MRCPH mcqs exam

A 14 years old girl was brought to accident and emergency department for collapse in the sports events. She has no significant past medical history. Her parents and siblings are fine.
On examination, she is appropriate for her age (regarding weight and height). Her general examination was normal except for low volume pulses. Pulses are equal in all four limbs. On systemic examination, she has a 4/6 systolic murmur best heard on right 2 ICS. which is radiating to neck.

Most likely diagnosis is :–

A. VSD

B. ASD

C. PDA

D. Coartation of aorta

E. Aortic stenosis

A 10 old boy was brought to accident and emergency department with symptoms of measles. He was not vaccinated for measles. He was having anterior chest pain. Pain is more on when child is breathing in and decrease on sitting forward. On auscultation, physician heard a rub.

What is the most likely diagnosis:

A. Cardiomyopathy

B. Myocarditis

C. Pneumonia

D. Pericarditis

E. Pneumothorax

A 14 years old boy was seen in the GP clinic with history of cardiac murmur since birth.Last Echocardiography done at age 5 years showed uncomplicated ASD. On examination, GP found out that this time boy is having prominent left precordium.
What could be the possibility:

A. Cardiomyopathy

B. Myocarditis

C. Cardiac failure

D. Pulmonary hypertension

E. Pericardial effusion

Question-- A 15 years old girl was brought to accident and emergency department with severe chest pain. An ECG and enzyme studies showed an acute myocardial infarction. Coronary artey aneurysm with thrombosis was diagnosed by cardiac cath lab. What symptoms in past could explain her dianosis?

A.Fever, Conjunctivitis,Meningitis

B.Fever, Hepatitis,Cervical lymphadenopathy

C. Fever, Conjunctivitis,Cervical lymphadenopathy

D. Arthritis, Conjunctivitis,Cervical lymphadenopathy

E. Fever, Gastroenteritis, Rash

Question-- Which statement is not correct regarding congenital heart disease –

A. 8 per 1000 live births have congenital heart disease

B. Ventricular septal defect is most common acyanotic heart disease

C. Incidence increased by 6% if mother had congenital heart disease

D. Maternal ingestion of lithium is responsible for Tetrology of Fallot

E. Incidence increased by 3% if father had congenital heart disease