SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
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 does TAPVR stand for
Tricuspid - don't tri drugs - S. aureus - pseudomonas - candida
ASD - VSD - AV septal defect (endocardial cushion defect)
Total anomalous pulmonary trunk venous return
Filling is incomplete and CO falls
2. acute - self limiting necrotizing vasculitis in children associated with fever - conjunctivitis - strawberry tongue - desquamatous skin rash - lymphadenitis - coronary sinus aneurysms. Seen in asians
Ventricles are depolarized
Kussmaul's sign - cardiac tamponade - pulsus paradoxus
Kawasaki
Libman - sacks endocarditis
3. no change in PR interval followed by dropped beat
Slow conduction velocity - used by AV node prolongs transmission from atria to ventrical
2nd degree AV block - mobitz type 2 - may progess to 3rd degree block
Failure of LV to in CO during exercise
Kidney
4. What is the S2 sound?
Aburpt halting of valve leaflets
RV contraction (closed tricuspid valve bulding into atrium
QRS complex
Aortic and pulmonary closing
5. When do you find hemosiderin laden macrophages in the lungs?
Atrial contraction
Cyclophosphamide and corticosteroids
Mean arterial pressure
During HF from microhemorrhages from inc pulm cap pressure
6. Wegener's tx
Cyclophosphamide and corticosteroids
2-4 day - early coag necrosis on the first day
Normal in children and pregs - assoc with inc filling pressures - early in diastole during rapid ventricular filling
Fluid movement through capillaries
7. Which enzymes are useful for diagnosing reinfarction
During HF from microhemorrhages from inc pulm cap pressure
CK- MB
Maintain blood flow to organ over wide range of perfussion pressures
Cardiac tamponde
8. What are tendinous xanthoma - atheromas - and corneal arcus signs of?
Kids
Hyperlipidemia
LCX - I - aVL
Dilated cardiomyopathy
9. In the cardiac cycle - which period has the highest 02 consumption?
Dilation
Subendocardial - fewer collaterals and higher pressure
Right sided
Isovolumetric contraction
10. What does T wave inversion indicated?
Decreases
MI
Tetrology of fallot - pulmonary stenosis - RVH - overiding aorta - VSD
Beta 1 inc HR and cont - alpha 1 venocxn - alpha 1 arteriolar vascxn
11. What is the danger of torsades to pointes?
Can progess to V fib
Vasocxn - while other tissues it causes vasodilation
Inc ICP - cerebral ischemia - inc SANS tone (HTN) and reflex bradycardia
Microscopic polyangiitis - like wegener's without granulomas
12. What causes hepatomegaly?
Inc central venous pressure - inc resistance to portal flow
1st degree AV blodck
Tempral arteritis - may cause irreversible blindness
Mitral valve
13. congenital heart defect with turner's
Left heart failure
Coarcation of aorta
Mitral and tricuspid closure
Mean arterial pressure
14. In terms of starling forces - why does nephrotic syndrome or liver failure cause edems
Metastasis from melanoma or lymphoma
Decrease in activity of Na/Ca exhanger and increase in contractility
RV failure - in venous pressure
Dec plasma proteins
15. What are the complications from bacterial endocarditis?
Atrial contraction
Cyclophosphamide and corticosteroids
Left heart failure
Chordae rupture - GN - suppurative pericarditis - emboli
16. disruption of the vasa vasorum of aorta - dilation of aorta and valve ring - tree bark appearance (calcifications on aortic root)
Preload
In parallel
LAD
3rd degree syphillus - syphillit heart disease can lead to aortic valve incompetence
17. friction rub - 3-5 days post MI
Cystic hygroma
Postinfarction fibrinous pericarditis
Arrhythmia - LV failure and pulm edema - cardiogenic shock - free wall rupture - aneurysm - postinfarcation fibrinous pericarditis - dressler's
Diastolic
18. How are cadiac myocytes eltrically coupled?
Gap junctions
Dec plasma proteins
Fever - roth's spots - osler's nodes - murmur - janeway lesions - anemia - nail - bed hemorrhages - emboli
Coarcation of aorta
19. 2/3 diastolic + 1/3 systolic
Rapid upstroke - voltage gated Na channels open
CK- MB
MAP
Shunt - VSD - PDA or patent foramen ovale - due to failure of the aorticopulmonary septum to spiral
20. Unilateral headache - jaw claudication - impaired vision
Adult type aortic coarctation
Right sided
Tempral arteritis - may cause irreversible blindness
Medullary vasomotor center senses baroreceptors and JGA
21. If HR is too fast (V tach) what happens during diastole?
During diastole
Fluid movement through capillaries
Filling is incomplete and CO falls
S. epidermidis
22. What are aschoff bodies
Mitral and tricuspid closure
Abdominal aorta>coronary artery>popliteal artery>carotid artery ACoPCa
Granuloma with giant cells
Sturge weber - vasculitis of caps
23. Rank the following by speed of conduction - av node - atria - purkinjee - ventricles
Wolff - Parkinson white syndrome
Stroke volume
Kids
Purkingee>atria>ventricles>AV node
24. Which bacteria causes rheumatic heart disease
...
