snapp 2 Flashcards

1
Q

doppler signals are converted to a color scale to represent:

A
  1. direction
  2. velocity
  3. turbulence

Doppler can only estimate pressure gradient

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2
Q

what do you avoid before a pharmacologic stress test?

A
  1. caffeine (chocolate!!!)

2. theophylline

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3
Q

which is the most common birth defect?

A

VSD

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4
Q

ductus arteriosus connects which two vessels?

A
  1. Right pulmonary artery

2. aorta

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5
Q

what is a serious complication of un-repaired cyanotic congenital heart disease?

A

cerebral absecess

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6
Q

A newborn baby with coarctation of the aorta may be asymptomatic if which of the following is also present?

A

PDA

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7
Q

women tend to have higher ___ than men

A

HDL levels

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8
Q

criteria for metabolic syndrome is

A
  1. abdominal circumference
  2. triglycerides > 150
  3. HDL under 40 for men, 50 for women
  4. glucose, > 100
  5. BP > 130/85

need 3/5 to qualify

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9
Q

As triglyceride levels rise in an individual, HDL levels typically:

A

fall

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10
Q

what is associated with metabolic syndrome?

A
  1. increased uric acid levels
  2. cognitive dysfunction
  3. polycystic ovarian syndrome
  4. sleep apnea

all are connected to obesity/diabetes/insulin resistance

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11
Q

Which of the following is a Class I recommendation for reducing the risk factors for recurrent cardiac events (that is, secondary prevention in CAD)?

A

BP

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12
Q

Which of the following physiologic responses is seen during exercise?

A

increased Ejection fraction

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13
Q

During exercise, heart rate increases. The faster the heart beats, the shorter the filling time. At first thought, this seems counter-productive. How does the body compensate for decreased filling time and maintain adequate cardiac output?

A

increased SV

An increase in HR alone would not improve CO. But, during exercise a combo of peripheral vasodialtion, an INCREASE in venous return, and venoconstriction all contribute to an increased SV. So, CO can still increase and deliver adequate blood to peripheral skeletal m.

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14
Q

While exercising, which of the following physiologic changes would be seen in an elite athlete as compared to a sedentary individual?

A

Athletles gradually increase their SV and continue to do so throughout exercise

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15
Q

There is a redistribution of blood flow during exercise. Which of the following correctly describes the changes in blood flow to the brain?

A

absolute increase in blood flow

% of CO that is delivered to the brain decreases during exercise, but there is a large enough increase in total CO that the brain gets more blood during exercise

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16
Q

There is a redistribution of blood flow during exercise. Which of the following correctly describes the changes in blood flow to the brain?

A

absolute increase in blood flow

% of CO that is delivered to the brain decreases during exercise, but there is a large enough increase in total CO that the brain gets more blood during exercise

17
Q

ST-segment Depression during Exercise occurs as a sign of mycardial ischemia as a result of which change in the subendocardium?

A

decreased potassium

18
Q

The ischemic threshold is determined PREDOMINATELY by which of the following factors?

A

chronotropy

RPP is the index f myocardial oxygen consumption. The ischemic threshold is the RPP at which the ST degment depression is observed on the EKG

19
Q

RPP is influenced mostly by:

A

chronotropic work, but also pressure and volume.

20
Q

a lower RPP indicated

A

more severe ischemia

21
Q

As a result of exercise therapy, which of the following will remain UNCHANGED?

A

Total body VO2 at a given workload

22
Q

Exercise therapy increases:

A
  1. aerobic capacity (peak VO2)
  2. peripheral O2 extraction
  3. stroke volume
23
Q

Exercise therapy decreases:

A
  1. sympathetic activity
  2. heart rate and
  3. BP

at submaximal myocardial VO2 at given workload