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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. which heart valves are afected most in rheumatic heart diseease
Mitral>aortic>>tricuspid - high pressure valves affected most
Fever - Arthritis - Night sweats - Myalgia - SKIN nodules - Ocular disturbances - Weak pulses in upper extremities
Stroke volume
Late diastolic murmur following an opening snap
2. What does autoregulation do?
Maintain blood flow to organ over wide range of perfussion pressures
Inc central venous pressure - inc resistance to portal flow
Ischemic heart dz - mitral valve prolapse - LV dilation
In RA return (inspiration)
3. What is the most common cause of MI
Acute thrombosis of coronary artery
Atrial contraction
Greater ventricular EDV
Polyarteritis nodosum
4. disruption of the vasa vasorum of aorta - dilation of aorta and valve ring - tree bark appearance (calcifications on aortic root)
2-4 day - early coag necrosis on the first day
During diastole
3rd degree syphillus - syphillit heart disease can lead to aortic valve incompetence
5-10 days - macs have degraded structural components
5. Why is contractility decreased in heart failure?
Calcification in media of arteries esp radial and ulnar - does not obstruct blood flow - intima not involved
Hypertrophied cardiomyopathy
Systolic dysfunction
Libman - sacks endocarditis
6. What causes ankle - sacral edema - jugular venous distention
Apex and anterior interventricular septum
Black > white > asian
RV failure - in venous pressure
Shunt - VSD - PDA or patent foramen ovale - due to failure of the aorticopulmonary septum to spiral
7. What is the formula for EF?
SV/ EDV
ASD
Fever - roth's spots - osler's nodes - murmur - janeway lesions - anemia - nail - bed hemorrhages - emboli
Mitral>aortic>>tricuspid - high pressure valves affected most
8. What are tendinous xanthoma - atheromas - and corneal arcus signs of?
140/90
Hyperlipidemia
Hemorrhage
ASD - VSD - AV septal defect (endocardial cushion defect)
9. What causes the CO curve to shift downwards?
Neg inotropy - HF - narcotic overdose
Cherry hemangioma
QRS complex
Medullary vasomotor center senses baroreceptors and JGA
10. Which sympathetic receptors raise MAP
Beta 1 inc HR and cont - alpha 1 venocxn - alpha 1 arteriolar vascxn
Aortic insuffic - late
Boot shaped heart
Late in diastole - high atrial pressure - pushing against a stiff LV wall - associated with ventricular hypertrophy
11. highly lethal malignancy of the liver - associated with vinyl chloride - arsenic - and thorosrast exposure
In series
LCX - V4- V6
Angiosarcoma
Can progess to V fib
12. Mitral stenosis is most often secondary to which condition?
Hematocrit
Vasodilators
RF
Isovolumetric contraction
13. in the JVP - What is the a wave?
Tetrology of fallot - pulmonary stenosis - RVH - overiding aorta - VSD
Atrial contraction
Ventricular depolarization - nl < 120 msec
Late diastolic murmur following an opening snap
14. In an acute MI - are there any visible changes via LM in the first 2-4 hours
Takayasu's arteritis
Gap junctions
No
Hypotension - inc venous pressure - distant heart sounds - inc HR - pulsus paradoxus
15. disease of elastic arteries and large and medium sized muscular arteries
Vasodilators - (hydrAlAzine)
Angiosarcoma
Atherosclerosis
Wolff - Parkinson white syndrome
16. What happens with a decrease of extracellular Na
Venodilators (nitrogylcerine)
Decrease in activity of Na/Ca exhanger and increase in contractility
Resting potential high K perm
Aortic and pulmonary closing
17. How are the sarcomeres added in eccentric hypertrophy?
QRS complex
Resting potential high K perm
Ischemic heart dz - mitral valve prolapse - LV dilation
In series
18. Inspiration causes an increase in which sided heart sounds?
Late in diastole - high atrial pressure - pushing against a stiff LV wall - associated with ventricular hypertrophy
ASD - VSD - AV septal defect (endocardial cushion defect)
Right sided
S. epidermidis
19. What supplies the posterior left ventricle?
1st degree AV blodck
CFX
Increased SV
Cystic hygroma
20. retrosternal chest main with exertion - ST depression on ECG - likely due atherosclerosis
R to L shunt caused by stenoic pulmonic valve
Stable angina
P02
Aortic disecction - intraluminal tear forming false lumen
21. progressive lengthening of PR until beat is dropped - a p wave not followed by QRS
S. epidermidis
2nd degree AV block - mobitz type 1
Greater ventricular EDV
Endothelial cell dysfxn - mac and LDL accum - foam cell - fatty streaks - smooth muscle cell migration - fibrous plaque - comlex atheromas
22. benign capillary skin papules in AIDS patients mistaken for kaposi sarcoma - caused by bartonella henselae
Wegener's
Hyperlipidemia
...
