Cardiology, Course Material, MCQs

EDAIC MCQ with explanation. FREE UPLOADS BY WWW.TARGETEDAIC.COM (55)

The section, EDAIC MCQ with an explanation, covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.

Question:first degree heart block

Observe the above ECG strip carefully and identify the correct statements:

  1. This picture could be seen in patients with Lyme disease
  2. This picture could be caused by a serum potassium value of 3.4 mmol/L
  3. The person should be referred for insertion of a permanent pacemaker
  4. This picture could be a normal finding in trained athletes
  5. This picture could be seen in patients after mitral valve surgery

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Answers:

  1. true
  2. false
  3. false
  4. true
  5. true

Explanation:

A PR interval of more than 0.2 seconds is called a first-degree heart block. This is usually a benign condition and doesn’t need any active intervention. 

Causes:

  1. Increased vagal tone
  2. Athletic training
  3. Inferior MI
  4. Mitral valve surgery
  5. Myocarditis (e.g. Lyme disease)
  6. Infiltrative cardiac diseases (sarcoidosis)
  7. Structural heart disease (e.g., dilated cardiomyopathy, hypertrophic cardiomyopathy).
  8. Electrolyte disturbances
    1. Hypokalemia: ECG changes are usually seen when potassium value falls below 3 mmol/l
    2. Hyperkalemia
  9. AV nodal blocking drugs (beta-blockers, calcium channel blockers, digoxin, amiodarone)
  10. Fibrosis of the conduction system (common cause in the elderly population)
  11. May be a normal variant

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‘EDAIC MCQ with an explanation’ covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.

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