cdh Flashcards

1
Q

1) In the myocardium of patients with heart failure
1. ATP level decreases
2. phosphocreatine level decreases
3. the percentage of fatty acid oxidation decreases
4. the percentage of glucose oxidation decreases

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2
Q

2) It is true about the loss of myocardial cells in heart failure
1. it may be caused by apoptosis
2. its speed is 10-100 times higher than in healthy subjects
3. it may be caused by autolysis
4. Its speed is faster only if the heart failure is caused by ischemic heart disease

A

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3
Q

3) It has beneficial effect in heart failure
1. aldosterone antagonist
2. If inhibitor
3. sildenafil (Viagra)
4. selective COX-2 inhibitor

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4
Q

4) Immediate compensation mechanism in heart failure
1. Frank–Starling mechanism
2. sympathetic stimulation
3. salt and water retention
4. myocardial hypertrophy

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5
Q

5) Symptoms of left sided heart failure
1. pulmonary congestion
2. dyspnea
3. nycturia
4. hepatomegaly

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6
Q

6) Drugs used in the treatment of chronic heart failure
1. diuretic therapy – to decrease fluid retention
2. certain vasodilators
3. increase contractility – digitalis
4. vasoconstrictors

A

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7
Q

7) Result of forward failure in left sided heart failure
1. fatigue, weakness
2. pulmonary congestion, dyspnea
3. orthopnea
4. hepatomegaly

A

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8
Q

8) Characteristic symptoms of right-sided heart failure
1. hepatomegaly
2. edema
3. distended neck veins
4. dyspnea

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9
Q

9) Chronic heart failure may be caused by
1. hypertension
2. valvular heart disease
3. coronary heart disease (CHD)
4. hyperkalemia

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10
Q

10) Which drugs prolong the survival in heart failure
1. ACE inhibitors
2. angiotensin receptor blockers
3. beta-blockers
4. vasodilators

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11
Q

11) Which of the following physical findings may suggest heart failure?
1. edema
2. hepatomegaly
3. distended neck veins
4. crepitation at the base of the lungs

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12
Q

12) Which symptoms in patient history may suggest heart failure?
1. dyspnea
2. nycturia
3. orthopnea
4. burning pain at the apex of the heart

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13
Q

13) May be a symptom of left heart failure
1. pulmonary edema
2. nycturia
3. weakness
4. peripheral edema

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14
Q

14) May be a symptom of left heart failure
1. hydrothorax
2. abdominal discomfort
3. increased blood content of the jugular/cervical veins
4. pulmonary edema

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15
Q

15) May be an underlying cause of heart failure
1. Hypertension
2. cardiomyopathy
3. valvular heart disease
4. renal failure

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16
Q

16) Precipitating factors in heart failure
1. fever
2. hyperthyroidism
3. increased salt intake
4. increased fat intake

17
Q

17) Precipitating factors in heart failure
1. drug effect
2. myocarditis
3. arrhythmia
4. myocardial ischemia

18
Q

18) Part of the hemodynamic defense reaction
1. vasodilation
2. cardiac stimulation
3. myocardial hypertrophy
4. salt and water retention

19
Q

19) The ejection fraction in a healthy subject is
1. 35–55%
2. 55–75%
3. 75–95%
4. 95–100%

20
Q

20) Possible causative factor of heart failure:
1. hypertension
2. alcoholism
3. pulmonary embolism
4. myocarditis

21
Q

21) These drugs are used in the treatment of heart failure. Choose the matching drug-effect pairs!
1. ACE inhibitors – inhibit the RAAS
2. beta-blockers – decrease the sympathetic activity
3. digitalis drugs – have positive inotropic effect
4. diuretics – decrease the afterload

22
Q

22) Compensatory mechanisms in heart failure
1. increased salt and water retention
2. anemia
3. hypertrophy of the left ventricle
4. peripheral vasodilation

23
Q

23) The cardiac output in a healthy adult
1. 2,5 l/min
2. 3 l/min
3. 4 l/min
4. 5 l/min

24
Q

24) Cardiac output may be increased by
1. Increasing EF (ejection fraction)
2. the Frank-Starling mechanism
3. shortening the diastole duration
4. increasing cortisol secretion

25
25) Possible consequence of increased atrial frequency 1. appearance of non-conducted beats 2. deterioration of coronary blood filling 3. palpitation 4. P-pulmonale
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26
26) Ways to ncrease preload in a healthy subject 1. increasing the end diastolic volume 2. decreasing stroke volume 3. increasing the end diastolic pressure 4. increasing the duration of diastole
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27
27) Preload is determined by 1. distension capability (lusitropy) of the ventricle 2. ventricular function 3. CVP (central venous pressure) 4. circulatory volume
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28
28) The normal value for the CVP (central venous pressure) 1. 4 mmHg 2. 7 mmHg 3. 15 mmHg 4. 11 mmHg 5. 20 mmHg
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29
29) Response(s) in heart failure 1. water retention 2. appearance of fetal myosin-forms 3. remodeling of the myocardium 4. increases in parasympathetic tone
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30
30) May lead to decompensation of heart failure 1. arrhythmia 2. infection 3. myocardial ischaemia 4. severe anaemia
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31
31) Heart failure may be caused by 1. orthostatic hypotension 103 Pathophysiology 1 MCQs - Team effort 2. alcoholism 3. increased salt intake 4. valvular heart disease
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32
32) May lead to decompensation of heart failure 1. infection 2. acut salt load as a consequence of nourishment 3. atrial fibrillation 4. pulmonary embolism
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