Test your basic knowledge |

Cardiac

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. EKG for stable angina?
Endomyocardial fibrosis w/eosinophilic infiltrate and eosinophilia
S viridans
Backward: dyspnea - PND - orthopnea - crackles (pulmonary congestion and edema) - heart failure cells forward: fluid retention due to decreased flow to kidneys leading to activation of RAA
ST- segment depression

2. What is the cause of restrictive cardiomyopathy in children?
LAD
Fibrinous pericarditis
Endocardial fibroelastosis (rare)
Systolic ejection click followed by crescendo - decrescendo murmur

3. What valves are most commonly involved in chronic rheumatic heart disease?
Mitral mitral+aortic
Aspirin and/or heparin - supplemental O2 - nitrates - beta blocker - ACE inhibitor - fibrinolysis or angioplasty
Idiopathic genetic mutation (AD) - myocarditis - alcohol - drugs - pregnancy
Bounding pulse

4. What is the most common cause of aortic stenosis?
Wear and tear
Osler nodes (ouch - ouch Osler)
Membrane damage
Pts w/previously damaged valves

5. When is a post - MI pt at highest risk for rupture of a LV structure? With what microscopic change is this complication associated?
L->R
4-7 days macrophage infiltration
Minimizes ischemia
RBC damaged while crossing the calcified valve causing schistocytes

6. Pericarditis 6-8 wks post MI.
Plump fibroblasts - collagen - blood vessels
Within the first day
Dressler syndrome
Ostium primum

7. What increases the risk for chronic rheumatic heart disease?
Repeat exposure to group A beta - hemolytic strep that results in relapse of the acute phase
Libman - Sacks endocarditis
Sterile vegetations on surface and undersurface on mitral valve
PDA

8. What congenital heart defect is associated with fetal alcohol syndrome?
Aneurysm - mural thrombus - Dressler syndrome
VSD
LV dilation and eccentric hypertrophy
Reperfusion of irreversibly damaged cells results in Ca influx - leading to hypercontraction of myofibrils

9. What vavular defect results from acute rheumatic fever?
SLE
Wear and tear
Subendocardial
Mitral regurgitation due to vegetations

10. What iis the tx for aortic regurg?
stenosis of RV outflow tract - RV hypertrophy - VSD - aorta that overrides the VSD
Surgical closure small defects may close spontaneously
Valve replacement once LV dysfx develops
Endocardial fibroelastosis

11. Which congenital heart defect is associated with congenital rubella?
Fibrinous pericarditis
Kawasaki disease
PDA
Rhabdomyoma

12. What effect does mitral stenosis have on the heart chambers?
Right -->left
Low voltage EKG w/diminished QRS amplitude
4-6 hours - 24 hours - 72 hours
LA dilation

13. When does the heart have a yellow pallor post MI?
Right side - serotonin and other secretory products detoxified in the lung
Day 1-7
Adult coarctation of the aorta
Opening snap followed by diastolic rumble

14. What are the clinical features of RHF?
ST- segment elevation
Jugular venous distension - painful hepatosplenomegaly w/nutmeg liver - cardica cirrhosis - dependent pitting edema
PGE
Large - destructive vegetations

15. Small - sterile fibrin deposits randomly arranged on closure of valve leaflets in a pt w/metastatic colon cancer?
1-3 days out
Nonbacterial thrombotic endocarditis (marantic endocarditis)
Limits thrombosis
Regurg vs stenosis

16. At what point in development do congenital heart defects arise?
3-8 wks
4-6 hours - 24 hours - 72 hours
Plump fibroblasts - collagen - blood vessels
Congenital rubella

17. What are the causes of restrictive cardiomyopathy in adults?
Amyloidosis - sarcoidosis - hemochromatosis - and Loeffler syndrome
Aschoff bodies
Posterior wall of LV - posterior septum - papillary muscles
Cyanosis - RV hypertrophy - polycythemia - clubbing

18. Turner syndrome is associated with which congenital heart defect?
Large - destructive vegetations
Infantile coarctation of the aorta
Holosystolic machine like murmur
Degree of pulmonary artery stenosis

