Heart Disease – MCQ

1. In normal pregnancy the primary cardiovascular adaptation in pregnancy is

A. Peripheral vasodilatation
B. Tachycardia
C. Raised blood pressure
D. Peripheral vasoconstriction

2. The maximum cardiac output in normal pregnancy is found at

A. Term
B. 8 weeks of gestation
C. 20-28 weeks gestation
D. 32-34 weeks gestation.

3. In supine position, pressure of gravid uterus on the IVC causes

A. Reduction in venous return to the heart
B. Increase in venous return to the heart
C. No change
D. None of the above

4. The commonest congenital heart defect encountered in pregnant women

A. ASD
B. VSD
C. PDA
D. None of the above

5. In women with Marfans syndrome, pregnancy is contraindicated if the aortic root is

A. More than 4-4.5 cm
B. Less than 4 cm
C. More than 2 cm
D. More than 5 cm

6. Marfans syndrome is inherited as

A. Autosomal recessive
B. Autosomal dominant
C. X linked dominant
D. Y linked

7. In congenital cyanotic heart disease, there is worsening of cyanosis due to

A. Decreased right -to left shunting of blood.
B. Increased left -to-right shunting of blood.
C. Increased right -to-left shunting of blood
D. Decreased left -to-right shunting of blood.

8. Women with metal prosthetic heart valves

A. Do not require anticoagulation in pregnancy.
B. Must continue full anticoagulation throughout pregnancy.
C. Require anticoagulation only in the postpartum period.
D. Do not require anticoagulation in the post partum period.

9. The current UK recommendations from NICE are that antibiotic prophylaxis against Infective Endocarditis

A. Is not required for childbirth.
B. Is required for all at childbirth.
C. All of the above
D. None of the above.

10. Acute MI/ACS occurs most commonly in

A. First trimester
B. Second trimester
C. Third trimester, peripartum & postpartum
D. Throughout pregnancy