LCX - I - aVL
Group a beta hemolytic strep
Conduction delay through AV node - nl < 200 msec
25. The carotid sinus transmits along which nerve?
Rapid upstroke - voltage gated Na channels open
RCA - II - III - aVF
Glossopharyngeal to soliary nucleus of medulla
Dilation
26. L to R shunt becomes R to L due to increase pulm pressures from original congenital heart defect
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
27. failure of truncus arteriosus to divide?
Persistant truncus arteriosus
Sarcoid - amyloid - postradiation fibrosis - endocardial fibroelastosis - Loffler - hemochromatosis
RCA - II - III - aVF
Adult type aortic coarctation
28. Equilibration of diastolic pressures in all 4 chambers - decreased CO from compression of heart by fluid in pericardium
Cardiac tamponde
Mitral>aortic>>tricuspid - high pressure valves affected most
Metastasis from melanoma or lymphoma
Aortic/pulmonic stenosis and mitral/tricuspid regurg
29. in the JVP - What is the c wave?
RV contraction (closed tricuspid valve bulding into atrium
V fib arrhythima
Purkingee>atria>ventricles>AV node
Cystic hygroma
30. What are the 5 T's of cyanoitc babies
CHF
HTN - bradycardia - and respiratory depression
Right sided
Tetralogy of fallot - transposition of great vessels - truncus arteriosus - tricuspid atresia - TAPVR
31. How are the sarcomeres added in eccentric hypertrophy?
Vagus to medulla
RF
In series
140/90
32. Most common vasculitis affecting medium and large arteries
Fetal right to left - neonate left to right leading to RVH and failure
Temporal arteritis
Inc interstitial osmotic pressure pulling fliud out of capillaries
Can progess to V fib
33. Given P = QR - what factors influence resistance?
Indomethacin closes - and pge keeps it open
Proportional to viscosity and inversely proportional to the radius to the 4th power
Persistant truncus arteriosus
Glomus tumor
34. serum marker for wegener's
Fetal right to left - neonate left to right leading to RVH and failure
C - ANCA
Late systolic crescendo murmur with a midsystolic click
Infective endocarditis
35. What is the gold standard for dx of MI in the first 6 hours
RV failure - in venous pressure
EKG
Slow conduction velocity - used by AV node prolongs transmission from atria to ventrical
CO
36. sawtooth wave
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
37. progressive lengthening of PR until beat is dropped - a p wave not followed by QRS
3rd degree syphillus - syphillit heart disease can lead to aortic valve incompetence
During diastole
2nd degree AV block - mobitz type 1
The operating point of the heart
38. The cause of pulmonary edema - paroxysmal nocturnal dyspnea?
LV failure - pulm venous distention transudation of fluid
Atrial contraction
Acute thrombosis of coronary artery
Can progess to V fib
39. In an EKG - What is the p wave?
Aortic dilation - bicuspid aortic valve - RF -
Inc TPR and LA return (expiration)
Atrial contraction
Varicose veins - thromboembolism rare
40. What do patients die early from in rheumatic heart disease?
Crescendo - decrescendo systolic ejection murmur following ejection click
Right sided
Transposition of great vessels
Early deaths from myocarditis
41. Hyperplastic onion skinning
Fever - Arthritis - Night sweats - Myalgia - SKIN nodules - Ocular disturbances - Weak pulses in upper extremities
Tetralogy of fallot - transposition of great vessels - truncus arteriosus - tricuspid atresia - TAPVR
Arteriolosclerosis in malignant hypertension
Cardiac tamponade - asthma - obstructive sleep apnea - pericarditis and croup
42. retrosternal chest main with exertion - ST depression on ECG - likely due atherosclerosis
Neg inotropy - HF - narcotic overdose
Stable angina
Subendocardial - fewer collaterals and higher pressure
Arteriolosclerosis in malignant hypertension
43. benign capillary skin papules in AIDS patients mistaken for kaposi sarcoma - caused by bartonella henselae
2nd degree AV block - mobitz type 1
Mitral and tricuspid closure
...
SA and AV nodes
44. What cardiac change occurs in pregnancy?
Non
PDA
Lymphangiosarcoma
Increased SV
45. Where are pacemaker cells?
Microscopic polyangiitis - like wegener's without granulomas
Age related calcifications or bicuspid aortic valve
The plateau period
SA and AV nodes
46. What is the definition of HTN?
140/90
Atherosclerosis
Takayasu's arteritis
Afterload (proportional to peripheral resistance)
47. What causes the CO curve to shift upwards?
Pos inotropy - exercise
Glomus tumor
Mean arterial pressure
MI
48. Where does coronary artery occlusion occur most commonly?
Cyclophosphamide and corticosteroids
LAD
Aburpt halting of valve leaflets
CHF
49. Rank the pacemakers cells
The LA - can cause dysphagia because of compression of the esophageal nerve or hoarseness by compressing the the recurrent laryngeal nerve
CO
SA>AV>bundle of His>ventricles
ANP
50. congenital heart defect in an infant with a diabetic mother?
Transposition of great vessels
Initial repol - inactivation of of voltage gated Na channels - voltage gated K channels begin to open
Sturge weber - vasculitis of caps
In parallel