BVetMed3: The Diagnostic Approach to CV Disease

Beschreibung

Graduate Accelerated Veterinary Medicine (Cardiovascular) Quiz am BVetMed3: The Diagnostic Approach to CV Disease, erstellt von Marina Martins am 10/04/2019.
Marina Martins
Quiz von Marina Martins, aktualisiert more than 1 year ago
Marina Martins
Erstellt von Marina Martins vor mehr als 5 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
Which of the following is NOT a reason for heart failure occurring?
Antworten
  • Pump failure
  • Volume Overload
  • Pressure Overload
  • Arrhythmias
  • Diastolic Heart Failure
  • Hypertrophy

Frage 2

Frage
Coronary vascular disease can be attributed to which main cause of heart failure?
Antworten
  • Pump failure
  • Volume Overload
  • Pressure Overload
  • Arrhythmia
  • Diastolic Failure

Frage 3

Frage
Which of the following cardiovascular diseases primarily result in volume overload?
Antworten
  • Patent Ductus Arteriosus
  • Dilated Cardiomyopathy
  • Hypertension
  • Arrhythmia
  • Pericardial Effusion

Frage 4

Frage
Mitral insufficiency can result in which main cause of heart failure?
Antworten
  • Pump failure
  • Volume Overload
  • Arrhythmia
  • Diastolic Failure
  • Pressure Overload

Frage 5

Frage
Pulmonic and aortic stenosis can lead to which main cause of heart failure?
Antworten
  • Pressure Overload
  • Arrhythmia
  • Volume Overload
  • Pump Failure
  • Diastolic Failure

Frage 6

Frage
Hypertrophic cardiomyopathy and pericardial effusion can result in which main cause of heart failure
Antworten
  • Diastolic failure
  • Arrhythmia
  • Pump Failure
  • Volume Overload
  • Pressure Overload

Frage 7

Frage
Which of the following diseases results in BOTH diastolic failure and pump failure?
Antworten
  • Pericardial effusion
  • Dilated cardiomyopathy
  • Hypertrophic cardiomyopathy
  • Coronary vascular disease
  • Chronic Anaemia

Frage 8

Frage
Which of the following adaptive responses works to decrease the volume in circulation?
Antworten
  • Angiontensin II
  • ADH
  • Natriuretic peptides
  • Aldosterone

Frage 9

Frage
A drop in cardiac output results in a
Antworten
  • a decrease in parasympathetic activity and an increase in sympathetic activity
  • an increase in parasympathetic activity and a decrease in sympathetic activity
  • a decrease in both parasympathetic activity and sympathetic activity
  • an increase in both parasympathetic activity and sympathetic activity

Frage 10

Frage
Which of the following is NOT a trait of norepinephrine?
Antworten
  • positive chronotrope
  • positive inotrope
  • vasoconstriction
  • negative luisitrope

Frage 11

Frage
The release of which of the following will increase circulating fluid volume WITHOUT increasing the sodium concentration?
Antworten
  • Angiontensin II
  • ADH
  • Aldosterone
  • Natriuretic peptides

Frage 12

Frage
Increased levels of which of the following is seen as major a "biomarker" of heart failure?
Antworten
  • Prostaglandins
  • ADH
  • Natruiretic peptides
  • Intracellular calcium

Frage 13

Frage
Which of the following would result in concentric hypertrophy?
Antworten
  • Aortic stenosis
  • Mitral regurgitation
  • Patent Ductus Arteriosus
  • Arrhythmia

Frage 14

Frage
Which of the following results in eccentric hypertrophy?
Antworten
  • Pump failure
  • Volume Overload
  • Pressure Overload
  • Arrhythmia
  • Diastolic failure

Frage 15

Frage
Which of the following is NOT a consequence of disturbing the Starling equilibrium?
Antworten
  • Venous occlusion
  • Vasculitis
  • Hyperproteinaemia
  • Lymphoedema

Frage 16

Frage
Forward heart failure is
Antworten
  • Inadequate output at normal pressures
  • Adequate output at abnormal pressures
  • inadequate output at abnormal pressures

Frage 17

Frage
What is the correct order of a physical exam of the cardiovascular system?
Antworten
  • observation > palpation > percussion > auscultation
  • observation > percussion > palpation > auscultation
  • observation > percussion > auscultation > palpation
  • observation > auscultation > palpation > percussion

Frage 18

Frage
Tissue perfusion can be estimated via
Antworten
  • mucous membrane color
  • capillary refill time
  • palpating the precordium
  • respiratory rate

Frage 19

Frage
Which is not an artery site to check for a pulse in a horse?
Antworten
  • Facial artery
  • Transverse Facial artery
  • Median Artery
  • Digital Artery
  • Coccygeal artery

Frage 20

Frage
Percussion is used to detect
Antworten
  • the apex beat
  • pulse intensity
  • areas of dullness
  • venous congestion

