Week 6 Cardio Quiz

Question 1

In patients with congestive heart failure, which of the following positions should be avoided to minimize the preload on a failing heart?

Answer 1

Supine with lower extremities elevated

Question 2

A patient who is status post surgical repair of a right hip fracture is at risk for thrombus formation and potentially pulmonary emboli. Which of the following interventions would be BEST recommended to this patient following discharge home to prevent a deep vein thrombus?

Answer 2

Regular ambulation throughout the day

Question 3

Which of the following factors would be MOST associated with a good prognosis post-myocardial infarction?

Answer 3

Small infarction size with increase in scar formation

Question 4

If atherosclerosis is diagnosed in the carotid arteries, which of the following arteries may also be atherosclerotic secondary to the nature of the disease process?

Answer 4

• Peripheral arteries
• Coronary arteries
• Renal arteries

Question 5

All of the following are typical sings/symptoms in patients diagnosed with CHF EXCEPT

Answer 5

Bradypnea

Question 6

Which of the following examination findings is MOST likely seen in the lower leg of a patient with a diagnosis of intermittent claudication?

Answer 6

Muscle atrophy

Question 7

If a patient is diagnosed with a left lower extremity deep vein thrombosis, which of the following sign/symptoms would MOST likely be seen in this lower extremity?

Answer 7

Pitting edema and tenderness

Question 8

A patient performing low-level exercise reports angina that is not typical of what the patient has previously experienced while doing the same level of activity. This type of angina would be classified as:

Answer 8

Unstable angina

Question 9

Extreme caution must be utilized in treating a patient with CHF and a/an:

Answer 9

Ejection fraction of 10%

Question 10

A 47 year old male with history of hypertension and diabetes, presents with crushing chest pain that began 40 minutes ago. He also reports diaphoresis and radiation of pain into his left arm. Which of the following laboratory markers is MOST specific in diagnosing his condition?

Answer 10

Troponin

Question 11

Systolic heart failure

Answer 11

Smaller weaker muscle —> pumps less blood

Question 12

Diastolic heart failure

Answer 12

Larger thicker muscle —> pumps less blood

Question 13

Right sided heart failure

Answer 13

Edema backup in LE and system

Question 14

Left side heart failure

Answer 14

Edema backup in the lungs

Question 15

Which of the following is true regarding the CPG on VTE?

Answer 15

Early mobility minimizes risk of VTE

Question 16

Which of the following is true when a valve is incompetent?

Answer 16

It is the same as a regurgitant valve

Question 17

In which New York Heart Association Functional Class is the patient only comfortable at rest?

Answer 17

Class III

Question 18

Why might someone living with heart failure decompensate?

Answer 18

• Eating high salt diet and drinking too many fluids
• Developing anemia from poor nutrition
• An illness like pneumonia increases demand
• Taking medications inconsistently

Question 19

Why are oxygen, lasix and nitroglycerin prescribed in the ER when a patient is in heart failure?

Answer 19

They all decrease the workload on the heart

Question 20

Which surgical procedure provides a mechanical assist to the heart in pumping blood?

Answer 20

IABP (intra-aortic)

Question 21

Which of the following lab results has the HIGHEST risk for CAD and atherosclerosis?
TC = total cholesterol

Answer 21

• TC = 250
• LDL = 170
• HDL = 35

Question 22

Pick all of the correct statements.

Answer 22

• A person with a BMI over 30 most likely has other CVD risk factors
• Every 20mmHg increase of Systolic BP doubles the risk of CVD

Question 23

Which are common signs and symptoms of cardiac ischemia in women?

Answer 23

Unusual fatigue or indigestion

Question 24

What is the difference between a STEMI and a Non-STEMI?

Answer 24

A STEMI is usually from a total occlusion of an artery

Question 25

Which medications are used in emergency management of an MI from coronary artery occlusion to maintain and restore blood flow?

Answer 25

• Heparin
• Thrombolytic