Cardiology--chf
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Review questions based on Medina's lecture and the book without any objectives provided by Keuter.
- 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.Which of the following account for almost all of the casues of CHF? (multiple correct answers)
- 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.Hemodynamic abnormalities like LV dysfunction and change in heart shape produce the symptoms of CHF.
- A.
True
- B.
False
- 7.This type of ventricular dysfunction leads to impaired contractility/ejection.
- A.
Systolic
- B.
Diastolic
- C.
Both systolic and diastolic
- D.
Neither systolic or diastolic
- 8.A normal ejection fraction is between 80-90%
- A.
True
- B.
False
- 9.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
- 10.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
- 11.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
- 12.The gold-standard test for clinically treating CHF is:
- A.
Echocardiogram
- B.
Electrocardiogram
- C.
Chest X-ray
- D.
Cardiac catheterization
- 13.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
- 14.A BNP above which level is indicative and specific to HF?
- A.
100
- B.
200
- C.
400
- D.
1000
- 15.The degree of CHF severity can be correlated to the BNP level. The higher the BNP, the worse the problem.
- A.
True
- B.
False
- 16.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
- 17.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
- 18.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
- 19.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
- 20.Diagnostic workup for A-fib does NOT include...
- A.
MRI
- B.
Echo
- C.
EKG
- D.
TEE
- 21.AFFIRM demonstrated that rate control is an acceptable primary therapy in a selected high-risk subgroup of AF patients.
- A.
True
- B.
False
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