Circulatory System II

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Question 1 of 101

101. The ten-year survival after heart transplantation is:

Select one of the following:

f. 10%
g. 30%
h. 50%
i. 70%
j. 90%

Explanation

Question 2 of 101

102. What is not a contraindication for heart transplantation:

Select one of the following:

a. age over 70 years
b. diabetes
c. pulmonary systolic pulmonary artery pressure> 60 mmHg, which is not reduced by products
d. active infection
e. active malignancy within the last 5 years

Explanation

Question 3 of 101

103. What applies for heart transplant patients:

Select one of the following:

a. in contrast to transplantation of other bodies have immunosuppressive therapy is not necessary
b. in the early period after transplantation antibiotic prevention is not necessary precaution given only virostatike
c. because after heart transplantation is not innervated, it is a frequent sinus tachycardia
d. due to early detection of transplant rejection perform routine biopsy of the heart muscle
e. coronary artery disease in the transplanted heart is proceeding more slowly

Explanation

Question 4 of 101

104. In the late period after heart transplantation is an important factor of morbidity ::

Select one of the following:

a. hepatitis B virus
b. influenza A virus (H1N1)
c. cytomegalovirus
d. JC virus
e. adenovirus

Explanation

Question 5 of 101

105. What is the 1-year survival of patients with heart failure in NYHA functional class IV:

Select one of the following:

a. 5%
b. 20%
c. <50%
d. > 70%
e. 95%

Explanation

Question 6 of 101

106. The most common reason for chronic heart failure are:

Select one or more of the following:

a. Congenital heart disease
b. valvular defect
c. Ischaemic heart disease
d. myocarditis
e. arterial hypertension

Explanation

Question 7 of 101

107. What kind of drugs shown to prolong life in chronic heart failure?

Select one or more of the following:

a. loop diuretics
b. ACE inhibitors
c. beta adrenergic blockers
d. digitalis
e. spironolactone

Explanation

Question 8 of 101

108. The characteristics of atrial fibrillation (AF) are the following:

Select one or more of the following:

a. more common on Mondays and Holidays
b. frequency sections is always above 100 / min
c. a slowdown in ventricular rate is achieved by digitalis
d. a slowdown in ventricular rate is obtained by beta-blockers
e. in chronic AF is required anticoagulation

Explanation

Question 9 of 101

109. If a characteristic ventricular tachycardias are:

Select one or more of the following:

a. in persistent ventricular tachycardia is still needed defibrillation
b. in cardioversion persistent ventricular tachycardias requires synchronized cardioversion with a low energy (50J)
c. in stable patients attack can be stopped by amiodarone
d. hemodynamic impairment of the patient is not dependent on the frequency of tachycardia
e. increased risk of polymorphic ventricular tachycardia patients with short QT interval in the electrocardiogram

Explanation

Question 10 of 101

110. Circle the correct argument that applies to (AV) block:

Select one of the following:

a. in AV block of first instance every other P wave triggered by a QRS complex
b. AV block Mobitz II rarely progresses to complete AV block
c. When complete AV block (III) are always wide QRS complexes
d. the most common reason for the occurrence of AV block are infectious diseases
e. AV block within inferior heart attacks are normally corrected within anterior, infarction is generally permanent

Explanation

Question 11 of 101

111. For preexcitation Wolf-Parkinson-White (WPW) applies (circle the correct combination):

Select one or more of the following:

a. whereas translating arousal follows the ancillary way, the PQ period extended
b. in ortodromic tachycardia the QRS complexes of normal width
c. in antidromic tachycardia the QRS complexes Extended
d. atrial fibrillation within WPW can be treated with digoxin
e. atrial fibrillation within WPW can be treated with verapamil

Explanation

Question 12 of 101

112. The shape of the R electrocardiogram was in sinus tachycardia:

Select one of the following:

a. normal
b. Sprockets p negative
c. p tine having a lower amplitude
d. the amplitude of the finger p is changing
e. the present wave delta

