AIPGMEE 2016 Obstetrics MCQ

1. All are true cardiovascular ,changes in pregnancy EXCEPT

A.Apex beat shifted to 4th intercostal space

B.A systolic murmur in apical and pulmonary area

C.Split 1st sound

D.ECG shows right axis duration

E.drop in diastolic BP

ANS.D

EXPLANTION:-

Cardiovascular changes in pregnancy Apex beat shifted to 4th ICS Pulse rate -increased Split 1st  sound Systolic murmur Mammary murmur X-ray-enlarged cardiac shadow ECG-Lt axis deviation Cardiac output -->> increased by 40%

Mid preg. -drop in diastolic BP

Venous pressure ,is -increased

Peripheral resistance is decreased

Clinical indicators of heart disease during pregnancy

Cyanosis

Clubbing

Persistent neck vein distension

Systolic .murmur greater than grade 1111

Diastolic murmur

Cardiomegaly

Susstained arrhythmia

Second sound split

Loud P2

Left parasternal lift

Ref:-

Subject- Obstetrics, Topic- Pregnancy