19. What are the clinical features of RHF due to?
Spontaneous
Systemic venous congestion
4-7 days
Myocardium

20. What genetic conditions predispose a pt to mitral valve prolapse?
S viridans
Type I
Stable and unstable prinzmetal
Ehlers - Danlow and Marfan syndrome

21. What areas of the heart does the RCA supply?
Squat in response to cyanotic spell
R-->L
Posterior wall of LV - posterior septum - papillary muscles
Subendocardial

22. What are the minor critera of the Jones criteria?
Restrictive cardiomyopathy
Nonspecific - eg fever and elevated ESR
Htn in upper extremities - hypotn in lower extremities - notching of ribs on CXR
20 min

23. Swelling and pain in a large joint that resolves within days and migrates to involve another large joint.
Valve scarring that arises as a consequence of rheumatic fever
Prinzmetal angina - cocaine
Contraction band necrosis - reperfusion injury
Migratory polyarthritis

24. Holosystolic blowing murmur that increases w/expiration?
Slow HR - decreasing O2 demand and risk for arrhythmia
Mitral regurg
Reperfusion injury
Decreases LV dilation by decreasing volume

25. What is the definition of ischemia?
Decrease in blood flow to an organ
Mitral mitral+aortic
Repeat exposure to group A beta - hemolytic strep that results in relapse of the acute phase
Small vegetations along the line of closure

26. What cardiac disease is associated with tuberous sclerosis?
RCA
Myocardium
Rhabdomyoma
Cyanosis - RV hypertrophy - polycythemia - clubbing

27. What type of shunt results in cyanosis at birth?
Nitroglycerin
Rupture of atherosclerotic plaque and complete occlusion of the coronary artery
Right to left
Surgical closure small defects may close spontaneously

28. Which chambers of the heart are generally spared in an MI?
LHF - left - to - right shunt - chronic lung disease (cor pulmonale)
Atria and RV
Shunt - PGE to maintain PDA until surgical repair can be performed
Mitral valve prolapse

29. What are the sx of pericardiits?
IV drug users
Friction rub and chest pain
Widens it diastolic pressure decreases due to regurgitation while systolic pressure increases due to increased stroke volume
Arthritis in a large joint (wrist - knees - ankles) that resolves within days and migrates to another large joint

30. Infects predamaged valves after transient bacteremia?
LHF
S viridans
Libman - Sacks endocarditis
2-3%

31. What effect does chronic rheumatic heart disease have on the aortic valve?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

32. What structures are susceptible to rupture post MI?
Metastasis
Valve scarring that arises as a consequence of rheumatic fever
Papillary muscle - free wall - IV septum
Cardiac tamponade

33. What are other (not atherosclerotic) causes of MI?
Aortic regurg
Coronary artery vasospasm - emboli - vasculitis
Dark discoloration coagulative necrosis
Infantile coarctation of the aorta PDA

34. What artery is the 2nd most often occluded in an MI?
Large vegetations of S aureus
RCA
Paradoxical emboli
Coronary artery vasospasm

35. How do you prevent S viridans endocarditis?
Early - blowing diastolic murmur bounding pulse - pulsating nail bed - and head bobbing
Libman - Sacks endocarditis
Volume overload and LHF
Prophylactic abx during dental procedures

36. What is the most common cause of endocarditis in IV drug users?
S aureus
Libman - Sacks endocarditis
Coronary artery vasospasm - emboli - vasculitis
Infectious endocarditis - arrythmias - severe mitral regurg no

37. Foci of chronic inflammation - reactive histiocytes with slender - wavy nuclei - giant cells - and fibrinoid material.
Trisomy 21
Congestive heart failure
Aschoff bodies
ASD - R-->L

38. With what virus is PDA associated?
Dark discoloration coagulative necrosis
4-7 days
Congenital rubella
Aspirin and/or heparin - supplemental O2 - nitrates - beta blocker - ACE inhibitor - fibrinolysis or angioplasty

39. What is molecular mimicry?
Fusion of the commissures with 'fish mouth' appearence - aortic stenosis
Preductal - post aortic arch
When a bacterial protein resembles a protein in human tissue
Pulsating nail bed

