1. Etiology of Hypertrophic Cardiomyopathy is mostly due to:

1
1. Etiology of Hypertrophic Cardiomyopathy is
mostly due to

• A. Long-term Hypertension
• B. Aortic Stenosis
• C. Myocardial Ischemia
• D. Familial and Genetic

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2. Hypertrophic Cardiomyopathy may present as

• A. Asymptomatic
• B. Congestive Heart Failure
• C. Sudden Cardiac Death
• D. All of the above

3
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
4. The prognosis and long term outcome of HCM is

• A. Poor
• B. Variable
• C. Moderate Risk
• D. None of the above

5
5. The following can increase the murmur of LV
outflow tract obstruction except

• A. Valsalva
• B. Standing
• C. Lying Supine
• D. Nitrates

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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
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

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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
9. The mainstay of drug therapy in HCM is

• A. Nitrates
• B. Digitalis
• C. Diuretics
• D. Beta blockers

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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

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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.

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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
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
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
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
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

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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
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

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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.

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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.

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OFFICIAL ANSWERS TO QUIZ QUESTIONS

• 1. D 9. D 17. B
• 2. D 10. D 18. D
• 3. A 11. D 19. A
• 4. B 12. B 20. A
• 5. C 13. D
• 6. A 14. B
• 7. B 15. D
• 8. C 16. D