CARDIO Flashcards
TO PASS
1 Why do we NOT see atrial repolarization in a normal ECG tracing?
A Because it is buried in the concurrent QRS complex
B Because it is isoelectric and hence cannot be seen
C Because it is of too low voltage to be detected by the ECG
D Because it occurs together with ventricular repolarization
A Because it is buried in the concurrent QRS complex
When recording lead I on an ECG, the right arm is the negative electrode. Where is the positive electrode placed?" A Left arm B Left leg C Right leg D Left foot
A Left arm
3 Quantity of blood that goes to the right atrium, which comes from all the peripheral veins, is called A Venous return B Cardiac output C Stroke volume D End-diastolic volume
A Venous return
4 Which electrophysiologic event in the cardiac cycle is CORRECTLY matched with its counterpart in ECG?
A Ventricular repolarization – QRS complex
B Atrial repolarization – P wave
C Ventricular depolarization and repolarization – QT interval
D PR interval – conduction from atria to bundle of His
C Ventricular depolarization and repolarization – QT interval
5 Which heart sound is caused by the closure of the semilunar valves which marks the end of systole? A S4 B S1 C S3 D S2
D S2
6 Increase in which ion's concentration locally causes vasoconstriction? A Potassium B Calcium C Magnesium D Acetate
B Calcium
7 Why do we NOT use lead aVR for the assessment of ECG changes pertaining to anatomical walls of the heart?
A Because it is NOT part of Einthoven’s triangle
B Because it is perpendicular to the cardiac apex
C Because it almost always equiphasic
D Because it does NOT face the epicardial surface of the heart
D Because it does NOT face the epicardial surface of the heart
8 Ventricular volume stays constant while ventricular pressure rises during which phase of the cardiac cycle? A Isovolumic contraction B Pre-systole C Isovolumic relaxation D Diastasis
A Isovolumic contraction
9 "A 45/M suffers from an acute ST elevation myocardial infarction involving the lateral wall of the left ventricle. Using your knowledge of the anatomic orientation of ECG limb leads, in which of the following leads will you MOST likely detect abnormalities?" A Leads V1 and V2 B "Leads II, III and aVF" C "Leads I, aVL, V5 and V6" D Leads V3 and V4
C “Leads I, aVL, V5 and V6”
10 Which of the following would MOST likely occur if the papillary muscles are paralyzed?
A There will be no ventricular filling during diastole
B The semilunar valves would stay open throughout the cardiac cycle
C The leaflet attached to the chorda bulges towards the atrium allowing backflow of blood
D The semilunar valves would become stenotic
C The leaflet attached to the chorda bulges towards the atrium allowing backflow of blood
11 Increased heart rate increases the force of cardiac contraction in a stepwise fashion. What mechanism is this? A Post extrasystolic potentiation B Bowditch phenomenon C Frank-Starling's mechanism D Bainbridge reflex
B Bowditch phenomenon
12 What is the most important of the local vasodilators that regulate local blood flow? A Adenosine B Nitric oxide C Carbon dioxide D Hydrogen ions
A Adenosine
13 "Which of the following represents time from end of ventricular depolarization to the start of ventricular repolarization? A PR interval B QT interval C QRS complex D ST segment
D ST segment
14 Most important driver of changes in local blood flow is the concentration of \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. A Waste metabolites B Carbon dioxide C B vitamins D Oxygen
D Oxygen
15 "When the volume of blood entering the aorta during rapid ejection exceeds peripheral run-off, which of the following event is expected?" A Aortic pressure remains unchanged B Aortic pressure goes down C Aortic pressure increases D venous return increases
C Aortic pressure increases
16 Dina has been diagnosed with rheumatic heart disease and has been told that her mitral valve does not open completely. This means her valve is A Regurgitant B Stenotic C Ischemic D Degenerated
B Stenotic
17 Which of the following statements about arterial blood pressure is FALSE?
A The systolic pressure is the pressure maintained by the recoil of the stretched arterial walls during ventricular relaxation
B It is higher in the long systemic arteries than in the short pulmonary circuit
C The diastolic pressure is the pressure generated during relaxation of the ventricles
D Its maintenance is dependent on total peripheral resistance and cardiac output
A The systolic pressure is the pressure maintained by the recoil of the stretched arterial walls during ventricular relaxation
18 Vasoconstriction of periperal arterioles occur as a response to hemorrhage EXCEPT in which vascular bed? A Hepatic B Renal C Cerebral D Gastrointestinal
C Cerebral
19 "Total amount of blood that can be stored in a given portion of the circulation per ml of mercury rise in pressure is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ " A Resistance B Distensibility C Compliance D Cardiac index
C Compliance
20 One of the chronic changes in regulating blood flow that happen in congestive heart failure is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_? A Renal retention of fluid B Sympathetic stimulation C Baroreceptor reflex D Chemoreceptor reflex
