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Cardio Pulm: quiz 3 > Diagnostic Test > Flashcards

Diagnostic Test Flashcards

1
Q

When is common to preform a Holter Monitoring

A

Prior to d/c after a MI

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2
Q

Patients who are on a holter monitoring may referred for what?

A

EPS, ablation procedure, or ICD

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3
Q

EPS or Electrophysiology study is indicated to

A

Investigate the cause, location of origin, and best treatment for various abnormal heart rhythms

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4
Q

EPS or Electrophysiology study is associated with

A

Ablation

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5
Q

Problems that are evaluated for Echocardiography

A
  • pericardial effusion
  • Cardiac tamponade
  • IdiopathicCardiomyopathy
  • Hypertrophic cardiomyopathy
  • Mitral valve regurgitation
  • MVP
  • Aortic regurgitation
  • Aortic stenosis
  • Vegetation of valves
  • Masses
  • Ischemic heart muscle
  • Aneurysm
  • Thrombi
  • Aortic dissection
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6
Q

Transesophageal Echo (TEE) allows for improved of

A

Visualization of cardiac structures and function and is valuable in the intraoperative and perioperative monitoring on the left vent performance

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7
Q

What is the mode of choice for the eval of cardioembolic stroke?

A

Transesophageal Echo (TEE)

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8
Q

Stress Echo Evaluates

A

Ischemia- induced wall motion abnormalities

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9
Q

What is the stress Echo useful for the eval of atypical symptoms such as

A

Dyspnea
Fatigue
Pt with no diagnostic ECGs with exercise or have atypical chest pain. Syndromes

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10
Q

Stress Echo is better for male or females ?

A

Females

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11
Q

Contrast Echo

A

IV injected contrast agent with the echo

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12
Q

Contrast Echo is improved for

A

Diagnostic accuracy to assess myocardial perfusion and ventricular chambers

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13
Q

Contrast Echo assess are of what?

A

of the myocardium at risk, for damage, presence or absence of coronary
collateral flow, and revascularization of occluded arteries after angioplasty

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14
Q

All imaging techniques are used for

A

Evaluation of coronary artery disease and cardiac dysfunction

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15
Q

Imaging modalities

A
  • SPECT
  • PET
  • CT
  • EBCT
  • MUGA
  • MRI
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16
Q

SpECT

A 
Noninvasive method to
detect and quantify
myocardial perfusion defects
and contractility defects and
is used in conjunction with
radioactive isotopes
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17
Q

PET provides

A

Visualization and direct measurement of metabolic functioning
including glucose and fatty acid metabolism and blood flow of the heart

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18
Q

Gold Standard for blood flow measurement and metabolic assessment of
the heart

A

PET

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19
Q

PET are

A

Expensive

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20
Q

CT used predominantly to identify

A

masses in

the cardiovascular system

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21
Q

Ct detects

A

aortic aneurysms or pericardial

thickening

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22
Q

CTA (CT angiography) highlights

A

coronary arteries to evaluate for

CHD

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23
Q

If a pt is getting a sprial CT ….

A

HOLD TREATMENT

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24
Q

Spiral CT is used to

A

Evaluate presence of PE

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25
Q

EBCT

A

Electron Beam computerized

Tomography

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26
Q

EBCT is a noninvasive method to detect … by

A

coronary atherosclerosis by detecting
coronary calcification

Detects the presence of calcium in the
coronary arteries as well as the location,
extent, and density of the deposits and
provides a calcium scoring system

27
Q

MUGA

A

Noninvasive technique to calculate left ventricular

ejection fraction

28
Q

MRI evaluates

A

morphology, cardiac blood flow, and

myocardial contractility

29
Q

MRI used to assess

A

valvular disease, cardiac shunts,
quantification of cardiac flow, and coronary artery
anatomy

