FRCPath Part1 Course
The Heart MCQ 1 A 56 year old man has increasing shortness of breath and is found to have isolated LVH. A CXR shows pulmonary oedema. What is the likely underlying pathology? A. B. C. D. E.
Bronchial chronic inflammation, mucus hypersecretion alveolar septal destruction Calcified and narrowed aortic valve Pulmonary fibrosis with asbestos bodies Hypertension undergoes valve replacement with a bioprosthesis Myocardial necrosis with coronary artery thrombosis
MCQ 2 A 70 year old woman develops congestive cardiac failure over a few years. She has bilateral pitting oedema. At PM she is found to have RV hypertrophy and dilation. The pulmonary trunk contains atherosclerosis. What is the likely underlying pathology? A. B. C. D. E.
Myocardial necrosis with coronary artery thrombosis A large thrombosis occluding the pulmonary artery Bronchial chronic inflammation, mucus hypersecretion and alveolar septal destruction Myocyte disarray Fatty replacement and fibrosis of the right ventricle
MCQ 3 A 60 year old man develops sudden onset retrosternal chest pain that radiates to the neck. Emergency CAA shows thrombosis of the LCA main stem. What is the most likely complication to occur in the next 1hr? A. B. C. D. E.
Ventricular tachycardia Myocardial rupture Pericarditis Ventricular aneurysm CVA
MCQ 4 A 60 year old man develops worsening shortness of breath and occasional LOC. He has pleural effusions, LVH and marked aortic stenosis. What best accounts for these findings? A. Smoking B. Diabetes C. Marfan’s D. Hypertension E. Bicuspid aortic valve MCQ 5 A 44 year old man with rheumatic aortic stenosis undergoes valve replacement with a bioprosthesis. After 10years, he develops exercise intolerance. What complication is likely to have occurred?
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