Explanation

Question 13 of 101

113. In the case of paroxysmal supraventricular tachycardia and conduction disorders (bundle branch block, ventricular pre-excitation), the QRS complexes:

Select one of the following:

a. narrow
b. wide
c. unequal
d. It comes to failures of individual QRS complexes
e. same as no conduction disturbance

Explanation

Question 14 of 101

114. In atrial flutter, the limit frequency of atrial:

Select one of the following:

a. below 220 / min
b. above 350 / min
c. from 220 to 350 / min
d. from 120 to 250 / min
e. from 280 to 390 / min

Explanation

Question 15 of 101

115. sinus tachycardia does not cause: (a consequence of the appreciation of catecholamines)

Select one of the following:

a. pulmonary embolism
b. heart failure
c. pain
d. hypothyroidism
e. anemia

Explanation

Question 16 of 101

116. In the case of atrial fibrillation in more than 70% of the arrhythmogenic focus on:

Select one of the following:

a. pulmonary veins
b. right atrial
c. right ventricle
d. pulmonary artery
e. atrial septum

Explanation

Question 17 of 101

117. The use of digitalis and verapamil is absolutely contraindicated in:

Select one of the following:

a. atrial fibrillation
b. atrial flutter
c. atrial tachycardia
d. atrial extrasystoles
e. atrial fibrillation in a patient with pre-excitation type WPW

Explanation

Question 18 of 101

118. With drugs such as digitalis, verapamil, diltiazem, beta-blockers achieved in atrial fibrillation:

Select one of the following:

a. acceleration of ventricular response
b. conversion to sinus rhythm
c. slowing of ventricular response
d. No significant changes
e. less thromboembolic complications

Explanation

Question 19 of 101

119. The electrocardiogram see ventricular tachycardia, QRS complexes which have varying electrical axis and in the form of a helix twisting around the isoelectric line. Arrhythmia occurs in the form of short, short time intervals repeated attacks. It occurs in people who have a long QT interval on the electrocardiogram and bradycardia.
Tachycardia, which describes the composition?

Select one of the following:

a. monomorphic ventricular tachycardia
b. ventricular fibrillation
c. torsade de pointes
d. ventricular flutter
e. polymorphic ventricular extrasystoles

Explanation

Question 20 of 101

120. ventricular tachycardia form a certain number of consecutive ventricular beats. About Ventricular tachycardia can speak, when successive ventricular beats

Select one of the following:

a. at least 2
b. at least 3
c. at least 4
d. at least 5
e. at least 6

Explanation

Question 21 of 101

121. Mark concept, which is not in connection with sinus node disease:

Select one of the following:

a. sinus bradycardia
b. sinoatrial block
c. sinus arrest
d. bradikardno-tachycardic syndrome
e. atrioventricular block

Explanation

Question 22 of 101

122. sinus arrest is permanent or temporary cessation of the production of stimuli in the sinus node. ECG results is most similar to:

Select one of the following:

a. sinoatrial block III. Instance
b. sinoatrial block II. Instance
c. sinoatrial block level I
d. sinus bradycardia
e. atrioventricular block

Explanation

Question 23 of 101

123. About atrioventricular block level I , when PQ interval is :

Select one of the following:

a. at least 0.10 with
b. at least 0.20 with
c. at least 0.30 with
d. at least 0.40 with
e. at least 0.35 with

Explanation

Question 24 of 101

124. If cardioversion blow flow coincides with the peak of T wave of the previous beat (vulnerable area) can cause:

Select one of the following:

a. sinus bradycardia
b. ventricular fibrillation
c. nothing special
d. atrial fibrillation
e. atrioventricular block

Explanation

Question 25 of 101

125. What happens if we stimulate the beta receptors?

Select one of the following:

a. heart rate increases
b. heart rate is reduced
c. accelerate the oxygenation
d. hypotension occurs
e. to avoid any change in

Explanation

Question 26 of 101

126. The most successful method of termination of ventricular fibrillation is:

Select one of the following:

a. cardioversion
b. Defibrillation
c. medicines
d. external heart massage
e. artificial respiration

