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Test your basic knowledge |
USMLE Cardiovascular Physiology
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Subjects
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health-sciences
,
usmle
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. Progressive lengthening of PR interval until dropped QRS complex
Wide S2 splitting
Fixed S2 splitting
Mobitz type I (Wenckebach) 2nd degree AV block
T wave inversion on EKG
2. Rapid repolarization due to massive K efflux & closure of Ca channels
Phase 2 of nodal AP
Phase 3 of ventricular AP
Wide S2 splitting
U wave on EKG
3. Holosystolic 'blowing murmur' loudest at left 5th intercostal space midclavicular line - & is enhanced by expiration (increased LA return) & squatting (increased TPR)
S3
Ventricular septal defect
A flutter on EKG
Mitral Regurgitation
4. Pulmonic valve closure before aortic valve closure associated with aortic stenosis or LBBB (delayed left ventrical emptying)
Paradoxical S2 splitting
A fib on EKG
Torsades de Pointes
Auscultation location of aortic area
5. Atria & ventricles beat independent of each other - no relation between P waves & QRS complexes
3rd degree complete AV block
Normal S2 splitting
Phase 3 of ventricular AP
Mobitz type II 2nd degree AV block
6. Pull fluid out of capillary
Auscultation location of pulmonic area
U wave on EKG
Wide S2 splitting
Interstitial fluid colloid osmotic pressure
7. Plateau due to Ca influx balancing K efflux Myocyte contraction
Mitral stenosis
Phase 2 of ventricular AP
Phase 3 of ventricular AP
S2
8. Associated with atrial septal defect (ASD) - allowing a left to right shunt that increases flow through pulmonic valve and delays closure
Ventricular septal defect
Lyme disease can cause why type of AV block?
Torsades de Pointes
Fixed S2 splitting
9. Prolonged PR interval
Fixed S2 splitting
Effect of inspiration on S2 splitting
S4
1st degree AV block on EKG
10. Repolarization due to inactivation of Ca channels & activation of K channels
Resistance is directly proportional to...
Phase 3 of ventricular AP
Aortic regurgitation
Phase 3 of nodal AP
11. Holosystolic 'blowing murmur' loudest at left sternal border near 4th rib - & is enhanced by inspiration (increased RA return)
Mitral stenosis
Tricuspid Regurgitation
Ventricular septal defect
Aortic Stenosis
12. Posterior descending artery (80% from RCA - 20% from CFX via LCA)
A flutter on EKG
Phase 2 of nodal AP
Supplies blood to the base of the left ventricle
Auscultation location of aortic area
13. Late systolic crescendo murmur (loudest at S2) following a midsystolic click - enhanced by squatting (increased TPR)
3rd degree complete AV block
Tricuspid Regurgitation
Mitral prolapse
Wolff - Parkinson - White Syndrome
14. Rapid upstroke due to voltage - gated Na channel opening
Mobitz type II 2nd degree AV block
Fixed S2 splitting
Ventricular septal defect
Phase 0 of ventricular AP
15. Radius to the 4th power
T wave inversion on EKG
Resistance is inversely proportional to...
Phase 3 of ventricular AP
Phase 4 of nodal AP
16. Delayed 'rumbling' late diastolic murmur following an opening snap
Resistance is inversely proportional to...
Ventricular septal defect
Mitral stenosis
Auscultation location of tricuspid area
17. 2nd intercostal space along right sternal border
Auscultation location of aortic area
Mobitz type I (Wenckebach) 2nd degree AV block
Mitral prolapse
Fick principle
18. Indicates recent MI
Mobitz type I (Wenckebach) 2nd degree AV block
Effect of inspiration on S2 splitting
T wave inversion on EKG
Phase 4 of nodal AP
19. Aortic valve closure slightly before pulmonic valve closure at end of systolic ejection
Resistance is inversely proportional to...
Phase 3 of nodal AP
Normal S2 splitting
Patent ductus arteriosus
20. 3rd degree
Lyme disease can cause why type of AV block?
Phase 2 of ventricular AP
Net filtration pressure
Mitral stenosis
21. 'Irregularly irregular' - No discrete P waves and irregularly spaced QRS complexes
Auscultation location of mitral area
A fib on EKG
S3
Resistance is inversely proportional to...
22. 5th intercostal space at left midclavicular line
Auscultation location of mitral area
Interstitial fluid colloid osmotic pressure
Fick principle
Auscultation location of tricuspid area
23. Dropped QRS complexes not preceded by change in PR interval (can be 2:1 - 3:1 - etc)
Tricuspid Regurgitation
Mobitz type II 2nd degree AV block
Paradoxical S2 splitting
S4
24. Pushes fluid into capillary
Resistance is inversely proportional to...
