Infective Endocarditis RS

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CHAPTER 128 - INFECTIVE ENDOCARDITIS

Harrison 21st edition Page no 1022


Undergraduate level MCQ

1) In infective endocarditis the vegetations are composed of ?

A) Platelet
B) Platelet & Fibrin
C) Platelet , Fibrin & scant microorganisms
D) Platelet, Fibrin & scant microorganisms with inflammatory cells

Answer : D Platelet, Fibrin & scant microorganisms with


inflammatory cells
2) All of the following risk factor for infective endocarditis expect?

A) Iv drug abusers
B) Congenital heart disease
C) Degenerative heart disease
D) Intracardiac devices
E) None of the above

ANSWER : E) None of the above


3) Most common organism causing infective endocarditis ?

A) Staphylococcus aureus
B) Eikenella Corrodens
C) Kingella kingae
D) Cardiobacterium hominis
E) Hemophilus species
F) Aggregatibacter species

Answer : A ) Staphylococcus aureus


4) Marantic endocarditis is due to fungal infection . Statement is true or
false?

A) True
B) False

Answer: B) False
5) Criteria used for diagnosis of infective endocarditis ?

A) Jones criteria
B) Brighton criteria
C) Dukes criteria
D) Berlin criteria
E) Yagamuchi criteria

ANSWER: C) Dukes criteria


6) Which one of the following minor criteria is not a immunologic
phenomenon?

A) Osler’s node
B) Roth spot
C) Rheumatoid factor
D) Janeway lesion
E) Glomerulonephritis

Answer : D) Janeway lesion


Refer above criteria image

7) In which organism causing infective endocarditis doxycycline +


Hydroxychloroquine is advised for 2 years

A) Bartonella species
B) Coxiella species
C) HACEK organisms
D) Enterococci

ANSWER : B) COXIELLA SPECIES


8) Which of the following is an indication surgical intervention in infective
endocarditis patient?

A) Heart block in ECG


B) >10 mm hypermobile vegetation
C) > 30 mm vegetation
D) Moderate or severe congestive heart failure or shock due to valve
dysfunction
E) All of the above

ANSWER: E) ALL OF THE ABOVE


9) OSLERS NODE IN THE PULP OF FINGER ARE PAINFULL.
Statement is true or false?

A) True
B) False
ANSWER: A) TRUE

10) DUKE CRITERIA DIAGNOSIS ?


a) 3 minor + 1 major
b) 5 minor
c) 2 major
d) Both A and B
Answer : D) Both A and B

SOME POINTS TO COVER TO COMPLETE


PREVENTION THERAPY
3 THINGS TO KNOW
- 1st who are at high risk
- 2nd what medication we can give for high risk patient to prevent
infective endocarditis
- To know about guideline recommendation - Prophylaxis about
Gastrointestinal or genitourinary procedure
Thank you.

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