Quiz 3 - Cardiology Flashcards
Which of the following are NOT recognized side effects of ACE-inhibitor medications?
a. anorexia
b. vomiting
c. azotemia
d. elevation of alkaline phosphatase
d. elevation of alkaline phosphatase
Which of the following congenital heart diseases and their expected cardiac chamber remodeling are correctly paired?
Correct answer:
a. Tricuspid Valve Dysplasia, right ventricular and right atrial eccentric hypertrophy
b. Patent Ductus Arteriosus, left ventricular concentric hypertrophy
c. Pulmonic Stenosis, left ventricular concentric hypertrophy
d. Subaortic Stenosis, right ventricular concentric hypertrophy
a. Tricuspid Valve Dysplasia, right ventricular and right atrial eccentric hypertrophy
Which of the following congenital heart diseases and their expected heart murmurs (point of maximal intensity and timing) are incorrectly paired?
a. Ventricular Septal Defect, Right-sided systolic murmur
b. Patent Ductus Arteriosus, Left basilar continuous murmur
c. Subaortic Stenosis, Left basilar systolic murmur
d. Pulmonic Stenosis, Left apical systolic murmur
d. Pulmonic Stenosis, Left apical systolic murmur
Which of the following congenital heart diseases would warrant periodic monitoring of the packed cell volume?
a. Patent Ductus Arteriosus, Left-to-right shunting
b. Ventricular Septal Defect
c. Tetralogy of Fallot
d. Tricuspid Valve Dysplasia
c. Tetralogy of Fallot
Which of the following antiarrhythmic medications is a common first line oral therapy for supraventricular arrhythmias in dogs?
a. Diltiazem
b. Mexilitine
c. Amiodarone
d. Lidocaine
a. Diltiazem
Which of the following medications is currently the preferred therapy for prevention of arterial thromboembolism in a cat?
a. Clopidogrel
b. Aspirin
c. Warfarin
d. Atenolol
a. Clopidogrel
Which of the following cardiac medications can be given before any diagnostic tests have been performed in an unstable dog with suspected acute congestive heart failure due to dilated cardiomyopathy or chronic mitral valve disease?
a. Amlodipine
b. Sildenafil
c. Atenolol
d. Pimobendan
d. Pimobendan
Which of the following drug characteristics would be considered most undesirable in a patient known to have dilated cardiomyopathy?
a. Negative inotropic effects
b. Only available in capsules, not available in tablets
c. May cause gastrointestinal side effects
d. Negative chronotropic effects
a. Negative inotropic effects
An 8-year-old male Doberman Pinscher has been treated for congestive heart failure secondary to dilated cardiomyopathy for the past 6 months, with two relapses requiring increased furosemide dosages at the 3-month and 5-month marks. His current medications include: Furosemide (3.1 mg/kg PO TID), Pimobendan (0.3 mg/kg PO BID), Enalapril (0.45 mg/kg PO BID) and Spironolactone (1.3 mg/kg PO BID). Upon presentation today he now has a moderate azotemia with a creatinine of 3.1 (Ref: 0.5-1.5 mg/dl) and a BUN of 62 (Ref: 5-29 mg/dl). Which of the following adjustments to the patient’s treatment plan could reasonably be made to attempt to improve the azotemia?
a. Discontinue the enalapril
b. Decrease the pimobendan dose
c. Increase the furosemide
d. Discontinue furosemide
a. Discontinue the enalapril
Enlargement of which of the following heart chambers poses the largest risk for predisposing a cat to an arterial thromboembolism?
a. Left atrium
b. Right atrium
c. Right ventricle
d. Left ventricle
a. Left atrium
In a dog with dilated cardiomyopathy, active congestive heart failure and atrial fibrillation with a heart rate of 240 bpm, which of the following treatment goals should be pursued?
a. Initiate antiarrhythmic treatment for the atrial fibrillation with an ideal heart rate goal of 170-190 bpm in the hospital.
b. Initiate antiarrhythmic treatment for the atrial fibrillation with an ideal heart rate goal of 130-150 bpm in the hospital.
c. Manage the on-going congestive heart failure.
d. choice a and c
e. choice b and c
e. choice b and c
Which of the following diagnostic tests are usually normal in a Boxer affected with Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC)?
a. Thoracic radiographs and echocardiogram
b. Holter monitor and Electrocardiogram
c. Thoracic radiographs, Holter monitor and Echocardiogram
d. Holter monitor, Electrocardiogram and Echocardiogram
a. Thoracic radiographs and echocardiogram
Which of the following treatments are part of the standard therapy prescribed to all cats presenting with acute congestive heart failure due to hypertrophic cardiomyopathy?
a. Pimobendan
b. Furosemide
c. Oxygen administration
d. a, b, and c
e. b and c
e. b and c
You are examining an 8-year-old male castrated domestic shorthair cat for his annual examination and identify a new grade 2/6 systolic heart murmur. Which of the following diagnostic tests is your top recommendation to determine the cause of the murmur and obtain a definitive diagnosis in this cat?
a. Echocardiogram
b. NT-proBNP
c. Systemic blood pressure measurement
d. Thoracic radiographs
a. Echocardiogram
Which of the following diagnostic tests is considered the highest priority test in a patient suspected of having acute congestive heart failure?
a. Electrocardiogram
b. Echocardiogram
c. Systemic blood pressure measurement
d. Thoracic radiographs
d. Thoracic radiographs