Explanation

Question 27 of 101

127. AV node can generate heart rate range:

Select one of the following:

a. 40-60
b. 60-100
c. 20-40
d. 40-80
e. AV node does not have this capability

Explanation

Question 28 of 101

128. Adenosine:

Select one of the following:

a. accelerate the translation through the AV node
b. inhibits translation through the AV node
c. It has a very long half-life
d. inhibits conduction in the SA node
e. reduces the volume of liquid in the lung

Explanation

Question 29 of 101

129. Irregular heart rhythm without claire waves on ECG record is likely to:

Select one of the following:

a. ventricular tachycardia
b. ventricular fibrillation
c. sinus rhythm
d. atrial fibrillation
e. sinus arrhythmia

Explanation

Question 30 of 101

130. What happens if you block beta receptors in the heart?

Select one of the following:

a. heart rate increases
b. heart rate is reduced
c. accelerate the oxygenation
d. hypotension occurs
e. to avoid any change in

Explanation

Question 31 of 101

131. electrocardiographic criteria that determine ventricular tachycardia are

Select one or more of the following:

A width of the QRS complexes with over 0.14
B. Web and spliced beats
C. atrioventricular dissociation
F. the absence of the finger P
D. The width of the QRS complexes under 0.14 with

Explanation

Question 32 of 101

132. Clinical signs and ECG changes in atrial fibrillation are:

Select one or more of the following:

A. irregular and differently charged arterial pulse
B. regular and evenly filled arterial pulse
C. struck tones
F. differently loud first heart tone
D. missing tines P are present fibrillation the teeth of different amplitudes

Explanation

Question 33 of 101

133. Manifestations of Appeal atrioventricular block are:

Select one or more of the following:

A. Wenckebach periodicity
B. complete termination of atrioventricular conduction
C. Mobitz III
F. Mobitz II
D. advanced atrioventricular block

Explanation

Question 34 of 101

134. A complete atrioventricular block:

Select one or more of the following:

A. threatening condition that requires urgent treatment
B. has preserved atrial activity (P tines or f) visible on the ECG
C. has a complete atrioventricular dissociation were seen on the ECG
F. is harmless, treatment is required
D. QRS complexes are often narrow

Explanation

Question 35 of 101

135. implantation of cardioverter-defibrillator (ICD) operates in three different ways:

Select one or more of the following:

A. The machine uses high-energy (200-300J) Defibrillation
B. from ventricular tachycardia using antitachycardia stimulation, or cardioversion
C. in the case of bradycardia heart encourages
F. The use of ventricular fibrilation defibrilation
D. The apparatus is capable of a total of 10 to 20 shocks

Explanation

Question 36 of 101

136. The definition of electrocardiographic syndrome Wolff-Parkinson-White (WPW) is as follows:

Select one or more of the following:

A short period of PQ (0.12 or lower)
B. extended interval Q-T
C. The presence of wave U
F. widened QRS complex (over 0.10 s)
D. delta wave

Explanation

Question 37 of 101

137. For some it is a heart rhythm disorder (see precordial drains, where most of Change)?

Select one of the following:

a. ventricular tachycardia
b. atrial fibrillation
c. SVT with functional bundle branch block
d. sinus tachycardia
e. intermittent ventricular ekstrasistolija

Explanation

Question 38 of 101

138. What kind of heart rhythm disorder about?

Select one of the following:

A VT (polymorphic)
b. atrial fibrillation
c. atrial flutter
d. sinus tachycardia
e. atrial tachycardia (sembra più una a.t.parossistica perché ondulata)

Explanation

Question 39 of 101

139. In the picture above we see the sinus rate, then the first transition in the salvo of ventricular premature beats and the second time in ventricular tachycardia and fibrillation (Figure 2 and 3). What is undoubtedly trigger ventricular tachycardia?