During diastole
23. Which bacteria can cause endocarditis from prosthetic valves?
Wolff - Parkinson white syndrome
Age related calcifications or bicuspid aortic valve
S. epidermidis
140/90
24. Which kind of infarct show ST elevation - and/or pathologic Q waves
Transmural
PDA
Decreased
Pulsus parvus and tardus - weak - can lead to syncope
25. What does HTN predispose to?
Atherosclerosis - LVH - stroke - CHF - renal failure - retinopathy - aortic dissection
Arrhythmia - LV failure and pulm edema - cardiogenic shock - free wall rupture - aneurysm - postinfarcation fibrinous pericarditis - dressler's
Stroke volume affected by contractility - afterload - and preload
CO
26. CO x Total peripheral resistance
Mean arterial pressure
LAD > RCA > circumflex
Angiosarcoma
CK- MB
27. How does aldosterone raise MAP
Transfusion
Glossopharyngeal to soliary nucleus of medulla
Preload
Inc blood volume
28. what conditions are associated with pulsus paradoxus
Pulsus parvus and tardus - weak - can lead to syncope
RF
Cardiac tamponade - asthma - obstructive sleep apnea - pericarditis and croup
Inc venous return exaccerbates pulm vasc congestion
29. exaggerated decrease in pulse during inspiration.
30. What channels do the the pacemaker cells lack?
Inc Kf - capillary perm
Angiosarcoma
Fast volatge gated Na channels
CHF
31. What is the machine like murmur? What is the heart pathology and the predisposing causes
Eccentric - concentric hypertrophy causes diastolic disfunction
Patent ductus arteriosus - congenital rubella or prematurity
Transfusion
Torsades de pointes
32. In an EKG - What is the QT interval?
Dilation
Rapid repol - massive K influx - opening of voltage gated slow K channels and closure of Ca channels
Mechanican contraction of the ventricles
PDA
33. The cause of cardiac dilation?
Greater ventricular EDV
Vasodilators
Lymphangiosarcoma
Lower right - MC - upper right - AO - upper right AC - lower left MO
34. what percentage of HTN is secondary to renal disease?
10%
Microscopic polyangiitis - like wegener's without granulomas
Arteriorles
Postinfarction fibrinous pericarditis
35. sawtooth wave
36. congenital heart defect with 22q11
The first 4 days
Truncus - tet of fallot
Glossopharyngeal to soliary nucleus of medulla
10%
37. dyspnea - fatigue - edema and rales - multiple causes
CHF
Granulomatous vasculitis with eosinophilia. Asthma - sinusitis - skin lesions and periphereal neuropathy (wrist/foot drop) heart - GI - kidneys
Cherry hemangioma
Viridans streptococci
38. When during cardiac nodal cells depolarize?
Liver
During diastole
Late diastolic murmur following an opening snap
Arrhythmia - LV failure and pulm edema - cardiogenic shock - free wall rupture - aneurysm - postinfarcation fibrinous pericarditis - dressler's
39. congenital heart defect with congenital rubella
140/90
Inc venous return exaccerbates pulm vasc congestion
Patent ductus arteriosus - congenital rubella or prematurity
Septal defects - PDA - pulm art stenosis
40. In the cardiac and vascular function curves - In what instance is the vascular curve shifted to the right?
Metastasis from melanoma or lymphoma
Transfusion
Tetralogy of fallot - transposition of great vessels - truncus arteriosus - tricuspid atresia - TAPVR
Systolic dysfunction
41. Which murmur is characteristic of mitral/tricuspid regurg?
Holosystoiic
Filling is incomplete and CO falls
Indomethacin closes - and pge keeps it open
Extracellular calcium - calcium induced calcium release
42. What does T wave inversion indicated?
MI
Liver
Lower right - MC - upper right - AO - upper right AC - lower left MO
In parallel
43. bacterial endocarditis - previously normal valves - rapid onset - Which bacteria?
Systolic dysfunction
2nd degree AV block - mobitz type 1
Hemoptysis - hematuria - perforation of nasal septum - chronic sinusitis - otitis media - mastoiditis - cough dyspnea
S. aureus
44. What is the effect on the slope of phase 4 in pacemaker cells by Ach or adenosine?
Temporal arteritis
Decreases
Atrial fiutter - identical back to back atrial depol's - convert to sinus - cal IA - IC or III antiarrhythmics
Inc venous return exaccerbates pulm vasc congestion
45. What causes the CO curve to shift upwards?
Pos inotropy - exercise
Kids
Mitral and tricuspid closure
At least 55%
46. in the JVP - What is the c wave?
RV contraction (closed tricuspid valve bulding into atrium
2-4 day - early coag necrosis on the first day
Maintain blood flow to organ over wide range of perfussion pressures
Turners
47. What does prolonged QT predispose to?
RF
Extracellular calcium - calcium induced calcium release
Kaposi's sarcoma
Torsades de pointes
48. What happens in phase 2 of the cardiac ventricular action potential?
Turners
Plateau - influx of calcium through voltage gated ca channels - ca release from SR and contraction
Maintain blood flow to organ over wide range of perfussion pressures
ASD
49. congenital heart defect with turner's
Cardiac tamponade - asthma - obstructive sleep apnea - pericarditis and croup
S. aureus
Coarcation of aorta
Sturge weber - vasculitis of caps
50. In what disease states is blood viscosity increased?
ANP
Increasing activity of Ca pump in SR
Temporal arteritis
Polycythemia - hyperproteinemic states (multiple myeloma) - hereditary spherocytosis