Question 1 35 years old healthy male presents with an episode of syncope while w

Question 1
35 years old healthy male presents with an episode of syncope while working out at the gym and physical exam showed a grade III systolic murmur that decreased with Valsalva with palpable thrill. The next step to confirm the diagnos is:
Select one:
a.
Echocardiography
b.
Holter monitoring
c.
cardiac biomarkers
d.
ECG
Question 2
A syncopal episode is most likely to occur when the patient is in which position?
Select one:
a.
kneeling
b.
supine
c.
standing
d.
sitting
Question 3
A 22-year-old male with no significant past medical history is brought to the emergency department for syncope. He was getting a haircut when he fainted. On hospital arrival his blood pressure was in the 60s and his heart rate was in the low 30s. The patient states that he has fainted many times in the past when getting a haircut, He denies palpitations, chest pain, pulse of 48.+AKA- Exam is otherwise normal. Initial diagnosis is:
Select one:
a.
Bradydysrhythmia and CSS
b.
ACS
c.
Hypothyroidism
d.
Vasovagal episode
Question 4
Which of the following is a disorder can cause Palpitations?
Select one:
a.
Prostate cancer
b.
Mesothelioma
c.
Bronchogenic carcinoma
d.
An adrenal gland tumor
Question 5
Which test is not useful in a patient with history of syncopal attack
Select one:
a.
Tilt table test
b.
CT chest
c.
Holter monitoring
d.
Electrophysiological test
Question 6
A 50-year-old woman presented to the emergency department after an episode of syncope while at work. She had one episode of syncope several years earlier. There was associated chest pain, no diaphoresis, or sensation of warmth, but she experienced palpitations before the syncope. She had no postictal state her systolic blood pressure was found to be 80mm Hg. Which+AKA-one+AKA-of the following is the+AKA-most likely+AKA-etiology of syncope in this patient?
Select one:
a.
Cardiac arrhythmia
b.
Vasovagal syncope
c.
Valvular heart disease
d.
Recreational drug use
e.
Pulmonary embolism
Question 7
35 years old healthy male presents with an episode of syncope while working out at the gym and physical exam showed a grade III systolic murmur that decreased with Valsalva with palpable thrill. The expected cause of syncope is
Select one:
a.
postural hypotension
b.
MS
c.
heart block
d.
AS
Question 8
An 80 year-old man presents with episodes of unexplained presyncope. He is taking a diuretic and beta blocker for hypertension. Examination discloses a heart rate of 55 per minute with a regular rhythm. Blood pressure is 110/70. The most likely cause of his attacks, which occur mainly in the morning, is:
Select one:
a.
Neuro-cardiogenic syncope
b.
Ventricular arrhythmias
c.
Heart block
d.
Postural hypotension
e.
Chronotropic incompetence with sinus bradycardia
Question 9
A 65 years old male with no previous history of cardiac diseases, presented by syncope examination discloses a regular rhythm, heart rate 44/minutes with intermittent pauses the heart rate increases normally with exercises. On hospital arrival and after ECG, doctor adviced placement of a dual chamber pacemaker. The most likely diagnosis is
Select one:
a.
Tachyarrhythmias
b.
Intermittent sinus bradycardia
c.
Brief paroxysms of atrial fibrillation
d.
Intermittent complete heart block
e.
Extrasystoles
Question 10
A patient who has experienced a vasovagal syncopal episode will most often:
Select one:
a.
present with tachycardia and hypertension.
b.
quickly regain consciousness after being positioned supine.
c.
remain unconscious for a long period of time.
d.
experience a postictal-like period afterward.