1. Direct Anastomosis of end of subclavian artery to side of pulmonary artery is

Modified BT shunt

BT shunt

Waterston shunt

Pott's shunt

2. St. Thomas solution is

20 mcq of potassium heated to 40° C

20 mcq of potassium cooled to 40° C

Cardioplegic solution

and are correct

3. False about IABP is

Used in cardiogenic shock post myocardial infarction

Safe to use when patient has aortic diameter 5 cm

Also called diastolic augmentation

Tip of balloon should be placed below left subclavian artery

4. One of the following surgery is not approached through right thoracotomy:

Classical BT shunt

Modified BT shunt

Pott's shunt

Waterston shunt

5. Bileaflet valve is

S1. Jude valve

Starr Edwards

TTK Chitra valve

Medtronic Hall valve

6. Ross procedure is

Replacing autograft for aortic valve is allograft for pulmonary valve

Replacing autograft for mitral valve and allograft for pulmonary valve

Replacing autograft for pulmonary valve and allograft for aortic valve

Replacing autograft for tricuspid valve and allograft for pulmonary valve

7. Effective orifice area is lowest for

Single leaflet disc valve

Bileaflet valve

Starr Edward's valve

Native valve

8. Anti-coagulation for life is indicated in all except:

Chitra valve in mitral position with sinus rhythm

Perimount valve in aortic position with sinus rhythm

Chitra valve in aortic position with atrial fibrillation

Perimount valve in mitral position with atrial fibrillation

9. Effective orifice area of native aortic valve is

1.5-2cm^2

2-3sq.cm

3-4sq.cm

4-5sq.cm

10. Anti-coagulation for biological valve is indicated if patient has all except:

Very large left atrium

Severe LV dysfunction

Complete heart block

Hypercoagulable state

11. Cyanotic spells are common in the following age group:

2 months to 2 years

2 years to 4 years

4 to 6 years

6 to 8 years

12. False about stuck valve is

Causes sudden hemodynamic deterioration

Clinically diagnosed by increased intensity of prosthetic sounds

Diagnosis confirmed by echo cardiography

May need valve replacement

13. Mitral stenosis is considered as mild when:

Valve area is 2 cm^2 with MPG 10 mm of Hg

Valve area is 1-2 cm^2 with MPG 6-9 mmHg

Valve area is 1 cm^2 with MPG 5 mmHg

Valve area is> 2 cm^2 with MPG 5 mmHg

14. Class If indication for PBMV is

Patient in NYHA Cl-III with severe MS with Pulmonary hypertension

Patient in NYHA Cl-III with severe MS with minimal MR and no LA thrombus

Patient in NYHA Cl-III with severe MS with Moderate MR and new onset AF

Patient in NYHA Cl-III with severe calcific MS

15. MVR is indicated in

Pt with severe MS in NYHA Cl-IV who are not considered for BMV

Pt with severe MS in NYHA Cl-II with pulmonary hypertension (Systolic Pressure 50 mmHg at rest)

Pt with severe MS in NYHA Cl-I non-pliable calcified valve in absence of LA thrombus in NYHA Cl-I

and are correct

16. Causes of acute mitral regurgitation include all except:

Chordal rupture

Infective endocarditis

Acute myocardial infarction

Degeneration

17. Mitral Valve Replacement is not indicated in

Symptomatic severe MR with normal LV Function and end systolic dimension of LV 45 mm

