1. Etiology of Hypertrophic Cardiomyopathy is mostly due to:

1. Etiology of Hypertrophic
Cardiomyopathy is mostly due
• A. Long-term Hypertension
• B. Aortic Stenosis
• C. Myocardial Ischemia
• D. Familial and Genetic
2. Hypertrophic Cardiomyopathy
may present as:
• A. Asymptomatic
• B. Congestive Heart Failure
• C. Sudden Cardiac Death
• D. All of the above
3. Over the last few decades,
mortality rate from heart disease
• A. Decreasing in most industrialized
• B. Increasing in most industrialized
• C. Maintaining the same level in most
industrialized countries
• D. One of the lowest rates is in the
Philippines compared to other Asia Pacific
4. The prognosis and long term
outcome of HCM is:
• A. Poor
• B. Variable
• C. Moderate Risk
• D. None of the above
5. The following can increase the
murmur of LV outflow tract
obstruction except:
• A. Valsalva
• B. Standing
• C. Lying Supine
• D. Nitrates
6. All of the following stress test
parameters are good prognostic
signs except:
• A. Systolic blood pressure
falling with exercise
• B. Heart rate decreasing quickly
in the recovery period
• C. Absence of chest pain
• D. Good exercise tolerance
7. Sudden Cardiac Death in HCM
is more common in
• A. Elderly age at diagnosis
• B. Young age at diagnosis
• C. Those with Non-sustained
VT on Holter
• D. Mild LVH
8. This type of HCM has a good
• A. Hypertrophic Obstructive
Cardiomyopathy (HOCM)
• B. Midventricular CM
• C. Apical Cardiomyopathy
• D. None of the above.
9. The mainstay of drug therapy
in HCM is:
• A. Nitrates
• B. Digitalis
• C. Diuretics
• D. Beta blockers
10. The LV outflow tract
obstruction in HOCM is due to:
• A. Marked septal hypertrophy
• B. SAM (Systolic Anterior
Motion of the Mitral Valve)
• C. None
• D. Both
11. The objectives of financial
underwriting are:
• A. Ensure insurable interest exists,
valid reason for cover.
• B. Contract benefits reasonable in
relation to needs.
• C. Sufficient resources to pay
• D. All of the above.
12. A 30-year old male employee
with income of P1M a year, wants to
buy a P15M policy for family
protection. Will you:
• A. Reduce the sum?
• B. Agree, on condition of income
proof and medical?
• C. Decline outright?
• D. Call a PI report on him?
13. The reason for decreasing
mortality rates due to heart disease
in most industrialized countries is:
• A. More angioplasties being done.
• B. More bypass surgeries being done.
• C. New and better heart medicines
being used.
• D. Better management of cardiac risk
14. The following are all risk
factors for heart disease except:
• A. Elevated homocysteine level
• B. Low high sensitivity C reactive
• C. High lipoprotein (a)
• D. Low HDL cholesterol
15. Why do life insurance
companies investigate a claim?
• A. Claim after short duration of policy
• B. Claim in remote areas of the world,
and not consistent with medical
information at outset.
• C. Claim not covered under contract
• D. All of the above
16. A businessman, age 49, invested in a company
with subscribed capital at P15M, which was reduced
to P5.6M after 5 years. He has personally P3M in
bank, 1 Volvo and 2 Cherokee, and a house in
Corinthian Gardens. He signs up a life insurance
proposal for P40M for estate protection. What is
your estimate of the worth of his investment in the
A. P12.9M
B. P3.75M
C. P1.40M
D. None of the above
17. Which statement is true
concerning the new NCEP 2001
guidelines for treating high
• A. These guidelines disregard diabetes as a risk
• B. These guidelines suggest that doctors look for
high risk patients that have Metabolic X
• C. Have increased the cut off level where HDL
cholesterol is a problem.
• D. Suggest that hip circumference is a crucial risk
18. Prophylactic AICD
implantation is recommended in
the following:
• A. History of syncope in young
• B. Marked septal hypertrophy
• C. Family History of HCM and SCD
• D. All of the above
19. DDD Pacemakers are used in
patients with HCM when they
• A. LV outflow tract obstruction
unresponsive to drugs.
• B. History of Sudden Cardiac Death
• C. Dilated Cardiomyopathy and CHF
• D. None of the above.
20. Which of the following is
false regarding prognosis in
• A. Urine microalbumin level is more
important than urine microalbumin/urine
creatinine ratio.
• B. Prognosis is worse if there is evidence of
end organ damage.
• C. Prognosis is worse if there are other
cardiac risk factors.
• D. Prognosis is better in the older
1. D
2. D
3. A
4. B
5. C
6. A
7. B
8. C
9. D
10. D
11. D
12. B
13. D
14. B
15. D
16. D
17. B
18. D
19. A
20. A