Quiz
Sudden Death CLASP
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Questions in this quiz (48)
1[blank_start]After[blank_end] depolarizations are abnormal depolarizations of cardiac myocytes that interrupt phase 2, 3 or 4 of the cardiac AP in the cardiac conduction system of the heart
- AAfter
2[blank_start]Early[blank_end] Afterdepolarisations can result in Torsades de Pointes
- AEarly
- BDelayed
3Early Afterdepolarisations are potentiated by drugs which prolong the [blank_start]QT[blank_end] interval
- AQT
- BPR
- CPT
- DQRS
4Early Afterdepolarisations can be potentiated by which of the following?
- AHypokalaemia
- BHyperkalaemia
- CHyponatraemia
- DHypernatraemia
5Torsades de pointes is commonly caused by low [blank_start]potassium[blank_end] levels and/or low [blank_start]magnesium[blank_end] levels
- Apotassium
- Bsodium
- Cmagnesium
- Diron
- Ezinc
- Fcopper
6Torsades de Pointes is a [blank_start]ventricular[blank_end] [blank_start]tachycardia[blank_end] which can be fatal.
- Aventricular
- Bsupraventricular
- Ctachycardia
- Dbradycardia
7Early Afterdepolarisations occur during the [blank_start]repolarisation[blank_end] phase of the cardiac action potential
- Arepolarisation
- Bdepolarisation
8Delayed Afterdepolarisations occur during [blank_start]phase 4[blank_end] of the cardiac action potential - after repolarisation but before another action potential occurs.
- Aphase 4
- Bphase 0
- Cphase 1
- Dphase 2
- Ephase 3
9Delayed Afterdepolarisations typically occur due to raised Cytosolic [blank_start]Calcium[blank_end] levels
Delayed Afterdepolarisations are classically seen in [blank_start]Digoxin[blank_end] Toxicity- ADigoxin
- BWarfarin
- CLithium
- DParacetamol
- ECalcium
- FSodium
- GPotassium
- HMagnesium
10Bidirectional ventricular tachycardia is classically seen in [blank_start]delayed afterdepolarisations[blank_end]
- Adelayed afterdepolarisations
- Bearly afterdepolarisations
11Congenital Long QT Syndrome is associated with [blank_start]Torsades de Pointes[blank_end]
- ATorsades de Pointes
- BBrugada Syndrome
12Congenital Long QT Syndrome which presents with deafness is likely autosomal [blank_start]recessive[blank_end] in nature
- Arecessive
- Bdominant
13Congenital Short QT Syndrome occurs due to a mutation in the cardiac [blank_start]Potassium[blank_end] Channels
- APotassium
- BCalcium
- CSodium
- DChloride
14ST Elevation and Right Bundle Branch Block is indicative of Brugada Syndrome if it occurs in which of the following leads?
- AV1
- BV2
- CV3
- DV4
- EV5
- FV6
15Brugada syndrome is inherited in an autosomal [blank_start]dominant[blank_end] pattern
- Adominant
- Brecessive
16Which 2 of the following are known to trigger Ventricular Fibrillation in patients with Brugada Syndrome?
This can cause sudden cardiac death.- ASleep
- BFever
- CExercise
- DStress
17Antiarrhythmic medications (e.g. Amiodarone) and Analgesics (e.g. Paracetamol) should be avoided in Brugada Syndrome patients, for fear of causing Ventricular Fibrillation.
- ATrue
- BFalse
18Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) is a condition whereby Ventricular Fibrillation can be caused in response to adrenaline and/or noradrenaline. Which 2 of the following are the most common exacerbants of this condition?
- AEmotional Stress
- BExercise
- CSleep
- DAlcohol
- ELarge Meals
- FFever
19Which of the following medications have been found to be beneficial in CPVT patients?
- ABeta Blockers
- BCalcium Channel Blockers
- CIron Chelators
- DACE Inhibitors
- EAldosterone Antagonists (e.g. Spironolactone)
20Flecainide should be considered for treatment of which of the following conditions?
- ABrugada Syndrome
- BCPVT
- CCongenital Long QT Syndrome
- DTorsades de Pointes
- EWolff-Parkinson White Syndrome
21Delta wave on an ECG is indicative of which of the following conditions?
- ACongenital Long QT Syndrome
- BWolff-Parkinson White Syndrome
- CBrugada Syndrome
- DTorsades de Pointes
- ECVPT
22What is the most common genetic cause of Hypertrophic Cardiomyopathy?
- ASarcomeric Protein Gene Mutation
- BAMP-Kinase Mutation
- CFHL1 Mutation
- DFamilial ATTR
- ECarnitine Mutation
23Implantable Cardioverter Defibrillators are first line treatment for Hypertrophic Cardiomyopathy
- ATrue
- BFalse
24Arrhythmogenic right ventricular cardiomyopathy is an autosomal dominant condition whereby mutations in the genes encoding cardiac [blank_start]desmosomes[blank_end] cause fibrofatty replacement of cardiomyocytes in the right ventricular, thus leading to arrhythmias.