30
Q

MRI are similar diagnostic accuracy as

A

PET

31
Q

Radioactive Nuclide Perfusion Imaging is the assessment of

A

coronary perfusion

32
Q

Radioactive Nuclide Perfusion Imaging is commonly used agents include

A

thallium-201 and

technetium-99m (sestamibi)

33
Q

During Radioactive Nuclide Perfusion Imaging, what appears as cold spots on the scan

A

Nonperfused or dead myocardium

34
Q

During radioactive Nuclide Perfusion Imaging, A cold spot immediately after exercise as well as 4
hours afterward is considered

A

irreversibly damaged
(scarred) but an area the reperfuses after 4 hours is
ischemic

35
Q

Sestamibi are

A

More stable

36
Q

Radioactive Nuclide Perfusion Imaging can detect infarcts that are?

A

A few hours old

37
Q

Pharmacologic Stress Testing

A

A physiologic stress test while the

patient remains in a resting state

38
Q

Most common agents used for PST

A

dupyridamole, dobutamine, or

adensoine

39
Q

PST are the same or different than EST?

A

safety is the same

40
Q

Cardiac Catheterization is what type of procedure?

A

Invasive

41
Q

Cardiac Catheterization establishes or conforms a diagnosis of

A

cardiac dysfunction or heart disease,
demonstrates the severity of coronary
artery disease or valvular dysfunction

42
Q

Cardiac Catheterization determines guidelines for

A

optimal

management of the patient

43
Q

Cardiac Catheterization should or should not have PT

A

-Should not, wait a couple day. Do not want to pull fem art plug

44
Q

Caths treatments are usually called

A

percutaneous coronary

intervention

45
Q

WHat is alternative to CABG

A

Caths (Percutaneous coronary intervention )

46
Q

Pt implications for cardiac Catherization

A

Since femoral ARTERY is accessed,pressure needs to be placed on area 4-8
hours after procedure

  • Patients are typically on bedrest with LE inknee immobilizer post-cath
  • Some patients may c/o groin pain
47
Q

Post Cath pts are on what

A

Bedrest

48
Q

Main infor of a Cardiac Cath

A

EF, which arteries blocked to
and to what percentage, valve
dysfunction

49
Q

Caths results are important to

A

give
valuable info to PTs during a chart
review

50
Q

What is an important diagnostic test for coronary spasm

A

Ergonovine stimulation

51
Q

Ergonovine Stimulation are performed where?

A

Cath lab or ICU

52
Q

What is Needed for the evaluation and management
of some congenital pulmonary anomalies as
well as some acquired diseases

A

Bronchography

53
Q

Bronchography permits

A

study of normal and variant
anatomy and gross pathologic changes in the
bronchial wall and lumen

54
Q

Is coughing up blood after Bronchoscopy okay?

A

Yes

55
Q

Bronchoscopy is occasionally used to

A

clear viscous secretion or

to retrieve a foreign object

56
Q

Bronchoscopy is indicated to asses for

A

infection that cannot be
evaluated from a sample or to asses
malignancy

57
Q

Holter Monitor is

A

Continuous 24 hour ECG monitoring

58
Q

Holter Monitor provides information for the diagnosis and managent of

A

episodes of arrhythmias and

symptoms

59
Q

Indications in identifying symptoms possibly caused by for Holter Monitor include

A

dysrhythmias (dizziness, syncope,
SOB), describing the dysrhythmias noted with
activity, and evaluating anti-arrhythmia therapy and
pacemaker functioning

60
Q

EPS (Electrophysiology study) is indicated to investigate

A

Cause, location of origin and best treatment for various abnormal heart rhythms

61
Q

EPS are often associated with

A

Ablation

62
Q

Echocardiography is what type of procedure

A

Noninvasive that evaluates the functioning heart

63
Q

What gives real-images of the beating heart

A

Echocardiography

64
Q

Echocardiography asses the performance of

A

heart muscle and valves,
quantifies volumes of the left vent., estimates SV and
EF

Cardio Pulm: quiz 3 (5 decks)

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