18691012
Descripción
Test por Lilly Coleman, actualizado hace más de 1 año
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Creado por Lilly Coleman
hace más de 5 años
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Pregunta 1
Pregunta
Transthoracic echocardiogram is a
Respuesta
-
Ultrasound of the heart
-
Non-invasive study that allows us to examine the heart, valves, and great vessels
-
Relatively quick and reliable
-
All of the above
Pregunta 2
Pregunta
Ultrasound is a sound wave with a frequency greater than ____
Respuesta
-
20 hertz
-
200 hertz
-
2,000 hertz
-
20,000 hertz
Pregunta 3
Pregunta
In order to achieve real-time, continuous movement, ____
Respuesta
-
Decrease depth
-
Do not utilize the zoom feature
-
Utilize the largest field of vision possible
-
Utilize the lowest frame rate possible
Pregunta 4
Pregunta
The ____ transmits and receives ultrasound pulses that collide with structures, such as the heart walls and valves.
Respuesta
-
Transducer
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Matching layer
-
Near field
-
Ultrasound unit monitor
Pregunta 5
Pregunta
When the beam reaches half of its original diameter, the focus is reached; and then beyond that, the far field offers the best resolution.
Respuesta
- True
- False
Pregunta 6
Pregunta
The pediatric transducer typically utilized a ___ frequency transducer that provides excellent resolution, while adult transducer utilizes a ___ frequency transducer that provides better depth penetration.
Respuesta
-
High/low
-
Low/high
Pregunta 7
Pregunta
If the transducer is place too high during the apical views, ___ may result.
Respuesta
-
False positive mitral Valve prolapse
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Foreshortening
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Oblong images of the heart
-
Pericardial effusion
Pregunta 8
Pregunta
The best 2D image is produced when the transducer is parallel to the structure being examined.
Respuesta
- True
- False
Pregunta 9
Pregunta
Echo windows are determined by the patients physique and sometimes the sonographer needs to practice flexibility and patience in order to find the proper window.
Respuesta
- True
- False
Pregunta 10
Pregunta
2D Echo allows us to visualize the relationship between the heart structures in real time.
Respuesta
- True
- False
Pregunta 11
Pregunta
The indicators that travel down the side of the 2D image represent ___ and each indicator is equal to ___ centimeters.
Respuesta
-
Depth/ one
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Gray scale/ one
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Heart structures/ one
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Time/ one
Pregunta 12
Pregunta
M-mode produces an icepick image of the heart and displays it in the form of a time/depth graph.
Respuesta
- True
- False
Pregunta 13
Pregunta
M-mode is utilized for timing events of the cardiac cycle.
Respuesta
- True
- False
Pregunta 14
Pregunta
M-mode produces a two-dimensional graph of the heart.
Respuesta
- True
- False
Pregunta 15
Pregunta
The ASE recommends M-mode dimensions, not 2D dimensions.
Respuesta
- True
- False
Pregunta 16
Pregunta
Doppler Echo utilizes ultrasound to record the velocity and direction of the blood flow.
Respuesta
- True
- False
Pregunta 17
Pregunta
The CFD appearance is based on ___
Respuesta
-
2D image quality
-
Blood flow velocity
-
Color map
-
All of the above
Pregunta 18
Pregunta
In most labs, flow traveling toward the transducer is ___, and flow traveling away from the transducer is ___.
Respuesta
-
Blue/ Red
-
Red/ Blue
Pregunta 19
Pregunta
____ Doppler is used to measure blood flow from a specific site that is < 2 m/s
Respuesta
-
Continuous wave
-
High-pulsed repetition frequency
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Non-imaging continuous wave
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Pulsed Wave
Pregunta 20
Pregunta
___ Doppler is superimposed, steerable, and measures any velocity making it ideal for performing valve calculations.
Respuesta
-
Continuous wave
-
High-pulsed repetition frequency
-
PEDOF
-
Pulsed wave
Pregunta 21
Pregunta
Continuous wave Doppler detects flow from a specific sample volume.
Respuesta
- True
- False
Pregunta 22
Pregunta
Aliasing occurs when the velocity is > 2 m/s while using ___ Doppler.
