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Cardiac disorders - class-XI

Description: cardiac disorders
Number of Questions: 64
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Tags: human physiology blood circulatory system of human biology option d: human physiology body fluids and circulation
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Which of the following is correctly matched for diseases in humans?

  1. Hypertension increase in sytolic blood pressure about 130-140 mm hg and diastolic blood pressure 90-100 mm hg.

  2. Arteriosclerosis hardening of arteries due to deposition of calcium salts resulting in plaque formation.

  3. Atherosclerosis inelastic arteries.

  4. All of the above.


Correct Option: D
Explanation:

A. The systolic blood pressure is the pressure that develops in arteries when the ventricles contract and the diastolic pressure develops when the ventricles relax. The normal range of blood pressure is 120/80 mm Hg. In hypertension, the blood pressure elevates to 130-140 mm Hg systolic and 90-100 mm Hg diastolic pressure.

B. Arteriosclerosis occurs due to deposition of plaque in the arteries. This can occur due to deposition of calcium, cholesterol etc. It is linked with hypertension and Diabetes Miletus.
C. Atherosclerosis results due to building up of fatty deposits in arteries due to which they become inelastic. 
Hence, the correct answer is 'All of the above'.

Hypertension occurs when blood pressure is consistently above

  1. 120/180

  2. 140/180

  3. 120/85

  4. 140/90


Correct Option: D
Explanation:

Hypertension is caused due to an elevation in the pressure applied during the blood flow in the blood vessels. Blood pressure is expressed by two measurements, the systolic and diastolic pressures, which are the maximum and minimum pressures, respectively, in the arterial system. The systolic pressure occurs when the left ventricle is most contracted, the diastolic pressure occurs when the left ventricle is most relaxed prior to the next contraction. Normal blood pressure at rest is within the range of 100–140 millimeters mercury (mmHg) systolic and 60–90 mmHg diastolic. Hypertension is present if the blood pressure is persistently at or above 140/90 mmHg for most adults. 

So, the correct answer is option D.

Hypertension occurs due to

  1. Smoking

  2. Obesity

  3. Stress

  4. All of the above


Correct Option: D
Explanation:
Hypertension is defined as an increase in the blood pressure in the arteries. It is a severe condition which may lead to heart strokes. Obesity, smoking, diabetes type 1 or type 2, kidney disease, high alcohol intake, stress, excessive salt intake, lack of exercise, certain medicines, such as steroids are the common cause of hypertension.
So, the correct answer is option D.

High blood pressure is called as

  1. Hypotension

  2. Hypermetropia

  3. Hypertension

  4. Myopia


Correct Option: C
Explanation:

Hypertension is the term for high blood pressure when blood pressure is higher than normal (normal 120/80 mmHg). In this measurement 120 mm Hg (millimeters of mercury pressure) is the systolic, or pumping pressure and 80 mm Hg is the diastolic, or resting pressure. If repeated checks of blood pressure of an individual are 140/90 (140 over 90) or higher, it shows hypertension. High blood pressure leads to heart diseases and also affects vital organs like brain and kidney.

So, the correct answer is option C.

Pace maker of the heart is

  1. S.A. node

  2. A.V. node

  3. A .V. septum

  4. L A. septum


Correct Option: A
Explanation:

S.A node called as pacemaker ,node of keith and  flack heart , brain of heart ,pulsation centre. 

An artifical pacemaker is implanted subcutaneously and
connected to the heart in patients

  1. Having 90% blockage of the three main coronary arteries

  2. Having a very high blood pressure

  3. With irregularity in the heart rhythm

  4. Suffering from arteriosclerosis


Correct Option: C
Explanation:

When irregularity in the heart rhythm occurs, normal heart rhythm can be reared and maintained by surgically implanting an artificial pace maker, a device that sends out small electrical current to stimulate the heart to contract.

Increase in blood pressure is

  1. Arteriosclerosis

  2. Atherosclerosis

  3. Hypertension

  4. None of the above


Correct Option: C
Explanation:
Hypertension is a condition in which blood pressure increases above systolic pressure (140 mm Hg) and diastolic pressure (90 mm Hg). This condition is also known as high blood pressure. It occurs due to emotional  stress and nervous tension that leads to contraction of arteries. It is one of the major causes of heart failure and stroke. Due to hypertension, the arteries of kidneys may get damaged and this causes chronic nephritis. 
So, the correct answer is 'Hypertension'.

What is correct regarding blood pressure?

