

d- Decreased plasma osmotic pressure .

e- Decreased tissue osmotic pressure .


4- Mural thrombi usually form in:

a- Large arteries .

b- Small veins .

c- Left ventricle .

d- Capillaries .

** Mural thrombi (features e.g.lines of ZHAN,do not fill the lumen, usually in the heart and aorta )



5- All of the following features are seen in chronic vascular congestion EXCEPT :

a- Proliferation of bile duct in the liver .

b- Nutmeg appearance on gross examination of the liver .

c- Centrilobular hepatic haemorragic necrosis .

d- Stasis of the venous blood in the lower extremities .

e- Haemosiderin deposition in the lung and spleen .


6- In septic shock there is :

a- Vasodialation .

b- Vasoconstriction .

c- High molarity rate .

d- Often metabolic alkalosis present .


7- Thrombosis :

a- Caused by endothelial injury commonly .

b- Contains platelets and fibrin mainly .

c- More common in right than left ventricle .

d- Can be organized .

e- Commonly formed in deep calf veins .

    


avatar

: 373
: 15/10/2007
: 30

: : hemodynamic MCQ    19, 2007 3:13 am

1- All true about edema EXCEPT :

a- Can be localized or generalized .

b- Caused by increased hydrostastic pressure of the heart .

c- Caused by decreased colloid pressure of the blood .

d- Caused by lymphatic obstruction .

e- It is an exudate and not a transudate .


2- The most common type of embolism is :

a- Aminiotic fluid embolism.

b- Fat embolism.

c- Air embolism.

d- Thrombo- embolism.


3- All true about chronic venous congestion of the lung EXCEPT :

a- Is also called " Brown Induration" of lung .

b- Is seen in right-sided heart failure .

c- The lung feels firm .

d- There is release of hemosiderin pigment in the lung tissue .


4- Phlebothrombosis :

a- commonly involves leg veins .

b- There is sever inflammation of involved vein .

c- The embolus from affected vein may cause pulmonary embolism .

d- The thrombus is usually firmly attached to vessel wall .

e- All of the above .


5- Generalized edema can result from :

a- Left-sided heart failure .

b- Nephritic syndrome .

c- Glomerulonephritis .

d- All of the above .

e- B and C only .


6- SHOCK :

a- Can be produced by sudden loss of large amounts of blood .

b- Is reversible in early stage .

c- Pulse is rapid and of low volume .

d- Can be caused by bacterial endotoxins .

e- All of the above .


7- Gangrenous is a common complication of infarction of :

a- Heart .

b- Spleen.

c- Intestines .

d- Lungs .

** Most common complication of myocardial infarction is ventricular arrhythmia .



22- Atheroma :

a- Involves large and medium sized arteries .

b- The initial lesion of the fatty streaks always progresses to fibrous plaques .

c- High-density lipoproteins (HDL) are present in large amounts in lesions .

d- Thrombosis commonly occurs over a site of atheroma .

    
 
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