Clinical Examination & Investigations (CVS) MCQ Quiz | Cardiovascular System

Welcome to this specialized quiz on the Clinical Examination and Investigations of the Cardiovascular System, designed for MBBS students. This quiz will test your foundational knowledge of essential clinical skills, from auscultating heart sounds and interpreting JVP waveforms to understanding key findings in ECGs, chest X-rays, and echocardiograms. Mastering these concepts is crucial for accurate diagnosis and patient management in cardiology. Challenge yourself with these 25 multiple-choice questions to assess your understanding and identify areas for further study. After submitting your answers, you’ll receive your score and a detailed review of each question. You can also download a PDF copy of all questions and their correct answers for offline revision. Good luck!

1. The ‘a’ wave in the Jugular Venous Pulse (JVP) corresponds to:

2. The first heart sound (S1) is produced by the closure of which valves?

3. A pansystolic murmur, heard best at the apex and radiating to the axilla, is characteristic of:

4. A collapsing pulse (Corrigan’s pulse) is a classical sign of:

5. The normal position of the apex beat in an adult is:

6. A fixed, widely split second heart sound (S2) is a pathognomonic sign of:

7. In an electrocardiogram (ECG), the P wave represents:

8. Which cardiac enzyme is the most sensitive and specific marker for myocardial infarction?

9. The third heart sound (S3) is a low-pitched sound heard in early diastole, often indicating:

10. A crescendo-decrescendo systolic murmur heard best at the right upper sternal border is typical of:

11. Cannon ‘a’ waves in the JVP are seen in which condition?

12. ‘Boot-shaped’ heart on a chest X-ray is a classic finding in:

13. ST-segment elevation in leads II, III, and aVF on an ECG is suggestive of an infarction in which territory of the heart?

14. An opening snap is a high-pitched sound heard after S2, characteristic of:

15. A palpable thrill felt over the precordium indicates:

16. The difference between systolic and diastolic blood pressure is known as:

17. Pulsus alternans, a beat-to-beat variation in pulse amplitude, is a sign of:

18. Which non-invasive investigation is considered the gold standard for assessing cardiac structure and function, including valvular integrity and ejection fraction?

19. A continuous “machinery-like” murmur heard best below the left clavicle is characteristic of:

20. The PR interval on an ECG represents the time taken for:

21. A prominent ‘v’ wave in the JVP is typically seen in:

22. The second heart sound (S2) is produced by the closure of which valves?

23. A pericardial friction rub is best heard with the patient:

24. Holter monitoring is used primarily to detect:

25. Pulsus paradoxus is an exaggerated fall in systolic blood pressure during inspiration and is a key sign of: