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Question for VMMC SJH Senior Resident Medicine - Quiz / Questions / MCQ in English

Last Update on : October 14, 2026

Duration: 60 Β· Questions: 60 Β· Max Marks: 60

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Latest VMMC SJH Senior Resident Medicine Exam Question (Objective Questions), MCQ in English

Subjects : Medicine

Question Bank VMMC SJH Senior Resident (Medicine) Exam - English

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Medicine

Q 1 :
What is the hallmark feature of heart failure with reduced ejection fraction (HFrEF)?
  1. A.Ejection fraction 50%
  2. B.Normal ventricular filling
  3. C.Ejection fraction 40%
  4. D.Absence of symptoms
Q 2 :
Which type of heart failure is characterized by impaired ventricular filling?
  1. A.HFpEF
  2. B.HFrEF
  3. C.Right heart failure
  4. D.Biventricular heart failure
Q 3 :
What defines acute heart failure?
  1. A.Gradual onset of symptoms over months
  2. B.Sudden onset or worsening of symptoms
  3. C.Normal ejection fraction
  4. D.Absence of pulmonary edema
Q 4 :
Which type of heart failure primarily affects the right ventricle?
  1. A.Left heart failure
  2. B.High-output heart failure
  3. C.Biventricular heart failure
  4. D.Right heart failure
Q 5 :
What is a characteristic feature of biventricular heart failure?
  1. A.Isolated pulmonary edema
  2. B.Normal jugular venous pressure
  3. C.Symptoms of both left and right heart failure
  4. D.Absence of peripheral edema
Q 6 :
What is the most common cause of heart failure in developed countries?
  1. A.Valvular heart disease
  2. B.High-output states
  3. C.Congenital heart disease
  4. D.Ischemic heart disease
Q 7 :
Which condition is a common cause of high-output heart failure?
  1. A.Hypertension
  2. B.Anemia
  3. C.Dilated cardiomyopathy
  4. D.Aortic stenosis
Q 8 :
Which type of cardiomyopathy is characterized by ventricular wall thickening?
  1. A.Dilated cardiomyopathy
  2. B.Arrhythmogenic right ventricular cardiomyopathy
  3. C.Restrictive cardiomyopathy
  4. D.Hypertrophic cardiomyopathy
Q 9 :
What is a common cause of restrictive cardiomyopathy?
  1. A.Coronary artery disease
  2. B.Amyloidosis
  3. C.Rheumatic heart disease
  4. D.Hyperthyroidism
Q 10 :
Which condition is a common cause of left heart failure?
  1. A.Pulmonary hypertension
  2. B.Aortic stenosis
  3. C.Tricuspid regurgitation
  4. D.Cor pulmonale
Q 11 :
Which neurohormonal system is activated in heart failure to compensate for reduced cardiac output?
  1. A.Renin-angiotensin-aldosterone system (RAAS)
  2. B.Parasympathetic nervous system
  3. C.Thyroid hormone system
  4. D.Growth hormone system
Q 12 :
What is the role of natriuretic peptides (ANP/BNP) in heart failure?
  1. A.Increase sodium retention
  2. B.Enhance ventricular remodeling
  3. C.Promote vasodilation and natriuresis
  4. D.Increase sympathetic activity
Q 13 :
What is a key feature of ventricular remodeling in heart failure?
  1. A.Decreased ventricular wall thickness
  2. B.Improved contractility
  3. C.Reduced myocardial fibrosis
  4. D.Ventricular hypertrophy and dilation
Q 14 :
Which system contributes to increased heart rate and contractility in heart failure?
  1. A.Parasympathetic nervous system
  2. B.Sympathetic nervous system (SNS)
  3. C.Renin-angiotensin system
  4. D.Natriuretic peptide system
Q 15 :
What is a consequence of chronic RAAS activation in heart failure?
  1. A.Myocardial fibrosis and hypertrophy
  2. B.Reduced blood pressure
  3. C.Increased diuresis
  4. D.Decreased afterload
Q 16 :
What is a hallmark symptom of left heart failure?
  1. A.Peripheral edema
  2. B.Ascites
  3. C.Hepatomegaly
  4. D.Dyspnea on exertion
Q 17 :
Which clinical sign is specific to advanced heart failure?
  1. A.S1 heart sound
  2. B.Split S2 heart sound
  3. C.S4 heart sound
  4. D.S3 heart sound
Q 18 :
What is a common symptom of right heart failure?
  1. A.Orthopnea
  2. B.Paroxysmal nocturnal dyspnea
  3. C.Peripheral edema
  4. D.Chest pain
Q 19 :
Which condition is associated with paroxysmal nocturnal dyspnea (PND)?
  1. A.Left heart failure
  2. B.Right heart failure
  3. C.High-output heart failure
  4. D.Chronic stable angina
Q 20 :
What is a physical sign of right heart failure?
  1. A.Pulmonary rales
  2. B.Hypotension
  3. C.Elevated jugular venous pressure
  4. D.Tachypnea
Q 21 :
Which diagnostic test is used to measure ejection fraction in heart failure?
  1. A.ECG
  2. B.Chest X-ray
  3. C.Echocardiography
  4. D.Cardiac MRI
Q 22 :
What is a characteristic finding on chest X-ray in heart failure?
  1. A.Cardiomegaly and pulmonary edema
  2. B.Normal heart size
  3. C.Pneumothorax
  4. D.Pleural effusion only
Q 23 :
Which biomarker is elevated in heart failure?
  1. A.BNP/NT-proBNP
  2. B.CK-MB
  3. C.Troponin
  4. D.D-dimer
Q 24 :
What ECG finding is commonly seen in heart failure?