A Renal retention of fluid
21 Which of the following pairs correctly describes microcirculation at the capillary level?
A Kidneys: Wide gaps for plasma proteins
B Brain: tight junctions
C Intercellular clefts: lipid-soluble substances
D GI tract: capillary fenestrations
B Brain: tight junctions
22 “During a routine physical examination of a 14 year old male high school student, a third heart sound is heard . S3 is associated with which of the following?”
A Atrial systole as the ventricle fills with blood
B The rapid in rush of blood during rapid ventricular filling
C The closure of the AV valves
D Delayed closure of the semilunar valves
B The rapid in rush of blood during rapid ventricular filling
23 Which of the following types of congenital heart disease presents with cyanosis at birth? A Chamber/valve atresia B Left to right shunt C Stenotic heart/vascular channel D Right to left shunt
D Right to left shunt
24 “How does a high concentration of potassium in the ECF, such as in renal failure, affect the function of the heart?”
A An increase in cardiac cell excitability
B An increase in cardiac rate
C An increase in myocardial contractility
D slow flaccid heart
D slow flaccid heart
25 In which of the following situations will stroke volume increase?
A When one exhales against a closed glottis
B When the heart is highly tachycardic
C When ventricular compliance is increased
D When the aortic valve becomes stenosed
C When ventricular compliance is increased
26 Rapid arrhythmias cause reduction in cardiac output because of ______________________
A Reduced diastolic filling
B Reduced end-systolic volume
C Uncoordinated atrial and ventricular contractions
D Increased myocardial wall stretch
A Reduced diastolic filling
27 An increase in blood hematocrit will correspondingly increase which of the following? A Total peripheral resistance B Blood flow velocity C Venous return D Cardiac output
A Total peripheral resistance
28 "Coronary imaging done in a 56 year-old obese female who recently had a myocardial infarction showed a block in the left anterior descending artery and some of its branches. During your rounds with the attending physician, he asked you, a medical student, to locate the infarction on her EKG. Where will you most likely see the changes?" A "I, aVL, V5, V6" B "II, III, aVF" C "V2, V3" D "I, aVF"
C “V2, V3”
29 What is the usual pressure in the right atrium in mmHg?
A 0
B 14
C 6
D -10
D -10
30 How does a high concentration of calcium in the ECF affect the function of the heart?
A It has no effect on the activity of the SA node
B It tends to make the heart muscle spastic
C The action potential decreases and the heart muscle becomes flaccid
D It hyperpolarizes the cardiac tissue
B It tends to make the heart muscle spastic
31 Which of the following is directly proportional to the rate of diffusion across capillaries? A Lipid solubility B Solute molecular weight C Concentration gradient D Water solubility
C Concentration gradient
32 Which of the following BEST explains why the semilunar valves CLOSE during a normal cardiac cycle?
A Ventricular pressure becomes less than aortic pulmonary pressure
B Ventricular volume becomes greater than atrial volume
C Ventricular pressure becomes greater than aortic and pulmonary pressure
D Ventricular volume becomes less than atrial volume
A Ventricular pressure becomes less than aortic pulmonary pressure
33 A 67 year-old male with chronic coronary insufficiency suffers from an acute ST elevation myocardial infarction. ST elevations are appreciated in leads V5 and V6. Which among the following coronary vessels is MOST likely affected? A Left posterior descending artery B Left anterior descending artery C Right coronary artery D Left circumflex artery
D Left circumflex artery
34 In which site would you find the highest concentration of proteins in lymph? A Skeletal muscles B GI tract C Kidneys D Liver
D Liver
35 What happens to blood flow to the eyes when oxygen levels decrease?
A Vasoconstriction due to endothelin
B Vasodilation due to inability to contract vascular smooth muscle
C Vasodilation due to closure of the metarteriole
D Vasoconstriction due to potassium entry to smooth muscle
B Vasodilation due to inability to contract vascular smooth muscle
36 Mrs D has ongoing vaginal bleeding. Which of the following makes sure that her blood does NOT pool in the skeletal muscles and goes to other vital organs instead? A Sympathetic vasoconstrictor fiber B Vagal acetylcholine receptors C Atrial stretch fibers D Skeletal baroreceptors
A Sympathetic vasoconstrictor fiber