Select one of the following:

a. premature sine pulse
b. atrial ekstrasitola
c. ventricular extrasystoles on the T wave
d. irritation of the Vagus
e. intermittent ventricular ekstrasistolija

Explanation

Question 40 of 101

140. The 70-year-old patient with Parkinson's disease. What kind of heart rhythm disorder about?

Select one of the following:

a. atrial flutter
b. atrial fibrillation
c. no arrhythmias, an artifact due to tremor
d. sinus tachycardia
e. intermittent ventricular ekstrasistolija

Explanation

Question 41 of 101

141. What kind of heart rhythm disorder about? For a detailed analysis has shown outlet V1 in magnified form.

Select one of the following:

a. atrial flutter
b. atrial fibrillation
c. atrial tachycardia with a block of 2: 1
d. sinus tachycardia
e. atrial ectopic activity

Explanation

Question 42 of 101

142. What kind of rhythm in motion?

Select one of the following:

a. First-degree AV block
b. AV block II. levels of type I
c. AV block II. degree with a translation of 2: 1
d. AV block III. Instance
e. normal sinus rhythm

Explanation

Question 43 of 101

143. What kind of heart rhythm disorder about?

Select one of the following:

a. First-degree AV block
b. Mobitz I
c. Mobitz II
d. AV block III. Instance
e. normal sinus rhythm

Explanation

Question 44 of 101

144. What kind of heart rhythm disorder about?

Select one of the following:

a. complete AV dissociation
b. AV block II. levels of type I
c. advanced AV block II. Grade 3: 1
d. AV block III. Instance
e. normal sinus rhythm

Explanation

Question 45 of 101

145. Figures show promoting cardiac resynchronization in a way that it is used in patients with advanced heart failure. Where normally lie electrode?

Select one of the following:

a. in both the atria and the coronary sinus
b. in both the atria and right ventricle
c. in the right atrium, right ventricle and coronary sinus
d. in the left atrium (2x) and the right ventricle
e. in the right ventricle (2x) and the coronary sinus

Explanation

Question 46 of 101

146. A patient with implanted cardioverter/defibrillator (ICD) is under the control of quoted occasional palpitations. The ECG notebook ICD was registered a record 14 consecutive beats with wide QRS complexes. How would you define arrhythmia?

Select one of the following:

a. unstable VT
b. persistent VT
c. paroxysm of atrial fibrillation
d. sinus tachycardia
e. polymorphic ventricular extrasystoles

Explanation

Question 47 of 101

147. What kind of heart rhythm disorder about?

Select one of the following:

a. VT
B. atrial fibrillation
c. bradicardic-tachycardic syndrome
d. sinus tachycardia
e. intermittent ventricular ekstrasistolija

Explanation

Question 48 of 101

148. In the picture you can see a form of electro cardiac permanent pacemakers. How are housed electrodes?

Select one of the following:

a. transvensko
b. transseptalno
c. diaphragmatic
d. transcutaneous
e. epicardio

Explanation

Question 49 of 101

149. What shows ECG (the monitor outlet)?

Select one of the following:

a. SVT, who after a pause repeated in the same form
b. spontaneous leap from ventricular tachycardia to sinus rhythm
c. Leap of atrial fibrillation to sinus rhythm
d. leap from supraventricular tachycardia to sinus rhythm with an electrical shock (cardioversion)
e. leap from ventricular tachycardia to sinus rhythm with an electrical shock (cardioversion)

Explanation

Question 50 of 101

150. Following the administration of adenosine in a patient whose ECG is in the picture above, established a rhythm, which is shown in the figure below. Explain the formation mechanism.