Frage 21

Frage
The apex of the heart can be auscultated on the
Antworten
  • caudal, left side
  • cranial, left side
  • caudal, right side
  • cranial, right side

Frage 22

Frage
This is the left hand side of a horse. Label what you would auscultate at each site.
Antworten
  • pulmonic
  • aortic
  • mitral
  • apex beat
  • Pulmonic
  • Aortic
  • Mitral
  • Apex Beat
  • Pulmonic
  • Aortic
  • Mitral
  • Apex Beat
  • Pulmonic
  • Aortic
  • Mitral
  • Apex Beat

Frage 23

Frage
When would you hear a murmur due to mitral insufficiency?
Antworten
  • systole
  • diastole

Frage 24

Frage
When would you hear a systolic murmur, if a heart beat is described as "lub-dub"?
Antworten
  • Between lub and dub
  • After the dub
  • Both between the lub and dub, and after the dub

Frage 25

Frage
On auscultating a dog's heart, you hear a systolic murmur on the apex of the left side. This suggests
Antworten
  • mitral insufficiency
  • tricuspid insufficiency
  • ventricular septal defect
  • aortic/pulmonic stenosis
  • mitral stenosis
  • aortic/pulmonic insufficiency

Frage 26

Frage
On auscultating a dog's heart, you hear a systolic murmur on the base of the left side. This suggests
Antworten
  • Mitral Insufficiency
  • Tricuspid Insufficiency
  • Aortic/Pulmonic Insufficiency
  • Aortic/Pulmonic Stenosis
  • Ventricular Septal Defect
  • Mitral Stenosis

Frage 27

Frage
What type of murmur would suggest pulmonic insufficiency?
Antworten
  • A diastolic murmur at the base of the left side
  • A systolic murmur at the base of the left side
  • A systolic murmur at the cranial border
  • A diastole murmur at the apex of the left side
  • A diastolic murmur at the cranial aspect of the right side

Frage 28

Frage
On auscultation, you hear a heart murmur that is louder than S1 and S2 but you cannot palpate any precordial thrill. How would you grade this murmur?
Antworten
  • Grade 1
  • Grade 2
  • Grade 3
  • Grade 4
  • Grade 5
  • Grade 6

Frage 29

Frage
At what grade would you possibly hear a heart murmur radiate in a particular direction?
Antworten
  • Grade 1
  • Grade 2
  • Grade 3
  • Grade 4
  • Grade 5
  • Grade 6

Frage 30

Frage
What type of murmur can radiate dorsally?
Antworten
  • Aortic
  • Pulmonic
  • Mitral

Frage 31

Frage
A gallop sound during auscultation suggests
Antworten
  • poor systolic contraction of the ventricle
  • poor diastolic relaxation of the ventricle
  • a mitral murmur
  • an aortic murmur

Frage 32

Frage
Which of the following is a loop diuretic?
Antworten
  • Furosemide
  • Spironolactone
  • Chlorothiazide
  • Amiloride

Frage 33

Frage
Which of the following could NOT be used to correct increased preload?
Antworten
  • Furosemide
  • ACE Inhibitor
  • Pimobendan
  • Digoxin

Frage 34

Frage
Which of the following is NOT a risk of diuresis?
Antworten
  • Hypovolaemia
  • Hypertension
  • RAAS Stimulation
  • Electrolyte disturbance

Frage 35

Frage
Which of the following is NOT a balanced vasodilator?
Antworten
  • Glyceryl trinitrate
  • ACE inhibitor
  • Pimobendan
  • Nitroprusside

Frage 36

Frage
Which of the following would reduce the regurgitation associated with mitral insufficiency?
Antworten
  • glyceryl trinitrate
  • furosemide
  • spironolactone
  • pimobendan

Frage 37

Frage
Which of the following would indicate the use of digoxin?
Antworten
  • Atrial fibrillation
  • Hypertrophic cardiomyopathy
  • Mitral insufficiency
  • Aortic stenosis

Frage 38

Frage
What would an aortic "flow" murmur sound on auscultation?
Antworten
  • crescendo-decrescendo between S1 and S2
  • decrescendo after S2
  • plateau between S1 and S2
  • plateau between S2 and S3

Frage 39

Frage
Which is FALSE regarding aortic flow murmurs?
Antworten
  • relatively rare
  • usually below grade 3
  • only has local radiation
  • often seen in fit horses

Frage 40

Frage
What would a functional mitral valve regurgitation sound like?
Antworten
  • crescendo-decrescendo between S1 and S2
  • plateau between S1 and S2
  • decrescendo after S2
  • crescendo after S2

Frage 41

Frage
What is the point of maximum intensity (PMI) of pathological mitral regurgitation?
Antworten
  • left 3rd intercostal space
  • left 4th intercostal space
  • left 5th intercostal space
  • left 6th intercostal space

