Question 1
Question
Which of the following is NOT a reason for heart failure occurring?
Answer
-
Pump failure
-
Volume Overload
-
Pressure Overload
-
Arrhythmias
-
Diastolic Heart Failure
-
Hypertrophy
Question 2
Question
Coronary vascular disease can be attributed to which main cause of heart failure?
Answer
-
Pump failure
-
Volume Overload
-
Pressure Overload
-
Arrhythmia
-
Diastolic Failure
Question 3
Question
Which of the following cardiovascular diseases primarily result in volume overload?
Answer
-
Patent Ductus Arteriosus
-
Dilated Cardiomyopathy
-
Hypertension
-
Arrhythmia
-
Pericardial Effusion
Question 4
Question
Mitral insufficiency can result in which main cause of heart failure?
Answer
-
Pump failure
-
Volume Overload
-
Arrhythmia
-
Diastolic Failure
-
Pressure Overload
Question 5
Question
Pulmonic and aortic stenosis can lead to which main cause of heart failure?
Answer
-
Pressure Overload
-
Arrhythmia
-
Volume Overload
-
Pump Failure
-
Diastolic Failure
Question 6
Question
Hypertrophic cardiomyopathy and pericardial effusion can result in which main cause of heart failure
Answer
-
Diastolic failure
-
Arrhythmia
-
Pump Failure
-
Volume Overload
-
Pressure Overload
Question 7
Question
Which of the following diseases results in BOTH diastolic failure and pump failure?
Question 8
Question
Which of the following adaptive responses works to decrease the volume in circulation?
Answer
-
Angiontensin II
-
ADH
-
Natriuretic peptides
-
Aldosterone
Question 9
Question
A drop in cardiac output results in a
Answer
-
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
Question 10
Question
Which of the following is NOT a trait of norepinephrine?
Answer
-
positive chronotrope
-
positive inotrope
-
vasoconstriction
-
negative luisitrope
Question 11
Question
The release of which of the following will increase circulating fluid volume WITHOUT increasing the sodium concentration?
Answer
-
Angiontensin II
-
ADH
-
Aldosterone
-
Natriuretic peptides
Question 12
Question
Increased levels of which of the following is seen as major a "biomarker" of heart failure?
Answer
-
Prostaglandins
-
ADH
-
Natruiretic peptides
-
Intracellular calcium
Question 13
Question
Which of the following would result in concentric hypertrophy?
Answer
-
Aortic stenosis
-
Mitral regurgitation
-
Patent Ductus Arteriosus
-
Arrhythmia
Question 14
Question
Which of the following results in eccentric hypertrophy?
Answer
-
Pump failure
-
Volume Overload
-
Pressure Overload
-
Arrhythmia
-
Diastolic failure
Question 15
Question
Which of the following is NOT a consequence of disturbing the Starling equilibrium?
Answer
-
Venous occlusion
-
Vasculitis
-
Hyperproteinaemia
-
Lymphoedema
Question 16
Question
Forward heart failure is
Answer
-
Inadequate output at normal pressures
-
Adequate output at abnormal pressures
-
inadequate output at abnormal pressures
Question 17
Question
What is the correct order of a physical exam of the cardiovascular system?
Answer
-
observation > palpation > percussion > auscultation
-
observation > percussion > palpation > auscultation
-
observation > percussion > auscultation > palpation
-
observation > auscultation > palpation > percussion
Question 18
Question
Tissue perfusion can be estimated via
Answer
-
mucous membrane color
-
capillary refill time
-
palpating the precordium
-
respiratory rate
Question 19
Question
Which is not an artery site to check for a pulse in a horse?
Answer
-
Facial artery
-
Transverse Facial artery
-
Median Artery
-
Digital Artery
-
Coccygeal artery
Question 20
Question
Percussion is used to detect
Answer
-
the apex beat
-
pulse intensity
-
areas of dullness
-
venous congestion
Question 21
Question
The apex of the heart can be auscultated on the
Answer
-
caudal, left side
-
cranial, left side
-
caudal, right side
-
cranial, right side
Question 22
Question
This is the left hand side of a horse. Label what you would auscultate at each site.
Answer
-
pulmonic
-
aortic
-
mitral
-
apex beat
-
Pulmonic
-
Aortic
-
Mitral
-
Apex Beat
-
Pulmonic
-
Aortic
-
Mitral
-
Apex Beat
-
Pulmonic
-
Aortic
-
Mitral
-
Apex Beat
Question 23
Question
When would you hear a murmur due to mitral insufficiency?
Question 24
Question
When would you hear a systolic murmur, if a heart beat is described as "lub-dub"?
Question 25
Question
On auscultating a dog's heart, you hear a systolic murmur on the apex of the left side. This suggests
Question 26
Question
On auscultating a dog's heart, you hear a systolic murmur on the base of the left side. This suggests
Question 27
Question
What type of murmur would suggest pulmonic insufficiency?
Answer
-
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
Question 28
Question
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?
Answer
-
Grade 1
-
Grade 2
-
Grade 3
-
Grade 4
-
Grade 5
-
Grade 6
Question 29
Question
At what grade would you possibly hear a heart murmur radiate in a particular direction?