Select one of the following:

a. accelerate the translation through the AV node
b. brake translation through the AV node
c. stimulation of the conductivity in the SA node
d. inhibition of conductivity in the SA node
e. stimulation of the Vagus

Explanation

Question 51 of 101

151. Which of the following is the most common cause of sinus tachycardia:

Select one of the following:

a. hyperthyroidism
b. arteriovenous fistula
c. sepsis
d. medicines
e. Diabetic autonomic neuropathy

Explanation

Question 52 of 101

152. What applies to extraordinary rate - Extrasystoles:

Select one of the following:

a. the ventricular rate is stronger
b. ventricular extrasystoles is hemodynamically more effective than atrial
c. the earlier the extrasystoles, the more effective hemodynamic
d. extrasystoles, arising from the basal parts were hemodynamically effective as compared with those arising from the tip of the
e. extrasystole patients generally do not feel

Explanation

Question 53 of 101

153. What applies to atrial flutter:

Select one of the following:

a. in the majority of cases occur in structurally normal hearts
b. Place Cruise depolarization is always in the right atrium
c. atrial frequency is between 110 and 240 / min
d. atrial frequency is between 220 and 350 / min
e. frequency atrial chambers at plapolanju always regular

Explanation

Question 54 of 101

154. Repeat attacks are most effective in atrial flutter is prevented by:

Select one of the following:

a. beta-blockers
b. verapamil
c. digitalis
d. implantation of an automatic defibrillator
e. catheter ablation

Explanation

Question 55 of 101

155. What applies to atrial fibrillation:

Select one or more of the following:

a. The incidence increases with age
b. prevalence in the age group above 60 years is about 5%
c. Patients with atrial fibrillation have a 2x higher mortality
d. increasing the number of independent rotations depolarization, the greater the chance of spontaneous termination of arrhythmias
e. in untreated ventricular arrhythmia frequency it is usually between 70 and 90 / min

Explanation

Question 56 of 101

156. What is characteristic of atrial fibrillation

Select one of the following:

a. flutter with paroxysmal arrhythmia episode is interrupted herself frequently in the first 24 hours, but no later than 7 days
b. After a successful elektrokonverziji patients with increased risk of thromboembolism without need of anticoagulant therapy
c. If the duration of atrial flicker between 24 and 48 hours, before attempting the conversion necessary to introduce an anticoagulant protection
d. in haemodynamic impairment of the patient cardioversion is contraindicated
e. arrhythmogenic foci were generally at around vtočišča hollow out the right preddvot

Explanation

Question 57 of 101

157. What applies to the treatment of atrial flutter:

Select one of the following:

a. in permanent form usually opt for cardioversion
b. effectiveness of catheter ablation for paroxysmal form 50%
c. for catheter ablation of arrhythmogenic foci commonly eliminated by electrically isolating the pulmonary output
d. in the form of permanent heart rate most often mitigated by a combination of beta blockers and verapamil
e. in patients with WPW syndrome ventricular rate slowed down by digitalis

Explanation

Question 58 of 101

158. What is characteristic of atrioventricular reentry tachycardia:

Select one or more of the following:

a. It is a rare form of supraventricular tachycardia
b. depolarization reaches the atrium earlier than ventricle, so the ECG visible P waves just before the QRS complexes
c. vagal maneuvers are often interrupted rhythm disorder
d. beta blockers are contraindicated
e. with frequent attacks, treatment selection catheter ablation of slow pathways

Explanation

Question 59 of 101

159. A feature atrioventricular reentry tachycardia with the participation of accessory route:

Select one or more of the following:

a. in ortodromni tachycardia the QRS complexes wide
b. in ortodromni tachycardia often we see negative p waves just for QRS
c. antidromno tachycardia treated with verapamil
d. ortodormno tachycardia treated with digitalis
e. treatment with catheter ablation is successful

Explanation

Question 60 of 101

160. A characteristic of ventricular tachycardia:

Select one or more of the following:

a. Occasionally they can narrow QRS complexes
b. ECG can be found in the so-called compounded and caught pulses
c. rule is hemodynamically significant
d. unstable ventricular tachycardia lasting more than 3 minutes
e. unstable ventricular tachycardia has a worse prognosis than persistent

Explanation

Question 61 of 101

161. What kind of rhythm in the video:

Select one of the following:

a. changes artifacts
b. atrial fibrillation
c. probably atrioventricular nodal tachycardia
d. polymorphic ventricular tachycardia
e. ventricular fibrillation

Explanation

Question 62 of 101

162 polymorphic ventricular tachycardia:

