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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 progression of atherosclerosis?
Endothelial cell dysfxn - mac and LDL accum - foam cell - fatty streaks - smooth muscle cell migration - fibrous plaque - comlex atheromas
Pulmonary flow murmur and diastolic rumble
Dec P02 - inc PC02 and dec pH
Sensironeural deafness - defects in sodium and potassium channels - jervell and lange - neilsen syndrome
2. How are cadiac myocytes eltrically coupled?
Initial repol - inactivation of of voltage gated Na channels - voltage gated K channels begin to open
ANP
Aortic insuffic - late
Gap junctions
3. When does EF decrease
No - no pressure gradient
In HF
Maintain blood flow to organ over wide range of perfussion pressures
At least 55%
4. coronary artery spasm - ST elevation
Early deaths from myocarditis
Infantile is proximal to ductus arteriosus and adult is distal. Infantile In and aDult is Distal to Ductus
Prinzmetal angina
CO
5. How does aldosterone raise MAP
Patent ductus arteriosus - congenital rubella or prematurity
Increasing activity of Ca pump in SR
Inc RA pressure - due to filling against closed tricupsid valve
Inc blood volume
6. Restrictive cardiomyopathy causes
Polyarteritis nodosum
HypoK and bradycardia
Atherosclerosis
Sarcoid - amyloid - postradiation fibrosis - endocardial fibroelastosis - Loffler - hemochromatosis
7. When and why do you hear the S4 sound
Late in diastole - high atrial pressure - pushing against a stiff LV wall - associated with ventricular hypertrophy
Infantile is proximal to ductus arteriosus and adult is distal. Infantile In and aDult is Distal to Ductus
Aortic/pulmonic stenosis and mitral/tricuspid regurg
Initial repol - inactivation of of voltage gated Na channels - voltage gated K channels begin to open
8. no relation between p waves and QRS intervals - treatment and predisposing factor
Aneurysms - ischemia - infarcts - peripheral vasc dz - thromboemboli
3rd degree block - pacemaker - Lyme disease
Neg inotropy - HF - narcotic overdose
Fast volatge gated Na channels
9. In an acute MI - are there any visible changes via LM in the first 2-4 hours
No
Beta 1 inc HR and cont - alpha 1 venocxn - alpha 1 arteriolar vascxn
Conduction delay through AV node - nl < 200 msec
Changes in CO as a function of preload
10. benign cap hemangioma of infancy - spont regresses
Strawberry hemangioma
Dec P02 - inc PC02 and dec pH
During diastole
Medullary vasomotor center senses baroreceptors and JGA
11. Weak pulses - notching of the ribs on xray - HTN in upper extremeties and weak peripheral pulses
Babies
Adult type aortic coarctation
Increase intracellular Na - resulting in increased Ca
Filling is incomplete and CO falls
12. What do the carotid and aortic bodies respond to?
Dec P02 - inc PC02 and dec pH
A fib - beta block or ca channel block - warfarin - thromboembolism prophylaxis
Tetrology of fallot - pulmonary stenosis - RVH - overiding aorta - VSD
Vasodilators
13. What are anitschkow's cells
During HF from microhemorrhages from inc pulm cap pressure
CK- MB
Activated histiocytes
Cardiac tamponade - asthma - obstructive sleep apnea - pericarditis and croup
14. What 4 things drive myocardial 02 demand?
3rd degree syphillus - syphillit heart disease can lead to aortic valve incompetence
Normal in children and pregs - assoc with inc filling pressures - early in diastole during rapid ventricular filling
Inc afterload - inc contractility - inc heart rate - inc heart size (inc wall tension)
Transfusion
15. What do patients die early from in rheumatic heart disease?
Metastasis from melanoma or lymphoma
Early deaths from myocarditis
The LA - can cause dysphagia because of compression of the esophageal nerve or hoarseness by compressing the the recurrent laryngeal nerve
Coarcation of aorta
16. In an anteroseptal infarct - which artery is effected - and which leads show Q waves?
LAD - V1- V2
Vasodilators - (hydrAlAzine)
Myxomatous degeneration - RF - chordae rupture
Rhabdomyomas
17. What is sudden cardiac death most commonly due to...
Torsades de pointes
Coarcation of aorta
Cardiac tamponde
V fib arrhythima
18. What happens in phase 4 of the cardiac ventricular action potential?
Pos inotropy - exercise
V fib
Yes
Resting potential high K perm
19. What is associated with paradoxical spliting of S2
CK- MB
Inc afterload - inc contractility - inc heart rate - inc heart size (inc wall tension)
Cherry hemangioma
Aortic stenosis or LBBB
20. Fatal arrhythmia
Fluid movement through capillaries
V fib
Pulmonary flow murmur and diastolic rumble
Atherosclerosis
21. most common primary cardiac tumor in children - associated with tuberous sclerosis
Diastolic
Rhabdomyomas
Vasocxn - while other tissues it causes vasodilation
Increase contractility
22. Hyperplastic onion skinning
Arteriolosclerosis in malignant hypertension
Inc venous return exaccerbates pulm vasc congestion
Mitral valve prolapse
Aneurysms - ischemia - infarcts - peripheral vasc dz - thromboemboli
23. Which class of drugs decreases afterload?
In RA return (inspiration)
Vasodilators - (hydrAlAzine)
Pulsus parvus and tardus - weak - can lead to syncope
Black > white > asian
24. moncekberg
Medullary vasomotor center senses baroreceptors and JGA
Myxomatous degeneration - RF - chordae rupture
Temporal arteritis
Calcification in media of arteries esp radial and ulnar - does not obstruct blood flow - intima not involved
25. Right to left shunts are more common in babies or kids?
Gap junctions
Babies
Late in diastole - high atrial pressure - pushing against a stiff LV wall - associated with ventricular hypertrophy
Increase in Pc
26. On the cardiac cycle graph - on which corners do the opening and closing of the aortic and mitral valves occur?
Lower right - MC - upper right - AO - upper right AC - lower left MO
Aortic insuffic - late
Vasocxn - while other tissues it causes vasodilation
Vagus to medulla
27. L to R shunt becomes R to L due to increase pulm pressures from original congenital heart defect
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28. In the cardiac and vascular function curves - In what instance is the vascular curve shifted to the left?
EtOh - wet Beriberi - Coxsackie B - cocaine - chagas - doxorubicin - hemochromatosis - peripartum cardiomyopathy
CHF
Vasocxn - while other tissues it causes vasodilation
Hemorrhage
29. When during cardiac nodal cells depolarize?
Inc interstitial osmotic pressure pulling fliud out of capillaries
Posterior descending (80% off the RCA - 20% off the circumflex)
Pyogenic granuloma - associated with trauma and pregnancy
During diastole
30. What cardiac change occurs in pregnancy?
Increase contractility
Libman - sacks endocarditis
Aortic/pulmonic regurg and mitral/tricuspid stenosis
Increased SV
31. which heart valves are afected most in rheumatic heart diseease
PDA
Hyperlipidemia
Mitral>aortic>>tricuspid - high pressure valves affected most
Transmural
32. Which valve is most commonly involved in bacterial endocarditis?
Stroke volume
Atrial contraction
Mitral valve
Preload
33. What is the most common cause of MI
During HF from microhemorrhages from inc pulm cap pressure
LAD > RCA > circumflex
Acute thrombosis of coronary artery
Increase in Pc
34. stroke volume x HR =?
CO
Initial repol - inactivation of of voltage gated Na channels - voltage gated K channels begin to open
Wolff - Parkinson white syndrome
Rhabdomyomas
35. The 7 complications of MI
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36. systolic - diastolic
Myxomatous degeneration - RF - chordae rupture
Pulse pressure
EKG
Conduction delay through AV node - nl < 200 msec
37. When does extracellular calcium enter the cardiac muscle cells during contraction?
Rhabdomyomas
The plateau period
Arteriolosclerosis in malignant hypertension
Transposition of great vessels
38. highly lethal malignancy of the liver - associated with vinyl chloride - arsenic - and thorosrast exposure
Angiosarcoma
Eisenmenger's syndrome
Kidney
RF
39. How does angiotensin II raise MAP
Aortic disecction - intraluminal tear forming false lumen
Neg inotropy - HF - narcotic overdose
Vasocxn
Arrhythmia - LV failure and pulm edema - cardiogenic shock - free wall rupture - aneurysm - postinfarcation fibrinous pericarditis - dressler's
40. Where does coronary artery occlusion occur most commonly?
Mean arterial pressure
Abdominal aorta>coronary artery>popliteal artery>carotid artery ACoPCa
Boot shaped heart
LAD
41. When is the scar completely formed in an MI?
Liver
Hypertrophied cardiomyopathy
Greater ventricular EDV
7 weeks
42. machine murmer
Beta 1 inc HR and cont - alpha 1 venocxn - alpha 1 arteriolar vascxn
Kaposi's sarcoma
PDA
At least 55%
43. What causes the cushing reflex and why
...
Holosystolic - harsh sounding murmur - loudest over tricuspid area
Inc ICP - cerebral ischemia - inc SANS tone (HTN) and reflex bradycardia
Hemorrhage
44. Which vessels account for the most total peripheral resistance
Aortic disecction - intraluminal tear forming false lumen
Failure of LV to in CO during exercise
During diastole
Arteriorles
45. Which lab value indicates blood viscosity?
Hematocrit
2-4 day - early coag necrosis on the first day
Vasocxn - while other tissues it causes vasodilation
ANP
46. EDV - ESV
Stroke volume
Preload
5-10 days - macs have degraded structural components
Mitral valve
47. MAP is also known as
A fib - beta block or ca channel block - warfarin - thromboembolism prophylaxis
Afterload (proportional to peripheral resistance)
Age related calcifications or bicuspid aortic valve
Greater ventricular EDV
48. What causes the CO curve to shift upwards?
Decreases
Fever - erythema marginatum - valvular damage - ESR - red hot joints - subQ nodules - St. vitus dance (chorea)
RCA - II - III - aVF
Pos inotropy - exercise
49. failure of truncus arteriosus to divide?
Arteriorles
Granulomatous vasculitis with eosinophilia. Asthma - sinusitis - skin lesions and periphereal neuropathy (wrist/foot drop) heart - GI - kidneys
Indomethacin closes - and pge keeps it open
Persistant truncus arteriosus
50. immune mediated transmural vasculitis with fibrinoid necrosis - small and medium vessels - renal and viscera - not pulm arteries - hep B seropos in 30% of pts
2nd degree AV block - mobitz type 2 - may progess to 3rd degree block
Polyarteritis nodosum
Chordae rupture - GN - suppurative pericarditis - emboli
Infective endocarditis