Asymptomatic severe MR with LV dysfunction

Asymptomatic severe MR with normal LV function

Acute severe MR post myocardial infarction

18. Williams syndrome is not associated with:

Sub valvular aortic stenosis

Supra valvular aortic stenosis

Elfin facies

Hypercalaemia

19. Heart murmur in ASD is done to all except:

Increased flow through pulmonary valve

Increased flow through tricuspid valve

Gradient at atrial level

Ejection systolic murmur at pulmonary area

20. All of the following are left to right shunts except:

ASD

VSD

Eisenmenger's Syndrome

PDA

21. Cl indications for AVR include all except:

Asymptomatic severe AR with 50% EF and dilated LV

Asymptomatic severe AR with 30% EF

Symptomatic severe AR with 50% EF and dilated LV

Symptomatic moderate AR with 60% stenosis of LMCA

22. Tricuspid stenosis is considered as moderate when the gradient across the valve is

1mm

1-3 mm

3-5 mm

5 mm

23. Angiographic qualification of grade 2 tricuspid regurgitation shows:

Partial right atrium

Opacification of right atrium and venacava

Minimal systolic jet, clears rapidly

Opacification of whole of RA

24. True about functional TR is

Associated with normal annular circumference

Associated with significant mitral disease

Leaflets have anatomical abnormality

Associated sometimes with tricuspid stenosis

25. Echo quantification of severe pulmonary stenosis shows:

Valve area> 1.5 peak pressure gradient> 25 mmHg

Valve area> 1 peak pressure gradient> 50 mmHg

Valve area 0.5 peak pressure gradient 50 mmHg

Valve area 0.5 peak pressure gradient> 80 mmHg

26. Commonest location of ventricular aneurysm:

Antero lateral

Inferior

Postero lateral

Lateral

27. All are indications for surgery in aortic aneurysm except:

When diameter of ascending aorta> 5.5 mm

When diameter of descending aorta 6 mm

When diameter of aorta 4 cm in Marfan's syndrome

Aortic valve replacement in bicuspid aortic valve when diameter of aorta is 4 cm

28. Bental procedure is the surgery done for:

Ventricular aneurysm

Abdominal aorta aneurysm

Aortic Arch aneurysm

Ascending aortic aneurysm

29. In classification of acute aortic dissection debakey II includes:

Ascending aorta extending to arch

Descending aorta extending to abdominal aorta

Descending aorta retrograde into arch

Ascending aorta confined to ascending aorta

30. All are class I indications for surgery in native valve endocarditis except:

Evidence of valve dysfunction and persistent infection after 7 -10 days of appropriate anti-biotic treatment

Acute AR with tachycardia and early closure of mitral valve

Infection with gram -ve organism with evidence of valve dysfunction

Heart failure unresponsive to medical treatment due to MR

31. Most common organism for early prosthetic valve endocarditis is

Staphylococcus epidermidis

Staphylococcus anerus

Gram negative bacilli

Candida

32. Emergency surgery for prosthetic valve endocarditis is indicated when patient has:

Unstable prosthesis

Acute aortic regurgitation with mitral valve preclosure

Aortic regurgitation with heart failure

Valve obstruction

33. percentage of patients with large VSD seen at one month of age may close spontaneously.

100%

80%

60%

25%

34. VSD is considered as moderate when:

It is> 5 cm in diameter

50% of diameter of aorta

1/3rd of diameter of aorta

Equal to diameter of aorta

35. Which one of the following is not an obstructive lesion?

Aortic Stenosis

Mitral Regurgitation

Pulmonary Stenosis

Coarctation of Aorta

36. Which is not a feature of pink TOF

Mild PS

Small VSD

Large pressure gradient between PA and RV

Large unrestrictive VSD

37. All are features of TOF except:

Cyanosis

Single S2

Cardiomegaly

Soft P2

38. Which of the following is not a feature of Pulmonary Atresia with intact ventricular septum?

PDA

RV hypoplasia

RV hypertrophy

LVH in ECG

39. All are the features of corrected transposition of great arteries except:

Atrio Ventricular Concordance

Atrio Ventricular Discordance

Ventriculo Atrial discordance

VSD

40. All of the following conditions have decreased pulmonary blood flow except:

TOF

Ebstein's anomaly

Eisenmenger syndrome

Unobstructed TAPVC

41. Following ASD defect closure with device upto how long aspirin therapy to be continued:

1 month

3 months

6 months

9 months

42. All of the following drugs decrease sinus discharge rate except:

Verapamil

Amiodarone

Quinidine

Propranolol

43. Torsades de pointes has all the features except:

Polymorphic VT

Monomorphic VT

QT Prolongation

Class IA and Class III drugs cause Torsades

44. All of the following drugs can cause bradyarrhythmia except

Beta blockers

Calcium channel blockers

Class III drugs

Mexiletine

45. Torsades de pointes is caused by all drugs except:

Quinidine

Propafenone

Procainamide

Amlodipine

46. Which is the commonest congenital heart disease in India

Aorto pulmonary window

Atrial septal defect

Patent ductus arteriosus

Ventricular septal defect

47. Which of the following statements is false regarding co-arctation of aorta?

Coarctation of aorta is more common in females

Narrowing of aorta typically located near aortic attachment of ligamentum arteriosum