Respuesta
-
Continuous wave
-
PEDOF
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pulsed
-
spectral
Pregunta 23
Pregunta
What similarities do PWD and CWD share?
Respuesta
-
Both are steerable and superimposed on the 2D image
-
Both have range ambiguity and aliasing when the velocity is > 2 m/s
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Both use a focus and measure any velocity flow
-
Both use a gate and measure high velocity flow
Pregunta 24
Pregunta
The PEDOF probe is a non-imaging probe; therefore, the sonographer must rely on the ___
Respuesta
-
Placement of the cursor on the 2D image
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Position & angle of the probe and waveform in comparison to the EKG
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Size of the Doppler gate
-
Image on the screen
Pregunta 25
Pregunta
According to the Intersocietal Accreditation Commission (IAC), the non-imaging CWD probe must be utilized in the assessment of AS or suspected AS from multiple locations, to include the apex, suprasternal notch, and right parasternal border.
Respuesta
- True
- False
Pregunta 26
Pregunta
What is your most important responsibility during exercise electrocardiography?
Respuesta
-
Providing for safety
-
Applying the leads
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Monitoring the ECG tracing
-
Taking the patients blood pressure
Pregunta 27
Pregunta
Which of the following conditions would be a reason that a patient should not perform exercise electrocardiography?
Respuesta
-
Coronary vascular disease
-
Previous heart attack
-
Congestive heart failure
-
Previous symptoms of angina
Pregunta 28
Pregunta
What type of test would be performed on a patient who is unable to stand or exercise?
Respuesta
-
Chemical (pharmacologic) stress test
-
Blood pressure test
-
Treadmill stress test
-
Stress electrocardiogram
Pregunta 29
Pregunta
During exercise electrocardiography, your patient appears to be short of breath. After informing the physician of your suspicions, what would you do?
Respuesta
-
Continue the test
-
Take the patient’s blood pressure
-
Ask the patient to stop exercise portion of the test
-
Discretely count the respiratory rate and compare to the previous rate
Pregunta 30
Pregunta
Mr. Jones is on several medications and is scheduled for an exercise electrocardiography test tomorrow. What should you do first to determine if he should take his medications prior to the test.
Respuesta
-
Check the chart order
-
Ask the physician
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Instruct the patient not to take his beta blocker medications
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Mr. jones should take all of his medications because they are necessary for his treatment
Pregunta 31
Pregunta
A beta blocker is
Respuesta
-
A protocol for exercise electrocardiography
-
A medication for hypertension
-
Necessary when performing exercise electrocardiography
-
A type of ultrasound
Pregunta 32
Pregunta
Which of the following is measured during exercise electrocardiography?
Respuesta
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Blood pressure and temperature
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Blood pressure and weight
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12-lead ECG and weight
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12-Lead ECG and blood pressure
Pregunta 33
Pregunta
When educating the female patient for exercise electrocardiography, you should instruct her not to wear
Respuesta
-
Shorts
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Tennis shoes
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An underwire bra
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Comfortable clothing
Pregunta 34
Pregunta
Patients should avoid alcohol, tobacco, and caffeine for at least 8 hours prior to exercise electrocardiography
Respuesta
- True
- False
Pregunta 35
Pregunta
Patients should be encouraged to report any symptoms such as shortness of breath, weakness, dizziness, or fatigue during exercise electrocardiography.
Respuesta
- True
- False
Pregunta 36
Pregunta
After exercise electrocardiography, the patient should not take a hot bath or shower for at least 2 hours
Respuesta
- True
- False
Pregunta 37
Pregunta
You should discuss the results of the exercise electrocardiography with the patient as soon as the results are available.
Respuesta
- True
- False
Pregunta 38
Pregunta
Patients should wear comfortable, casual clothing on the day of the test, including tennis shoes and loose-fitting pants.
Respuesta
- True
- False
Pregunta 39
Pregunta
You should attach the leads to the chest at the same sites as you would for an ambulatory monitor.