40. What is the basic principle of CHF?
Pump failure
Systemic venous congestion
PDA
Autoimmune pericarditis 6-8 wks post MI

41. What does chronic ischemic heart disease progress to?
Colon cancer
Squatting - increased systemic resistence decreases LV emptying
Indomethacin - decreases PGE
CHF

42. Is scar tissue or myocardium stronger?
Volume overload and LHF
Myocardium
Rupture of free wall - IV septum - or papillary muscle
Arthritis in a large joint (wrist - knees - ankles) that resolves within days and migrates to another large joint

43. What is the most common primary cardiac tumor in adults? Is it malignant or benign?
Myxoma - benign
Libman - Sacks endocarditis
1%
Dilation of all four chambers of the heart

44. Opening snap followed by diastolic rumble.
Pulsating nail bed
>70%
Hypertophy of RV atrophy of LV
Mitral stenosis

45. What are the Jones criteria?
Evidence of prior group A beta - hemolytic strep plus major and minor criteria
Shunt
Jugular venous distension - painful hepatosplenomegaly w/nutmeg liver - cardica cirrhosis - dependent pitting edema
Subendocardial

46. Which coronary artery supplies the posterior wall of the LV and posterior septum?
Fetal alcohol syndrome
Return of O2 and inflammatory cells cause FR generation - further damaging myocytes
Pump failure
RCA

47. When is an MI patent at highest risk for fibrionous pericarditis?
Annular - non pruritic rash w/erythematous borders trunks and limbs
Prinzmetal angina
1-3 days out
Repeat exposure to group A beta - hemolytic strep that results in relapse of the acute phase

48. What creates the immune reaction in acute rhuematic fever?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

49. What is the most common cause of dilated cardiomyopathy? What are other causes?
Surgical closure small defects may close spontaneously
Paradoxical emboli
Idiopathic genetic mutation (AD) - myocarditis - alcohol - drugs - pregnancy
Nonbacterial thrombotic endocarditis (marantic endocarditis)

50. What causes wear and tear aortic stenosis?
Fibrosis and dystrophic calcification
LA
Dense layer of elastic and fibrotic tissue in the endocardium - children
Repeat exposure to group A beta - hemolytic strep that results in relapse of the acute phase

Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?

Major Subjects
Tests & Exams AP CLEP DSST GRE SAT GMAT	Certifications CISSP go to https://www.isc2.org/ PMP ITIL RHCE MCTS More...	IT Skills Android Programming Data Modeling Objective C Programming Basic Python Programming Adobe Illustrator More...	Business Skills Advertising Techniques Business Accounting Basics Business Strategy Human Resource Management Marketing Basics More...
Soft Skills Body Language People Skills Public Speaking Persuasion Job Hunting And Resumes More...	Vocabulary GRE Vocab SAT Vocab TOEFL Essential Vocab Basic English Words For All Global Words You Should Know Business English More...	Languages AP German Vocab AP Latin Vocab SAT Subject Test: French Italian Survival Norwegian Survival More...	Engineering Audio Engineering Computer Science Engineering Aerospace Engineering Chemical Engineering Structural Engineering More...
Health Sciences Basic Nursing Skills Health Science Language Fundamentals Veterinary Technology Medical Language Cardiology Clinical Surgery More...	English Grammar Fundamentals Literary And Rhetorical Vocab Elements Of Style Vocab Introduction To English Major Complete Advanced Sentences Literature Homonyms More...	Math Algebra Formulas Basic Arithmetic: Measurements Metric Conversions Geometric Properties Important Math Facts Number Sense Vocab Business Math More...	Other Major Subjects Science Economics History Law Performing-arts Cooking Logic & Reasoning Trivia

Test your basic knowledge |

Cardiac

Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?

Let me suggest you:

Browse all subjects

Browse all tests

Most popular tests

Major Subjects

Tests & Exams

Certifications

IT Skills

Business Skills

Soft Skills

Vocabulary

Languages

Engineering

Health Sciences

English

Math

Other Major Subjects

Browse all subjects

Browse all tests

Most popular tests