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Test your basic knowledge |
Cardiology
Start Test
Study First
Subject
:
health-sciences
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. What is the effect on the slope of phase 4 in pacemaker cells by catecholamines and
Increase - increase the chance the If are open
Aneurysms - ischemia - infarcts - peripheral vasc dz - thromboemboli
No - no pressure gradient
Takayasu's arteritis
2. Which enzymes are useful for diagnosing reinfarction
CK- MB
Atherosclerosis
Torsades de pointes
Plateau - influx of calcium through voltage gated ca channels - ca release from SR and contraction
3. If HR is too fast (V tach) what happens during diastole?
Fever - Arthritis - Night sweats - Myalgia - SKIN nodules - Ocular disturbances - Weak pulses in upper extremities
Filling is incomplete and CO falls
Troponin I
Vagus to medulla
4. congenital heart defect in an infant with a diabetic mother?
LV failure - pulm venous distention transudation of fluid
The plateau period
Transposition of great vessels
Buerger's disease
5. What supplies the posterior left ventricle?
CFX
Left heart failure
Tricuspid atresia - requires ASD and VSD
Cardiac tamponde
6. EDV - ESV
Glossopharyngeal to soliary nucleus of medulla
Hemorrhage
LAD
Stroke volume
7. pulmonary veins drain into right heart circulation (SVC - coronary sinus)
In series
Transmural
Stroke volume affected by contractility - afterload - and preload
TAPVR
8. How does digitatlis increase contractility?
Immediate high pitched blowing diasystolic murmur with a wide pulse pressure
ANP
Increase intracellular Na - resulting in increased Ca
S. epidermidis
9. Endothelial malignancy of the skin assocated with HHV-8 and HIV
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10. What is association with fixed S2 splitting - does not increase with inspiration
Wolff - Parkinson white syndrome
V fib
ASD
Inc Kf - capillary perm
11. sudden death in young atheletes - S4 - apical impulses - outflow obstruction
Hypertrophied cardiomyopathy
Mean arterial pressure
Fast volatge gated Na channels
Sarcoid - amyloid - postradiation fibrosis - endocardial fibroelastosis - Loffler - hemochromatosis
12. congenital heart defect with congenital rubella
Sudden tensing of chordae tendinae
Septal defects - PDA - pulm art stenosis
Pulsus parvus and tardus - weak - can lead to syncope
Total anomalous pulmonary trunk venous return
13. necrotizing granulomas in lung and upper airways - nectrotizing GN - small vessel vasculitis
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14. Which bacteria causes rheumatic heart disease
Squat. Compression of femoral arteries - inc TPR - dec
Mean arterial pressure
Abdominal aorta>coronary artery>popliteal artery>carotid artery ACoPCa
Group a beta hemolytic strep
15. acute - self limiting necrotizing vasculitis in children associated with fever - conjunctivitis - strawberry tongue - desquamatous skin rash - lymphadenitis - coronary sinus aneurysms. Seen in asians
Kawasaki
Lower right - MC - upper right - AO - upper right AC - lower left MO
Heart - 02 extraction is always around 100%
Increased efferent SANS and decreased efferent PANS
16. What do the carotid and aortic bodies respond to?
Holosystolic - harsh sounding murmur - loudest over tricuspid area
R to L shunt caused by stenoic pulmonic valve
Dec P02 - inc PC02 and dec pH
Ventricles are depolarized
17. Do you see elevaged ASO titers in rheumatic heart disease
Turners
Yes
Granuloma with giant cells
A fib - beta block or ca channel block - warfarin - thromboembolism prophylaxis
18. In an anterolateral infarct - which artery is effected and which leads show Q waves
Late diastolic murmur following an opening snap
Late in diastole - high atrial pressure - pushing against a stiff LV wall - associated with ventricular hypertrophy
Varicose veins - thromboembolism rare
LCX - V4- V6
19. What causes hepatomegaly?
Dilation
Glomus tumor
Inc central venous pressure - inc resistance to portal flow
Arteriorles
20. What happens in phase 4 of the cardiac ventricular action potential?
Resting potential high K perm
Hypertrophied cardiomyopathy
Mitral valve prolapse
Purkingee>atria>ventricles>AV node
21. congenital heart defect with marfan's
LAD - V1- V2
Truncus - tet of fallot
Aortic insuffic - late
MI
22. Which channel accounts for automaticity of the SA and AV nodes?
Truncus - tet of fallot
Eccentric - concentric hypertrophy causes diastolic disfunction
Aortic/pulmonic regurg and mitral/tricuspid stenosis
If sodium channel
23. In terms of starling forces - why does heart failure cause edema?
Tricuspid atresia - requires ASD and VSD
Plateau - influx of calcium through voltage gated ca channels - ca release from SR and contraction