Respuesta
- True
- False
Pregunta 40
Pregunta
Emergency equipment should be available in the room or nearby during exercise electrocardiography
Respuesta
- True
- False
Pregunta 41
Pregunta
A [blank_start]chemical stress test[blank_end] is an exercise electrocardiography that is invasive because of injection of a substance to view the vessels around the heart
Respuesta
-
chemical stress test
Pregunta 42
Pregunta
The middle layer of the heart, composed of muscle tissue is the [blank_start]myocardium[blank_end]
Respuesta
-
myocardium
Pregunta 43
Pregunta
A [blank_start]beta blocker[blank_end] is a medication used to treat hypertension
Respuesta
-
beta blocker
Pregunta 44
Pregunta
Another name for high blood pressure is [blank_start]hypertension[blank_end]
Respuesta
-
hypertension
Pregunta 45
Pregunta
A stress test in which radioactive tracers are injected to trace the path of blood through the heart is a [blank_start]nuclear stress test[blank_end]
Respuesta
-
nuclear stress test
Pregunta 46
Pregunta
Chest pain caused by reduced blood flow is [blank_start]angina[blank_end]
Respuesta
-
angina
Pregunta 47
Pregunta
Abnormal cardiac rhythm is called [blank_start]dysrhythmia[blank_end]
Respuesta
-
dysrhythmia
Pregunta 48
Pregunta
A [blank_start]cardiologist[blank_end] is a physician who specializes in the study of the heart
Respuesta
-
cardiologist
Pregunta 49
Pregunta
Failure of the heart to pump an adequate amount of blood to the tissue is [blank_start]congestive heart failure[blank_end]
Respuesta
-
congestive heart failure
Pregunta 50
Pregunta
Accumulation of plaque and fatty deposits in the coronary arteries that results in reduced blood flow and oxygenation of the heart is [blank_start]coronary vascular disease[blank_end]
Respuesta
-
coronary vascular disease
Pregunta 51
Pregunta
An echocardiogram is a non invasive diagnostics test that uses ultrasound waves to provide images of the heart and blood vessels
Respuesta
- True
- False
Pregunta 52
Pregunta
A false positive is a diagnostic test result that indicates that disease is present when in reality no disease is present
Respuesta
- True
- False
Pregunta 53
Pregunta
[blank_start]THR[blank_end] is calculated by subtracting the patient’s age from 220, then multiplying that number by a percentage between 60 and 85 as directed by the physician
Respuesta
-
THR
Pregunta 54
Pregunta
A noninvasive procedure requires entrance into a body cavity, tissue, or blood vessel.
Respuesta
- True
- False
Pregunta 55
Pregunta
A Naughton protocol is most commonly utilized for a stress test
Respuesta
- True
- False
Pregunta 56
Pregunta
A modified Bruce protocol is most often used during a stress test for patients with an exercise capacity limited by cardiac disease.
Respuesta
- True
- False
Pregunta 57
Pregunta
A 12-Lead ECG is obtained toward the beginning of each stage of exercise electrocardiography
Respuesta
- True
- False
Pregunta 58
Pregunta
After a stress test, the patient should avoid alcohol, tobacco, and caffeine for at least 3 hours
Respuesta
- True
- False
Pregunta 59
Pregunta
A patient should take all of his prescribed medications on the day of his stress test unless the physician directs otherwise.
Respuesta
- True
- False
Pregunta 60
Pregunta
All chest pain is cardiac in origin
Respuesta
- True
- False
Pregunta 61
Pregunta
Angina is the heart’s way of complaining it needs more oxygen
Respuesta
- True
- False
Pregunta 62
Pregunta
All acute myocardial infarctions present with ST segment elevation
Respuesta
- True
- False
Pregunta 63
Pregunta
The A in SAMPLE refers to allergies
Respuesta
- True
- False
Pregunta 64
Pregunta
Patients must sign a consent for procedures before receiving narcotics.
Respuesta
- True
- False
Pregunta 65
Pregunta
Fibrinolytic agents may be used on any patient
Respuesta
- True
- False
Pregunta 66
Pregunta
Beta blockers decrease heart rate and blood pressure
Respuesta
- True
- False
Pregunta 67
Pregunta
The circumflex artery supplies blood to the right atrium and ventricle
Respuesta
- True
- False
Pregunta 68
Pregunta
What is the name of the innermost layer of an artery?
