Week 2 Flashcards

(27 cards)

1
Q

Which 3 major manifestations occur in patients with advanced aortic stenosis?

a. abdominal aortic aneurysm
b. heart failure
c. endocarditis
d. angina
e. exertional syncope
f. loss of hearing

A

b. heart failure
d. angina
e. exertional syncope

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2
Q

If an ECG is taken during an ischemic attack we may expect to see:

a. Inverted P waves
b. Severe tachycardia
c. ST depression and T wave inversions
d. ST elevation and Q waves

A

c. ST depression and T wave inversions

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3
Q

Coronary Blood Flow is a determinant of:

Myocardial O2 demand
Myocardial O2 supply

A

Myocardial O2 supply

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4
Q

Contractility is a determinant of:

Myocardial O2 demand
Myocardial O2 supply

A

Myocardial O2 demand

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5
Q

O2 content is a determinant of:

Myocardial O2 demand
Myocardial O2 supply

A

Myocardial O2 supply

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6
Q

Wall stress is a determinant of:

Myocardial O2 demand
Myocardial O2 supply

A

Myocardial O2 demand

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7
Q

Heart rate is a determinant of:

Myocardial O2 demand
Myocardial O2 supply

A

Myocardial O2 demand

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8
Q

Bicuspid aortic valves are present in what percentage of the population?

a. 0.01-0.02%
b. 0.1-0.2%
c. 1-2%
d. 10-20%

A

c. 1-2%

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9
Q

Approximately how many patients with infarction of the inferior wall of the LV also develop necrosis of portions of the right ventricle?

a. 1/5

b. 1/4

c. 1/3

d. 1/2

A

c. 1/3

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10
Q

Longest event-free survival rate, require long-term anticoagulation therapy:

Porcine bioprosthetic valves
Bioprosthetic valves
Mechanical valves
Human homograft bioprosthetic valves

A

Mechanical valves

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11
Q

Lowest risk of subsequent endocarditis reinfection:

Porcine bioprosthetic valves
Bioprosthetic valves
Mechanical valves
Human homograft bioprosthetic valves

A

Human homograft bioprosthetic valves

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12
Q

Low rate of thromboembolism, do not require long-term anticoagulation therapy:

Porcine bioprosthetic valves
Bioprosthetic valves
Mechanical valves
Human homograft bioprosthetic valves

A

Bioprosthetic valves

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13
Q

Most commonly used type of bioprosthetic valves:

Porcine bioprosthetic valves
Bioprosthetic valves
Mechanical valves
Human homograft bioprosthetic valves

A

Porcine bioprosthetic valves

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14
Q

Patients with coronary artery disease are recommended to receive a statin regimen with the goal of at least what percentage of reduction in LDL?

a. 10%
b. 20%
c. 40%
d. 50%

A

d. 50%

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15
Q

What is considered the major trigger of coronary thrombosis?

a. Hypovolemia

b. Coronary emboli

c. Fatty streak formation

d. Atherosclerotic plaque rupture

A

d. Atherosclerotic plaque rupture

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16
Q

Which acute coronary syndromes cause necrosis of myocardium?
Choose all that apply.

a. Unstable angina
b. STEMI
c. NSTEMI

A

b. STEMI
c. NSTEMI

17
Q

Beta Blockers decrease 02 demand through the mechanisms of: (choose 2 answers)

a. Venodilation
b. Venoconstriction
c. Decreasing heart rate
d. Decreasing force of contraction
e. Lowering LDL

A

c. Decreasing heart rate
d. Decreasing force of contraction

18
Q

Which characteristics are typical of Syndrome X?

a. Caused by fixed, obstructive atheromatous plaque
b. Microvascular dysfunction and vasospasm
c. Absence of perceptible discomfort
d. Often occurs at rest

A

b. Microvascular dysfunction and vasospasm

19
Q

Which of the following is a Fibrinolytic drug; used to accelerate lysis of the occlusive intracoronary thrombus in STEMI?

a. Clopidogrel (Plavix)
b. Tenecteplase (TNK-tPA)
c. Warfarin
d. Aspirin

A

b. Tenecteplase (TNK-tPA)

20
Q

Choose the word patients are LEAST likely to use to describe angina:

a. Burning
b. Heaviness
c. Pain
d. Tightness
e. Discomfort
f. Pressure

21
Q

Nitrates relieve ischemia primarily through the mechanism of:

a. Venoconstriction
b. Decreasing force of contraction
c. Decreasing heart rate
d. Venodilation

A

d. Venodilation

22
Q

Can last hours to days:

Myocardial Ischemia
Pericarditis

22
Q

Usually lasts less than 10 minutes:

Myocardial Ischemia
Pericarditis

A

Myocardial Ischemia

23
Q

Typically radiates to neck, jaw, shoulder or arm:

Myocardial Ischemia
Pericarditis

A

Myocardial Ischemia

24
Retrosternal tightness or pressure: Myocardial Ischemia Pericarditis
Myocardial Ischemia
25
Pain is often lessened when patient leans forward and increased when they lie back: Myocardial Ischemia Pericarditis
Pericarditis
26
Sharp pleuritic chest pain: Myocardial Ischemia Pericarditis
Pericarditis