Nokea
Diastolic dysfunction and normal systolic function are recognized features of
- A. dilated cardiomyopathy
- B. hypertrophic cardiomyopathy
- C. left ventricular noncompaction
- D. restrictive cardiomyopathy
Correct Answer: D
Rationale: Restrictive cardiomyopathy is specifically characterized by diastolic dysfunction with preserved systolic function.
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The most common indication of heart transplantation in the neonate is
- A. Hypoplastic left heart syndrome
- B. Hypoplastic right heart syndrome
- C. Severe Ebstein's anomaly
- D. Dilated cardiomyopathy
Correct Answer: A
Rationale: Hypoplastic left heart syndrome is the most common indication for heart transplantation in neonates.
Regarding cafe-au-lait spots:
- A. They can be normal findings
- B. They are found in tuberous sclerosis
- C. When present in a child, > 4 spots each > 0.5 cm, is diagnostic of neurofibromatosis type II
- D. Typical appearance in neurofibromatosis is of a smooth border
Correct Answer: A
Rationale: Cafe-au-lait spots can be a normal variant and do not always indicate an underlying pathology.
The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, “Why do my child’s fingertips look like that?†On what understanding does the nurse base a response?
- A. Clubbing occurs as a result of untreated congestive heart failure.
- B. Clubbing occurs as a result of a left-to-right shunting of blood.
- C. Clubbing occurs as a result of decreased cardiac output.
- D. Clubbing occurs as a result of chronic hypoxia.
Correct Answer: D
Rationale: Clubbing of the fingers develops in response to chronic hypoxia.
SA 14-14-2 Vaccine for Japanese encephalitis is
- A. Live attenuated
- B. Vero cell derived inactivated
- C. Mouse-brain derived inactivated
- D. Live recombinant
Correct Answer: A
Rationale: The SA 14-14-2 vaccine is a live attenuated vaccine used for Japanese encephalitis.
Which among the following is a correct description for the condition 'mitral arcade'?
- A. Absent chordal insertions
- B. Absent papillary muscles
- C. Fused papillary muscles
- D. Elongated papillary muscles
Correct Answer: C
Rationale: Mitral arcade is characterized by fused papillary muscles.