Respuesta
-
Tunica media
-
Tunica adventitia
-
Tunica os
-
Tunica intima
Pregunta 69
Pregunta
Which major coronary artery and vessel supplies blood to both ventricles?
Respuesta
-
Circumflex artery
-
Left anterior descending artery
-
Right descending artery
-
Right main and marginal arteries
Pregunta 70
Pregunta
Which of the following complaints may be cardiac in origin?
Respuesta
-
Jaw pain
-
Nausea
-
Indigestion
-
All of the above
Pregunta 71
Pregunta
Symptoms of unstable angina include which of the following?
Respuesta
-
Chest pain that lasts longer than 20 minutes
-
More frequent or severe chest pain
-
Chest pain that occurs with less exertion
-
All of the answers are correct
Pregunta 72
Pregunta
Which three groups of patients often present with atypical symptoms of MI?
Respuesta
-
Women, infants, and children
-
Women, elderly patients, and patients with diabetes
-
Men, women, and children with diabetes
-
All of the answers are correct
Pregunta 73
Pregunta
Due to damage to blood vessels, patients with diabetes are ____ as likely as a non diabetic individual to experience a stroke or heart attack
Respuesta
-
10 times
-
5 times
-
Twice
-
Not
Pregunta 74
Pregunta
Which of the following are included when referring to acute coronary syndrome?
Respuesta
-
STEMI, NSTEMI, and unstable angina
-
STEMI, NSTEMI, and stable angina
-
STEMI, NSTEMI, and diabetes
-
STEMI, NSTEMI, and CVA
Pregunta 75
Pregunta
What percentage of patients may present with STEMI?
Respuesta
-
20-40
-
40-45
-
75-80
-
100
Pregunta 76
Pregunta
What percentage of patients may present with NSTEMI?
Respuesta
-
20-25
-
40-45
-
75-80
-
100
Pregunta 77
Pregunta
Heart failure is simply defined as ___
Respuesta
-
Pulmonary edema
-
Hyperlipidemia
-
Pulmonary failure
-
Pump failure
Pregunta 78
Pregunta
Which type of heart failure causes fluid to back up in the lungs, causing pulmonary edema?
Respuesta
-
Right atrial
-
Right ventricular
-
Left atrial
-
Left ventricular
Pregunta 79
Pregunta
Mnemonic devices are commonly used in medicine to ____
Respuesta
-
Create a complex tool for specialists only
-
Decrease communication and efficiency of patient care
-
Increase the amount of time before the patient receives care
-
Increase efficiency and present a more logical flow to patient care
Pregunta 80
Pregunta
Which of the following would not be done during patient assessment and initial treatment of a cardiac patient ?
Respuesta
-
Obtain a 12-Lead ECG
-
Start oxygen
-
Obtain the vital signs
-
Obtain a urine specimen
Pregunta 81
Pregunta
Nitroglycerin causes blood vessels to ___ and blood pressure to ___.
Respuesta
-
Constrict, increase
-
Relax, increase
-
Constrict, decrease
-
Relax, decrease
Pregunta 82
Pregunta
Which procedure allows visualization of the coronary arteries and placement of a stent?
Respuesta
-
Coronary artery bypass
-
Echocardiography
-
Cardiac catheterization
-
Enhanced external counter pulsation
Pregunta 83
Pregunta
Coumadin is used to ____
Respuesta
-
Increase heart rate
-
Increase clot formation in blood
-
Decrease heart rate
-
Decrease clot formation in blood
Pregunta 84
Pregunta
Occlusion of the proximal left coronary artery is often referred to as the [blank_start]widow maker[blank_end]
Respuesta
-
widow maker
Pregunta 85
Pregunta
What should be done in the first 10 minutes of cardiac patients arrival?
Respuesta
-
Assess pain level
-
12-Lead ECG
-
Start oxygen
-
Get urine sample
-
Check vitals
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