  1. A.ST elevation
  2. B.Left ventricular hypertrophy
  3. C.Normal ECG
  4. D.Prolonged PR interval
Q 25 :
Which imaging modality is best for assessing myocardial fibrosis in heart failure?
  1. A.Chest X-ray
  2. B.Echocardiography
  3. C.CT scan
  4. D.Cardiac MRI
Q 26 :
What is the first-line treatment for acute heart failure with pulmonary edema?
  1. A.Beta-blockers
  2. B.Inotropes
  3. C.Oxygen and diuretics
  4. D.Vasodilators
Q 27 :
Which diuretic is commonly used in acute heart failure?
  1. A.Spironolactone
  2. B.Hydrochlorothiazide
  3. C.Furosemide
  4. D.Amiloride
Q 28 :
What is the role of nitrates in acute heart failure?
  1. A.Increase preload
  2. B.Reduce diuresis
  3. C.Increase afterload
  4. D.Reduce preload and afterload
Q 29 :
Which inotrope is used in acute heart failure with cardiogenic shock?
  1. A.Digoxin
  2. B.Dobutamine
  3. C.Spironolactone
  4. D.Sacubitril
Q 30 :
When is non-invasive ventilation (NIV) indicated in acute heart failure?
  1. A.In all cases
  2. B.In severe respiratory distress
  3. C.In asymptomatic patients
  4. D.In chronic heart failure
Q 31 :
What is the role of an intra-aortic balloon pump (IABP) in acute heart failure?
  1. A.Permanent treatment
  2. B.Temporary mechanical circulatory support
  3. C.Diuresis
  4. D.Vasoconstriction
Q 32 :
Which device is used for long-term support in end-stage heart failure?
  1. A.LVAD
  2. B.CRT
  3. C.ICD
  4. D.Pacemaker
Q 33 :
Which drug class is first-line in the management of HFrEF?
  1. A.Diuretics
  2. B.Digoxin
  3. C.Calcium channel blockers
  4. D.ACE inhibitors/ARBs
Q 34 :
What is the mechanism of action of sacubitril/valsartan (ARNI)?
  1. A.Inhibits RAAS only
  2. B.Blocks beta-adrenergic receptors
  3. C.Inhibits neprilysin and blocks angiotensin II receptors
  4. D.Increases preload
Q 35 :
Which beta-blocker is commonly used in heart failure?
  1. A.Propranolol
  2. B.Esmolol
  3. C.Atenolol
  4. D.Carvedilol
Q 36 :
What is the role of mineralocorticoid receptor antagonists (MRAs) in heart failure?
  1. A.Increase preload
  2. B.Promote vasoconstriction
  3. C.Increase afterload
  4. D.Reduce myocardial fibrosis
Q 37 :
Which SGLT2 inhibitor is used in heart failure management?
  1. A.Dapagliflozin
  2. B.Metformin
  3. C.Glimepiride
  4. D.Pioglitazone
Q 38 :
What is the primary indication for digoxin in heart failure?
  1. A.First-line treatment for HFrEF
  2. B.Symptomatic relief in atrial fibrillation with heart failure
  3. C.Reduction of afterload
  4. D.Prevention of arrhythmias
Q 39 :
Which drug combination is specifically indicated for African American patients with heart failure?
  1. A.Carvedilol and digoxin
  2. B.Sacubitril and valsartan
  3. C.Spironolactone and furosemide
  4. D.Hydralazine and isosorbide dinitrate
Q 40 :
What is the primary indication for an implantable cardioverter-defibrillator (ICd) in heart failure?
  1. A.To improve ejection fraction
  2. B.To prevent sudden cardiac death
  3. C.To reduce preload
  4. D.To treat atrial fibrillation
Q 41 :
Which patients benefit from cardiac resynchronization therapy (CRT)?
  1. A.Patients with LBBB and HFrEF
  2. B.Patients with narrow QRS complex
  3. C.Patients with HFpEF
  4. D.Patients with no symptoms
Q 42 :
What is a key lifestyle modification for heart failure patients?
  1. A.High-sodium diet
  2. B.Smoking continuation
  3. C.Sedentary lifestyle
  4. D.Fluid restriction and low-sodium diet
Q 43 :
What is a common complication of heart failure?
  1. A.Pulmonary embolism
  2. B.Osteoporosis
  3. C.Hyperthyroidism
  4. D.Renal dysfunction
Q 44 :
Which factor is associated with a worse prognosis in heart failure?
  1. A.High ejection fraction
  2. B.Elevated NT-proBNP levels
  3. C.Normal renal function
  4. D.Absence of symptoms
Q 45 :
What is a common cause of sudden cardiac death in heart failure?
  1. A.Renal failure
  2. B.Pulmonary edema
  3. C.Ventricular arrhythmias
  4. D.Stroke
Q 46 :
Which condition is a complication of right heart failure?
  1. A.Pulmonary edema
  2. B.Hepatomegaly
  3. C.Orthopnea
  4. D.Paroxysmal nocturnal dyspnea
Q 47 :
What is a key prognostic indicator in heart failure?
  1. A.NYHA functional class
  2. B.Normal BNP levels
  3. C.Normal ECG
  4. D.Normal chest X-ray
Q 48 :
What is the primary cause of ischemic heart disease?
  1. A.Valvular dysfunction
  2. B.Congenital heart defects
  3. C.Coronary artery atherosclerosis
  4. D.Pulmonary hypertension
Q 49 :
What is a characteristic feature of stable angina?
  1. A.Chest pain triggered by exertion
  2. B.Chest pain at rest
  3. C.ST elevation on ECG
  4. D.Elevated troponins
Q 50 :
Which condition is characterized by chest pain due to coronary vasospasm?
  1. A.Stable angina
  2. B.Unstable angina
  3. C.Microvascular angina
  4. D.Prinzmetal’s angina

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