  1. 105/50 mm Hg makes one very active

  2. 100/55 mm Hg is considered at ideal blood pressure

  3. 190/110 mm Hg may harm vital organs like brain and kidneys

  4. 130/90 mm Hg is considered as high and requires treatment


Correct Option: C
Explanation:
Blood pressure 190/110 mm Hg indicates high blood pressure or hypertension. Normal systolic and diastolic blood pressure in body is 140 mm Hg and 90 mm Hg respectively. Pressure above 140 mm Hg and 90 mm Hg is high blood pressure which can cause damage to vital organs like brain and kidney. High blood pressure can cause damage to blood vessels in brain and kidney. This can lead to rupture of blood vessels and cause brain haemorrhage. In kidneys, high blood pressure can lead to inadequate supply of blood to kidney and thus, resulting in decreased filtration.
So, the correct answer is '190/110 mm Hg may harm vital organs like brain and kidneys'.

A patient was administered a chemical agent called Guanfacine hydrochloride after the patient showed the symptoms like shortness of breath and headache. Guantacme hydrochloride is a known stimulant of central $\alpha - 2 $ -adrenergic receptors of the medulla regulating the sympathetic nervous system. The patient in this case must be suffering from

  1. Hypertension

  2. Hyperslimulation

  3. Hyperpolarization

  4. None of the above


Correct Option: A
Explanation:

Alpha 2 receptors in the brain stem and in the periphery inhibit sympathetic activity and thus lower blood pressure.

Guanfacine is an antihypertensive drug whose principal mechanism of action is the stimulation of central α2-adrenergic receptors. By stimulating these receptors, guanfacine reduces sympathetic nerve impulses from the vasomotor center to the heart and blood vessels. This decreases blood pressure.
So, the correct option is 'Hypertension'. 

Which of the following should a heart patient firmly avoid?

  1. Cream

  2. Mango

  3. Rice

  4. Milk


Correct Option: A
Explanation:

Heart diseases can be caused due to a number of factors such as  age, gender, tobacco use, physical inactivity, excessive consumption of alcohol, unhealthy diet, obesity, family history of cardiovascular disease, hypertension, diabetics, high cholesterol levels , psychosocial factors and pollution, However, a patient with any form of heart disease should avoid cream as intake of dietary trans fat tends to perturb  the body's ability to metabolize the essential fatty acids which lead to changes in the  phospholipid fatty acid composition of the main artery of the heart. This tends to increase the risk of coronary heart disease.

So, the correct answer is option A.

Which of the following is not a risk factor for CVD?

  1. Raised blood pressure

  2. Raised blood glucose

  3. Lack of iron

  4. Raised blood lipids

  5. Overweight.


Correct Option: C
Explanation:

Answer is option C i.e. "Lack of iron"
Cardiovascular diseases (CVD) are a group of disorders of the heart and blood vessels (e.g. coronary heart disease, cerebrovascular disease,congenital heart disease, etc.). The most important risk factors of CVD are hypertension (raised blood pressure), diabetes (raised blood glucose), hyperlipidaemia (raised blood lipids), unhealthy diet, obesity (overweight), tobacco use, smoking and harmful use of alcohol.
Also, lack of iron leads to anemia or lack of hemoglobin production and not CVD.

Atherogenic lipoproteins are all EXCEPT

  1. LDL

  2. HDL

  3. VLDL

  4. Chylomicrons


Correct Option: B
Explanation:

Chylomicron remnants, VLDL, IDL, LDL, and Lp (a) are all pro-atherogenic, while HDL is anti-atherogenic.

High density lipoproteins (HDL): These particles play an important role in reverse cholesterol transport from peripheral tissues to the liver, which is one potential mechanism by which HDL may be anti-atherogenic.

So the answer is 'HDL'. 

Congenital heart disease is 

  1.  A problem in the function of the heart that is present at birth

  2.  A problem in the structure of the heart that is present at birth

  3.  A problem in the structure of the heart that is  developed later in life

  4. A problem in the function of the heart that is developed later in life


Correct Option: B
Explanation:

Congenital heart disease refers to the problem in the structure of the heart that is present at birth. It can be related to the wall of the heart, the valves of the heart and the arteries and veins associated with the heart. Patent Foramen Ovale is the example of congenital heart disease in which the septal wall between the right and the left atrium is not formed.

Hence, the correct answer is 'a problem in the structure of the heart that is present at birth'.

Why hair loss is more in old age?

  1. Reduction of blood supply

  2. Decrease in protein synthesis

  3. Low energy production

  4. Reduced storage of glycogen


Correct Option: A
Explanation:


  • Hair loss can be the result of heredity, hormonal changes, medical conditions or medications. Anyone can experience hair loss, but it's more common in men.
  •  Hereditary hair loss with age is the most common cause of baldness. 
  • Hair follicles thrive on nutrients and oxygen supplied by the blood capillaries. Increased blood circulation to the scalp encourages the scalp to increase hair growth throughout the entire head.
  •  A lack of oxygen affects all cells, including the hair cells and can cause premature hair thinning and hair loss. 
  • Hence,  hair loss is more in old age is due to Reduction of blood supply.
  • So, the correct answer is 'Reduction of blood supply'.

Which disease occurs due to Rh incompatibility?

  1. Sickle cell anaemia

  2. Thalassemia

  3. Erythroblastosis foetalis

  4. Haemophilia


Correct Option: C
Explanation:

. If an Rh-positive man marries an Rh-negative woman, then the first foetus (and foetuses thereafter) will be Rh-positive. In this case, the Rh-positive antigen from the foetus will enter into the bloodstream of the mother and there will be the formation of anti-Rh antibodies in mother’s body. During her second pregnancy, these antibodies will attach the red blood cells of the Rh-positive foetus and coagulate the blood, resulting in severe complications. These complications arising due to Rh incompatibility are called erythroblastosis foetalis.

So, the correct answer is 'Erythroblastosis foetalis'.

Atherosclerosis refers to the ailment of

  1. Lungs

  2. Heart

  3. Kidney

  4. Liver


Correct Option: B
Explanation:

Atherosclerosis is a disease condition of the arteries, where the lumen of the arteries gets narrow because of deposition of lipids in the endothelial and mesothelial layers of the blood vessel. Prolonged deposition of lipids leads to hardening of the walls of these arteries and blood flow through the arteries is reduced. Thus, the correct answer is option B.

A symptom of acute chest pain is associated with which of the following cardiovascular disorders?

  1. Hypertension

  2. Atherosclerosis

  3. Angina

  4. Heart failure


Correct Option: B
Explanation:
Atherosclerosis is a condition where the arteries become narrowed and hardened due to a buildup of plaque around the artery wall. When the arteries become narrowed and hardened it results in the decreased supply of oxygen to the heart tissue which results in acute chest pain. Thus acute chest pain is associated with the cardiovascular disorder called atherosclerosis.
So, the correct answer is 'Atherosclerosis'.

Which condition is associated with the failure of the cardiac sphincter, fails to close and leads to regurgitation of food into the oesophagus:

  1. Heart burn

  2. Indigestion

  3. Achalasia cardia

  4. Peptic ulcer


Correct Option: A
Explanation:

The cardiac sphincter separates the esophagus from the stomach. When cardiac sphincter fails to close and leads to regurgitation of food and gastric acid into the esophagus from stomach it leads to heat burn. The symptoms of heat burn include a chronic cough, burning feeling in the chest, chest pain and burning at the back of the throat.

So, the correct answer is 'Heat burn'.

The following list contains some of the events that lead to a 'heart attack'
I. Blood clot breaks loose and passes along blood vessel
II. Region of hurt muscle suffers a myocardial infraction
III. Narrow branch of coronary artery becomes blocked by thrombus
IV. Thrombus from on inner surface of coronary artery
The correct sequence of these events is

  1. I, IV, II and III

  2. I, IV, III and II

  3. IV, I, II and III

  4. IV, I, III and II


Correct Option: A
Explanation:

The events of a heart attack can be put in a sequence of I, IV, II, III.

So, the correct option is 'I, IV, II, and III'.

Coronary heart disease is due to?

  1. Streptococci bacteria

  2. Inflammation of pericardium

  3. Weakening of the heart valves

  4. None of the above


Correct Option: A

Myocardial infarction is caused by

  1. hardening of arteries

  2. lumpy thickness develop in the inner walls of arteries

  3. clot may occur in the lumen of coronary artery

  4. sudden interruption in blood flow towards a portion of heart


Correct Option: C
Explanation:

A heart attack occurs when one of the heart's coronary arteries is blocked suddenly or has extremely slow blood flow. A heart attack also is called a myocardial infarction. The usual cause of sudden blockage in a coronary artery is the formation of a blood clot.

So, the correct answer is clot may occur in the lumen of coronary artery.

Read the following statements :-
(a) Rise in body temperature lead to bradycardia 
(b) Weak condition of the heart leads to tachycardia 
(c) strong condition off the heart leads to Tachycardia
(d) Loss of the blood leads to braycardia 
(e) Stimulation by sympathetic nerves leads to tachycardia 
(f) Exercise leads to bradycardia 
out of these how many statements are incorrect?

