1. Etiology of Hypertrophic Cardiomyopathy is mostly due

to:

• A. Long-term Hypertension

• B. Aortic Stenosis

• C. Myocardial Ischemia

• D. Familial and Genetic

2. Hypertrophic Cardiomyopathy may present as:

• A. Asymptomatic

• B. Congestive Heart Failure

• C. Sudden Cardiac Death

• D. All of the above

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. The prognosis and long term outcome of HCM is:

• A. Poor

• B. Variable

• C. Moderate Risk

• D. None of the above

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

obstruction except:

• A. Valsalva

• B. Standing

• C. Lying Supine

• D. Nitrates

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. 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

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. The mainstay of drug therapy in HCM is:

• A. Nitrates

• B. Digitalis

• C. Diuretics

• D. Beta blockers

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

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.

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. 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. 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. 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. 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

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. 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

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.

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.

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