Ejection systolic murmur is located near the left inter scapular region

Continuous murmur is heard due to collaterals

48. Which of the following is not a component of Tetralogy of Fallots

Left ventricular outflow obstruction

Overriding of aorta

Large V5D

Right ventricular hypertrophy

49. Differential cyanosis is seen in which of the following conditions?

Aorto pulmonary window

Coarctation of aorta with aortic stenosis

Right to left shunt with patent ductus arteriosus

Tetralogy of Fallots

50. Which of the following findings is not seen in a child with a large ventricular septal defect?

Mid diastolic murmur at apex

Pan systolic murmur at 3rd left intercostal space

Ejection systolic murmur at apex

Wide split of S2

51. Continuous murmur is heard in all the following conditions except one:

Aorto pulmonary window

Tetralogy of Fallots

Coarctation of aorta with collaterals

Patent ductus arteriosus

52. Supra valvular aortic stenosis is usually seen in which of the following conditions?

Downs syndrome

Turners syndrome

Williams syndrome

Holt -Oram syndrome

53. Left ventricular failure in neonatal period is commonly seen in which of the following congenital heart disease

Severe mitral stenosis

Severe aortic stenosis

Ebstein's anomaly

Atrial septal defect

54. Which of the following statements is false in patent ductus arteriosus?

Anatomical closure of ductus occurs within 12 -24 hours

Incidence 5 -10 percent of all congenital heart diseases

Blood will shunt from left to right into PA

The flow in the POA occurs throughout cardiac cycle

55. In which of the conditions, Duct dependent pulmonary blood flow is not seen

Ebsteins anomaly

Pulmonary atresia

Critical Pulmonary stenosis

Critical coarctation of aorta

56. Frequent respiratory tract infections are seen in all the conditions except one:

Coarctation of aorta

Atrial septal defect

Patent ductus arteriosus

Ventricular septal defect

57. What is the incidence of atrial septal defect?

5 -10 percent of congenital heart diseases

1 percent of congenital heart diseases

10 -15 percent of congenital heart diseases

15 -20 percent of congenital heart diseases

58. 3 weeks old baby was brought to critical care unit with tachypnea and difficulty in feeding. Baby was found to have Heart failure. Which of the following conditions this baby likely has?

Atrial septal defect

Critical aortic stenosis

Ebsteins anomaly

Muscular ventricular septal defect

59. 13 years old girl was evaluated for dizziness for the last few months. On auscultation she has 4/6 ejection systolic murmur at left upper border and inconstant ejection click. What is likely possibility she has?

Supra valvular aortic stenosis

Valvular pulmonic stenosis

Ebstein's anomaly

Coarctation of aorta

60. 52 years female was evaluated for her shortness of breath since few months. On auscultation her S1 was normal and Wide fixed Second heart sound is heard. Ejection systolic murmur at pulmonary area heard. Which of the following conditions this female has?

Ventricular septal defect

Small patent ductus arteriosus

Large atrial septal defect

Pulmonary valve stenosis

61. Continuous murmur in the left upper sternal area is not heard in which of the following conditions

Rupture of sinus valsalva

Coronary AV fistula

Coarctation of aorta

Small patent ductus arteriosus

62. 22 years female has been evaluated for leg pains on walking and lower limb pulses were feebly felt. She was found to have coarctation of aorta. Balloon dilatation of Coarctation of aorta is indicated when the gradient is

mmHg

mmHg

>30 mmHg

>15 mmHg

63. 32 years female, has been referred to a cardiologist clearance for dental procedure. She was told to have a congenital heart disease. Which of the following conditions does not need infective endocarditis prophylaxis?