  1. Two

  2. Three

  3. Four

  4. Five


Correct Option: B

Raju was showing the following symptoms heaviness in the chest, severe pain in the chest, also in the region of the neck, lower jaw, left arm and left shoulder. 


What does this indicate?

  1. Myocardial infarction

  2. Angina pectoris

  3. Atherosclerosis

  4. Arteriosclerosis


Correct Option: A
Explanation:
  • The symptoms of myocardial infarction include heaviness and severe pain in the chest and neck region, lower jaw, left arm and left shoulder. 
  • Angina pectoris has symptoms of acute chest pain when not enough oxygen is reaching the heart muscle. 
  • Atherosclerosis affects the vessels that supply blood to the heart muscle which is caused by deposits of calcium, fat, cholesterol and fibrous tissues making the lumen of arteries narrower. 
  • Arteriosclerosis show symptoms like chest pain or pressure, sudden arm or leg weakness or numbness, slurred speech, high blood pressure, etc. 
  • So, the correct option is "Myocardial infarction".

Congestion of the lungs is one of the main symptoms in 

  1. Hypotension

  2. Coronary artery disease

  3. Angina

  4. Heart failure

  5. Atherosclerosis


Correct Option: D
Explanation:

Heart failure means the state of heart, when it is not pumping blood effectively enough to meet the needs of the body. It is sometimes called congestive heart failure because congestion of the lungs is one of the main symptoms of this disease. Heart failure is not the same as cardiac arrest (when the heart stops beating) or a heart attack (when the heart muscle is suddenly damaged by an inadequate blood supply).

In Coronary Artery Bypass Grafting (CABG), in order to bypass the blocked region of the coronary artery surgeon uses?

  1. Only arteries from another part of body

  2. Only veins from another part of body

  3. Artery or a vein from another part of body

  4. Only artificial arteries made from porous plastic fibres of dacron or teflon


Correct Option: A

Oxygen carrying capacity of human blood is reduced due to the pollution of 

  1. ${CO _2}$

  2. CO

  3. ${SO _2}$

  4. ${O _3}$


Correct Option: B
Explanation:

Carboxyhemoglobin (COHb) is a stable complex of carbon monoxide and hemoglobin. It forms in red blood cells upon contact with carbon monoxide (CO). Large quantities of CO hinders the ability of Hb to deliver oxygen to the body. CO is produced in normal metabolism and is also a common chemical in smoke and industry and vehicular exhaust. Also, tobacco smoking (through carbon monoxide inhalation) raises the blood levels of COHb several times from its normal concentrations.

Abnormal enlargement of heart is 

  1. Angina pectoris

  2. Myocardial infarction

  3. Cardiomegaly

  4. None of the above


Correct Option: C
Explanation:

Angina pectoris - It is the sensation of chest pain as a result of myocardial ischemia, caused by an imbalance between myocardial blood supply and oxygen demand. It is a common symptom among patients with coronary artery disease (CAD).
Myocardial infarction - commonly known as a heart attack, occurs when blood stops flowing properly to a part of the heart, and the heart muscle is injured because it is not receiving enough oxygen. Usually, this is because one of the coronary arteries that supplies blood to the heart develops a blockage due to an unstable buildup of white blood cells, cholesterol and fat.
Cardiomegaly - is a medical condition, which refers to the enlargement of heart.

Thus, the correct answer is option C. 

Which of the following forms stable compound with haemoglobin?

  1. $O _2$

  2. $CO _2$

  3. $CO$

  4. All of the above


Correct Option: C
Explanation:

Carbon monoxide is an atmospheric pollutant present in vehicular exhaust and cigarette smoke. Carbon monoxide is a poisonous gas and reduces oxygen carrying capacity of blood. One molecule of hemoglobin combines with four molecules of carbon monoxide to form carboxyhemoglobin. The colour of carboxyhemoglobin is cherry red. 

Which disorder is due to gene incompatibility?

  1. Erythroblastosis fetalis

  2. Jaundice

  3. Hemolytic disease of new born

  4. Both A and C


Correct Option: D
Explanation:

Erythroblastosis fetalis is a hemolytic anemia in the fetus caused by the transplacental transmission of maternal antibodies to the fetal RBCs. In this alloimmune condition that develops in the fetus, the IgG molecules produced by the mother pass through the placenta and so is because of incompatibility.
Jaundice is caused because of the excess of bilirubin in the blood.
Therefore, the correct answer is option D.

Tachycardia means

  1. Fast heart beat

  2. Slow heart beat

  3. Irregular heart beat

  4. Failure of heart beat


Correct Option: A
Explanation:

Tachycardia refers to an abnormally fast resting heart rate - usually at least 100 beats per minute. The threshold of a normal heart rate (pulse) is generally based on the person's age. 

