Chapter 8 Kennedy - Chest Disorders

Question 1

In mitral stenosis, p waves may suggest:
A.
Left atrial enlargement
B.
Right atrial enlargement
C.
Left ventricle enlargement
D.
Right ventricle enlargement

Answer 1

Left atrial enlargement

Question 2

Aortic regurgitation requires medical treatment for early signs of CHF with:
A.
Beta blockers
B.
ACE inhibitors
C.
Surgery
D.
Hospitalization

Answer 2

ACE inhibitors

Question 3

3. A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalents are important because:
   A.
   Women with ischemic heart disease many times do not present with chest pain
   B.
   Some patients may have no symptoms or atypical symptoms. Diagnosis may only be made at the time of an actual myocardial infarction
   C.
   Elderly patients have the most severe symptoms
   D.
   A & B only

Answer 3

A and B only

Question 4

4. The best evidence rating drugs to consider in a post myocardial infarction patient include:
   A.
   ASA, ACE/ARB, beta-blocker, aldosterone blockade
   B.
   Ace, ARB, Calcium channel blocker, ASA
   C.
   Long-acting nitrates, warfarin, ACE, and ARB
   D.
   ASA, clopidogrel, nitrates

Answer 4

A.

ASA, ACE/ARB, beta-blocker, aldosterone blockade

Question 5

5.	A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include:
A.
Echocardiogram
B.
Exercise stress test
C.
Cardiac catheterization
D.
Myocardial perfusion imaging

Answer 5

Exercise stress test

Question 6

6. Preceding a stress test, the following lab work might include:
   A.
   CBC and differential to differentiate ischemic heart disease from anemia
   B.
   Liver enzymes to rule out underlying gall bladder disease
   C.
   Thyroid studies to rule out hyperthyroidism
   D.
   A & C only

Answer 6

A AND C ONLY

Question 7

7.	Which test is the clinical standard for the assessment of aortic stenosis?
A.
Cardiac catheterization
B.
Stress test
C.
Chest x-ray
D.
Echocardiography

Answer 7

D. Echocardiography

Question 8

8.	What is the most common valvular heart disease in the older adult?
A.
Aortic regurgitation
B.
Aortic stenosis
C.
Mitral regurgitation
D.
Mitral stenosis

Answer 8

B. Aortic stenosis

Question 9

9.	On examination, what type of murmur can be auscultated with aortic regurgitation?
A.
Austin flint
B.
Systolic ejection
C.
Soft S1 and a Loud S2
D.
Loud S1

Answer 9

A. Austin Flint

Question 10

Ischemic heart disease is:
A.
Defined as imbalance between oxygen supply and demand.
B.
Frequently is manifested as angina.
C.
Leading cause of death in the elderly.
D.
All of the above.

Answer 10

All of the above

Question 11

11.  11.	Which test is the clinical standard for the assessment of aortic stenosis?
A.
Cardiac catheterization
B.
Stress test
C.
Chest x-ray
D.
Echocardiography

Answer 11

Echocardiography