Select one or more of the following:

a. often it occurs in patients with short QT interval
b. It occurs more often in people with sinus tachycardia
c. It may occur during treatment with antiarrhythmic drugs and drugs that prolong the QT interval
d. It occurs more often in hypokalaemia and hypomagnesaemia
e. some patients indication for insertion cardioverter-defibrillator

Explanation

Question 63 of 101

163. How can we try to terminate ventricular tachycardias attack in hemodynamically stable patients:

Select one or more of the following:

a. with vagal maneuvers
b. digitalis
c. lidocaine
d. amiodarone
e. electrical cardioversion

Explanation

Question 64 of 101

164. How can we try to terminate ventricular tachycardias attack in hemodynamically unstable patients:

Select one of the following:

a. with vagal maneuvers
b. digitalis
c. lidocaine
d. amiodarone
e. electrical cardioversion

Explanation

Question 65 of 101

165. For ventricular fibrillation is characterized by:

Select one of the following:

a. successfully stopped by amiodarone
b. if it occurred before our eyes, to try to break up with synchronous conversion with 50J
c. need immediate CPR and defibrillation as soon as possible
d. occurs when acute myocardial infarction, the patient requires insertion of a cardioverter-defibrillator
e. if not found an obvious cause of VF in patients treated pharmacologically

Explanation

Question 66 of 101

166. The sinus node disease is characterized by:

Select one or more of the following:

a. common is sinus tachycardia
b. mostly the result of degenerative changes in the sinus node and atrium
c. due to sinus bradycardia occur fugitive tachycardic arrhythmias
d. reversible disease
e. There are several levels of sino-atrial block

Explanation

Question 67 of 101

167. What is characteristic of atrioventricular block:

Select one or more of the following:

a. the incidence increasing with age
b. frequently it occurs in patients with arterial hypertension
c. cause of acute atrioventricular block may be some infectious diseases
d. chronic block successfully treated with sympathomimetic
e. beta-blockers do not affect the atrioventricular translation

Explanation

Question 68 of 101

168. The first stage AV block is characterized by:

Select one of the following:

a. QT interval PQ over 0.1sec
b. QT interval PQ over 0.2S
c. QT prolongation above 440 ms
d. prolongation of QRS duration greater than 120 ms
e. occasional interruption of conduction through the AV node and the failure of the QRS complex

Explanation

Question 69 of 101

62. Which arrhythmia see on ECG:

Select one of the following:

a. sinoatrial block level I
b. complete sinoatrial block
c. first-degree atrioventricular block
d. atrioventricular block II.
e. atrioventricular dissociation Mobitz I

Explanation

Question 70 of 101

169. What heart rhythm disturbance seen in ECG:

Select one of the following:

a. atrial flutter (atrial flutter)
b. first-degree atrioventricular block
c. atrioventricular block II. degree with a translation of 2: 1
d. atrioventricular block II. degree Mobitz II
e. atrioventricular block III. Instance

Explanation

Question 71 of 101

170. For the left anterior hemiblok is characterized by:

Select one or more of the following:

a. Wide QRS complex is less than 120 ms
b. QRS complex is wide more than 120 ms
c. electrical axis is displaced to the left
d. electrical axis normal
e. it is necessary as soon as possible the insertion of a pacemaker

Explanation

Question 72 of 101

171. Indications for permanent pacemaker insertion are:

Select one or more of the following:

a. GMAS attack the AV block II. degree Mobitz I
b. asymptomatic AV block II. degree Mobitz II
c. asymptomatic AV block III. Instance
d. ECG in asymptomatic pause longer than 2 seconds
e. Tachycardia-bradycardia syndrome, which requires different antiarrhythmic therapy