Most common type of tumour in world, in males is

  1. Oral cancer

  2. Breast cancer

  3. Blood cancer

  4. Pulmonary cancer


Correct Option: D
Explanation:

Among men, the 5 most common sites of cancer diagnosed are lung (pulmonary), prostate, colorectum, stomach and liver cancer.
Therefore, the correct answer is option D.

Saturated dietary fats increase the risk of heart disease by

  1. Widening arteries by thinning their walls

  2. Narrowing veins by carbohydrate deposition

  3. Narrowing arteries by fat deposition

  4. Narrowing arteries by carbohydrate deposition


Correct Option: C
Explanation:
  • Cholesterol and other fats travel in the bloodstream in the form of lipoproteins.
  • Saturated fats in the diet raise the level of LDL (low-density lipoprotein) cholesterol in the blood.
  • This LDL cholesterol is called bad cholesterol.
  • It forms a plaque-like substance on the walls of arteries which causes the narrowing of arteries.
  • Thus, it blocks the natural flow of blood and causes a severe risk for heart attack and stroke. So, the correct answer is 'Narrowing arteries by fat deposition'.

In carbon monoxide poisoning, there is

  1. Increase in carbon dioxide concentration

  2. Decrease in oxygen availability

  3. Decrease in free haemoglobin

  4. None of the above


Correct Option: C
Explanation:

Carbon monoxide is a harmful gas that combines with haemoglobin to form a stable compound. It displaces the oxygen that is normally carried by the haemoglobin and reduces the oxygen-carrying ability of the blood by reducing the concentration of free hemoglobin in the blood. 

Carbon monoxide is a pollutant because it

  1. Inhibits glycolysis

  2. Combines with haemoglobin

  3. Inactivates nerves

  4. Combines with oxygen


Correct Option: B
Explanation:

When carbon monoxide (CO) is inhaled, it combines with the haemoglobin to form a stable compound called as carboxyhemoglobin (COHb). CO displaces oxygen attached to the carrier molecule, haemoglobin. The COHb bond is over 200 times stronger than oxygen's bond with haemoglobin. The strong COHb bond makes it difficult for the body to eliminate CO from the blood. At 30-50% COHb symptoms are nausea, severe headaches, dizziness and increased pulse and respiration. COHb levels over 50% cause progressive symptoms proceeding to loss of consciousness, collapse, convulsions, coma and finally death.

Therefore, the correct answer is option B.

A colourless non-irritant lightly toxic gas that impairs respiration is

  1. Sulphur dioxide

  2. Nitrous oxide

  3. Carbon dioxide

  4. Carbon monoxide


Correct Option: D
Explanation:

Carbon monoxide is a light and toxic gas which impairs the process of respiration. The affinity of the carbon monoxide towards haemoglobin is more compared to the affinity towards oxygen which results in the binding of carbon monoxide with haemoglobin, forming carboxyhemoglobin. There are very less sites for oxygen binding and transport of the oxygen is reduced in the body which is known as carbon monoxide poisoning. Due to lack of oxygen, the process of respiration is hampered.

Thus, the correct answer is option D. 

Why is carbon monoxide (CO) poisonous for man?

  1. CO affects the nerves of the lungs.

  2. CO affects the diaphragm and intercostal muscles.

  3. CO reacts with oxygen reducing percentage of $O _2$ in air.

  4. Haemoglobin combines with CO instead of $O _2$ and the product cannot dissociate.


Correct Option: D
Explanation:

Carbon monoxide is a harmful gas that combines with haemoglobin to form a stable compound. It displaces the oxygen that is normally carried by the haemoglobin and reduces the oxygen-carrying ability of the blood. The affinity between hemoglobin and carbon monoxide is approximately 200 times greater than the affinity between hemoglobin and oxygen, so hemoglobin binds to carbon monoxide in preference to oxygen.

A chemical that prevents blood clotting is most useful in the treatment of

  1. Leukaemia

  2. Anaemia

  3. Coronary thrombosis

  4. Haemophilia


Correct Option: C
Explanation:

In coronary thrombosis, blood clotting occurs which becomes fatal. Physicians normally prescribe such medicines which prevent blood clotting or dissolve the clots that are formed.

Which of the following gases mixes with the blood and prevents it from carrying oxygen?