- Adesmosomes
25Generally, which of the following types of medication has been proven to reduce the rate of Sudden Cardiac Death?
- ABeta Blockers
- BACE Inhibitors
- CCalcium Channel Blockers
- DBeta-2 Adrenoceptor Antagonists
- EAcetylcholinesterase Inhibitors
26The likelihood of having a disease if you have a gene mutation is called the [blank_start]Penetrance[blank_end] of a disease
- APenetrance
27Marfan Syndrome occurs due to a mutation to the [blank_start]Fibrillin[blank_end] gene
- AFibrillin
28The safest position for a baby to sleep in is on their side.
- ATrue
- BFalse
29You are receiving patients in casualty. A 38 yo healthy man became acutely unwell, becoming very pale and than grey and unresponsive. An ambulance was called, but in the interim, he spontaneously recovered. He has no past medical history.
On arrival in hospital, his ECG was as follows:
What is the most likely diagnosis?
[blank_start]Brugada Syndrome[blank_end]
- ABrugada Syndrome
30What is the only type of shock which causes a bradycardia (as opposed to tachycardia)?
- ANeurogenic Shock
- BAnaphylactic Shock
- CCardiogenic Shock
- DHypovolaemic Shock
- ESeptic Shock
31Which of the following should be given to treat neurogenic shock?
- AVasopressors (e.g. Adrenaline)
- BFluid and Blood Replacement
- CInotropes (e.g. Dobutamine)
32Inadequate organ perfusion caused by the failure of the heart to act as a pump is known as [blank_start]cardiogenic[blank_end] shock
- Acardiogenic
33Anaphylactic shock is treated via IV [blank_start]adrenaline[blank_end]
- Aadrenaline
34Anaphylactic shock is treated with 500micrograms of adrenaline at a dilution of
- A1 in 10000
- B1 in 1000
- C1 in 100
- D1 in 10
35A patient is hypertensive once their BP drops below [blank_start]90/60[blank_end]
- A90/60
- B90/70
- C100/60
- D100/70
36In neurogenic shock, the [blank_start]sympathetic[blank_end] supply to the heart has been cut off which is which neurogenic shock results in [blank_start]bradycardia[blank_end] (when the other types of shock result in [blank_start]tachycardia[blank_end])
- Abradycardia
- Btachycardia
- Ctachycardia
- Dbradycardia
- Esympathetic
- Fparasympathetic
37MI, Heart Failure, PE and Cardiac Tamponade are all causes of which type of shock?
- ACardiogenic Shock
- BAnaphylactic Shock
- CHypovolaemic Shock
- DSeptic Shock
- ENeurogenic Shock
38Which of the following is most commonly known to cause cardiac arrest?
- AHyperkalaemia
- BHypokalaemia
- CHypernatraemia
- DHyponatraemia
39Which two of the following are typically used to treat cardiogenic shock?
- AInotropes (E.g. Dobutamine)
- BVasopressors (E.g. Adrenaline)
- CChronotropes (E.g. Atropine)
- DBeta Blockers (E.g. Propranolol)
- EACE Inhibitors (E.g. Ramipril)
40Which of the following are types of distributive shock?
I.e. the blood volume is normal, it is just unevenly distributed- ACardiogenic Shock
- BAnaphylactic Shock
- CHypovolaemic Shock
- DNeurogenic Shock
- ESeptic Shock
41At what depth should chest compressions be conducted?
- A3-4cm
- B5-6cm
- C7-8cm
42In a case of an adult with heart failure, rescue breaths should be conducted before chest compressions are started.
- ATrue
- BFalse
43Which of the following are shockable?
- AVentricular Tachycardia
- BVentricular Fibrillation
- CPulseless Electrical Activity
- DAsystole
44Which of the following are non-shockable rhythms?
- APulseless Electrical Activity
- BAsystole
- CVentricular Tachycardia
- DVentricular Fibrillation
45IV Adrenaline (+IV Amiodarone if arrhythmia) should be given after [blank_start]3[blank_end] rounds of CPR and every [blank_start]3[blank_end] rounds thereafter
- A3
- B5
- C10
- D3
- E5
- F10
46[blank_start]Clinical death[blank_end] is reversible
[blank_start]Biologic death[blank_end] is irreversible- AClinical death
- BBiologic death
47In absence of CPR, clinical death lasts around 3-6 minutes before biologic death occurs.
- ATrue
- BFalse
48Where are ECG electrodes placed?
Right Arm = [blank_start]Red[blank_end]
Left Arm = [blank_start]Yellow[blank_end]
Left Leg = [blank_start]Green[blank_end]
Right Leg = [blank_start]Blue[blank_end]- ABlue
- BGreen
- CYellow
- DRed
Information
- Description
- A quiz based on everything I think might be relevant from the CLASP lectures which were uploaded to Medblogs and the pre-lecture formative.
- Author
- Matthew Coulson
- Language
- English
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