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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. Fatal arrhythmia
Dec P02 - inc PC02 and dec pH
Greater ventricular EDV
Sensironeural deafness - defects in sodium and potassium channels - jervell and lange - neilsen syndrome
V fib
2. What are common causes of mitral regurg?
Pos inotropy - exercise
Ischemic heart dz - mitral valve prolapse - LV dilation
Decrease in activity of Na/Ca exhanger and increase in contractility
Atrial contraction
3. What are the systolic heart sounds
MI
Abdominal aorta>coronary artery>popliteal artery>carotid artery ACoPCa
Decrease in activity of Na/Ca exhanger and increase in contractility
Aortic/pulmonic stenosis and mitral/tricuspid regurg
4. thrombosis w/o necrosis - ST elevation - worsening chest pain at rest or with minimal exertion
Unstable/crescendo angina
RF
LV failure - pulm venous distention transudation of fluid
Non
5. In an inferior wall infarct - which artery is affected and which leads show Q waves
Pos inotropy - exercise
RCA - II - III - aVF
S. bovis
Eccentric - concentric hypertrophy causes diastolic disfunction
6. acute - self limiting necrotizing vasculitis in children associated with fever - conjunctivitis - strawberry tongue - desquamatous skin rash - lymphadenitis - coronary sinus aneurysms. Seen in asians
Early deaths from myocarditis
Maintain blood flow to organ over wide range of perfussion pressures
Transfusion
Kawasaki
7. progressive lengthening of PR until beat is dropped - a p wave not followed by QRS
Kaposi's sarcoma
Sarcoid - amyloid - postradiation fibrosis - endocardial fibroelastosis - Loffler - hemochromatosis
2nd degree AV block - mobitz type 1
Aortic and pulmonary closing
8. Which murmur is heard with VSD?
Kaposi's sarcoma
Arteriorles
Holosystolic - harsh sounding murmur - loudest over tricuspid area
Neg inotropy - HF - narcotic overdose
9. benign - painful - red - blue tumor under fingernails from smooth muscle cells
Dilation
Glomus tumor
The operating point of the heart
V fib
10. What causes the CO curve to shift downwards?
Aburpt halting of valve leaflets
Neg inotropy - HF - narcotic overdose
CHF
Lymphangiosarcoma
11. Which valve is commonly involved in bacterial endocarditis from IV drug use and Which bacteria are most common?
12. highly lethal malignancy of the liver - associated with vinyl chloride - arsenic - and thorosrast exposure
During diastole
Preload
Cardiac tamponade - asthma - obstructive sleep apnea - pericarditis and croup
Angiosarcoma
13. What stimulates release of calcium from the SR?
V fib arrhythima
In RA return (inspiration)
Liver
Extracellular calcium - calcium induced calcium release
14. What happens in phase 2 of the cardiac ventricular action potential?
Inc RA pressure - due to filling against closed tricupsid valve
Truncus - tet of fallot
Postinfarction fibrinous pericarditis
Plateau - influx of calcium through voltage gated ca channels - ca release from SR and contraction
15. What causes the cushing reflex and why
Inc ICP - cerebral ischemia - inc SANS tone (HTN) and reflex bradycardia
Aortic/pulmonic stenosis and mitral/tricuspid regurg
Lower right - MC - upper right - AO - upper right AC - lower left MO
Non
16. What does an isoelectric ST segment indicate?
Infantile is proximal to ductus arteriosus and adult is distal. Infantile In and aDult is Distal to Ductus
Polycythemia - hyperproteinemic states (multiple myeloma) - hereditary spherocytosis
Hyperlipidemia
Ventricles are depolarized
17. Do dihydropyridine or non - dihyrdropyridine Ca channel blockers decrease contractility
Non
Late diastolic murmur following an opening snap
Babies
Transfusion
18. Most common vasculitis affecting medium and large arteries
Temporal arteritis
LAD - V1 - V4
RCA
MI
19. What cardiac change occurs in pregnancy?
Increased SV
Right sided
Apex and anterior interventricular septum
Infective endocarditis
20. decrease blood flow to the skin due to arteriolar vasospasm in cold temp - emotional stress - also in SLE and CREST
21. Which kind of infarct show ST elevation - and/or pathologic Q waves
Left sided
TAPVR
Transmural
The aortic before pulmonic - inspiration increases diff
22. What causes hepatomegaly?
Fluid movement through capillaries
Vagus to medulla
Inc central venous pressure - inc resistance to portal flow
Vasodilators
23. When does EF decrease
Vasocxn
In HF
Troponin I
Transmural
24. no change in PR interval followed by dropped beat
Late in diastole - high atrial pressure - pushing against a stiff LV wall - associated with ventricular hypertrophy
...