Explanation

Question 73 of 101

172. What is the way to electro?

Select one of the following:

a. OR
b. VV
c. VDD
d. DDD
e. VAR

Explanation

Question 74 of 101

173. What is the way to electro?

Select one of the following:

a. AAI
b. VVI
c. VDD
d. DDD
e. VXR

Explanation

Question 75 of 101

174. What is the next ECG?

Select one of the following:

a. ventricular tachycardia
b. AV block II. degree Mobitz II
c. with normal ECG artifacts
d. electrostimulation of the DDD mode
e. impairment in the functioning pacemaker

Explanation

Question 76 of 101

175. What additional phenomenon is visible in the ECG:

Select one of the following:

a. raising the point J
b. raising ST
c. wave U
d. delta wave (WPW)
e. Osborne wave

Explanation

Question 77 of 101

176. A feature of arrhythmogenic right ventricular dysplasia is:

Select one of the following:

a. This is X-chromosome linked hereditary disease
b. characterized by the marked right ventricular hypertrophy
c. Patients often die from sudden cardiac death
d. the investigation of choice to demonstrate the coronary
e. the most common arrhythmia is atrial fibrillation (fibrillation)

Explanation

Question 78 of 101

177. What is Brugada syndrome?

Select one of the following:

a. a genetic disease that is more common in men at high risk for sudden cardiac death
b. a genetic disease which affects the calcium channels and results in a lower contraction of the heart muscle
c. the occurrence of atrial fibrillation in structurally normal hearts
d. changed conduction of electrical impulses between the cardiomyocytes, as demonstrated by the widespread QRS complex
e. None of the above

Explanation

Question 79 of 101

178. What do we most often find in a patient, which we have taken such an ECG?

Select one or more of the following:

a) dispassionately talks, he tells us that his heart "jumping"
b) is unconscious, agonal breathing
c) it has a pain in the lower abdomen
d) the auscultation figure irregular and varying loud first heart tone
e) The heart tones are absent, there is a cardiac arrest

Explanation

Question 80 of 101

179. How do we approach the treatment of patients with atrial fibrillation at the Department of Internal first aid?

Select one or more of the following:

a) immediately defibrillation and perform external cardiac massage to recovery of spontaneous circulation
b) obtain accurate history of the duration and frequency of attacks
c) in a patient with the first attack, which lasts less than 48 hours, do a conversion of heart rhythm
d) after successful cardioversion attack, which lasted less than 48 hours, introduce a beta blocker
e) if the patient is hemodynamically compromised, do not need treatment

Explanation

Question 81 of 101

180. How does the patient immediately after his capture such an ECG?

Select one or more of the following:

a) dispassionately talks, he tells us that his heart "jumping"
b) is unconscious, agonal breathing (ventricular fibrillation)
c) it has a pain in the lower abdomen
d) the auscultation figure irregular and varying loud first heart tone
e) The heart tones are absent, there is a cardiac arrest

Explanation

Question 82 of 101

181. How to proceed in a patient with ventricular fibrillation?

Select one or more of the following:

a) immediately defibrillation and perform external cardiac massage to recovery of spontaneous circulation
b) terminate ventricular fibrillation with amiodarone injection with external cardiac massage
c) after successful defibrillation record the ECG, in which we are looking for signs of acute coronary syndrome
d) if the patient is hemodynamically compromised, do not need treatment
e) in a patient who survived ventricular fibrillation, which was not due to acute coronary syndrome, it has to be implantable defibrillator cardioverter

Explanation

Question 83 of 101

182. Is such a patient ECG life threatened?

Select one of the following:

a) never
b) it has, however, only if it has at the same time a structural heart disease
c) when the otherwise normal blood pressure is not
d) if taking no chest pain, no
e) in the majority of cases

Explanation

Question 84 of 101

183. What is the typical history of a patient with AV-block III. Instance:

Select one or more of the following:

a) sue just because of intermittent attacks of rapid, irregular heart beat
b) the stun
c) the occasional loss of consciousness
d) the unusually tired
e) have dyspnea on exertion

Explanation

Question 85 of 101

184. What are the possible measures of treating a patient with AV-block III. rates in the infirmary again before you lose consciousness?

