Cardiology--chf

22 Questions

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Cardiology Quizzes & Trivia

Review questions based on Medina's lecture and the book without any objectives provided by Keuter.


Questions and Answers
  • 1. 
    Congestive heart failure is:
    • A. 

      Common in younger to middle aged patients

    • B. 

      Caused by structural and not functional cardiac disorder impairing ventricular filling

    • C. 

      Inability of the heart to pump and supply the body's needs

    • D. 

      The same as arrythmias, ischemia and obesity

  • 2. 
    • A. 

      Obesity

    • B. 

      Inappropriate workload placed on the heart

    • C. 

      Poor diet

    • D. 

      Restricted filling of the heart

    • E. 

      Myocyte loss

    • F. 

      Increased myocyte contractility

    • G. 

      Decreased myocyte contractility

    • H. 

      Bradycardia

  • 3. 
    Neurohormonal responses to impaired cardiac performance include:
    • A. 

      Salt and water retention

    • B. 

      Vasoconstriction

    • C. 

      Sympathetic stimulation

    • D. 

      All of the above

  • 4. 
    The short term effects of vasoconstriction augment preload on the heart and produce the long term effect of pulmonary congestion or anasarca.
    • A. 

      True

    • B. 

      False

  • 5. 
    Of the responses listed below, which leads to the long term effect of increasing energy expediture?
    • A. 

      Salt and water retention

    • B. 

      Vasoconstriction

    • C. 

      Sympathetic stimulation

    • D. 

      None of the above

  • 6. 
    Match each responsewith its short term effect.
    • A. salt and water retention
    • A.
    • B. vasoconstrition
    • B.
    • C. sympathetic stimulation
    • C.
  • 7. 
    Hemodynamic abnormalities like LV dysfunction and change in heart shape produce the symptoms of CHF.
    • A. 

      True

    • B. 

      False

  • 8. 
    This type of ventricular dysfunction leads to impaired contractility/ejection.
    • A. 

      Systolic

    • B. 

      Diastolic

    • C. 

      Both systolic and diastolic

    • D. 

      Neither systolic or diastolic

  • 9. 
    A normal ejection fraction is between 80-90%
    • A. 

      True

    • B. 

      False

  • 10. 
    Mark each of the following that is true of systolic dysfunction
    • A. 

      EF is normal or higher than normal

    • B. 

      EF is diminished

    • C. 

      LV is dilated

    • D. 

      LV contractility reduced

    • E. 

      Cavity size is small or "filled"

    • F. 

      LV is hypertrophied

  • 11. 
    Which of the following would you expect to see in left sided heart failure?
    • A. 

      Dependent edema

    • B. 

      Cough

    • C. 

      Orthopnea

    • D. 

      Ascities

    • E. 

      Blood tinged sputum

    • F. 

      Cyanosis

    • G. 

      Paroxysmal nocturnal dyspnea

    • H. 

      S3 on auscultation

  • 12. 
    A patient presents with right sided heart failure. Which symptom below does NOT represent this diagnosis?
    • A. 

      Cyanosis

    • B. 

      Distended jugular veins

    • C. 

      Orthopnea

    • D. 

      Anorexia and GI distress

  • 13. 
    The gold-standard test for clinically treating CHF is:
    • A. 

      Echocardiogram

    • B. 

      Electrocardiogram

    • C. 

      Chest X-ray

    • D. 

      Cardiac catheterization

  • 14. 
    Mark each labratory test necessary in an HF patient.
    • A. 

      BNP

    • B. 

      Fasting blood sugar

    • C. 

      Ferritin levels

    • D. 

      CK-MB and Troponin

    • E. 

      Liver function tests

    • F. 

      BUN/Creatinine

    • G. 

      Thyroid panel

  • 15. 
    A BNP above which level is indicative and specific to HF?
    • A. 

      100

    • B. 

      200

    • C. 

      400

    • D. 

      1000

  • 16. 
    The degree of CHF severity can be correlated to the BNP level. The higher the  BNP, the worse the problem.
    • A. 

      True

    • B. 

      False

  • 17. 
    In-hospital mortality risk is higher if...
    • A. 

      BUN>43, increased SrCr, increased BP

    • B. 

      BUN>43, decreased SrCr, decreased BP

    • C. 

      BUN>43, increased SrCr, decreased BP

    • D. 

      BUN

  • 18. 
    What is the "formula" for determining whether or not there is LVH on an EKG?
    • A. 

      V1 S wave + V5 R wave greater than or equal to 35mm

    • B. 

      V5 S wave + V1 S wave greater than or equal to 35mm

    • C. 

      Can't be determined on an EKG, you need an Echocardiogram

  • 19. 
    Which of the following are used to help control rate in atrial fibrillation. (Multiple correct choices)
    • A. 

      Warfarin

    • B. 

      CCBs

    • C. 

      B-blockers

    • D. 

      Nitrates

    • E. 

      Digitalis

    • F. 

      Amioderone

    • G. 

      Hydralazine

    • H. 

      Ablation and pacing

  • 20. 
    I have reviewed the risk factors for thromboembolism in AF and understand the recommended therapy. (In other words I don't know how to write a question for this.) :)  (p.6)
    • A. 

      True

    • B. 

      False

  • 21. 
    Diagnostic workup for A-fib does NOT include...
    • A. 

      MRI

    • B. 

      Echo

    • C. 

      EKG

    • D. 

      TEE

  • 22. 
    AFFIRM demonstrated that rate control is an acceptable primary therapy in a  selected high-risk subgroup of AF patients.
    • A. 

      True

    • B. 

      False