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 do the carotid and aortic bodies respond to?
Infantile is proximal to ductus arteriosus and adult is distal. Infantile In and aDult is Distal to Ductus
Hemoptysis - hematuria - perforation of nasal septum - chronic sinusitis - otitis media - mastoiditis - cough dyspnea
Eccentric - concentric hypertrophy causes diastolic disfunction
Dec P02 - inc PC02 and dec pH
2. most common heart tumor
Metastasis from melanoma or lymphoma
SV/ EDV
In RA return (inspiration)
S. epidermidis
3. list the coronary vessels most likely to be occluded
Endothelial cell dysfxn - mac and LDL accum - foam cell - fatty streaks - smooth muscle cell migration - fibrous plaque - comlex atheromas
Troponin I
LAD > RCA > circumflex
Glossopharyngeal to soliary nucleus of medulla
4. In terms of starling forces - why does heart failure cause edema?
Aortic/pulmonic stenosis and mitral/tricuspid regurg
Lower right - MC - upper right - AO - upper right AC - lower left MO
Atrial fiutter - identical back to back atrial depol's - convert to sinus - cal IA - IC or III antiarrhythmics
Increase in Pc
5. Which bacteria can cause endocarditis from prosthetic valves?
Rapid repol - massive K influx - opening of voltage gated slow K channels and closure of Ca channels
S. epidermidis
MAP
Can progess to V fib
6. What are the different etiologies of dialted cardiomyopathy
EtOh - wet Beriberi - Coxsackie B - cocaine - chagas - doxorubicin - hemochromatosis - peripartum cardiomyopathy
Increase - increase the chance the If are open
Mitral stenosis
In RA return (inspiration)
7. dyspnea - fatigue - edema and rales - multiple causes
Sturge weber - vasculitis of caps
Greater ventricular EDV
CHF
Aortic/pulmonic stenosis and mitral/tricuspid regurg
8. What is the effect on the slope of phase 4 in pacemaker cells by Ach or adenosine?
Ventricular depolarization - nl < 120 msec
...
Anterosuperior displacement of the infundibular septum
Decreases
9. What does T wave inversion indicated?
Raynaud's
Late in diastole - high atrial pressure - pushing against a stiff LV wall - associated with ventricular hypertrophy
MI
Pyogenic granuloma - associated with trauma and pregnancy
10. in the JVP - What is the v wave?
Inc RA pressure - due to filling against closed tricupsid valve
MI
Indomethacin closes - and pge keeps it open
HTN - bradycardia - and respiratory depression
11. What causes aortic stenosis
Inc Kf - capillary perm
Age related calcifications or bicuspid aortic valve
Ventricles are depolarized
Buerger's disease
12. What is the gold standard for dx of MI in the first 6 hours
EKG
Wolff - Parkinson white syndrome
Total anomalous pulmonary trunk venous return
Glossopharyngeal to soliary nucleus of medulla
13. Right to left shunts are more common in babies or kids?
Ischemic heart dz - mitral valve prolapse - LV dilation
Increase in Pc
Decreased
Babies
14. diaphoresis - N/V - severe retrosternal pain - pain in left arm/jaw - SOB - fatigue - adrenergic symptoms
Atherosclerosis
Decreased
MI
Eccentric - concentric hypertrophy causes diastolic disfunction
15. moncekberg
Black > white > asian
Calcification in media of arteries esp radial and ulnar - does not obstruct blood flow - intima not involved
If sodium channel
Prinzmetal angina
16. most common primary cardiac tumor in adults - ball - valve obstruction in left atrium
Myxoma
Polyarteritis nodosum
LCX - I - aVL
No
17. What is the early and late lesion in rheumatic heart disease
Metastasis from melanoma or lymphoma
Mitral valve prolapse
Aortic stenosis or LBBB
Posterior descending (80% off the RCA - 20% off the circumflex)
18. What stimulates release of calcium from the SR?
Extracellular calcium - calcium induced calcium release
LAD > RCA > circumflex
PDA
LAD
19. What constitues the upstroke in pacemaker cells?
Mitral stenosis
Volatage gated Ca channels
Fluid movement through capillaries
Libman - sacks endocarditis
20. thrombosis w/o necrosis - ST elevation - worsening chest pain at rest or with minimal exertion
Systolic dysfunction
Unstable/crescendo angina
Can progess to V fib
Persistant truncus arteriosus
21. What is the definition of HTN?
Non
In RA return (inspiration)
R to L shunt caused by stenoic pulmonic valve
140/90
22. serum marker for wegener's
Infantile is proximal to ductus arteriosus and adult is distal. Infantile In and aDult is Distal to Ductus
Left sided
Transmural
C - ANCA
23. Which class of drugs decreases afterload?
Henoch - Schlonlein purpura
Metastasis from melanoma or lymphoma
Atrial contraction
Vasodilators - (hydrAlAzine)
24. which ethnic groups have higher association with HTN?
Kawasaki
Coarcation of aorta
Black > white > asian
CO
25. In an acute MI - are there any visible changes via LM in the first 2-4 hours
Prinzmetal angina
Age related calcifications or bicuspid aortic valve
ASD - VSD - AV septal defect (endocardial cushion defect)
No
26. benign capillary skin papules in AIDS patients mistaken for kaposi sarcoma - caused by bartonella henselae
Proportional to viscosity and inversely proportional to the radius to the 4th power
...
