Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NMIS CP II > CP Cardiac > Flashcards

CP Cardiac Flashcards

1
Q

Which node is found between the atria and the ventricle near the septum?

A

AV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Baroceptors and chemoceptors send signals to the cardiac center in the Pons which initiates sympathetic impulses to increase heart rate T or F

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Angina Pectoris

A

Chest pain or discomfort cause by poor coronary circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which vein contains o2 blood

A

Pulmonary vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Another name for mitral valve

A

Left atrioventricular valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

QRS complex represents

A

Ventricular depolorization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T or F All chambers of the heart ate in diastole at the same time for about half the duration of a normal cardiac cycle

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The fibrous pericardial sac is lined with [_____] membrane

A

Serous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

P wave represents

A

Atrial depolorization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Another name for tricuspid valve

A

Right atrioventricular valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Systole is when

A

The heart contracts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Diastole is when

A

The heart fills or relaxes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What semilunar valve separates the left ventricle and aorta

A

Aortic valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

T or F most of the blood that is ejected from the ventricles enters the ventricles during atrial systole

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where does the heartbeat originate

A

SA node

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Oxygenated blood from the lungs enters the heart through the

A

Left atria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Stroke volume is

A

The amount of blood pumped out of the heart with each contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Where is the SA node

A

Right atrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Where is the bundle of his

A

Spreading down the septum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Where are the perjunke fibers

A

Spread through the ventricles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the ST segment

A

A rest period. When the ventricles are finished depolorizing and they are about to repolorize

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the PR interval

A

Delay that allows the ventricles to fill with blood before ventricular depolorization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the R-R interval

A

Patients heartrate/beat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is congestive heart failure and a few signs of it

A

When the cardiac muscles show decreased ability. Enlarged heart, decreased EF, pulmonary rules.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is coronary artery disease and signs.

A

Buildup of plaque which results in the narrowing of arteries. High cholesterol and triglycerides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is acute myocardial infarction and its signs

A

Heart muscle dying. Radiating chest pain going down arm, diaphoresis(sweating), nausea, slow breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is a right to left shunt

A

A shunt that allows directly bloodflow from the right side to the left side of the heart bypassing the lungs. This circulates less oxygenated blood thru body.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is the lca

A

Left coronary artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is the lad

A

Left anterior descending

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is the Cx or LCx

A

Left circumflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What is the RCA

A

Right coronary artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Depolorization is when the heart is

A

Contracting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Repolorization is when the heart is

A

Relaxing or filling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Where is the LAD coronary artery

A

Anterior and septal portion of the left ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Where is the Cx coronary artery

A

Lateral wall of left ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Where is the RCA

A

Around septal wall to posterior heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What is arrhythmia

A

Irregular heart beat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What is bradycardia

A

Slower than normal heart rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What is tachycardia

A

Faster than normal heart rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

How to multiply stroke volume

A

CO/HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What does CO stand for

A

Cardiac output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What is CI

A

Cardiac index

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What does EDV stand for

A

End diastolic volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

How to calculate EDV

A

SV/EF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What happens during depolorization

A

Contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What happens during repolorization

A

Relaxation or filling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What is ESV

A

End systolic volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

How to calculate ESV

A

EDV-SV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

How to calculate EF

A

EF= EDC-ESC/EDC x 100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

What dies PFR stand for

A

Peak emptying rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

What does MPTT stand for

A

Mean pulmonary transit time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

What does the P wave show

A

Atrial depolorization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

What does the PR interval show

A

Time it takes electrical impulse to reach ventricles and initiate depolorization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

What does the ST segment show

A

Completion of ventricular depolorization and beginning of ventricular repolorization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

What does the T wave show

A

Ventricular repolarization

56
Q

What does the R to R interval show

A

The heartrate/beat

57
Q

Describe congestive heart failure

A

Cardiac muscle decreased ability. Enlarged heart, decreased ef…

58
Q

Describe coronary artery disease

A

Buildup of plaque in arteries. Leads to decreased O2 vs demand [ischemia], eventually leads to infarct.

59
Q

Describe high blood pressure

A

Fore against artery walls too high

60
Q

What is a left to right shunt.

A

Blood flows from left side to right then lungs. Backup of blood can cause HBP.

61
Q

Describe a right to left shunt

A

Direct blood flow from r to l side of heart skipping lungs. Decreased O2 to blood, dyspnea, cyanosis…

62
Q

A focal decrease in perfusion occurring on both the rest and stress 201-Tl image is most commonly caused by

A

Previous myocardial infarction

63
Q

All of the following are necessary patient preparation steps before treadmill exercise scintigraphy begins except

A

Allowing the patient to take their iderol

64
Q

Label

A

1 posterior wall slice
2 apex
3 lateral wall
4 base
5 septal wall
6 anterior slice

65
Q

Patients should continue to exercise for at least _____ following dose administration of sestamibi

A

30 seconds

66
Q

Informed consent is necessary for

A

Thallium rest/cardiolite stress studies

67
Q

Imaging with thallium. The camera is usually peaked to the

A

80 kev gamma peak

68
Q

It is possible that a physician may order a 24 hour thallium image when

A

The rest and stress were both positive

69
Q

Patients that are taking beta glocker medicine will…

A

Not be able to reach their maximum heartrate

70
Q

_____ does not reperfuse after administration, allowing imaging to take place for several hours after injection

A

Sestamibi

71
Q

MPI Stress studied are used to rule out

A

CAD/myocardial ischemia

72
Q

Clubbing of fingers is seen with patients…

A

With a R to L shunt

73
Q

Dyspnea

A

Difficulty breathing

74
Q

Diaphoresis

A

Profuse sweating

75
Q

Post-prandial

A

After meal

76
Q

Another name for MUGA

A

Ventriculogram or gated equilibrium

77
Q

Pulmonary hypertension

A

Increased BP due to vasoconstriction

78
Q

Essential vs primary hypertension

A

Essential is unknown, primary is known

79
Q

Cyanosis

A

Patient turning blue

80
Q

Streptokinase

A

Treatment to help remove plaque buildup

81
Q

Bronchospastic disorder

A

Asthma

82
Q

Primary indication for viability scan

A

CABG

83
Q

Primary indication for 1st pass scan

A

R to L Shunt evaluation

84
Q

Primary indication for MUGA scan

A

Chemo patients

85
Q

Drugs for MPI studies

A

Tetrofosmin low and high dose, no max
Sestamibi low and high dose, max 40, doesn’t wash out
Thallium 1-5 mCi

