Clinical assessment Flashcards

Provides an understanding of clinical presentation and diseases such as Chaggas and Lyme plus their respondent effects on cardiac function. Currently weighted 4% in the CCDS exam.

1
Q

Resistance heart must overcome to eject blood is known as ______.

A

After load = Systemic Vascular resistance.

Preload = Stretch during filling, ready to pump.

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2
Q

Whats considered a normal Ejection Fraction?

A

50-65%.

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3
Q

True / False

Preload = Systolic BP.

A

False.

Afterload is equal to systolic BP.

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4
Q

Dispensability (Pressure) x Volume = ____.

A

Compliance.

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5
Q

By what percentage does stroke volume increase in a normal person during exercise?

A

50%.

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6
Q

True / False

Lyme disease manifests with varying degrees of conduction block.

A

True.

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7
Q

True / False

Conduction block respondent to Lyme disease is typically permanent.

A

False.

Normally reversible within 4 weeks.

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8
Q

True / False

Approximately 10% of Lyme disease patients present with cardiac abnormalities.

A

False.

Approximately 5% of Lyme disease patients.

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9
Q

True / False

In up to 1% of patients with Lyme disease, complete heart block can develop.

A

True.

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10
Q

Which type of parasite is commonly responsible for transmitting Lyme disease to humans

A

Ticks.

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11
Q

Chagas Disease has a long latency period of approximately _____ years before cardiac presentation as cardiomyopathy.

A

10-20yrs.

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12
Q

True / False

Acute heart infection respondent to Chagas lasts approximately 10-20wks.

A

False.

Heart infection lasts approximately 4-8wks.

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13
Q

True / False

Chagas is prevalent in Central and South America.

A

True.

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14
Q

By what other names is the Assassin Bug known and what is its significance with respect to cardiology?

A

Triatominae or Kissing bug - spreads Chagas disease.

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15
Q

What anatomical structures combine to make the 3 sides of Triangle of Koch.

A
  1. CS Os
  2. Antero-septal leaflet structure
  3. Tendon of Todaro
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16
Q

Cardiac Output is the product of what two components?

A

Heart Rate and Stroke Volume.

CO = HR x SV

17
Q

Blood pressure is the product of what two components?

A

Cardiac Output and Peripheral Vascular Resistance.

BP = CO x PR

18
Q

Minute ventilation is the product of what two components?

A

Respiratory Rate and Tidal Volume.

MV = RR x TV