  1. Carbon monoxide

  2. Carbon dioxide

  3. Nitrogen oxide

  4. Nitrogen trioxide


Correct Option: A
Explanation:

The hemoglobin have more affinity towards the carbon monoxide rather than the oxygen. When the air is inhaled and there is presence of carbon monoxide, the hemoglobin protein binds to the carbon monoxide. This results in the formation of complex called as carboxyhemoglobin. This is the condition in which there is reduction in the supply of oxygen to the tissues which might lead to death.

Thus, the correct answer is option A. 

Which one of the following doctors performed the first heart
transplant

  1. Hargovind Khurana

  2. Christian Barnard

  3. Watson

  4. William Harvey


Correct Option: B
Explanation:

The first human heart transplant was performed on 3rd December, 1967 by a team of 30 doctors headed by Prof. Christian Barnard on 55 years old Louis Washkansky at the Groote Schurr Hospital, Cape Town, South Africa. Inspite of the operation by a leading' surgeon WasEKansKy died on @Ist December, 1967.

When the heart rate increases the condition is called as

  1. Bradycardia

  2. Tachycardia

  3. Leucopenia

  4. Cardiac arrest


Correct Option: B
Explanation:

Tachycardia is a condition, when the heart rate exceeds the normal range in resting condition. Generally, when the heart rate (human) crosses more than 100 beats per minute in the resting state, then the person is said to be suffering from tachycardia. It can occur in fever, hypovolemia and hyperthyroidism.

Below normal heartbeat, the condition is called as

  1. Bradycardia

  2. Tachycardia

  3. Hyperpiesis

  4. All of the above


Correct Option: A
Explanation:

Bradycardia is an abnormality of the heart where an individual has the slow heart rate. The normal heart rate for an adult human being at rest is 72 beats per minute. In bradycardia, the heart rate is less than 60 beats per minute in adults. Shortage of oxygenated blood due to infection of lungs is the major cause of bradycardia. The heart is unable to get the sufficient amount of oxygenated blood from the lungs. It turns fatal and may cause cardiac arrest.

So, the correct answer is option A.

Haemophilia is

  1. A type of mosquito lacking haemocoel

  2. The royal disease

  3. Faulty blood clotting

  4. Both B and C


Correct Option: D
Explanation:

Haemophilia is a group of hereditary disease that impair the body's ability to control blood clotting or coagulation. Britain's Queen Victoria, through two of her five daughters, passed this mutation to various royal families across the continents, including the royal houses of Spain, Germany and Russia. Victoria's son also suffered from this disease. For this reason, Hemophilia is also called as 'the royal disease'.
Thus, the correct answer is option (D), 'Both (B) and (C)'.

Sickle cell anaemia is due to

  1. Deficiency of vitamin B.

  2. Deficiency of iron in the blood.

  3. A genetically determined defect of haemoglobin synthesis.

  4. Increase in the number of leucocytes in the blood.


Correct Option: C
Explanation:

Sickle cell anemia is the serious disorder in which the body makes sickle-shaped red blood cells. RBCs contain hemoglobin which carries oxygen from lungs to rest of the body. Sickle cells contain abnormal hemoglobin called sickle hemoglobin.
Thus, the correct answer is option (C), 'A genetically determined defect of haemoglobin synthesis'.

Which one of the following is not related to bone disorder?

  1. Arthritis

  2. Osteoporosis

  3. Atherosclerosis

  4. Ricket


Correct Option: C
Explanation:

Atherosclerosis is not related to the bone disorder. It is a condition related to arteries. Atherosclerosis is a condition where the arteries become narrowed and hardened due to a buildup of cholesterol around the artery wall. Arthritis, rickets and osteoporosis are the diseases related to the bone disorder. 

So, the correct answer is 'Atherosclerosis'.

A chemical which damages WBC, bone marrow, spleen, lymph nodes and lungs is

  1. $Iodine^{131}$

  2. $Calcium$

  3. $Strontium^{90}$

  4. $Iodine^{127}$


Correct Option: C
Explanation:

Radioactive $I^{131}$ gets concentrated in the thyroid gland like ordinary iodine ($I^{127}$). Radioactive $Sr^{90}$ is mistaken for calcium and enters bones to cause bone cancer. It also causes damage to WBCs, bone marrow, spleen, lymph nodes, etc. It impairs eyesight and produces sterility, skin cancer and lung tumors.
Thus, the correct answer is option (C), '$Strontium^{90}$'.

The disease as a result of prolonged clotting time is due to the lack of plasma thromboplastin component (PTC) necessary to the formation of thromboplastin, is

  1. Christmas disease

  2. Hypoprothrombinemia

  3. Haemophilia

  4. Stuart disease


Correct Option: A
Explanation:

The Christmas disease is nothing but the Haemophilia B. It is a blood clotting disorder caused by a mutation of the factor IX gene, leading to a deficiency of factor IX . It is called as Christmas disease, as it is named after Stephen Christmas, the first patient described with this disease.
Therefore, the correct answer is option A.

