Heart Failure And Inflammation Quiz: Trivia!

14 Questions | Total Attempts: 427

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Heart Failure And Inflammation Quiz: Trivia!

The heart is what many consider to be the single most important organ in the body, as it pumps blood to every other organ which allows our bodies to tick away like normal. But as such an important organ, there is a lot of serious complications that can come about with it, such as cardiomyopathy, heart failure, and heart disease. What do you know about them?


Questions and Answers
  • 1. 
    This 48-year-old woman presents with shortness of breath and a non-productive cough which has been worsening over the last 6 months.  The most likely cause of her chest x-ray would be:
    • A. 

      Low output failure associated with seeing a really scary movie

    • B. 

      Volume depletion resulting in low output failure

    • C. 

      Decreased cardiac output secondary to cardiomyopathy

    • D. 

      High output heart failure

  • 2. 
    You attend an autopsy of a 65-year-old man who died suddenly at home.  The pathologist shows you the heart and describes "cardiomegaly with concentric left ventricular hypertrophy".  He tells you the kidneys have "arteriolonephrosclerosis".  What is the patient's cause of death?
    • A. 

      Hypertensive cardiovascular disease

    • B. 

      Coronary atherosclerosis

    • C. 

      Hypertrophic cardiomyopathy

    • D. 

      Aortic stenosis

    • E. 

      Mitral valve prolapse

  • 3. 
    A 24-year-old man, marathon runner, and endurance athlete, suddenly develops an illness characterized by cough, high fever, and severe muscle aches.  Within a day he is developing signs of heart failure.  Due to the severe nature of his illness a myocardial biopsy is performed, a photomicrograph of which is shown below.  What is the diagnosis?
    • A. 

      Rheumatic heart disease

    • B. 

      Hypertrophic cardiomyopathy

    • C. 

      Dilated cardiomyopathy

    • D. 

      Viral myocarditis

    • E. 

      Cardiac angiosarcoma

  • 4. 
    A 21-year-old NCAA basketball player dies during a game.  He has no known medical problems or previous history of illness. Which of the following is most likely?
    • A. 

      Dilated cardiomyopathy

    • B. 

      Restrictive cardiomyopathy

    • C. 

      Viral cardiomyopathy

    • D. 

      Arrhythmogenic right ventricular cardiomyopathy

    • E. 

      Hypertrophic cardiomyopathy

  • 5. 
    This 49-year old obese Afro-Caribbean female presents to the emergency room with shortness of breath. She complains that ordinary activity can leave her slightly fatigued and short of breath. Her past history is significant for type 2 diabetes, hypertension, and a long history of alcohol abuse.   Her blood pressure is 150/88. On physical exam, she has bilateral lung crackles and an S3 gallop and 3+ pitting edema. Which of the following is the best predictor of her prognosis?
    • A. 

      History of obesity and type 2 diabetes

    • B. 

      An elevated creatine phosphokinase

    • C. 

      Hypertension

    • D. 

      An elevated brain naturetic peptide

  • 6. 
    A 27-year-old Caucasian male, a professional basketball player develops severe chest pain during a game. Echocardiography reveals an asymmetrically thickened interventricular septum along with a decreased end-diastolic volume. Which of the following is the most likely diagnosis?
    • A. 

      Hypertrophic cardiomyopathy

    • B. 

      Endomyocardial fibrosis

    • C. 

      Heart amyloidosis

    • D. 

      Physiologic heart hypertrophy

  • 7. 
    The pictures shown below represent the gross and microscopic changes of the heart of a 60 –year- an old Caucasian male who died with multiple symptoms of left-sided heart failure including cough and dyspnea. What laboratory test finding is most likely to be found in the patient’s medical record?
    • A. 

      High anti-double-stranded DNA antibody titer

    • B. 

      Elevated serum p-ANCA titer

    • C. 

      Hyperlipidemia

    • D. 

