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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. exaggerated decrease in pulse during inspiration.
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2. Where is the most posterior portion of the heart and What can it cause?
Ventricular depolarization - nl < 120 msec
The LA - can cause dysphagia because of compression of the esophageal nerve or hoarseness by compressing the the recurrent laryngeal nerve
Aortic/pulmonic regurg and mitral/tricuspid stenosis
Varicose veins - thromboembolism rare
3. In an EKG - What is the PR interval?
Stroke volume affected by contractility - afterload - and preload
Granuloma with giant cells
Conduction delay through AV node - nl < 200 msec
Inc blood volume
4. Fatal arrhythmia
Increasing activity of Ca pump in SR
V fib
Tetralogy of fallot - transposition of great vessels - truncus arteriosus - tricuspid atresia - TAPVR
Mechanican contraction of the ventricles
5. What is the definition of HTN?
Inc afterload - inc contractility - inc heart rate - inc heart size (inc wall tension)
Heart - 02 extraction is always around 100%
140/90
Mitral>aortic>>tricuspid - high pressure valves affected most
6. absecnce of tricuspid valve - hypoplastic RV
Decrease in activity of Na/Ca exhanger and increase in contractility
Tricuspid atresia - requires ASD and VSD
Hemoptysis - hematuria - perforation of nasal septum - chronic sinusitis - otitis media - mastoiditis - cough dyspnea
Greater ventricular EDV
7. congenital heart defect withdown syndrome
ASD - VSD - AV septal defect (endocardial cushion defect)
7 weeks
Apex and anterior interventricular septum
Kids
8. What murmur is heard with aortic regurg?
Hemoptysis - hematuria - perforation of nasal septum - chronic sinusitis - otitis media - mastoiditis - cough dyspnea
Stroke volume affected by contractility - afterload - and preload
Immediate high pitched blowing diasystolic murmur with a wide pulse pressure
Black > white > asian
9. Which murmur is heard in aortic stenosis?
Glossopharyngeal to soliary nucleus of medulla
Mitral and tricuspid closure
Aneurysms - ischemia - infarcts - peripheral vasc dz - thromboemboli
Crescendo - decrescendo systolic ejection murmur following ejection click
10. What is indicated when CO and venous return are equal?
Inc blood volume
Decrease in cAMP
Mitral valve
The operating point of the heart
11. fibrous plaques and atheromas in intima of arteries
Atherosclerosis
No - no pressure gradient
Shunt - VSD - PDA or patent foramen ovale - due to failure of the aorticopulmonary septum to spiral
Liver
12. machine murmer
PDA
Filling is incomplete and CO falls
Henoch - Schlonlein purpura
Left heart failure
13. What is the characteristic pulse in aortic stenosis?
Increase contractility
Anterosuperior displacement of the infundibular septum
Pulsus parvus and tardus - weak - can lead to syncope
Hematocrit
14. What kind of dysfunction ensues in restrictive cardiomyopathy
During diastole
CHF
Diastolic
Atherosclerosis
15. How does a patient with Tet of fallot learn to improve symptoms?
Dec plasma proteins
Increased SV
Squat. Compression of femoral arteries - inc TPR - dec
Liver
16. Which organ has ht highest blood flow per gram of tissue
Rhabdomyomas
Kidney
Increasing activity of Ca pump in SR
Aortic dilation - bicuspid aortic valve - RF -
17. smaller vegetations - congenitally abnormal or diseased valves - sequela of dental procedures. Insidious onset
If sodium channel
Viridans streptococci
ASD - VSD - AV septal defect (endocardial cushion defect)
Decrease in cAMP
18. What constitues the upstroke in pacemaker cells?
ANP
In parallel
Volatage gated Ca channels
Tricuspid - don't tri drugs - S. aureus - pseudomonas - candida
19. In terms of starling forces - why does heart failure cause edema?
Increase in Pc
Changes in CO as a function of preload
Subendocardial
RCA - II - III - aVF
20. What are anitschkow's cells
Activated histiocytes
Decrease in cAMP
LAD - V1 - V4
Calcification in media of arteries esp radial and ulnar - does not obstruct blood flow - intima not involved
21. coronary artery spasm - ST elevation
Aortic dilation - bicuspid aortic valve - RF -
Prinzmetal angina
Changes in CO as a function of preload
During HF from microhemorrhages from inc pulm cap pressure
22. In an EKG - What is the T wave?
Postinfarction fibrinous pericarditis
Squat. Compression of femoral arteries - inc TPR - dec
Late systolic crescendo murmur with a midsystolic click
Ventricular repolarization
23. highly lethal malignancy of the liver - associated with vinyl chloride - arsenic - and thorosrast exposure
Angiosarcoma
Hypotension - inc venous pressure - distant heart sounds - inc HR - pulsus paradoxus
Greater ventricular EDV
Truncus - tet of fallot
24. How does aldosterone raise MAP
Acute thrombosis of coronary artery
Late in diastole - high atrial pressure - pushing against a stiff LV wall - associated with ventricular hypertrophy
