HF

Question 1

Treatment options for HFrEF

Answer 1

Treatment of underlying disease, Beta blockers,CCB-non dihydropiridine, Diuretics,ACE i

Question 2

Fatigue, shortness of breath, palpitations on less than daily physical activities - NYHA class

Answer 2

3

Question 3

Fatigue, shortness of breath, palpitations on rest - NYHA class

Answer 3

4

Question 4

Fatigue, shortness of breath, palpitations on daily exercise - NYHA class

Answer 4

2

Question 5

Fatigue, shortness of breath, palpitations on extreme exercise - NYHA class

Answer 5

Class 1

Question 6

Left ventricular usually manifest withfailure

Answer 6

Orthopnoea

Question 7

Most typical and earliest symptom of Left ventricular failure is

Answer 7

Shortness of breath during physical activity

Question 8

Chronic right ventricular failure can be caused by

Answer 8

Lung emphysema

Question 9

Following symptom is not observed in case of lung edema
Foamy sputum, cyanosis,coarse crackle in lung,kussmaul breathing

Answer 9

Kussmaul breathing

Question 10

NYHA classification is according to

Answer 10

Breathlessness during physical activity

Question 11

Indication for CRT for symptomatic heart failure patient is not
LVEF less than 35,QRS duration more than or equal to 120,LBBB,ED diameter of Left ventricle more than 58

Answer 11

End diastolic diameter of left ventricle more than 58mm

Question 13

CHF + preserved sinus rhythm, optimal dose of beta blockers,but still has HR more than 90-drug to choose

Answer 13

Ivabradine

Question 14

CHF pathogenesis:

Answer 14

Reduced EF, peripheral vasoconstriction,deterioration of renal perfusion,RAAS activation

Question 15

Natriuretic peptide

Answer 15

Vasodilator, increase diuresis,produced due to heart wall extension

Question 16

CRT indicated when

Answer 16

QRS more than 120,LBBB, symptomatic CHF( NYHA 2 to 4), LVEF less than 35

Question 17

Diagnosis of chronic HF is based on

Answer 17

Natriuretic peptide and transthoracic echo

Question 18

First line drugs for CHF

Answer 18

Ramipril and nebivolol

Question 19

Classification used for AHF due to acute MI

Answer 19

Killip classification

Question 20

Clinical profile of cardiogenic shock

Answer 20

Cold wet

Question 21

Clinical profile of acute hypertensive HF

Answer 21

Warm wet

Question 22

Hypoperfusion signs

Answer 22

Oliguria, cold extremities, mental confusion

Question 23

Main use of CRT

Answer 23

HF treatment method

Question 24

Lab test to differentiate complaints of breathlessness between heart and lungs

Answer 24

Natriuretic peptide

Question 25

What is indication of inotropes

Answer 25

Symptomatic hypotension with signs of hypoperfusion

Question 26

Treatment of cardiogenic pulmonary edema

Answer 26

Half sitting position with lungs lowered down, furosemide IV,morphine iv

Question 27

Signs of congestion,

Answer 27

Hepatomegaly,ascites, jugular venous dilation, orthopnoea