ASD
Activated histiocytes
27. What is the result of not have fast sodium channels in pacemaker cells?
Ventricles are depolarized
No - no pressure gradient
Slow conduction velocity - used by AV node prolongs transmission from atria to ventrical
Cardiac tamponade - asthma - obstructive sleep apnea - pericarditis and croup
28. retrosternal chest main with exertion - ST depression on ECG - likely due atherosclerosis
Late systolic crescendo murmur with a midsystolic click
Stable angina
RV failure - in venous pressure
Rhabdomyomas
29. What are common causes of mitral regurg?
Arteriolosclerosis in malignant hypertension
Decreased
S. epidermidis
Ischemic heart dz - mitral valve prolapse - LV dilation
30. Which lab value indicates blood viscosity?
1st degree AV blodck
Hematocrit
Vasodilators
Rapid repol - massive K influx - opening of voltage gated slow K channels and closure of Ca channels
31. Chronic mitral stenosis can lead to what changes in size of the LA
Dilation
Atrial contraction
2nd degree AV block - mobitz type 2 - may progess to 3rd degree block
Rhabdomyomas
32. S3 - dilated heart on US - balloon appearance on CXR - eccentric hypertrophy
Wegener's
Mitral and tricuspid closure
10%
Dilated cardiomyopathy
33. Rank the following by speed of conduction - av node - atria - purkinjee - ventricles
Stroke volume
Holosystolic - harsh sounding murmur - loudest over tricuspid area
Purkingee>atria>ventricles>AV node
3rd degree syphillus - syphillit heart disease can lead to aortic valve incompetence
34. Which valve is commonly involved in bacterial endocarditis from IV drug use and Which bacteria are most common?
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
35. What does an isoelectric ST segment indicate?
Late systolic crescendo murmur with a midsystolic click
MI
Ventricles are depolarized
Glossopharyngeal to soliary nucleus of medulla
36. What other sign is often present with congenital long QT syndrome - why?
MI
1st degree AV blodck
Sensironeural deafness - defects in sodium and potassium channels - jervell and lange - neilsen syndrome
Dec P02 - inc PC02 and dec pH
37. Which murmur is characteristic of mitral/tricuspid regurg?
RCA
Stable angina
Holosystoiic
Mean arterial pressure
38. When do you find hemosiderin laden macrophages in the lungs?
Immediate high pitched blowing diasystolic murmur with a wide pulse pressure
Vagus to medulla
During HF from microhemorrhages from inc pulm cap pressure
Inc Kf - capillary perm
39. How does aldosterone raise MAP
Increased efferent SANS and decreased efferent PANS
Diastolic
Decrease in activity of Na/Ca exhanger and increase in contractility
Inc blood volume
40. What causes ankle - sacral edema - jugular venous distention
Dilated cardiomyopathy
Pyogenic granuloma - associated with trauma and pregnancy
RV failure - in venous pressure
Subendocardial - fewer collaterals and higher pressure
41. what happens to capillaries in lymphatic blockage
Inc interstitial osmotic pressure pulling fliud out of capillaries
Pulse pressure
The LA - can cause dysphagia because of compression of the esophageal nerve or hoarseness by compressing the the recurrent laryngeal nerve
In HF
42. decrease stretch in baroreceptors leads to what response?
Raynaud's
Increased efferent SANS and decreased efferent PANS
Preload
Dilated cardiomyopathy
43. The cause of pulmonary edema - paroxysmal nocturnal dyspnea?
Inc afterload - inc contractility - inc heart rate - inc heart size (inc wall tension)
Pulmonary flow murmur and diastolic rumble
LV failure - pulm venous distention transudation of fluid
Myxoma
44. What kind of dysfunction ensues in restrictive cardiomyopathy
Neg inotropy - HF - narcotic overdose
Diastolic
Dec plasma proteins
Pulmonary flow murmur and diastolic rumble
45. What causes the murmur heard in MR to enhance?
Cherry hemangioma
Pulse pressure
Polyarteritis nodosum
Inc TPR and LA return (expiration)
46. in the JVP - What is the c wave?
Decreased
In series
RV contraction (closed tricuspid valve bulding into atrium
Immediate high pitched blowing diasystolic murmur with a wide pulse pressure
47. Mitral stenosis is most often secondary to which condition?
RCA
CFX
Pulsus parvus and tardus - weak - can lead to syncope
RF
48. What are the systolic heart sounds
P02
Aortic/pulmonic stenosis and mitral/tricuspid regurg
A fib - beta block or ca channel block - warfarin - thromboembolism prophylaxis
Dilated cardiomyopathy
49. What are tendinous xanthoma - atheromas - and corneal arcus signs of?
Hyperlipidemia
Immediate high pitched blowing diasystolic murmur with a wide pulse pressure
RV failure - in venous pressure
LAD
50. What are the complications of atherosclerosis?
Aneurysms - ischemia - infarcts - peripheral vasc dz - thromboemboli
Shunt - VSD - PDA or patent foramen ovale - due to failure of the aorticopulmonary septum to spiral
Endothelial cell dysfxn - mac and LDL accum - foam cell - fatty streaks - smooth muscle cell migration - fibrous plaque - comlex atheromas
Late diastolic murmur following an opening snap