cvs mcq's Flashcards
CV01 [Mar96] [Jul97] [Mar99] [Feb00] [Jul01] [Jul02] [Feb04] In a normal cardiac cycle:
A. RA systole precedes LA systole
B. RV ejection precedes LV ejection in expiration
C. RV contraction precedes LV contraction in inspiration
D. Pulmonary valve closes after aortic in inspiration
E. Pulmonary valve closes before aortic in expiration
a,b,d
CV01b [Jul04] Physiological systole is defined as: A. AV open to AV Close B. MV close to MV open C. MV close to AV Close D. AV open to MV open
c
Version 2: The ‘c’ wave in the JVP corresponds most closely with: A. Peak aortic flow B. Isovolumetric contraction C. Isovolumetric relaxation D. Closure of aortic valve E. Closure of mitral valve
b - beware, if asks for time u actually see it it may be a due to time delay
CV03 [Mar96] [Mar99] [Feb04] In a normal heart at rest the LV end-systolic volume is: A. 10 to 30 ml B. 50 to 70 mls C. 120 to 150 ml D. ?80 - 100 ml
b
CV03b [Mar97] [Jul00] [Apr01] Left ventricular end-diastolic volume is:
A. 10-30 mls
B. 30-50 mls
C. 50-70 mls
D. 70-120 mls
E. 120-150 mls
(Jul 00 & Apr 01 versions recalled as RV EDV rather than LV)
e
CV04 [ad] [Jul98] [Jul01] In moderate exercise, the LV end-systolic volume is: A. 10 mls B. 30 mls C. 70 mls D. 120 mls E. 140 mls
b. but no increase SV in isometric exercise
CV05 [Mar96] [Feb00] [Jul00] Effect of tilting table from flat to head up include:
A. Decreased activation of RAS
B. Changes to skin blood flow occur immediately
C. ?
D. ?
E. None of the above
b
CV07 [ad] [Jul98] [Jul99] [Apr01] Changes with raised intracerebral pressure (ICP):
A. BP increase, HR decrease, RR decrease
B. BP increase, HR increase, RR decrease
C. BP decrease, HR increase, RR increase
D. BP increase, HR decrease, RR increase
E. No change in BP or HR
a
CV08 [Mar96] [Jul97] [Mar98] [Apr01] With increased heart rate: (OR: “With moderate tachycardia:” A. Myocardial oxygen demand increases B. Ratio of systole to diastole increases C. Vascular filling is unchanged D. Prolonged AP E. Decrease in diastolic filling F. Decrease in coronary perfusion G. None of the above
a,b. not e, f cos of compensation
CV10 [Mar96] Which circulation has predominant metabolic control? A. Renal B. Liver C. Lung D. Splanchnic
d
CV10b [Mar02] [Jul02] [Jul03] Local metabolic control is most important in determining flow to: A. Skin B. Lung C. Skeletal muscle D. Kidney E. Liver
c
CV11 [Mar96] Myocardial ischaemia in shock is due mainly to:
A. Decreased coronary artery pressure
B. Increased myocardial O2 demand
C. Decreased myocardial O2 supply
c
CV12 [Mar97] [Mar99] [Jul99] [Jul03] The atrial component of ventricular filling A. 5% B. 10% C. 30% D. 50% E. 80%
c. less in young, more in elderly, heart disease and exercise
CV14 [Mar97] [Jul98] [Mar99] [Feb00] In a 70 kg man 2 metres tall with right atrial pressure of 2 mmHg & aortic root pressure 100 mmHg, the pressure in the dorsum of the foot is: A. 0 mmHg B. 2 mmHg C. 5 mmHg D. 30 mmHg E. >50 mmHg
e if standing. 100 +80 or 20+ 80mmHg in artery, 90mmHg in venous when still,
When moving from a supine to an erect position: A. Mean arterial pressure increases B. Skin perfusion immediately decreases C. Decreased renin-angiotensin II D. Cardiac output increases E. Increased ADH secretion F. TPR increases
f.
e and b too but slower.
CO decreases and SNS compensates
Changes from supine to standing causes: A. Hypotension B. Adrenal gland activation C. ? D. ? E.
both true
CV16 [Mar97] [Jul99] [Mar03] [Jul03] The lowest intrinsic discharge activity resides in the: A. SA node B. AV node C. Bundle branches D. Purkinje fibres E. Ventricular fibres
e. don’t discharge in health. purkinje fibres 15 - 40bpm
March 2003 version: Slowest conduction (velocity) occurs in: A. Atrium B. AV Node C. Bundle of His D. Purkinje Fibres E. Ventricular muscle
b SA 0.5m/s atrial and vent muscle 1m/s AV 0.05m/s His and BB 2m/s purkinjie 4m/s
The hepatic artery : portal vein blood flow ratio is: A. 1 : 10 B. 3 : 1 C. 2 : 1 D. 1 : 6 E. 1 : 3
em but 1:2 better as 500ml:1000ml
CSF production & absorption:
{Diagram of CSF pressure versus flow with lines}
A. Unit for x-axis is mmCSF
B. A is shifted to A1 when paCO2 is 50mmHg
C. ?
D. B is shifted to B1 with hypothermia to 33°C
E. B is shifted to B1 with metabolic acidosis
a
absorption only determined by pressure and some drugs, not paCO2, temp, acidosis but these things will change flow, increased flow will inrease ICP slightly and so increase formation
CV19 [Jul97] [Mar03] [Jul03] [Jul04] Which ONE of the following causes vasodilatation (?vasoconstriction): A. TXA2 B. Serotonin (5HT) C. Endothelin D. Neuropeptide Y E. Angiotensin II F. VIP
f
serotonin can dilate in some vascular beds but mainly constrictor
CV19b [Feb00] Which of the following is not a vasodilator? A. cGRP B. VIP C. Neuropeptide Y D. Bradykinin E. Acetylcholine
c
CV20 [Jul97] [Feb04] Which ONE of the following causes vasoconstriction: A. Serotonin B. Prostacyclin C. Neuropeptide Y D. Substance P E. Alkalaemia F. cGRP G. Oxytocin
a and c
CV20b [Mar99] Which ONE of the following is true?
A. Neuropeptide Y secreted by vagus
B. CGRP present in afferent nerves
b