Inc blood volume
Atrial contraction
25. Which channel accounts for automaticity of the SA and AV nodes?
CO
CK- MB
Aortic insuffic - late
If sodium channel
26. In the cardiac and vascular function curves - In what instance is the vascular curve shifted to the right?
2-4 day - early coag necrosis on the first day
CK- MB
Transfusion
Mitral valve
27. Which murmur do you hear in mitral stenosis?
Decrease in cAMP
Black > white > asian
Late diastolic murmur following an opening snap
C - ANCA
28. What is the S2 sound?
CK- MB
Aortic and pulmonary closing
During diastole
Cyclophosphamide and corticosteroids
29. What does hypoxia cause in the lung versus other tissues?
MAP
Can progess to V fib
Pos inotropy - exercise
Vasocxn - while other tissues it causes vasodilation
30. How do catecholamines increase contractility?
Increasing activity of Ca pump in SR
Myxomatous degeneration - RF - chordae rupture
Transmural
R to L shunt caused by stenoic pulmonic valve
31. progressive lengthening of PR until beat is dropped - a p wave not followed by QRS
Septal defects - PDA - pulm art stenosis
2nd degree AV block - mobitz type 1
Pyogenic granuloma - associated with trauma and pregnancy
Stable angina
32. skin rash on buttocks and legs - arthralgia - intestinal hemorrhage - abdominal pain - melena. Follows URI - IgA immune complex - most common childhood systemic vasculitis
Henoch - Schlonlein purpura
Cardiac tamponade - asthma - obstructive sleep apnea - pericarditis and croup
Inc RA pressure - due to filling against closed tricupsid valve
Sturge weber - vasculitis of caps
33. benign - painful - red - blue tumor under fingernails from smooth muscle cells
Systolic dysfunction
Tricuspid - don't tri drugs - S. aureus - pseudomonas - candida
Aortic stenosis or LBBB
Glomus tumor
34. What causes hepatomegaly?
Early deaths from myocarditis
Inc central venous pressure - inc resistance to portal flow
Venodilators (nitrogylcerine)
Fick principle
35. CO x Total peripheral resistance
Mean arterial pressure
Angiosarcoma
Decrease in cAMP
A fib - beta block or ca channel block - warfarin - thromboembolism prophylaxis
36. How are the sarcomeres added in eccentric hypertrophy?
Hypertrophied cardiomyopathy
In series
Preload
Adult type aortic coarctation
37. no change in PR interval followed by dropped beat
Liver
2nd degree AV block - mobitz type 2 - may progess to 3rd degree block
Aburpt halting of valve leaflets
Cherry hemangioma
38. diaphoresis - N/V - severe retrosternal pain - pain in left arm/jaw - SOB - fatigue - adrenergic symptoms
Isovolumetric contraction
MI
7 weeks
HypoK and bradycardia
39. What supplies the posterior left ventricle?
CFX
Hyperlipidemia
Holosystoiic
Hemoptysis - hematuria - perforation of nasal septum - chronic sinusitis - otitis media - mastoiditis - cough dyspnea
40. acute - self limiting necrotizing vasculitis in children associated with fever - conjunctivitis - strawberry tongue - desquamatous skin rash - lymphadenitis - coronary sinus aneurysms. Seen in asians
Granulomatous vasculitis with eosinophilia. Asthma - sinusitis - skin lesions and periphereal neuropathy (wrist/foot drop) heart - GI - kidneys
The aortic before pulmonic - inspiration increases diff
Kawasaki
Pulmonary flow murmur and diastolic rumble
41. In the cardiac and vascular function curves - In what instance is the vascular curve shifted to the left?
LAD > RCA > circumflex
Hemorrhage
Patent ductus arteriosus - congenital rubella or prematurity
Left atrial pressure
42. in the JVP - What is the c wave?
Increase in Pc
HTN - bradycardia - and respiratory depression
RV contraction (closed tricuspid valve bulding into atrium
EKG
43. prolonged PR interval
Rapid repol - massive K influx - opening of voltage gated slow K channels and closure of Ca channels
1st degree AV blodck
Inc TPR and LA return (expiration)
Increasing activity of Ca pump in SR
44. Where are pacemaker cells?
Tricuspid atresia - requires ASD and VSD
Adult type aortic coarctation
SA and AV nodes
Increased efferent SANS and decreased efferent PANS
45. In an EKG - What is the p wave?
Initial repol - inactivation of of voltage gated Na channels - voltage gated K channels begin to open
Atrial contraction
Pulsus parvus and tardus - weak - can lead to syncope
Takayasu's arteritis
46. Which two mechanisms sense decrease MAP?
Atrial fiutter - identical back to back atrial depol's - convert to sinus - cal IA - IC or III antiarrhythmics
Volatage gated Ca channels
Myxomatous degeneration - RF - chordae rupture
Medullary vasomotor center senses baroreceptors and JGA
47. Which bacteria causes rheumatic heart disease
Fever - roth's spots - osler's nodes - murmur - janeway lesions - anemia - nail - bed hemorrhages - emboli
Prinzmetal angina
Group a beta hemolytic strep
Late diastolic murmur following an opening snap
48. most common primary cardiac tumor in children - associated with tuberous sclerosis
Septal defects - PDA - pulm art stenosis
Stroke volume
Heart - 02 extraction is always around 100%
Rhabdomyomas
49. When does extracellular calcium enter the cardiac muscle cells during contraction?
The plateau period
Diastolic
Rapid upstroke - voltage gated Na channels open
Hyperlipidemia
50. Wegener's presentation
Abdominal aorta>coronary artery>popliteal artery>carotid artery ACoPCa
Inc TPR and LA return (expiration)
Hemoptysis - hematuria - perforation of nasal septum - chronic sinusitis - otitis media - mastoiditis - cough dyspnea
Tetrology of fallot - pulmonary stenosis - RVH - overiding aorta - VSD