If in an experiment, animal is made anaemic, production of which hormone will be stepped up?

  1. Erythrocytin

  2. Enkephalin

  3. Erythropoietin

  4. None of the above


Correct Option: C
Explanation:

Erythropoiesis is the process, which produces red blood cells. It is stimulated by decreased oxygen in circulation, which is detected by kidneys which then secretes the hormone erythopoietin. This hormone stimulates proliferation and differentiation of the red blood cell precursors. When there is anemia, there is low oxygen tension in the body. Because of this, there is a rise in the cell count due to liberation of erythropoietin.
Thus, the correct answer is option (C), 'Erythropoietin'.

Hereditary disease condition in which the blood fails to coagulate

  1. Sickle cell anaemia

  2. Leukemia

  3. Haemophilia

  4. Alkaptonuria


Correct Option: C
Explanation:

Haemophilia is a group of hereditary disease, that impair the body's ability to control blood clotting or coagulation.
Thus, the correct answer is option (C), 'Haemophilia'.

Consider the following statements about biomedical technologies.

A. During open heart surgery, blood is circulated in the heart lung machine.
B. Blockage in coronary arteries is removed by angiography.
C. Computerised Axial Tomography (CAT) shows detailed internal structure as seen in a section of body.
D. X-ray provides clear and detailed images of organs like prostate glands and lungs.

Which two of the above statements are correct?

  1. A and C

  2. A and B

  3. B and D

  4. C and D


Correct Option: A
Explanation:

Cardiopulmonary bypass (CPB) is a technique that temporarily takes over the function of the heart and lungs during surgery, maintaining the circulation of blood and the oxygen content of the body. The CPB pump itself is often referred to as a heartlung machine or "the pump". A CT or CAT scan is a diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, organs, and blood vessels. CT scans are more detailed than standard X-rays.

Coronary heart disease is due to

  1. Weakening of heart valves

  2. Insufficient blood supply to heart muscles

  3. Streptococci bacteria

  4. Inflammation of pericardium.


Correct Option: B

Oval depression or fossa is observed over

  1. Inter-atrial septum

  2. Interventricular septum

  3. Right auriculo-ventricular septum

  4. Left auriculoventricular septum

  5. Papillary muscles.


Correct Option: A

First sphygmomanometer was invented by

  1. Einthoven

  2. Laennec

  3. Halls

  4. Chardack.


Correct Option: A

Angina pectoris is a major symptom of

  1. Myocardial infarction

  2. Cyanosis

  3. High blood pressure

  4. Low blood pressure.


Correct Option: A

Hardening of arteries due to deposition of cholesterol/calcium is

  1. Atherosclerosis

  2. Thrombosis

  3. Stenosis

  4. Rhinitis.


Correct Option: A

Heart pumps blood more forcefully in older persons than younger ones due to

  1. Decrease in oxygen content of blood

  2. Decrease in elasticity of arteries

  3. Fall in nutrient content of blood

  4. Increase in elasticity of arteries


Correct Option: B

The thickening of walls of arteries is called

  1. Aneurysm

  2. Arteriosclerosis

  3. Arthritis

  4. Both A and B


Correct Option: B
Explanation:

Arteriosclerosis, thickening and hardening of the arteries, is a condition in which plaque builds up inside the arteries. Plaque is made of cholesterol, fatty substances, cellular waste products, calcium and fibrin (a clotting material in the blood). Atherosclerosis is a type of arteriosclerosis. Arteriosclerosis is a general term for the thickening and hardening of arteries.  

Persons with thrombocytopenia have a tendency to bleed from capillaries all over their bodies, their skin is covered with many small purple blotches called

  1. Petechiae

  2. Ptosis

  3. Release reaction

  4. Vasoconstriction


Correct Option: A
Explanation:

A petechia is a small (1 - 2 mm) red or purple spot on the skin, caused by a minor haemorrhage (broken capillary blood vessels). The flat round red spots formed under the skin due to bleeding are known as petechiae. They are red due to the leakage of blood from the capillaries.

So, the correct answer is option A.

Which of the following is congenital heart disease?

  1. Patent ductus arteriosus

  2. Patent foramen ovale

  3. Ventricular septal defect

  4. All of the above


Correct Option: D
Explanation:

Patent ductus arteriosus (PDA) is a congenital disorder in the heart, wherein a neonate's ductus arteriosus fails to close after birth. 