Small ventricular septal defect

Small atrial septal defect

Patent ductus artriosus

Coarctation of aorta

64. Which is the most common congenital heart disease seen in adults?

Small patent ductus arteriosus

Ventricular septal" defect

Bicuspid aortic valve

Atrial septal defect

65. Eisenmenger syndrome is seen in all the following congenital heart diseases, except one:

Large ventricular septal defect

Large patent ductus arteriosus

Aorto pulmonary window

Severe pulmonary valve stenosis

66. Fontan operation is indicated in which of the following congenital heart disease?

Transposition of great arteries

Single ventricle

Aorto pulmonary window

Peripheral pulmonary artery stenosis

67. Balloon dialatation in valvular pulmonary stenosis is indicated when the gradient is

20 mmHg

40 mmHg

80 mmHg

50 mmHg

68. All of the following conditions are associated with reduced pulmonary blood flow except one:

Single ventricle with pulmonic stenosis

Tetralogy of Fallots

Double outlet right ventricle with pulmonary stenosis

Pulmonary AV fistula

69. LV. Prostaglandin is given in which of the following conditions?

Pulmonary atresia with PDA

Coronary AV fistula

Pulmonary AV fistula

Critical aortic stenosis

70. Cyanotic spells are seen in all the following conditions except one:

Tricuspid atresia with pulmonary stenosis

Tetralogy of Fallots

DORV with VSD PS

Rupture of sinus valsalva

71. Which of the following statements is false in atrial septal defect

Primum Type of ASD usually close after 2 years

Fossa ovalis ASDs less than 8 mm size usually close

Sinus venosus ASDs do not close

The heart murmur in large ASDs originates from pulmonary artery

72. All of the following statements regarding ventricular septal defect are correct except one

Most Muscular VSDs will close spontaneously

Perimembranous VSDs can close spontaneously

Outlet VSDs can close by prolapse of aortic valve

Inlet VSDs always close spontaneously

73. Which of the following medications is indicated in the management of Cyanotic spells?

Diltiazem

Esmolol

Nifedipine

Alpamethyldopa

74. Which is the common mechanism of Cyanotic spells in Tetralogy of Fallots

Left to right shunt

Increased systemic vascular resistance

Infundibular spasm

Increased pulmonary artery pressure

75. In Downs syndrome which of the following chromosomal abnormality is seen?

Trisomy 18

Trisomy 21

Trisomy 24

Trisomy 26

76. Sotolol is indicated in all the following conditions except one:

Atrial fibrillation

Atrial flutter

AV node re-entry

Mobitz type 1 block

77. Bretylium tosylate is indicated in which of the following conditions?

Out of hospital ventricular fibrillation

Atrial flutter

Mobitz type II block

Junctional rythm

78. 18 years old girl was brought to emergency with hi0 sweating and palpitations since 30 minutes. Her ECG showed narrow QRS complex with 200 heart rate. Which one of the following drugs is the first choice for her?

Lignocaine

Phenytoin

Beryllium

Adenosine

79. Which of the following valve has the maximum effective orifice area at aortic area?

Starr -Edward valve

St. Jude valve

Omnicarbon valve

Homograft valve

80. Pulmonary artery banding is indicated in which of the following conditions?

Isolated ventricular septal defect

Large atrial septal defect

Multiple muscular ventricular septal defects

Large PDA

81. 46 years old male, known case of bicuspid aortic valve, severe aortic stenosis and moderate aortic regurgitation got admitted in critical care unit and found to have infective endocarditis with aortic annular abscess. Which of the following valve has the longest durability and function at aortic position?

Perimount valve

Homograft valve

Carpentier Edward valve

Medtronic Hancock valve

82. Alfieri repair is advised in which of the following conditions?

Rheumatic m.itral regurgitation

Ebstein's anomaly

Mitral regurgitation due to Mitral valve prolapse

Ischemic mitral regurgitation

83. Ross operation is indicated for which of the following conditions?

Severe pulmonary artery stenosis

Severe mitral stenosis

Severe aortic valve stenosis with bicuspid aortic valve

Severe mitral regurgitation

84. 1 year 6 months old child was evaluated at cardiology outpatient department for bluish discolouration of body. He was found to have cyanotic congenital heart disease and cardiologist advised operation which is called "Mustard". Which of the following conditions the child has

Transposition of great vessels

Tricuspid atresia

Pulmonary atresia

Ebstein's anomaly

85. 48 years old male, chronic smoker, diabetes mellitus, admitted in intensive care unit with chest pain and sweating. His ECG showed ST elevation in V1 -V6 leads and frequent ventricular ectopics with bigeminy. Which is the drug of choice?

Lignocaine

Verapamil

Diltiazem

Quinidine

86. Which of the following is not true for Tarsades de pointes

Caused by QT shortening

Can be caused by class I A drugs

Can be caused by class III drugs

Is a polymorphic ventricular tachycardia

87. Wolff -Parkinson -White syndrome is characterised by which of the following?

Long PR with delta wave

Short PR with delta wave

Short PR with narrow QRS

Long PR with alpha wave

88. 26 years old female, a known case of rheumatic heart disease, with moderate mitral stenosis and atrial fibrillation, has class II dyspnea, she is on tab.digoxin, lasix and oral pencillins. Which of the following drugs increases digoxin blood levels?

Verapamil

Metoprolol

Amiodarone

Lignocaine

89. 3 years old boy was brought to emergency with bluish discolouration of tongue, fingers and toes while child is crying. He had similar episodes prior to this and he was found to have Tetrology of Fallots. Which of the following drugs is useful for Cyanotic spells?

Atenolol

Esmolol

Carvedilol

Labetolol

90. 67 years male, known hypertensive, old anterior wall myocardial infarction got admitted with hi0 giddiness since 2 weeks. He was found to have LBBB and 3rd degree complete heart block. Which pacing mode cannot be used for this patient

VVI

AAI-R

DDD-R

VDD