quiz 1 Flashcards

1
Q

which cell adaptaion is primarily responsible for increased myocardial mass in a postnatal animal

Dr Bender

A

hypertrophy

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2
Q

cardiac tamponade is a life-treatening condition characterized by imparied cardiac filling due to:

Dr Bender

A

heart compression due to increased pressure in pericardial cavity (rapid fluid accumulation)

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3
Q

what is the typical order of events for the development of life-sided congestive heart failure in a dog?

Dr Quilty

A
  • aorta - aortic valve - LV - mitral valve doesnt work - LA - PV - pulmonary capillaries - fluid leaks into interstitium - pulmonary edema
  • most common: DMVD (blood flows backward from LV to LA during systole, as pressure & volume increases in LA, blood goes into PV)
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4
Q

what is preload

Dr Oyama

A
  • the stretch of the ventricle just before the onset of contraction (end diastolic volume)
  • achieving an optimal stretch of myocyte causes improved contractility)
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5
Q

what is the most appropriate combination of drugs for chronic oral trearment of dogs with CHF

Dr Oyama

A

FAPS - furosemide, ACEI, pimobendan, spironolactone

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6
Q

what is the most appropriate chronic oral treamtment in dogs with Stage B1 myxomatous mitral valve disease (MMVD)

Dr Oyama

A

none

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7
Q

how is pulmonary hypertension diagnosed non-invasively

Dr Crooks

A

echocardiogram

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8
Q

which ECG waveform or interval (labeled with a number) is CORRECTLY matched with the corresponding electrical event?

DR crooks

A
  • 1 = p wave - atrial depolarization
  • 2 = PR interval - conduction through the AV node
  • 3 = QRS complex - ventricular depolarixation
  • 4 = T wave - ventricular repolarization
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9
Q

A 7 year old Doberman Pinscher with a history of dilated cardiomyopathy (DCM) presents to the Emergency Service for evaluation of coughing. On physical examination, the heart rate is 240 bpm and the rhythm is irregularly irregular. ECG shows absent P waves and normal (narrow, upright) QRS complexes. What is the most likely rhythm diagnosis?

Dr crooks

A

atrial fibrillation

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10
Q

A 13 week old German Shepherd puppy comes to your practice for puppy vaccines. You auscult a grade 5/6 continuous heart murmur loudest at the left heart base. Femoral pulses are bounding. Your top differential diagnosis is:

DR Kraus

A

PDA

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11
Q

What is the best treatment for a dog with class B2 chronic valve disease?

Dr Kraus

A

pimobendan

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12
Q

You are evaluating a 2 year old MC Coonhound recently rescued from Louisiana. The owner reports coughing and exercise intolerance. The chest radiographs show dilated and tortuous pulmonary arteries. Which of the following diagnostic tests is your top priority?

Dr kraus

A

heartworm antigen tests

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13
Q

You evaluate a 12 year old female spayed Chihuahua. On physical examination, a grade IV/VI left apical systolic heart murmur is detected. Which of the following is the most likely cause of the murmur?

Dr kraus

A

MMVD

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14
Q

A cat presents to your clinic in severe respiratory distress. It is a fractious cat and you will only have time to evaluate one view via TFAST. Which view would you strive to acquire?

dr kraus

A

right parasternal long axis view

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15
Q

Fill in the blanks of the statements regarding large animal cardiac disease

dr navas

A
  • aortic regurgitation
  • mitral regurgitation
  • tricuspid regurgitation
  • bounding peripheral pulse (not grade)
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16
Q

You castrate a horse and accidentally forget the golden rule: nut-to-nut! As a result, within 5 minutes the horse suffers a major hemorrhage and the pool of blood in the stall is about 4 feet wide. You assess the horse immediately after stopping the bleeding. What would you expect to see (i.e. what triggers) if this horse had lost enough blood to need a transfusion?

Dr Nolen Walston

A
  • transfuse when anemia causes high HR, lactate or colic - look at TS in acute loss
  • (tachycardia, tachypnea, colic, sweating, agitation, PCV and TS should not be your only trigger)
17
Q

which drug class if best suited for treatment of ventricular arrhythmias

Dr Gelzer

A

Class I: Na channel blockers - lidocaine (IV)

18
Q

which of the following descriptions of the QRS under the arrow is correct

Dr gelzer

A

ventricular premature contraction

19
Q

which of the following cardiac abnormalities is the most common cause of atrial fibrillation in the horse

dr slack

A

Abnormal substrate - having a normally large heart is predisposing factor

  • Atrial enlargement
  • Atrial fibrosis or fibrofatty infiltrate
  • Atrial inflammation
  • Atrial ischemia
  • AV node bypass (pre-excitation)

Trigger

  • Premature atrial complex

Modulators

  • ANS
  • Electrical remodeling
20
Q

how is dirofilaria immitis (heartworm) transmitted to dogs and cats

Dr sobotyk

A

mosquitos (w/ L3 inside)