1. Etiology of Hypertrophic
Cardiomyopathy is mostly due
to:
• 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
is:
• A. Decreasing in most industrialized
countries.
• B. Increasing in most industrialized
countries.
• C. Maintaining the same level in most
industrialized countries
• D. One of the lowest rates is in the
Philippines compared to other Asia Pacific
countries.
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
prognosis
• 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
premium.
• 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
factors.
14. The following are all risk
factors for heart disease except:
• A. Elevated homocysteine level
• B. Low high sensitivity C reactive
protein
• 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
company?
•
•
•
•
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
cholesterol?
• A. These guidelines disregard diabetes as a risk
factor.
• B. These guidelines suggest that doctors look for
high risk patients that have Metabolic X
syndrome.
• C. Have increased the cut off level where HDL
cholesterol is a problem.
• D. Suggest that hip circumference is a crucial risk
factor.
18. Prophylactic AICD
implantation is recommended in
the following:
• A. History of syncope in young
individual
• 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
have:
• 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
diabetics?
• 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
population.
OFFICIAL ANSWERS TO
QUIZ QUESTIONS
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•
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•
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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