      Antibodies against Treponema pallidum

  • 8. 
    A 25-year-old Hispanic female dies after 5 days of an acute coxsackievirus infection.  Autopsy reveals a widely distended pericardial sac filled with serous fluid. The heart is of normal weight. Both ventricular walls are of normal thickness and all chambers are of normal size.  There is no history of cardiac abnormalities prior to infection and a heart monitor during the course of the illness shows no evidence of fatal arrhythmia.  Which of the following is the most likely mechanism for heart failure?  
    • A. 

      Reduced preload

    • B. 

      Increased preload

    • C. 

      Increased afterload

    • D. 

      Decreased afterload

  • 9. 
    This 45-year-old patient presents with shortness of breath and a non-productive cough which has worsened over several months. Based on this x-ray, the most likely diagnosis is
    • A. 

      Congestive heart failure

    • B. 

      Right-sided heart failure

    • C. 

      Hypertension

    • D. 

      Pulmonary edema

  • 10. 
    A 42-year-old African female with a history of rheumatic fever presents to the outpatient clinic with dyspnea, fatigue, lower leg edema, dry cough with scanty amount of rusty sputum, and abdominal distension. Physical examination reveals cyanosis, pedal edema, ascites, and rales in both lower lung fields. A chest X-ray reveals left atrial enlargement and pulmonary edema. Which of the following is the most likely type of heart failure seen in this patient?
    • A. 

      Chronic combine LSHF and RSHF

    • B. 

      Chronic LSHF

    • C. 

      Acute RSHF

    • D. 

      Acute LSHF

  • 11. 
    A 42-year-old African female with a history of rheumatic fever presents to the outpatient clinic with dyspnea, fatigue, lower leg edema, dry cough with scanty amount of rusty sputum, and abdominal distension. Physical examination reveals cyanosis, pedal edema, ascites, and rales in both lower lung field. A chest X-ray reveals left atrial enlargement and pulmonary edema. Which of the following is the most likely type of heart failure seen in this patient?     Clinical scenario from the previous question  Which of the following is the most likely mechanism of heart (LV) failure in this patient?
    • A. 

      Increased pressure overload

    • B. 

      Reduced preload

    • C. 

      Increased volume overload

    • D. 

      Impaired contractility

  • 12. 
    A 60-year-old hypertensive businessman, on therapy over the past 10 years, woke his wife (who slept in the same bed) at about 2 AM - 3 AM on three occasions over the last week, complaining of shortness of breath, cough, and palpitations.  He sat up on each occasion breathing deeply, went to the open window “to get some fresh air” then returned to bed after settling down in half an hour or so. 
    • A. 

      He needs to see his doctor for hospitalization, because he is developing an acute myocardial infarction

    • B. 

      He needs to consult his doctor for and ECG, chest X-ray and ECHO because he may be going into left ventricular failure.

    • C. 

      His clinician told him that he was showing evidence of right-sided heart failure and would start him on therapy

    • D. 

      His wife was worried about an allergic reaction to his evening medication (for cholesterol lowering) and his doctor agreed to change this

  • 13. 
    Examination of the endomyocardial biopsy obtained from a 14-year-old African girl reveals the changes shown below. What is the most likely diagnosis?
    • A. 

      Viral myocarditis

    • B. 

      Giant cell myocarditis

    • C. 

      Rheumatic myocarditis

    • D. 

      Dilated cardiomyopathy

  • 14. 
    An eight-month-old African American male infant develops cardiac failure and dies two months later. At autopsy, the heart does not have any obvious congenital defects, but the heart chambers are small and covered with the thick white endocardium. Histologic examination of the postmortem material reveals regular elastic fibers embedded in the thickened fibrous endocardium. Which of the following is the most likely diagnosis?
    • A. 

      Kawasaki disease

    • B. 

      Emdomyocardial fibrosis

    • C. 

      Loffler endocarditis

    • D. 

      Endocardial fibroelastosis

    • E. 

      Cardiac amyloidosis