Paradoxical S2 splitting
Interstital hydrostatic pressure (Pi)
Mobitz type I (Wenckebach) 2nd degree AV block
25. V Tach with shifting sinusoidal waveforms on EKG - can progess to V fib - Predisposed by QT prolongation
Mobitz type I (Wenckebach) 2nd degree AV block
Torsades de Pointes
S1
Ventricular septal defect
26. Absent (no plateau in nodal tissue)
Tricuspid Regurgitation
Phase 2 of nodal AP
A fib on EKG
Phase 0 of ventricular AP
27. Pushes fluid out of capillary
Capillary hydrostatic pressure (Pc)
1st degree AV block on EKG
Phase 4 of ventricular AP
Mitral Regurgitation
28. Aortic & pulmonic valve closure
Ventricular septal defect
S2
Torsades de Pointes
Fick principle
29. Holosystolic 'harsh' murmur that is loudest at left sternal border near 4th rib
Capillary hydrostatic pressure (Pc)
Patent ductus arteriosus
Ventricular septal defect
Auscultation location of tricuspid area
30. Initial repolarization due to inactivation of Na channels & opening of voltaged - gated K channels
A flutter on EKG
Resistance is inversely proportional to...
Phase 1 of ventricular AP
Mean arterial pressure (MAP) =
31. Slow diastolic depolarization with Na conductance that accounts for automaticity of SA/AV nodes (slope determines HR)
Aortic Stenosis
Wolff - Parkinson - White Syndrome
Phase 4 of nodal AP
S1
32. High pitched 'blowing' diastolic murmur - can decrease intensity of murmur with vasodilation
Resistance is inversely proportional to...
Interstitial fluid colloid osmotic pressure
Aortic regurgitation
Mitral prolapse
33. = (capillary pressure - interstital fluid pressure) - (plasma oncotic pressure - interstital fluid oncotic pressure)
Phase 0 of nodal AP
Mean arterial pressure (MAP) =
Net filtration pressure
T wave inversion on EKG
34. Continuous machine - like murmur that is loudest at S2
Normal S2 splitting
Patent ductus arteriosus
Resistance is inversely proportional to...
1st degree AV block on EKG
35. Early diastole rapid filling sound heard with dilated ventricle (normal in children & pregnant women)
Phase 2 of nodal AP
Phase 1 of ventricular AP
S3
S4
36. CO = rate of O2 consumption / (arterial O2 content - venous arterial O2 content)
Phase 4 of ventricular AP
Tricuspid Regurgitation
Fick principle
Lyme disease can cause why type of AV block?
37. Late diastole 'atrial kick' sound against increased pressure from ventricular hypertrophy
S4
Fick principle
Mitral stenosis
Interstitial fluid colloid osmotic pressure
38. Rapid back - to - back atrial depolarization -> 'sawtooth' appearance
Fixed S2 splitting
Mobitz type II 2nd degree AV block
A flutter on EKG
Normal S2 splitting
39. Pulls fluid into capillary
Interstitial fluid colloid osmotic pressure
Plasma colloid osmotic pressure
Phase 1 of ventricular AP
Normal S2 splitting
40. Cardiac output (CO) x total peripheral resistance (TPR) - or 2/3 diastolic pressure + 1/3 systolic pressure
Fixed S2 splitting
Phase 3 of nodal AP
Phase 1 of ventricular AP
Mean arterial pressure (MAP) =
41. Mitral & tripcuspid valve closure
Phase 4 of nodal AP
Interstitial fluid colloid osmotic pressure
Torsades de Pointes
S1
42. 4th rib at left sternal border
Auscultation location of tricuspid area
Common causes of edema
T wave inversion on EKG
Interstital hydrostatic pressure (Pi)
43. 2nd intercostal space along left sternal border
Phase 3 of ventricular AP
Interstital hydrostatic pressure (Pi)
Mitral stenosis
Auscultation location of pulmonic area
44. Upstroke due to opening of Ca channels (Nodal tissues lack fast Na channels which allows for a prolonged AV node transmission from atria to ventricles)
Net filtration pressure
Aortic Stenosis
Phase 0 of nodal AP
Phase 2 of nodal AP
45. 1) increased capillary pressure - CHF 2) decreased plasma proteins - nephrotic syndrome - liver failure 3) increased capillary permeability - toxins - burns - infections 4) increased interstital osmotic pressure - lymphatic obstruction
Common causes of edema
Fixed S2 splitting
S1
Resistance is directly proportional to...
46. Ventricular pre - excitation caused by an accessory conduction pathway that bypasses the AV node. Delta wave on EKG. Can lead to SVT.
Fick principle
Auscultation location of mitral area
Wolff - Parkinson - White Syndrome
Phase 2 of ventricular AP
47. Resting potential due to high K permeability
Phase 4 of ventricular AP
Mobitz type II 2nd degree AV block
Effect of inspiration on S2 splitting
Aortic Stenosis
48. Inspiration delays pulmonic valve closure - which increases S2 splitting
Effect of inspiration on S2 splitting
Lyme disease can cause why type of AV block?
Normal S2 splitting
T wave inversion on EKG
49. Crescendo - decrescendo systolic ejection murmur following an ejection click. Associated with weak pulses & syncope.
Auscultation location of aortic area
Aortic regurgitation
Aortic Stenosis
Effect of inspiration on S2 splitting
50. Caused by hypokalemia or bradycardia
Auscultation location of mitral area
S2
Fick principle
U wave on EKG
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