Patent foramen ovale (PFO) is a hole between the left and right atria (upper chambers) of the heart. 
Ventricular septal defect is a hole in the wall, that separates the right and left ventricles of the heart. It is a most common congenital heart defect.

Which of the following binds with hemoglobin irreversibly?

  1. Carbon dioxide

  2. Carbon monoxide

  3. Ethane

  4. Nitrogen


Correct Option: B
Explanation:

The red blood cells contain hemoglobin and each red blood cell contains nearly 280 million hemoglobin molecules. The hemoglobin molecules transport oxygen from the lungs to the tissues and also transports CO$ _2$ from the tissues to the lungs. However, the affinity displayed by hemoglobin molecules for carbon monoxide is many times greater than oxygen. The presence of even very low levels of carbon monoxide has a profound effect on oxygen transport of the blood. Moreover, the binding of carbon monoxide to hemoglobin is irreversible.

Minimum concentration and pressure of CO in alveoli of lungs that would be dangerous to man is

  1. 1 %, 0-7 mm Hg

  2. 0-4 %, 0-7 mm Hg

  3. 2 -7%, 0-4 mm Hg

  4. 0 -3 %, 0-4 mm Hg


Correct Option: A
Explanation:

Minimum concentration and pressure of CO in alveoli of lungs that would be dangerous to man is about 1 %, 0-7 mm Hg.
Carbon monoxide from alveolar air diffuses into the blood, competes with oxygen for binding sites on hemoglobin molecules. As carbon monoxide binds to hemoglobin with more affinity than oxygen to form a more stable compound called as carboxyhaemoglobin. This prevents the carriage of oxygen to the blood, and hence to tissues, muscles and all other organs (heart, brain, kidney, liver etc.) and thus can even lead to death. Carbon monoxide poisoning can occur acutely with smoke intoxication, or over a period of time, as in cigarette smoking.

Therefore, the correct answer is option A.

The incorrect statement with regard to haemophilia is

  1. It is a recessive disease.

  2. It is a dominant disease.

  3. A single protein involved in the clotting in blood is affected.

  4. It is sex-linked disease.


Correct Option: B
Explanation:

Haemophilia is a group of hereditary genetic disorders that impair the body's ability to control blood clotting, which is used to stop bleeding when a blood vessel is broken.
It is recessive (not dominant) sex-linked, X-chromosome disorder.
Thus, the correct answer is option (B), 'It is a dominant disease'.

A patient suffering from splenomegaly undergoes splenectomy. Which of the following processes will be affected?

  1. RBC production will be stopped.

  2. Removal of old RBC will be impaired.

  3. Decreases in antibody production.

  4. Generation of B cells will be stopped.


Correct Option: B
Explanation:

Splenomegaly is a condition of enlargement of the spleen. This is a condition of overload that suggests overload. It is called so because as the spleen grows its main function is to destroy or remove the old RBC and abnormal RBC and also prevents the infections by producing white blood cells. 
So in the condition of splenomegaly the removal of RBC will be impaired.

Acetyl choline causes

  1. Bradycardia

  2. Tachycardia

  3. Both A and B

  4. None of the above


Correct Option: A
Explanation:

As the body fluids and tissues are good conductors of electricity, the electrical activity within the heart can be detected by attaching electrodes to the surface of the body. The pattern of electrical activity may be displayed on an oscilloscope screen or traced on paper. The apparatus used is an electrocardiograph and the tracing is an electrocardiogram (ECG). The normal ECG tracing shows five waves which, by convention, have been named P, Q, R, S and T. The standard ECG originates from the SA node and is known as sinus rhythm. The rate of sinus rhythm is 60 to 100 beats per minute. A faster heart rate is called tachycardia and a slower heart rate, bradycardia. Acetylcholine is a neurotransmitter of parasympathetic system of nerves and slows down heart rate.

The disease erythroblastosis fetalis in human embryo is caused due to:

  1. Disadjustment of blood groups

  2. Disadjustment of Rh factor

  3. Both A and B

  4. None of the above


Correct Option: B
Explanation:

Erythroblastosis fetalis is hemolytic anemia in the fetus caused by transplacental transmission of maternal antibodies to the fetal RBCs. The disorder usually results from incompatibility between the maternal and fetal blood groups, often Rh antigens. Erythroblastosis fetalis classically results from Rh incompatibility, which may develop when a woman with Rh-negative blood is impregnated by a man with Rh-positive blood and conceives a fetus with Rh-positive blood.
Thus, the correct answer is option (B), 'Disadjustment of Rh factor'.

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