Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map


Clinical Review Quiz

Electrocardiographic Changes in Infectious Diseases

Sandhya Nalmas, MD

Dr. Nalmas is a fellow, Division of Infectious Diseases, Newark Beth Israel Medical Center, Newark, NJ.



The questions below are based on the article
“Electrocardiographic Changes in Infectious Diseases”.


Choose the single best answer for each question.


1. All of the following statements regarding HIV cardiomyopathy are true EXCEPT
  1. Asymptomatic prolonged QTc interval is associated with increased cardiovascular mortality
  2. Cardiac involvement is seen predominantly in advanced HIV infection
  3. CD4 cell count greater than 200 cells/µL is associated with development of cardiomyopathy
  4. The prevalence of prolonged QTc interval increases in advanced stages of HIV
Click here to compare your answer.


2. Which of the following statements regarding Lyme disease is true?

  1. Cardiovascular manifestations are seen in the first 14 days following infection with Borrelia burgdorferi
  2. Changes on electrocardiogram (ECG) can be seen in all stages of disease
  3. ECG abnormalities in patients with probable Lyme disease are suggestive of the disease
  4. Erythema migrans is always accompanied by changes on ECG
Click here to compare your answer.


3. Which of the following statements regarding electrocardiographic changes in Chagas’ disease is true?

  1. Conduction abnormalities are uncommon findings
  2. ECG findings during the early asymptomatic stage can distinguish patients with benign disease from those with lethal complications
  3. The prevalence of abnormal findings decreases with age
  4. The prevalence of abnormal findings decreases with the presence of Trypanosoma cruzi antibodies in the serum
Click here to compare your answer.


4. Which of the following statements regarding leptospirosis is true?

  1. Atrioventricular blocks are rarely seen
  2. Chronic pericarditis is commonly seen
  3. Electrocardiographic changes are caused by interstitial myocarditis
  4. The electrocardiographic changes do not predict the prognosis
Click here to compare your answer .


5. Which of the following statements regarding infective endocarditis is true?

  1. ECG abnormalities are not seen in patients with prosthetic valves
  2. ECG findings predict mortality risk but do not predict the invasiveness of the disease
  3. Heart blocks could represent the presence of myocardial abscess
  4. Patients with heart blocks rarely need surgical intervention
Click here to compare your answer.


6. All of the following statements pertaining to ECG manifestations of heart disease caused by diphtheria are true EXCEPT

  1. Changes suggestive of acute pericarditis are common
  2. Changes persist several days after the resolution of symptoms
  3. Changes suggestive of myocarditis are found in most patients
  4. Ventricular ectopy on presentation predicts a worse outcome
Click here to compare your answer.


7. Which of the following antibiotics is least likely to have proarrhythmic effects?

  1. Azithromycin
  2. Erythromycin
  3. Ketoconazole
  4. Pentamidine
Click here to compare your answer.


 

Click here to read more about Electrocardiographic Changes in Infectious Diseases
(Requires Adobe Acrobat Reader)






Check our archives to test your knowledge in other featured articles:

Clinical Review Quiz Archive



If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader


 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 10/5/07 • kkj