Frage 42

Frage
What type of pathological regurgitation is plateau-shaped, radiates craniodorsally and has a PMI at the right 4th intercostal space?
Antworten
  • Aortic regurgitation
  • Mitral regurgitation
  • Tricuspid regurgitation
  • Pulmonary regurgitation

Frage 43

Frage
What shape does an pathological aortic regurgitation murmur have?
Antworten
  • crescendo-decrescendo between S1-S2
  • plateau between S1-S2
  • decrescendo between S1-S2
  • decrescendo after S2

Frage 44

Frage
A bounding or "hyperkinetic" arterial pulse is a sign of significant heart disease in
Antworten
  • mitral regurgitation
  • tricuspid regurgitation
  • aortic regurgitation

Frage 45

Frage
What is the most common form of valve pathology?
Antworten
  • Endocardiosis
  • Valve prolapse
  • Ruptured chordae tendineae
  • Bacterial endocarditis

Frage 46

Frage
Ruptured chordae tendinae is more common with the
Antworten
  • aortic valve
  • mitral valve
  • pulmonary valve
  • tricuspid valve

Frage 47

Frage
Which of the following often can cause sudden death or acute cardiac failure?
Antworten
  • valve prolapse
  • ruptured chordae tendineae
  • changes in ventricular size
  • hypovoaemia

Frage 48

Frage
What is the most common congenital cardiac defect in large animals?
Antworten
  • ventricular septal defect
  • patent ductus arteriosus
  • valve dysplasia

Frage 49

Frage
Ventricular septal defects are in the [blank_start]dorsal[blank_end] part of the septum.
Antworten
  • dorsal
  • ventral
  • cranial
  • caudal

Frage 50

Frage
The intensity of a murmur associated with a ventricular septal defect is [blank_start]inversely[blank_end] proportional to the size of the defect.
Antworten
  • inversely
  • directly

Frage 51

Frage
With ventricular septal defects, a [blank_start]RHS[blank_end] murmur is associated with a [blank_start]LV to RV[blank_end] shunt.
Antworten
  • RHS
  • LHS
  • LV to RV
  • RV to LV

Frage 52

Frage
With ventricular septal defects, a LHS murmur is associated with a
Antworten
  • functional pulmonic stenosis
  • functional aortic stenosis
  • degenerative pulmonic stenosis
  • degenerative aortic stenosis

Frage 53

Frage
For VSD murmurs, a left hand side murmur's shape is [blank_start]crescendo-decrescendo[blank_end] has a grade of [blank_start]3-6[blank_end] and has wide radiation.
Antworten
  • crescendo-decrescendo
  • plateau
  • decrescendo
  • crescendo
  • 3-6
  • less than 3

Frage 54

Frage
For VSD murmurs, a right hand side murmur's shape is [blank_start]plateau[blank_end] has a grade of [blank_start]3-6[blank_end] and has wide radiation.
Antworten
  • plateau
  • crescendo-decrescendo
  • crescendo
  • decrescendo
  • 3-6
  • less than 3

Frage 55

Frage
Lymphosarcoma in cattle can result from
Antworten
  • Bovine Leukaemia Virus (BLV)
  • BVDV
  • Leptospira spp.
  • Bovine Herpes Virus 1

Frage 56

Frage
Which is FALSE regarding pericardial effusions in horses?
Antworten
  • They tend to be idiopathic
  • In cases of pericarditis, they tend to develop fibrinous effusions
  • EVA can develop into pericarditis
  • Prognosis tends to be poor even with treatment

Frage 57

Frage
Bacterial endocarditis mainly affects which area of the heart in ruminants?
Antworten
  • Tricuspid
  • Pulmonic
  • Mitral
  • Aortic
  • Tricuspid and Pulmonic
  • Mitral and Aortic

Frage 58

Frage
Bacterial endocarditis usually affects which area of the heart in horses?
Antworten
  • Tricuspid and pulmonic
  • Tricuspid
  • Pulmonic
  • Mitral
  • Aortic
  • Mitral and Aortic

Frage 59

Frage
Which of the following develops secondary to pulmonary hypertension?
Antworten
  • cor pulmonale
  • bacterial endocarditis
  • ruptured chordae tendineae
  • mitral valve disease

Frage 60

Frage
Which of the following is NOT a sign of right-sided heart failure?
Antworten
  • subcutaneous oedema
  • jugular venous distension
  • dyspnoea
  • tachypnoea
  • pulmonary oedema
  • tachycardia

Frage 61

Frage
Which of the following diseases is associated with catheters in horses?
Antworten
  • Thrombophlebitis
  • Cor pulmonale
  • Bacterial endocarditis
  • Lymphosarcoma

Frage 62

Frage
Where does exercise-induced pulmonary haemorrhage originate?
Antworten
  • caudodorsal lung lobes
  • craniodorsal lung lobes
  • caudoventral lung lobes
  • cranioventral lung lobes
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