Cardio-GIT Assessment Flashcards
What angina occurs at rest relieve by vasodilators?
- Cresendo
- Unstable
- Prinzmetal
- Stable
Prinzmetal
All are conditions related to right sided heart failure except:
- Ascites
- Valvular heart disease
- None of the above
- Jaundice
- Renal congestion
None
How does cocaine produce ischemic heart disease?
Reduced coronary blood flow
Which mechanism does atrial fibrillation produce AMI?
- Idiopathic
- Thrombus formation
- Emboli formation
- Vasospasm
Emboli formation
What is the most common type of ASD? • Secundum • Primum • Sinus venosus • Sinus arteriosus
Secundum
In relation to AMI, when does irreversible viability of cardiac myocytes start?
25 mins
What test will indicate for the probability of developing CHF?
BNP
All are acyanotic heart disease, Except: • PDA • Transposition of the great vessels • VSD • ASD
Transposition of the great vessels
What is the most common etiology of Left Ventricular Hypertrophy? • Eisenmenger complex • Aortic valve stenosis • Marantic endocarditis • Tricuspid valve deformities
Aortic valve stenosis
In transposition of the great vessels, what valve is the aorta connected to? • Left ventricle • Left atrium • Right atrium • Right ventricle
Right ventricular
A 34-year-old intravenous drug abuser presents to the emergency room with a 24-hour history of fever and
shaking chills. His temperature is 38.7°C (103°F), pulse rate 110 per minute, and blood pressure 140/80 mm Hg. Physical examination reveals a harsh systolic murmur. Which of the following is the heart valve is most likely affected?
- Pulmonic
- Tricuspid
- Aortic
- Bicuspid
Tricuspid
What is the most common congenital heart disease in adults?
ASD
What is most common etiology of sudden cardiac death?
Arrythmias
What is the most common cause of right sided heart failure?
Left sided heart failure
What is ductus arteriosus?
Results form developmental failure of the pulmonary artery and the aorta
A 15-year-old girl is brought to the emergency room with heart palpitations and dyspnea. Her past medical history is significant for an unrepaired atrial septal defect (ASD). Physical examination reveals cyanosis, distended jugular veins, hepatosplenomegaly, and a systolic ejection murmur. This patient has most likely developed which of the following complications of congenital heart disease?
- Pulmonary hypertension
- Myocardial infarction
- Paradoxical embolism
- Aortic aneurysm
Pulmonary hypertension
When is the earliest that liquefactive necrosis seen in the heart in MI?
25 mins
An 8-month-old girl with Turner syndrome is brought to the emergency room by her parents, who complain that their daughter is breathing rapidly and not eating. Physical examination reveals tachypnea, pallor, absent femoral pulses, and a murmur heard at the left axilla. upper extremities and low blood pressure in both legs. A chest X-ray shows notching or scalloping of the ribs. What is the appropriate diagnosis?
Coarctation of the aorta
What condition may lead to systolic dysfunction leading to CHF?
- Amyloid
- Constrictive pericarditis
- Left ventricular hypertrophy
- Dilated cardiomyopathy
Left ventricular hypertrophy
What CHD will give a machinery like murmur upon auscultation?
PDA
What cardiac marker will still remain elevated after one-week post AMI-episode?
TPI
Gold standard in the diagnosis of AMI?
TPI
If the left anterior descending artery is obstructed, what type of infarction is noted?
Transmural
All are components of tetralogy of Fallot, except:
- Left ventricular hypertrophy
- Transposition of the great vessels
- Coarctation of the aorta
- Pulmonary stenosis
Left ventricular hypertrophy
What is the initiating event of AMI?
- Exposure of necrotic plaque contents to subendothelial collagen
- Activation of the extrinsic coagulation pathway
- Endothelial injury
- Disruption of the atheromatous plaque
Endothelial injury