2nd degree AV block - mobitz type 2 - may progess to 3rd degree block
Endothelial cell dysfxn - mac and LDL accum - foam cell - fatty streaks - smooth muscle cell migration - fibrous plaque - comlex atheromas
25. What causes orthopnea?
Calcification in media of arteries esp radial and ulnar - does not obstruct blood flow - intima not involved
Inc venous return exaccerbates pulm vasc congestion
Boot shaped heart
Yes
26. Which artery supplies the SA and AV nodes?
RCA
Volatage gated Ca channels
Inc central venous pressure - inc resistance to portal flow
At least 55%
27. congenital heart defect with marfan's
Aortic insuffic - late
Aortic disecction - intraluminal tear forming false lumen
Atrial fiutter - identical back to back atrial depol's - convert to sinus - cal IA - IC or III antiarrhythmics
Aortic dilation - bicuspid aortic valve - RF -
28. What do the starling forces determine
Atrial fiutter - identical back to back atrial depol's - convert to sinus - cal IA - IC or III antiarrhythmics
HTN - bradycardia - and respiratory depression
S. epidermidis
Fluid movement through capillaries
29. What are the 5 T's of cyanoitc babies
RV failure - in venous pressure
Aortic/pulmonic regurg and mitral/tricuspid stenosis
The operating point of the heart
Tetralogy of fallot - transposition of great vessels - truncus arteriosus - tricuspid atresia - TAPVR
30. machine murmer
Inc blood volume
CHF
PDA
EKG
31. absecnce of tricuspid valve - hypoplastic RV
Tricuspid atresia - requires ASD and VSD
Hemorrhage
Sudden tensing of chordae tendinae
Early deaths from myocarditis
32. What is the most common cause of MI
Total anomalous pulmonary trunk venous return
Adult type aortic coarctation
Inc TPR and LA return (expiration)
Acute thrombosis of coronary artery
33. What 4 things drive myocardial 02 demand?
A fib - beta block or ca channel block - warfarin - thromboembolism prophylaxis
Inc afterload - inc contractility - inc heart rate - inc heart size (inc wall tension)
Atrial contraction
Systolic dysfunction
34. What happens in phase 3 of the cardiac ventricular action potential?
Subendocardial
Rapid repol - massive K influx - opening of voltage gated slow K channels and closure of Ca channels
Viridans streptococci
Eccentric - concentric hypertrophy causes diastolic disfunction
35. rate of 02 consumption/ arterial 02 - venous 02 ccontent=CO
Aortic/pulmonic stenosis and mitral/tricuspid regurg
Fick principle
Mitral valve
Slow conduction velocity - used by AV node prolongs transmission from atria to ventrical
36. What is the time frame for arrhythmia risk in the evolution of MI
Kussmaul's sign - cardiac tamponade - pulsus paradoxus
HypoK and bradycardia
Stroke volume affected by contractility - afterload - and preload
The first 4 days
37. congenital heart defect with congenital rubella
Medullary vasomotor center senses baroreceptors and JGA
Septal defects - PDA - pulm art stenosis
Mechanican contraction of the ventricles
Right sided
38. Given P = QR - what factors influence resistance?
LAD > RCA > circumflex
Posterior descending (80% off the RCA - 20% off the circumflex)
Proportional to viscosity and inversely proportional to the radius to the 4th power
Hemorrhage
39. PCWP is an estimate of...
Chordae rupture - GN - suppurative pericarditis - emboli
Left atrial pressure
...
Buerger's disease
40. S3 - dilated heart on US - balloon appearance on CXR - eccentric hypertrophy
During diastole
Dilated cardiomyopathy
MI
Abdominal aorta>coronary artery>popliteal artery>carotid artery ACoPCa
41. What causes ankle - sacral edema - jugular venous distention
Hypotension - inc venous pressure - distant heart sounds - inc HR - pulsus paradoxus
RV failure - in venous pressure
Aortic/pulmonic regurg and mitral/tricuspid stenosis
MAP
42. What is the S1 sound?
HypoK and bradycardia
Mitral and tricuspid closure
Group a beta hemolytic strep
3rd degree syphillus - syphillit heart disease can lead to aortic valve incompetence
43. The cause of dyspnea on exertion?
Mitral valve
Arteriorles
Decreased
Failure of LV to in CO during exercise
44. In the cardiac and vascular function curves - In what instance is the vascular curve shifted to the right?
In series
Inc blood volume
Transfusion
Yes
45. What does HTN predispose to?
Abdominal aorta>coronary artery>popliteal artery>carotid artery ACoPCa
Atherosclerosis - LVH - stroke - CHF - renal failure - retinopathy - aortic dissection
Inc Kf - capillary perm
RF
46. When during cardiac nodal cells depolarize?
Slow conduction velocity - used by AV node prolongs transmission from atria to ventrical
Torsades de pointes
During diastole
Ventricular repolarization
47. When is the scar completely formed in an MI?
Cardiac tamponde
7 weeks
Volatage gated Ca channels
Increasing activity of Ca pump in SR
48. Left to right shunts are more common in babies or kids?
Medullary vasomotor center senses baroreceptors and JGA
Kids
MAP
Vasocxn - while other tissues it causes vasodilation
49. Which class of drugs decreases afterload?
Increase intracellular Na - resulting in increased Ca
Vasocxn - while other tissues it causes vasodilation
Medullary vasomotor center senses baroreceptors and JGA
Vasodilators - (hydrAlAzine)
50. What causes the CO curve to shift upwards?
Pos inotropy - exercise
Mean arterial pressure
3rd degree block - pacemaker - Lyme disease
Cherry hemangioma