Heart Failure

Previous year questions on Heart Failure for NEET PG (National Eligibility cum Entrance Test - Postgraduate), from the Medicine section of the exam.
Most questions here come from previous-year papers of Indian postgraduate medical entrance and licensing exams; where a paper and year are recorded the question carries them. The image-based questions are original vignettes written around an openly licensed figure, and were never asked in any exam.
14 live questions in Heart Failure.
1 of 14 questions carries a verified exam year: 2020.
Medicine is worth about 33 of 300 questions on the exam. See every subject’s weightage.
Question set last updated 6 Sept 2026.

Q1.All of the following features are seen in left ventricular failure except?
- ALung oligemia
- BKerley B lines
- CCrepitations
- DPedal Oedema
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Q2.A 40 years old female currently on a drug for psychiatric illness and hypertension presents with NYHA class III heart failure with dyspnea, pedal edema and K+ levels of 5.5 mEq/L and creatinine 2.5 mg%. Which of the following drug is best avoided?
- ACarvedilol
- BEnalapril
- CSpironolactone
- DDigoxin
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Q3.Dyspnoea at rest is which grade: September 2009
- A1
- B2
- C3
- D4
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Q4.All the following are features of right sided hea failure, Except:
- AIncreased PCWP
- BPulsatile liver
- CIncreased JVP
- DPositive hepatojugular reflex
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Q5.Which of the following biomarkers is released from ventricular myocytes:
- ABrain Natriuretic Peptide (BNP)
- BAtrial Natriuretic Peptide (ANP)
- CEndothelin 1
- DEndothelin 2
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Q6.Inability to perform physical activity with discomfort falls under-
- ANYHA class 1
- B2
- C3
- D4
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Q7.A 73-year-old man with history of hypertension and osteoarthritis is evaluated for gradually increasing dyspnea over the preceding 6 weeks. He takes metoprolol for hypertension and naproxen for the arthritis. He has occasionally awakened in the night with mild dyspnea relieved by sitting up but has not noticed edema. Physical examination shows BP of 148/94, HR 96, and RR 16. O2 saturation is 92%. Neck veins show the jugular column 7 cm above the sternal angle. Lung examination reveals mild basilar crackles but no wheezing. Cardiac examination shows sustained apex impulse, S4 gallop, and no murmur. There is no peripheral edema. ECG shows stable left ventricular hypertrophy; no Q waves are seen. Chest x-ray shows increased interstitial markings and some cephalization of flow to the upper lobe vessels. The cardiac silhouette is boot-shaped, but there is no definite cardiomegaly. Echocardiogram shows left ventricular hypertrophy and LV ejection fraction of 55% (normal 50%-70%). What is the likely pathogenesis of this patient's dyspnea?
- AIncreased metabolic demands leading to high-output heart failure (HF)
- BOccult coronary artery disease with dyspnea as an angina equivalent
- CImpaired diastolic relaxation and filling
- DInterstitial lung disease (ILD) mimicking pulmonary vascular congestion
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Q8.In Pulmonary edema pulmonary capillary wedge pressure is ?
- A>28mmHg
- B<15mmHg
- C>10mmHg
- D<8mmHg
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Q9.Severe pulmonary edema is seen when PCWP rises above?
- A5 mm Hg
- B10 mm Hg
- C15 mm Hg
- D25 mm Hg
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Q10.Patient history reveals dyspnoea, orthopnea, and edema of the ankle and palpitation. Most likely diagnosis is:
- ARespiratory problem
- BHepatic failure
- CUremia
- DCongestive heart failure
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Answer key

Q1: A. Lung oligemia; Q2: C. Spironolactone; Q3: D. 4; Q4: A. Increased PCWP; Q5: A. Brain Natriuretic Peptide (BNP); Q6: D. 4; Q7: C. Impaired diastolic relaxation and filling; Q8: A. >28mmHg; Q9: D. 25 mm Hg; Q10: D. Congestive heart failure.

Sit a timed test on Heart Failure

Heart Failure

Answer key

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