86
Q

24 hr Thalloum scan increases

A

Sensitivity

87
Q

Benefits and drawbacks of thallium

A

Only have to inject once. Can image immediately after stress, stress always 1st, 24 hour scanning, low lev, doesn’t have as much flexibility, NPO whole test

88
Q

Myoview benefits

A

Can do stress or rest first with low dose amount.

89
Q

Sestamibi facts

A

Low dose 1st always, wait 45z1hr before rest images after inject, want patient to eat after stress

90
Q

Patient prep treadmill

A

No coffee, no beta blockers, signed informed consent

91
Q

If patient is injected before target heart rate…

A

Won’t get cardiac steal and poor redistribution

92
Q

Stress tests look for

A

Ischemia vs infarction

93
Q

Name the 3 arteries and the walls they supply

A

Lad, anterior wall
Lcx, lateral wall
Rca, posterior and septal wall

94
Q

Max dose for Aminophylline

A

250 MG

95
Q

Dobutamine max dose

A

40 ug

96
Q

Dobutamine facts

A

40 ug/kG max
Positive amatrophic agent
Increases patient HR
can’t use beta or calcium channel blockers
Can do with caffeine
Can do with xantines
Can do with Bruce protocol

97
Q

Esmolol is used for

A

Reversal of dobutamine, it is a beta blocker

98
Q

Caffeine is a…

A

Vasoconstrictor, keeps from dilating

99
Q

What is persantine half life

A

30 minutes

100
Q

Persantine facts

A

Binds to receptors
60 MG max dose
4 min infusion, 3 min injection, 2 min aminophylline
0.142

101
Q

Adenosine facts

A

0.14 min
Inject radiopharm halfway thru
4 min or 6 min infusion
More severe side effects

102
Q

Lexiscan facts

A

Inject 10-20 sec after saline, flush, radiopharm, saline. 0.4mg

103
Q

Adenosine and lexiscan_____ extracellular adenosine

A

Increase

104
Q

Bruce protocol

A

Treadmill goes up every 3 minutes and incline, has 7 stages

105
Q

Sestamibi within the cell

A

Targets the mitochondria

106
Q

What section of the heart do we look at during a MUGA

A

Left ventricle

107
Q

Labeling methods

A

Ultratag 95%
In vivo 85%
Mod in vivo 90%

108
Q

Best view for MUGA scan

A

Lao with causal tilt

109
Q

How to calculate EF

A

SV/EDV or EDV-ESV/EDVx100 or max-min/max x100

110
Q

Strove volume , ejected per beat

A

Co/HR or EDV-ESV

111
Q

CO

A

SVxHR

112
Q

HR

A

CO/SV must change liters to ml

113
Q

Ischemia symptoms

A

Nocturnal and postprandial pain

114
Q

R to L shunt symptoms

A

Dyspnea, clubbing

115
Q
A
116
Q

If you see hypokenesis know …

A

Ischemia

117
Q

If you see dyskenisis…

A

Aneurysm

118
Q

If you see akenesis…

A

Infarction

119
Q

Wall thickening:
Tickets and then thins

A

Artifact

120
Q

Wall thickening:
Doesn’t thickening

A

Infarct

121
Q

1st pass pharmaceuticals

A

DTPA
TECH
NOT MAA

122
Q

Normal 1st pass times

A

7-8 sec 10 sec abnormal, 15 sec hypertension

123
Q

Phase analysis

A

Functional image to determine electrical pathway thru heart

124
Q

How do you want to inject for 1st pass

A

Bolus
With 3 stop cock
NO Valsamic maneuver

125
Q

CO

A

Is the amount ejected per min

126
Q

Know this ef Calc formula

A

(Edv-esv)/(edv-bkg)

127
Q

Know this formula 60,000/hrx frames

A
128
Q

Label

A

1 septal wall slice
2 anterior wall
3 apex
4 posterior wall
5 base
6 lateral wall slice

129
Q

To eliminate activity on stress images EXCEPT for thallium, one should

A

Give the patient 8 oz whole milk

130
Q

Match the slices

A

Transverse to horizontal
Sagittal to vertical
Coronal to short axis

131
Q

Time between radiopharmaceutical injection and beginning of images for dual isotope mpi

A

5 to 10 mins

132
Q

First axis reconstructed

A

Transaxial

133
Q

Patient can eat for MPI after

A

Sestamibi injection

134
Q

When do you inject the pharm for mpi during exercise

A

One minute before end

135
Q

A female patient shows a fixed defects on her mpi Study. The most likely reason for the physician stating the patient has a previous myocardial infarction is because

A

The gated spect images showed no wall thickening at this location

136
Q

Label

A

1 apex slice
2 anterior wall
3 lateral wall
4 posterior wall
5 sagittal wall
6 base slice

137
Q

Way to remember heart slices

A

SA, A to B ALPS
V, S to L, AABS anterior, apex
H, P to A, ALBS apex, lat.

NMIS CP II (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions