Copy and Edit

Coronary 1 Practice

Description

Practice for durham coronary 1 course
romalsp
Quiz by romalsp, updated more than 1 year ago
romalsp
Created by romalsp over 9 years ago
2817
1
1

Resource summary

Question 1

Question
The two branches of the left coronary artery are the
Answer
  • left anterior descending, left posterior descending
  • circumflex, right coronary artery
  • circumflex, left anterior descending
  • left lateral artery, circumflex

Question 2

Question
The heart's muscular layer that allows the heart to contract is the
Answer
  • endocardium
  • myocardium
  • epicardium
  • pericardium

Question 3

Question
The chamber that receives blood from the vena cavas is the
Answer
  • LA
  • RA
  • LV
  • RV

Question 4

Question
Atrial kick supplies the ventricles with about ________ blood volume
Answer
  • 20%
  • 50%
  • 80%
  • 100%

Question 5

Question
During ventricular systole, the
Answer
  • aortic and tricuspid valves close
  • tricuspid and pulmonic valves close
  • mitral and aortic valves open
  • pulmonic and aortic valves open

Question 6

Question
The curcumflex artery mostly supplies the
Answer
  • RA
  • lateral wall of the RV
  • septal wall of the LV
  • lateral wall of the LV

Question 7

Question
Cardiac Output equals
Answer
  • heart rate x stroke volume
  • heart rate x venous pressure
  • heart rate x systemic pressure
  • heart rate x atrial kick

Question 8

Question
Vessels that supply the heart's structures with oxygenated blood are the
Answer
  • pulmonary arteries
  • coronary arteries
  • systemic arteries
  • vena cavas

Question 9

Question
Spread of depolarization to the LA travels along
Answer
  • the internodal tracts
  • the bundle of HIS
  • the L bundle branch
  • Bachmann's bundle

Question 10

Question
The right side of the heart pumps blood into the
Answer
  • pulmonary circulation
  • aorta
  • systemic circulation
  • coronary arteries

Question 11

Question
Preload refers to the ventricular stretch
Answer
  • at the start of atrial systole
  • at the end of atrial diastole
  • at the start of ventricular diastole
  • at the end of ventricular diastole

Question 12

Question
Intrinsically, the SA node can normally initiate ______ impulses each minute
Answer
  • 29-40
  • 40-60
  • 40-80
  • 60-100

Question 13

Question
The PMI (point of maximum impulse) is best heard
Answer
  • at the apex of the heart
  • at the base of the heart
  • over the aortic area
  • over the pulmonic area

Question 14

Question
Ventricular depolarization/systole
Answer
  • propels blood to the atria
  • coincides with atrial systole
  • results from electrical stimulation
  • prevents blood flow into the coronary arteries

Question 15

Question
Mitral stenosis can
Answer
  • increase preload
  • decrease preload
  • increase afterload
  • decreases afterload

Question 16

Question
Atrial systole can also be called
Answer
  • atrial relaxation
  • atrial kick
  • atrial pressure
  • atrial repolarization

Question 17

Question
Rupture of a papillary muscle can
Answer
  • lead to valve regurgitation, thereby affecting SV and CO
  • decreases electrical stimulation
  • occlude a coronary artery
  • ensure electrical impulses conduct regularity

Question 18

Question
Which coronary artery supplies the AV node in most people
Answer
  • the R coronary artery
  • The L coronary artery
  • the LAD artery
  • the circumflex artery

Question 19

Question
Fast heart rates can decrease CO because of
Answer
  • an increase in SV
  • the increased force of contraction
  • the shortened ventricular filling time
  • their relaxing effect on the heart valves

Question 20

Question
The conduction system refers to
Answer
  • the heart's mechanical system
  • the heart's electrical system
  • the AV node's function
  • ventricular contraction

Question 21

Question
Oxygenated blood returns to the heart via the
Answer
  • pulmonary arteries
  • vena cavas
  • pulmonary veins
  • aorta

Question 22

Question
The tricuspid valve is located between the
Answer
  • RA and LA
  • LA and LV
  • RV and LV
  • RA and RV

Question 23

Question
Prior to the onset of late ventricular diastole (before atrial systole), the ventricles have
Answer
  • received about 20% of their blood volume
  • received about 80% of their blood volume
  • filled to full capacity
  • contracted

Question 24

Question
The CO can decrease with slow heart rates because
Answer
  • the SV cannot increase any further
  • of rapid AV conduction
  • of poor LV muscle contraction
  • of valvular dysfunction

Question 25

Question
The main property of the AV node is to
Answer
  • a forward 20% extra blood volume to the ventricles
  • slow impulse conduction velocity/speed
  • ensure a regular rhythm of impulse transmission
  • promote atrial systole

Question 26

Question
The cells' ability to initiate impulses is called
Answer
  • automaticity
  • excitability
  • conductivity
  • contractility

Question 27

Question
If the SA node fails, the AV junction can intrinsically generate ____ impulses per minute
Answer
  • 20-40
  • 40-60
  • 60-80
  • 80-100

Question 28

Question
The PMI is located at the
Answer
  • 2nd R ICS (intercostal space)
  • 2nd L ICS
  • 5th R ICS
  • 5th L ICS

Question 29

Question
An S3 can indicate
Answer
  • an atrial gallop
  • the apical pulse
  • heart failure
  • closure of the mitral valve

Question 30

Question
At the aortic area
Answer
  • S1 is louder than S2
  • S2 is louder than S1
  • S2 cannot be heard
  • S1 and S2 sound the same

Question 31

Question
Palpitations can be
Answer
  • sustained
  • insignificant
  • caused by the use of bronchodilators
  • any of the above

Question 32

Question
Pulsus alternans is characterized by
Answer
  • alternating regular and irregular rhythms
  • alternating strong and weak pulses
  • increased rate with expiration
  • decreased rate with expiration

Question 33

Question
Auscultation of the mitral valve is best heard at the
Answer
  • 2nd R ICS, adjacent to the sternum
  • 2nd L ICS, adjacent to the sternum
  • 5th L ICS, medial to the mid-clavicle
  • lower L sternal border

Question 34

Question
Acute MI pain can radiate to
Answer
  • the jaw and neck
  • the left arm
  • the back
  • any of the above

Question 35

Question
Unilateral leg edema can signify
Answer
  • left sided heart failure
  • superior vena cava syndrome
  • venous insufficiency
  • ventricular diastole

Question 36

Question
Auscultation of the pulmonic valve is best heard at the
Answer
  • 2nd R ICS
  • 2nd L ICS
  • 5th R ICS
  • 5th L ICS

Question 37

Question
During atrial systole, you might auscultate an
Answer
  • S1
  • S2
  • S3
  • S4

Question 38

Question
Elevated JVP might be visualized in the patient with
Answer
  • RV MI
  • RVF
  • cor pulmonale
  • any of the above

Question 39

Question
During inspection of the chest , the pulsation of the apical pulse is always visible
Answer
  • True
  • False

Question 40

Question
Palpation of a normal pulse strength is documented as
Answer
  • 1+
  • 2+
  • 3+
  • 4+

Question 41

Question
The ____ valve is heard loudest at the 2nd R ICS, adjacent to the sternum
Answer
  • Aortic
  • Pulmonic
  • Tricuspd
  • Mitral

Question 42

Question
Which cardiac condition would most likely cause chest pain that eases by sitting up and leaning forward?
Answer
  • Acute Paricarditis
  • CHF

Question 43

Question
A pneumothorax can potentially to displace the PMI
Answer
  • True
  • False

Question 44

Question
The S1 heart sound
Answer
  • represents closure of the mitral and tricuspid valves
  • signifies the end of ventricular diastole
  • is heard loudest at the apex
  • all of the above

Question 45

Question
The S3 and S4 adventitious heart sounds
Answer
  • are best heard with the stethoscope's diaphragm
  • can indicate heart failure
  • correspond with ventricular systole
  • all of the above

Question 46

Question
To observe the JVP
Answer
  • turn the patient's head away from the side being examined
  • elevate the head of the bed to 90 degrees
  • auscultate the 2nd L ICS
  • ensure dim lighting to distinguish the JVP shadows

Question 47

Question
An adventitious heart sound heard during atrial diastole would be
Answer
  • S1
  • S2
  • S3
  • S4

Question 48

Question
When discussing the dorsalis pedis pulse
Answer
  • palpating the R and L simultaneously is safe
  • it should always be easily palpable in normal adults
  • it is located just below the malleolus
  • its detection requires very deep palpation

Question 49

Question
An S4 heart sound
Answer
  • is called a ventricular gallop
  • is heard during ventricular diastole
  • is heard during atrial diastole
  • occurs before S2

Question 50

Question
Pulsus paradoxus is characterized by
Answer
  • alternating regular and irregular rhythms
  • alternating strong and weak pulses
  • decreased amplitude with expiration
  • decreased amplitude with inspiration

Question 51

Question
When listening over the mitral area, S1 is louder than S2
Answer
  • True
  • False

Question 52

Question
Normally, pulsations of the internal jugular veins
Answer
  • change in response to positioning
  • are visualized at 10cm above the suprasternal notch
  • are noticeable when the patient stands
  • all of the above

Question 53

Question
Syncope can be a symptom of
Answer
  • vasodilatation
  • a slow heart rate
  • excessive vagal activity
  • any of the above

Question 54

Question
When documenting a pulse's strength, a weak pulse is
Answer
  • 0
  • 1+
  • 2+
  • 3+

Question 55

Question
In which of the following conditions might the patient's chest heaviness ease if s/he rests?
Answer
  • acute pericarditis
  • dissecting aneurysm
  • stable angina
  • pulmonary embolism

Question 56

Question
Palpating both carotid arteries simultaneously can decrease the HR and produce syncope
Answer
  • True
  • False

Question 57

Question
An irregular pulse is always detected in patients with
Answer
  • cardiac tamponade
  • MI
  • aortic dissection
  • atrial fibrillation

Question 58

Question
In Lead I
Answer
  • RA is negative, LL is positive
  • LA is negative, LL is positive
  • RA is negative, LA is positive
  • RA is negative, RL is positive

Question 59

Question
CK elevation will be detected with
Answer
  • elevated HDLs
  • CVA
  • depolarization
  • decreased CO

Question 60

Question
After MI, the following LDH isoenzymes can be expected
Answer
  • LD1 and LD2 are absent
  • LD1 = LD2
  • LD1 < LD2
  • LD1 > LD2

Question 61

Question
Depolarization
Answer
  • is a state of excitability
  • coincides with discharge of electricity
  • results from ionic activity
  • all of the above

Question 62

Question
Oral anticoagulation dosing is determined by assessing the
Answer
  • CK
  • AST
  • PTT
  • PT or INR

Question 63

Question
The normal PR interval measures
Answer
  • less than 0.12 seconds
  • 0.12 to 0.20 seconds
  • 0.20 to 0.40 seconds
  • more than 0.40 seconds

Question 64

Question
The Q wave is the first ____ of a ventricular complex
Answer
  • first negative deflection
  • first positive deflection
  • second negative deflection
  • second positive deflection

Question 65

Question
To calculate an irregular ventricular rate
Answer
  • divide the # of small boxes between 2 QRSs into 1500
  • divide the # of large boxes between 2 QRSs into 300
  • count the # of QRSs in a 6 second strip, and x 10
  • all of the above

Question 66

Question
The QT interval represents the time frame for
Answer
  • ventricular depolarization to occur
  • ventricular repolarization to occur
  • ventricular depolarization and repolarization to occur

Question 67

Question
In lead III
Answer
  • RA is negative, LL is positive
  • LA is negative, LL is positive
  • RA is negative, LA is positive
  • RA is negative, RL is positive

Question 68

Question
The cardiac cycle includes
Answer
  • The P wave
  • the QRS complex
  • the T wave
  • the PQRST

Question 69

Question
An MI can be safely diagnosed with the CK-MB result because this isoenzyme
Answer
  • represents atrial depolarization
  • is specific to cardiac tissue
  • reflects the CO
  • causes the ventricles to contract

Question 70

Question
Cholesterol is carried on
Answer
  • LDL
  • AST
  • PTT
  • myoglobin

Question 71

Question
An impulse travelling toward the area where a positive electrode is placed is recorded as
Answer
  • a positive deflection
  • negative deflection
  • flat line
  • any of the above

Question 72

Question
Torsades de Pointes can result from
Answer
  • short PR intervals
  • long PR intervals
  • short QT intervals
  • long QT intervals

Question 73

Question
Normally, the majority of cardiac electrical activity travels to the electrode placed on the
Answer
  • RA
  • LA
  • Rl
  • LL

Question 74

Question
The P wave represents
Answer
  • atrial depolarization
  • ventricular depolarization
  • ventricular repolarization
  • conduction through the AV node

Question 75

Question
The QT interval
Answer
  • starts at the onset of the QRS complex
  • ends after the T wave
  • should be less than half the R-R interval
  • all of the above

Question 76

Question
Prior to obtaining lipid studies
Answer
  • the CK-MB must be elevated
  • patients must be fasting
  • the INR must be within normal range
  • CO must be satisfactory

Question 77

Question
The QRS complex
Answer
  • should measure more than 0.10 seconds
  • reflects ventricular depolarization
  • always has a Q, an R, and an S wave
  • all of the above

Question 78

Question
Heparin dosing is determined by assessing the
Answer
  • PTT
  • PT
  • INR

Question 79

Question
The PR interval is measured from the
Answer
  • start of the P wave to the start of the QRS
  • start of the P wave to the end of the QRS
  • end of the P wave to the start of the QRS
  • end of the P wave to the end of the QRS

Question 80

Question
Which troponins can be evaluated to detect myocardial damage?
Answer
  • troponins I and C
  • troponins I and T
  • troponins T and C
  • troponins I, T, and C

Question 81

Question
Ventricular repolarization is reflected by the
Answer
  • P wave
  • QRS complex
  • T wave
  • PR interval

Question 82

Question
In lead II
Answer
  • RA is negative, LL is positive
  • LA is negative, LL is positive
  • RA is negative, LA is positive
  • RA is negative, RL is positive

Question 83

Question
Six seconds on ECG paper includes
Answer
  • 15 small boxes
  • 15 large boxes
  • 30 small boxes
  • 30 large boxes

Question 84

Question
Which of the following ST segments is abnormal?
Answer
  • 0.5mm below the baseline
  • 0.5mm above the baseline
  • the iso-electric ST segment
  • 2mm above the baseline

Question 85

Question
The normal ventricle requires ____ to contract
Answer
  • < 0.02 seconds
  • < 0.10 seconds
  • > 0.12 seconds
  • > 0.20 seconds

Question 86

Question
The CK begins to elevate ____ after muscle damage
Answer
  • 4-6 hours
  • 10-15 hours
  • 12-24 hours
  • 24-36 hours

Question 87

Question
The patient with a prosthetic mechanical valve, whose INR is 1.2 needs
Answer
  • to increase his warfarin dosage
  • to decrease his warfarin dosage
  • to maintain his same/usual warfarin dose
  • to withold the next warfarin dose

Question 88

Question
In lead II, normal ventricular depolarization produces a
Answer
  • P wave with a positive deflection
  • P wave with a negative deflection
  • QRS with a positive deflection
  • QRS with a negative deflection

Question 89

Question
The normal CK-MB
Answer
  • varies according to the HDL
  • is less than 5% of the total CK
  • will elevate with cerebral injury

Question 90

Question
Spinach and other foods rich in Vitamin K can
Answer
  • increase the CK and AST
  • decrease the CK and AST
  • increase clotting times
  • decrease clotting times

Question 91

Question
Repolarization
Answer
  • represents a state of excitability
  • is a state of relaxation
  • indicates that the ventricles are contracting
  • is reflective of myocardial damage

Question 92

Question
The time reflected between each darkened 'bold' line on ECG paper is
Answer
  • 0.02 seconds
  • 0.04 seconds
  • 0.12 seconds
  • 0.20 seconds

Question 93

Question
The R wave
Answer
  • is positively deflected
  • indicates that the atria are contracting
  • measures > 0.20 seconds
  • reflects conduction through the AV node

Question 94

Question
When QRS complexes occur at intervals with slight variances of < 0.12 seconds
Answer
  • extra P waves are always seen
  • the ventricles are not depolarizing
  • the rate is always rapid
  • the rhythm is considered regular

Question 95

Question
In the heart with a normal conduction system
Answer
  • extra P waves are seen
  • each P wave is followed by a QRS
  • P waves differ in morphology (appearance)
  • the absence of P waves is expected

Question 96

Question
The negatively deflected wave indicates that the impulse
Answer
  • has not been generated
  • is travelling toward a positive electrode
  • is travelling away from a positive electrode
  • requires stronger electrical current

Question 97

Question
U waves
Answer
  • should deflect in the same direction as the T wave
  • are only 1/4 the height of the T wave
  • may be absent on the normal rhythm strip
  • all of the above

Question 98

Question
Colour of RA
Answer
  • Black
  • Green
  • Brown
  • White
  • Red

Question 99

Question
Colour of LA
Answer
  • black
  • green
  • brown
  • red

Question 100

Question
Colour of RL
Answer
  • red
  • green
  • black
  • white

Question 101

Question
Colour of LL
Answer
  • brown
  • green
  • red
  • black

Question 102

Question
Colour of Precordium (V lead)
Answer
  • red
  • black
  • green
  • brown

Question 103

Question
Sinus tachycardia can be caused by
Answer
  • excessive vagal stimulation
  • beta-blockers, digoxin
  • verapamil, adenosine
  • fever, anxiety, atropine

Question 104

Question
Syncope can be a manifestation of any tachycardia because
Answer
  • the HR is too slow
  • ventricular depolarization does not occur
  • ventricular filling times are shortened
  • vagal activity is excessive

Question 105

Question
Carotid sinus massage can lead to
Answer
  • sinus bradycardia
  • sinus block
  • sinus arrest
  • any of the above

Question 106

Question
In atrial flutter
Answer
  • all atrial impulses always reach the ventricles
  • the AR is always slow
  • the PR interval is not measurable
  • the QRS complexes are always wide

Question 107

Question
The initial energy level required to convert PAT is
Answer
  • 50 joules
  • 100 joules
  • 200 joules
  • 300 joules

Question 108

Question
Junctional escape rhythm can deteriorate to
Answer
  • IVR
  • VT
  • junctional tachycardia
  • any of the above

Question 109

Question
The distinguishable features of Wenckebach are
Answer
  • constant PR interval, AR = VR
  • constant PR interval, AR > VR
  • variable PR interval, AR = VR
  • variable PR interval, AR > VR

Question 110

Question
Multifocal PVCs are reflected as
Answer
  • frequent beats
  • different looking beats
  • beats occurring regularly
  • missing beats

Question 111

Question
A regular rhythm with an AR of 110, VR of 110, constant PR interval of 0.12 seconds, QRS complexes of 0.08 seconds is
Answer
  • sinus tachycardia
  • PAT
  • atrial fibrillation
  • VT

Question 112

Question
The most distinguishable feature of atrial fibrillation is
Answer
  • a rapid ventricular rate
  • an irregular rhythm
  • variable PR intervals
  • wide QRS complexes

Question 113

Question
Lidocaine is often effective in treating ventricular rhythms because it
Answer
  • enhances ventricular depolarization
  • improves atrial automaticity
  • suppresses ventricular irritability
  • blocks PSNS activity

Question 114

Question
A defibrillator should be quickly accessible for the patient in third degree AV block because this block can deteriorate to
Answer
  • VT
  • Wenckebach
  • IVR
  • sinus bradycardia

Question 115

Question
Sinus arrest can be caused by
Answer
  • atropine
  • excessive SNS stimulation
  • caffeine, nicotine
  • digoxin toxicity

Question 116

Question
PAT with an AR of 240 beats/minute would always have
Answer
  • a slower VR
  • regular rhythm
  • normal PR intervals
  • visible P waves

Question 117

Question
In atrial fibrillation, reduced CO can result from
Answer
  • the rapid SA node rate of impulse formation
  • the irregular ventricular rhythm
  • disorganized, chaotic atrial quivering
  • shortened PR intervals

Question 118

Question
Initial shock treatment of pulseless VT is
Answer
  • cardioversion, starting with 200 joules
  • cardioversion, starting with 300 joules
  • defibrillation, starting with 200 joules
  • defibrillation, starting with 300 joules

Question 119

Question
The ____ generates impulses in all heart blocks
Answer
  • SA node
  • atria
  • AV junction
  • ventricles

Question 120

Question
Treatment is rarely needed for first degree AV block because
Answer
  • the CO is usually satisfactory
  • the PR intervals are normal
  • the AV junction is initiating all impulses
  • the ventricles are using their property of automaticity

Question 121

Question
The P wave may be difficult to distinguish with a PAC, but the P wave occurs because the ____ depolarize
Answer
  • Ventricles
  • SA Node
  • Atria
  • AV Node

Question 122

Question
Symptoms associated with junctional escape rhythm result from
Answer
  • shortened ventricular filling time
  • shortened atrial filling time
  • slower heart rate
  • rapid heart rate

Question 123

Question
A regular rhythm with an atrial rate of 68, VR of 68, constant PR intervals of 0.28 seconds, QRS complexes of 0.08 seconds is
Answer
  • first degree AV block
  • second degree, Wenckebach
  • second degree, Mobitz II
  • third degree AV block

Question 124

Question
A ventricular rate of less than 100 beats/minute can be seen in
Answer
  • sinus bradycardia
  • atrial fibrillation
  • Wenckebach
  • all of the above

Question 125

Question
The initial energy level required to cardiovert atrial flutter is
Answer
  • 50 joules
  • 100 joules
  • 200 joules
  • 300 joules

Question 126

Question
The P waves in junctional beats and rhythms can
Answer
  • be inverted
  • be buried/lost in the QRS complexes
  • follow the QRS complexes
  • any of the above

Question 127

Question
Decreased CO in AIVR is due to
Answer
  • loss of atrial kick
  • slow AV conduction
  • the excessively rapid HR
  • rapid AV conduction

Question 128

Question
The patient in VF has
Answer
  • inverted P waves
  • shortened PR intervals
  • normal QRS complexes
  • none of the above

Question 129

Question
The PR interval in Mobitz II can be normal or prolonged
Answer
  • True
  • False

Question 130

Question
Treatment for frequent PVCs might include
Answer
  • verapamil, adenosine, pacemaker
  • carotid sinus massage
  • atropine, epinephrine
  • lidocaine, pronestyl, potassium

Question 131

Question
Potential for clot formation in atrial fibrillation is due to
Answer
  • atrial quivering
  • excessive stimulants
  • increased CO
  • ventricular automaticity

Question 132

Question
Atrial and ventricular contractions are not synchronized at all in
Answer
  • first degree AV block
  • second degree, Wenckebach
  • second degree, Mobitz II
  • third degree AV block

Question 133

Question
Symptoms of decreased CO can potentially be experienced with
Answer
  • JT
  • PAT
  • IVR
  • any arrhythmia

Question 134

Question
Cells in the AV junction have the property of ____ which allows cells in the AV junction to initiate/generate junctional beats/rhythms
Answer
  • conduction
  • automaticity
  • regularity
  • electricity

Question 135

Question
Repolarization in ventricular beats/rhythms is reflected as T waves that
Answer
  • are absent
  • deflect in the same direction as the QRS
  • deflect opposite to the QRS deflection
  • are peaked

Question 136

Question
VT with a pulse is treated with
Answer
  • cardioversion, starting with 100 joules
  • cardioversion, starting with 300 joules
  • defibrillation, starting with 100 joules
  • defibrillation, starting with 300 joules

Question 137

Question
The term SVT can be used to describe
Answer
  • junctional tachycardia
  • uncontrolled atrial fibrillation
  • PAT
  • any rapid rhythm that originates above the ventricles

Question 138

Question
A rhythm with an AR of 86, a VR of 30, variable, erratic PR intervals with no pattern, and QRS complexes measuring 0.14 seconds is
Answer
  • sinus arrhythmia
  • atrial fibrillation
  • second degree, Wenckebach
  • third degree AV block

Question 139

Question
The PR intervals cannot be measured in ventricular rhythms because of
Answer
  • absent atrial depolarization
  • shortened conduction through the AV node
  • decreased CO
  • all of the above

Question 140

Question
If a PR interval can be measured in junctional beats/rhythms, it characteristicly measures ____ seconds
Answer
  • <0.12
  • >0.12
  • <0.08
  • >0.08

Question 141

Question
Which patient has the more serious block?
Answer
  • AR 96, VR 48, constant PR 0.24 seconds, QRS 0.20 seconds
  • AR 80, VR 40, constant PR 0.22 seconds, QRS 0.10 seconds
  • AR 90, VR 45, constant PR 0.26 seconds, QRS 0.08 seconds

Question 142

Question
Initial treatment of pulseless VT is
Answer
  • lidocaine
  • procainamide
  • cardioversion
  • defibrillation

Question 143

Question
When each and every impulse from the SA node is blocked at the AV node, the rhythm is
Answer
  • third degree block
  • junctional escape rhythm
  • atrial fibrillation
  • Mobitz II

Question 144

Question
The drug treatment of choice for symptomatic IVR is
Answer
  • Atropine
  • Lidocaine
  • Epinepherine
  • Adenosine

Question 145

Question
Absent P waves in junctional beats/rhythms result from
Answer
  • rapid atrial depolarization
  • the excessively slow ventricular rate
  • simultaneous atrial and ventricular depolarization
  • atrial contraction that occurs after ventricular contraction

Question 146

Question
Decreased CO in VT is due to
Answer
  • prolonged PR intervals
  • the rapid ventricular rate
  • the AV node's slow rate of impulse conduction
  • rapid atrial depolarization

Question 147

Question
In Wenckebach
Answer
  • P waves occur at regular intervals
  • there are more P waves than QRS complexes
  • P waves are normal and all look the same
  • all of the above

Question 148

Question
The arrhythmia on this link is called ____
Image:
bdcb88ce-326d-47db-96a5-a85e18cbe095.gif (image/gif)
Answer
  • sinus arrhythmia
  • sinus bradycardia
  • A Fib

Question 149

Question
The arrhythmia on this link is called ____
Image:
76066336-742c-4f29-b669-b859298c3601.gif (image/gif)
Answer
  • Sinus Tachycardia
  • SVT
  • VT
  • VF

Question 150

Question
The arrhythmia on this link is called ____
Image:
e4912632-f3f8-4b24-8124-97c7b0cabd6d.gif (image/gif)
Answer
  • sinus rhythm
  • First degree AV block
  • A flutter
  • Mobitz !!

Question 151

Question
The arrhythmia on this link is called ____
Image:
3dffa3c2-82c3-4b2f-8953-c026fb8fd594.gif (image/gif)
Answer
  • sinus bradycardia
  • sinus rhythm
  • 3rd Degree AV block
  • A Fib

Question 152

Question
The arrhythmia on this link is called ____
Image:
27e4832e-5f53-4e9b-9683-c9e9e76296b4.gif (image/gif)
Answer
  • Mobitz !I
  • 3rd degree AV block
  • Wenckbach
  • A Fib

Question 153

Question
The arrhythmia on this link is called ____ (include the entire strip, not just the abnormality)
Image:
723f2209-a7e2-4e31-8422-d2f8155cffcf.gif (image/gif)
Answer
  • A Fib
  • Sinus arrhythmia with PJC
  • sinus bradycardia with PJC

Question 154

Question
The arrhythmia on this link is called ____
Image:
867efe49-fa6c-4ab8-9067-d59486f4dfbd.gif (image/gif)
Answer
  • VT
  • V Fib
  • PEA
  • Conduction problem

Question 155

Question
The arrhythmia on this link is called ____
Image:
4db669c1-68be-45f0-87d9-10092c312a26.gif (image/gif)
Answer
  • IVR
  • Sinus bradycardia
  • A Fib
  • 1st degree heart block

Question 156

Question
The arrhythmia on this link is called ____
Image:
6b34faf3-b2a1-4d07-bfc1-c311a738b236.gif (image/gif)
Answer
  • First degree AV block
  • Sinus rhythm
  • Mobitz !!
  • Passive junctional rhythm

Question 157

Question
The arrhythmia on this link is called ____
Image:
bfd0ea16-c6c4-41cd-86c6-30a4c619b1cb.gif (image/gif)
Answer
  • V Fib
  • A Fib
  • A Flutter
  • Sinus Tachycardia

Question 158

Question
The arrhythmia on this link is called ____ (include the entire strip, not just the abnormality)
Image:
e9ddf300-b73e-49e6-a679-0a1321e63007.gif (image/gif)
Answer
  • Normal sinus rhythm with sinus pause
  • 1st degree AV block
  • Mobitz !!
  • IVR

Question 159

Question
The arrhythmia on this link is called ____
Image:
4e1e2afa-ecd3-49a3-b289-f8856aa5afb2.gif (image/gif)
Answer
  • Mobitz !!
  • 1st Degree AV block
  • 3rd Degree AV block
  • Wenckebach

Question 160

Question
The arrhythmia on this link is called ____
Image:
04669c94-9456-40fa-a066-3b34a3e5e1d2.gif (image/gif)
Answer
  • VF
  • VT
  • IVR

Question 161

Question
The arrhythmia on this link is called ____
Image:
a4b7f7eb-bfe7-4547-a818-ae2755236c60.gif (image/gif)
Answer
  • 3rd Degree AV block
  • Mobitz II
  • Junctional
  • IVR

Question 162

Question
The arrhythmia on this link is called ____
Image:
3cd8bdd0-25b7-4e7e-90ef-0c9bcf374845.gif (image/gif)
Answer
  • NSR with PVC's
  • NSR with PAC's
  • Ventricular Trigeminy
  • Mobitz II

Question 163

Question
CAD modifiable risk factors include
Answer
  • smoking, diet
  • gender, age
  • exercise, genetics
  • diet, race

Question 164

Question
Occlusion of the LAD artery would result in
Answer
  • lateral wall MI
  • anterior wall MI
  • right atrial MI
  • posterior wall MI

Question 165

Question
Which one of the heart's layers is damaged with a non-Q wave MI?
Answer
  • Mesoderm
  • Endocardium
  • Epicardium
  • Myocardium

Question 166

Question
With angina and following MI, semi-fowler's position is preferred, to
Answer
  • reverse the necrotic destruction
  • increase autonomic nervous system activity
  • increase systemic oxygenation through lung expansion
  • reduce the Cardiac Output

Question 167

Question
Hepatomegaly occurs in RVF because
Answer
  • the spleen enlarges
  • the liver is necrotic
  • of increased pressure in the hepatic veins
  • of the development of arrhythmias

Question 168

Question
Following MI, the zone of injury
Answer
  • has irreversibly damaged cells
  • is necrotic
  • causes atrial depolarization
  • has jeopardized cell

Question 169

Question
The risk of CAD decreases with menopause
Answer
  • True
  • False

Question 170

Question
CAD indicates
Answer
  • heart failure
  • decreased coronary artery blood flow
  • the presence of arrhythmias
  • MI

Question 171

Question
Stable angina pain usually subsides with
Answer
  • rest, nitroglycerine
  • morphine, oxygen
  • nitroglycerine, morphine
  • morphine, ASA

Question 172

Question
Pathological Q waves are
Answer
  • reflective of tissue ischemia
  • reflective of tissue injury
  • 25% the height of the R waves
  • all of the above

Question 173

Question
Decreasing preload in LVF can be accomplished with the use of
Answer
  • diuretics
  • morphine
  • vasodilators
  • all of the above

Question 174

Question
Obese people and patients who rarely exercise are more prone to
Answer
  • elevated HDL's
  • decreased HDL's

Question 175

Question
Cessation of pain following an 'anginal attack' indicates that
Answer
  • platelets are no longer adhering to the arteries
  • arrhythmias have developed
  • myocardial oxygen needs are met
  • myocardial tissues are fully necrotic

Question 176

Question
The LV lateral wall MI is secondary to occlusion of the
Answer
  • positive artery
  • lateral vein
  • RCA
  • circumflex artery

Question 177

Question
The ECG sign of tissue necrosis is
Answer
  • the development of ventricular rhythms
  • bradycardia
  • pathological Q waves
  • ST segment changes

Question 178

Question
Not monitoring the control and balance of systemic fluid can result in
Answer
  • hyponatremia
  • hypokalemia
  • dehydration
  • any of the above

Question 179

Question
HDLs are
Answer
  • elevated in consumers of moderate amounts of wine
  • metabolized by the liver
  • sometimes called the 'good' lipoprotein
  • all of the above

Question 180

Question
Following plaque rupture, the following components begin to adhere to the plaque
Answer
  • fibrin, thrombin
  • platelets, fibrin
  • thrombin, platelets
  • platelets, thrombin, fibrin

Question 181

Question
Chest pain experienced with unstable angina
Answer
  • is predictable and reproducible
  • is always relieved with nitroglycerine
  • occurs more frequently and with less effort
  • always lasts less than five minutes

Question 182

Question
Tachycardia in LVF develops
Answer
  • due to enhanced vagal activity
  • to improve the CO
  • to limit the SV
  • all of the above

Question 183

Question
Isolated RVF is more common following
Answer
  • inferior wall MI
  • lateral wall MI
  • anterior wall MI
  • right ventricular MI

Question 184

Question
CAD symptoms generally begin to occur when the coronary arteries are about ____ % occluded
Answer
  • 25
  • 50
  • 75
  • 85

Question 185

Question
Nitroglycerine reduces afterload by
Answer
  • increasing venous capacitance
  • decreasing venous capacitance
  • increasing systemic vascular resistance
  • decreasing systeming vascular resistance

Question 186

Question
In left sided heart failure
Answer
  • blood flow from the RA to the LA is impeded
  • LA pressure decreases
  • the RV has injured cells
  • pulmonary venous pressure increases

Question 187

Question
Elevated HDL levels would most likely be found in
Answer
  • diabetics
  • pre-menopausal women
  • cigarette smokers
  • overweight patients

Question 188

Question
During the initial acute phase of an MI, oxygen is administered
Answer
  • when ventricular arrhythmias are imminent
  • when AV blocks develop
  • when the patient complains of chest pain
  • Always

Question 189

Question
Elevated JVP is seen in RVF because of
Answer
  • increased LV pressure
  • increased superior vena cava pressure
  • increased thrombi formation
  • increased pulmonary venous pressure

Question 190

Question
The personality type that is most prone to CAD is known as a type ____ personality
Answer
  • A
  • B
  • C
  • D

Question 191

Question
Provoking factors for MI can be
Answer
  • the same as those for stable angina
  • the same as those for unstable angina
  • absent (no obvious provoking factors)
  • all of the above

Question 192

Question
Decreased CO in LVF results from
Answer
  • right ventricular failure
  • decreased vagal activity and hyponatremia
  • ST segment and T wave changes
  • decreased LV compliance and SV

Question 193

Question
The first intervention in pulmonary edema should always be
Answer
  • diuretic therapy
  • oxygen therapy
  • vasodilatation
  • controlling arrhythmias

Question 194

Question
The patient in PEA
Answer
  • requires CPR
  • displays electrical activity on the cardiac monitor
  • has no palpable pulse
  • all of the above

Question 195

Question
The main goal in cardiac tamponade is to
Answer
  • enhance SNS dominance
  • decrease AV conduction
  • enhance AV node automaticity
  • decrease pressure within the pericardial sac

Question 196

Question
The compensatory SNS effect in cardiogenic shock is temporary because
Answer
  • all the heart's valves are necrotic
  • the SV cannot increase further to help improve the CO
  • pulses are not palpable
  • fluid interferes with oxygenation

Question 197

Question
Dopamine can be part of the treatment plan in cardiogenic shock to
Answer
  • improve systolic BP
  • cause vasoconstriction
  • improve myocardial contractility
  • all of the above

Question 198

Question
Serious and sinister arrhythmias can occur in pulmonary edema because
Answer
  • electrical conduction structures are poorly oxygenated
  • of increased pressure in the pericardial sac
  • there is no electrical activity
  • of increased myocardial contractility

Question 199

Question
In cardiac tamponade, blood ejected during ventricular systole is decreased
Answer
  • True
  • False

Question 200

Question
Ventricular rupture can occur following
Answer
  • transmural inferior wall MI
  • transmural anterior wall MI
  • transmural lateral wall MI
  • any transmural MI

Question 201

Question
Heparin induced cardiac tamponade is treated with
Answer
  • cardioversion
  • defibrillation
  • heparin
  • protamine sulfate

Question 202

Question
In cardiogenic shock, urine volume
Answer
  • decreases
  • increases
  • remains unchanged

Question 203

Question
Blood tinged sputum in pulmonary edema results from
Answer
  • changes in clotting factors
  • hemorrhages in the pulmonary system
  • airway narrowing
  • increased pressure in the RA

Question 204

Question
The signs or features known as Beck's triad are
Answer
  • elevated JVP, muffled heart sounds, pulsus paradoxus
  • elevated JVP, hypotension, pulsus paradoxus
  • narrowed pulse pressure, hypotension, muffled heart sounds
  • muffled heart sounds, tachycardia, hypotension

Question 205

Question
Cardiogenic shock
Answer
  • results in extensive organ underperfusion
  • only develops secondary to MI
  • causes venous oxygenation to increase
  • all of the above

Question 206

Question
Morphine is effective in pulmonary edema because it
Answer
  • alleviates arrhythmias
  • increases the HR
  • reduces preload
  • improves myocardial contractility

Question 207

Question
In cardiac tamponade
Answer
  • diastolic ejection is impaired
  • diastolic filling is impaired
  • systolic ejection is normal
  • systolic filling is normal

Question 208

Question
The patient in pulmonary edema will most likely develop
Answer
  • bradycardia
  • tachycardia
  • a slow ventricular rhythm
  • third degree block

Question 209

Question
In cardiogenic shock, fluids are
Answer
  • limited to prevent marked hypotension
  • infused to maintain intravascular volume
  • limited to prevent overloading the kidneys
  • infused to counteract hypertension

Question 210

Question
Sodium bicarbonate might be administered in cardiogenic shock to
Answer
  • control the HR
  • reverse acidosis
  • reverse alkalosis
  • control ventricular ectopic activity

Question 211

Question
To improve CO in pulmonary edema
Answer
  • the SV increases
  • the HR increases
  • preload increases
  • afterload increases

Question 212

Question
Fluid accumulation within the pericardial sac leading to cardiac tamponade, can develop
Answer
  • very slowly
  • very rapidly
  • slowly or rapidly

Question 213

Question
In cardiogenic shock, the
Answer
  • systolic and diastolic BP increase concurrently
  • systolic and diastolic BP fall concurrently
  • systolic BP falls before the diastolic BP
  • diastolic BP falls before the systolic BP

Question 214

Question
Patients in cardiogenic shock develop anginal chest pain because of
Answer
  • the development of sinister arrhythmias
  • coronary artery underperfusion
  • hypertension
  • tachycardia secondary to SNS stimulation

Question 215

Question
Decreasing the respiratory rate in pulmonary edema will help to
Answer
  • decrease preload
  • decrease afterload
  • improve cardiac contractility
  • increase the HR

Question 216

Question
Myocardial injury associated with cardiac tamponade is reflected by
Answer
  • absent P waves
  • Q waves
  • ST segment changes
  • prolonged PR intervals

Question 217

Question
Tachycardia occurs in cardiac tamponade to
Answer
  • encourage narrowing of pulse pressure
  • increase venous return
  • compensate for the decreased SV
  • promote ventricular ectopic activity

Question 218

Question
To promote healthy elimination following MI, the following is administered
Answer
  • stool softeners
  • enemas
  • suppositories
  • all of the above

Question 219

Question
It is common to hear an ____ when auscultating the patient in pulmonary edema
Answer
  • S4
  • S3

Question 220

Question
Pulse pressure refers to the difference between the
Answer
  • standing and sitting blood pressures
  • arterial and venous blood pressures
  • systolic and diastolic blood pressures

Question 221

Question
Diuretics administered to the cardiac patient can
Answer
  • decrease preload
  • improve urinary output
  • cause hypotension
  • all of the above

Question 222

Question
In pulmonary edema, airflow ____ the alveoli is diminished
Answer
  • to
  • from
  • to and from
Show full summary Hide full summary

Want to create your own Quizzes for free with GoConqr? Learn more.

Similar

Quotes from William Shakespeare's Romeo and Juliet
cecicurtis
Exam Part 1 of Nursing 112 FInal GBCC
Tess Nicholson
Motivational Interviewing
Julie HEYRMAN-COMPERNOLLE
Life Science 7 Final Exam
pcsalazar
AP Environmental Science
sabrinapar22
Obligations and Contracts - Provisions
mitchdeocampo
types of bullying
Gabriela Morales
PBSC BSC1011L Final Exam Study Guide
Emily W
EC201 Final Exam
Zachariah Mann
CGC 1D/P Geography Mind Map
MrsPG
World History Final Exam Spring 18 Review
K. Asher
Browse Library