Answer
-
Grade 1
-
Grade 2
-
Grade 3
-
Grade 4
-
Grade 5
-
Grade 6
Question 30
Question
What type of murmur can radiate dorsally?
Question 31
Question
A gallop sound during auscultation suggests
Question 32
Question
Which of the following is a loop diuretic?
Answer
-
Furosemide
-
Spironolactone
-
Chlorothiazide
-
Amiloride
Question 33
Question
Which of the following could NOT be used to correct increased preload?
Answer
-
Furosemide
-
ACE Inhibitor
-
Pimobendan
-
Digoxin
Question 34
Question
Which of the following is NOT a risk of diuresis?
Answer
-
Hypovolaemia
-
Hypertension
-
RAAS Stimulation
-
Electrolyte disturbance
Question 35
Question
Which of the following is NOT a balanced vasodilator?
Answer
-
Glyceryl trinitrate
-
ACE inhibitor
-
Pimobendan
-
Nitroprusside
Question 36
Question
Which of the following would reduce the regurgitation associated with mitral insufficiency?
Answer
-
glyceryl trinitrate
-
furosemide
-
spironolactone
-
pimobendan
Question 37
Question
Which of the following would indicate the use of digoxin?
Question 38
Question
What would an aortic "flow" murmur sound on auscultation?
Answer
-
crescendo-decrescendo between S1 and S2
-
decrescendo after S2
-
plateau between S1 and S2
-
plateau between S2 and S3
Question 39
Question
Which is FALSE regarding aortic flow murmurs?
Answer
-
relatively rare
-
usually below grade 3
-
only has local radiation
-
often seen in fit horses
Question 40
Question
What would a functional mitral valve regurgitation sound like?
Question 41
Question
What is the point of maximum intensity (PMI) of pathological mitral regurgitation?
Answer
-
left 3rd intercostal space
-
left 4th intercostal space
-
left 5th intercostal space
-
left 6th intercostal space
Question 42
Question
What type of pathological regurgitation is plateau-shaped, radiates craniodorsally and has a PMI at the right 4th intercostal space?
Answer
-
Aortic regurgitation
-
Mitral regurgitation
-
Tricuspid regurgitation
-
Pulmonary regurgitation
Question 43
Question
What shape does an pathological aortic regurgitation murmur have?
Question 44
Question
A bounding or "hyperkinetic" arterial pulse is a sign of significant heart disease in
Answer
-
mitral regurgitation
-
tricuspid regurgitation
-
aortic regurgitation
Question 45
Question
What is the most common form of valve pathology?
Question 46
Question
Ruptured chordae tendinae is more common with the
Answer
-
aortic valve
-
mitral valve
-
pulmonary valve
-
tricuspid valve
Question 47
Question
Which of the following often can cause sudden death or acute cardiac failure?
Question 48
Question
What is the most common congenital cardiac defect in large animals?
Question 49
Question
Ventricular septal defects are in the [blank_start]dorsal[blank_end] part of the septum.
Answer
-
dorsal
-
ventral
-
cranial
-
caudal
Question 50
Question
The intensity of a murmur associated with a ventricular septal defect is [blank_start]inversely[blank_end] proportional to the size of the defect.
Question 51
Question
With ventricular septal defects, a [blank_start]RHS[blank_end] murmur is associated with a [blank_start]LV to RV[blank_end] shunt.
Answer
-
RHS
-
LHS
-
LV to RV
-
RV to LV
Question 52
Question
With ventricular septal defects, a LHS murmur is associated with a
Answer
-
functional pulmonic stenosis
-
functional aortic stenosis
-
degenerative pulmonic stenosis
-
degenerative aortic stenosis
Question 53
Question
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.
Answer
-
crescendo-decrescendo
-
plateau
-
decrescendo
-
crescendo
-
3-6
-
less than 3
Question 54
Question
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.
Answer
-
plateau
-
crescendo-decrescendo
-
crescendo
-
decrescendo
-
3-6
-
less than 3
Question 55
Question
Lymphosarcoma in cattle can result from
Question 56
Question
Which is FALSE regarding pericardial effusions in horses?
Answer
-
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
Question 57
Question
Bacterial endocarditis mainly affects which area of the heart in ruminants?
Answer
-
Tricuspid
-
Pulmonic
-
Mitral
-
Aortic
-
Tricuspid and Pulmonic
-
Mitral and Aortic
Question 58
Question
Bacterial endocarditis usually affects which area of the heart in horses?
Answer
-
Tricuspid and pulmonic
-
Tricuspid
-
Pulmonic
-
Mitral
-
Aortic
-
Mitral and Aortic
Question 59
Question
Which of the following develops secondary to pulmonary hypertension?
Question 60
Question
Which of the following is NOT a sign of right-sided heart failure?
Question 61
Question
Which of the following diseases is associated with catheters in horses?
Answer
-
Thrombophlebitis
-
Cor pulmonale
-
Bacterial endocarditis
-
Lymphosarcoma
Question 62
Question
Where does exercise-induced pulmonary haemorrhage originate?
Answer
-
caudodorsal lung lobes
-
craniodorsal lung lobes
-
caudoventral lung lobes
-
cranioventral lung lobes