Increase in Pc
SA>AV>bundle of His>ventricles
24. In an acute MI - are there any visible changes via LM in the first 2-4 hours
Adult type aortic coarctation
No
Dec P02 - inc PC02 and dec pH
Non
25. Right to left shunts are more common in babies or kids?
Left heart failure
Babies
Viridans streptococci
The LA - can cause dysphagia because of compression of the esophageal nerve or hoarseness by compressing the the recurrent laryngeal nerve
26. delta wave on ECG - accesory conduction pathway from atria to ventricles - reentry leading to supraventricular tachycardia
Acute thrombosis of coronary artery
The first 4 days
Wolff - Parkinson white syndrome
Vasodilators
27. What causes ankle - sacral edema - jugular venous distention
RV failure - in venous pressure
2-4 day - early coag necrosis on the first day
Systolic dysfunction
Decrease in activity of Na/Ca exhanger and increase in contractility
28. What does the starling curve show?
QRS complex
Changes in CO as a function of preload
Glossopharyngeal to soliary nucleus of medulla
Extracellular calcium - calcium induced calcium release
29. Where is the most posterior portion of the heart and What can it cause?
R to L shunt caused by stenoic pulmonic valve
The LA - can cause dysphagia because of compression of the esophageal nerve or hoarseness by compressing the the recurrent laryngeal nerve
Tricuspid - don't tri drugs - S. aureus - pseudomonas - candida
A fib - beta block or ca channel block - warfarin - thromboembolism prophylaxis
30. What happends in phase 1 of the ventricular cardiac action potential?
Mean arterial pressure
Initial repol - inactivation of of voltage gated Na channels - voltage gated K channels begin to open
Black > white > asian
Decrease in cAMP
31. with what heart sounds do ASD usually present?
Dec P02 - inc PC02 and dec pH
Hemorrhage
Fick principle
Pulmonary flow murmur and diastolic rumble
32. absecnce of tricuspid valve - hypoplastic RV
Isovolumetric contraction
Tricuspid atresia - requires ASD and VSD
Fever - roth's spots - osler's nodes - murmur - janeway lesions - anemia - nail - bed hemorrhages - emboli
Polycythemia - hyperproteinemic states (multiple myeloma) - hereditary spherocytosis
33. What constitues the upstroke in pacemaker cells?
Truncus - tet of fallot
Cardiac tamponade - asthma - obstructive sleep apnea - pericarditis and croup
Wolff - Parkinson white syndrome
Volatage gated Ca channels
34. In an EKG - What is the p wave?
LAD
C - ANCA
Diastolic
Atrial contraction
35. When does EF decrease
Adult type aortic coarctation
Kids
Fever - roth's spots - osler's nodes - murmur - janeway lesions - anemia - nail - bed hemorrhages - emboli
In HF
36. What is the S1 sound?
Stable angina
Mitral and tricuspid closure
Fever - Arthritis - Night sweats - Myalgia - SKIN nodules - Ocular disturbances - Weak pulses in upper extremities
140/90
37. In the cardiac and vascular function curves - In what instance is the vascular curve shifted to the left?
SA and AV nodes
CK- MB
Hemorrhage
Inc interstitial osmotic pressure pulling fliud out of capillaries
38. What are anitschkow's cells
Vasocxn
Age related calcifications or bicuspid aortic valve
Activated histiocytes
Cardiac tamponde
39. Do dihydropyridine or non - dihyrdropyridine Ca channel blockers decrease contractility
Non
Venodilators (nitrogylcerine)
Group a beta hemolytic strep
Aortic dilation - bicuspid aortic valve - RF -
40. When during cardiac nodal cells depolarize?
Rhabdomyomas
Atrial contraction
Anterosuperior displacement of the infundibular septum
During diastole
41. pulseless disease - granulomatous thickening of the aortic arch and/or proximal great vessels - elev ESR - asian females > 40
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42. What causes aortic regurg
Ventricles are depolarized
Aortic dilation - bicuspid aortic valve - RF -
Tricuspid - don't tri drugs - S. aureus - pseudomonas - candida
Rhabdomyomas
43. dyspnea - fatigue - edema and rales - multiple causes
The plateau period
Shunt - VSD - PDA or patent foramen ovale - due to failure of the aorticopulmonary septum to spiral
Calcification in media of arteries esp radial and ulnar - does not obstruct blood flow - intima not involved
CHF
44. What happens in phase 3 of the cardiac ventricular action potential?
Rapid repol - massive K influx - opening of voltage gated slow K channels and closure of Ca channels
Glossopharyngeal to soliary nucleus of medulla
Late in diastole - high atrial pressure - pushing against a stiff LV wall - associated with ventricular hypertrophy
Buerger's disease
45. no change in PR interval followed by dropped beat
Arteriolosclerosis in malignant hypertension
Transfusion
Increased SV
2nd degree AV block - mobitz type 2 - may progess to 3rd degree block
46. Left to right shunts are more common in babies or kids?
Left heart failure
Temporal arteritis
Kids
Black > white > asian
47. Central chemoreceptors do not respond directly to which parameter?
LCX - I - aVL
P02
Truncus - tet of fallot
Aortic/pulmonic regurg and mitral/tricuspid stenosis
48. segmental thrombosing vasculitis of small and medium vessels in smokers with intermittent claudication - superficial nodular phlebitis - raynaud's - gangrene and severe pain - autoamputation of digits is possible
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49. In an anterior wall infarct - which artery is effected and which leads show Q waves
Increase contractility
LAD - V1 - V4
Failure of LV to in CO during exercise
MI
50. What causes the CO curve to shift downwards?
Hemorrhage
Stroke volume
Dilated cardiomyopathy
Neg inotropy - HF - narcotic overdose