Select one or more of the following:

a) an infusion of norepinephrine
b) transcutaneous stimulation of the heart
c) the stimulation of the heart transvenously
d) amiodarone
e) with beta-blockers

Explanation

Question 86 of 101

185. What congenital heart defects are among cyanotic defects with normal or decreased pulmonary flow?

Select one or more of the following:

A. Ebstein anomaly with right-to-left shunt through an open foramen ovale
B. tetralogy of Fallot
C. sinus venosus type ASD with left-right shunt
F. Open ductus line with left-right shunt
D. coarctation of the aorta

Explanation

Question 87 of 101

186. After surgery, coarctation of the aorta in childhood, adults then:

Select one or more of the following:

A. Completely healthy
B. often have residual hypertension
C. They are cyanotic
F. For them it is more common congenital aortic valve Double blade
D. dying from heart failure

Explanation

Question 88 of 101

187. The atrial septum defect type II:

Select one or more of the following:

A. Extremely rarely detected in adulthood
B. It is most commonly found congenital heart defect in adulthood
C. Do you often entangled with Eisenmenger’s syndrome
F. There is no need to be treated if it is detected only in adulthood, because it shows its clinical irrelevance
D. in adulthood often reveal only the concurrent systemic arterial hypertension

Explanation

Question 89 of 101

188. For tetralogy of Fallot is characterized by:

Select one or more of the following:

A. Pulmonary arterial hypertension
B. The defect interventricular septum
C. Cyanosis
F. pulmonary stenosis
D. Hypertrophy of left ventricle and overriding aorta

Explanation

Question 90 of 101

189 patients with congenital heart defect, compared with healthy more often:

Select one or more of the following:

a. anemia
b. blood clotting disorders
c. proteinuria
d. Heart rhythm disorders
e. Thrombocytosis

Explanation

Question 91 of 101

190. What applies to atrial septal defect type II:

Select one or more of the following:

a. the defect in the area fose ovalis interatrial septum
b. Santa's rule, right-left
c. Eisenmenger syndrome is a rare
d. ECG is often left bundle branch block
e. treatment is required

Explanation

Question 92 of 101

191. What is true for patients with ventricular septal defect:

Select one or more of the following:

a. A small leak may be asymptomatic
b. wherein the noise holodiastoličen left parasternalno
c. to demonstrate the urgent transesophageal echocardiography
d. treatment is indicated, in the case of Eisenmenger's symptoms
e. and operated in the leak was in the non-sterile procedures indicated antibiotic protection

Explanation

Question 93 of 101

192. coarctation of the aorta is the most common in:

Select one of the following:

a. bulbusu aorta
b. the ascending part of the aorta, just before the turnoff brahiocefalične art.
c. aortic arch
d. discendent part of the aorta, just at output of left. subclavian
e. the junction of the renal arteries

Explanation

Question 94 of 101

193. What fault is not part Fallot tetralogy:

Select one of the following:

a. pulmonary stenosis
b. right ventricular hypertrophy
c. defect in the atrial septum
d. defect in the ventricular septum
e. cavalier aorta

Explanation

Question 95 of 101

194. The clinic has heard 46-year-old patient WHO had sued the eyesight at moderate exertion, mild swelling of the lower leg and occasional irregular heart flashing and the last 6 months. For several years a moderate Increase and blood pressure. Work in factory dyes.
And the physical condition we ugovili CVT about 15 cm of water, RR 165/95, saturation Hb 0,92 without stagnation of shots of the lungs, basal expiratory few Bleeps, rhythmic heart action, 90 / min, a fixed and a sliced 2 tone, quiet sitolični ejection murmur at the top left of the sternum by expanding Under the left collarbone. The liver was not Enlarged, pretibialni mild edema. Accompanied by a recording of the patient's ECG and chest radiography Authorities
A. The patient is probably a:

Select one of the following:

B. hypertonic heart with paroxysms of atrial Fibrillation
C. Cor pulmonale
D. pulmonary valve stenosis
E. atrial septum defect

Explanation

Question 96 of 101

195. Circle the correct combination of answers that apply to aortic stenosis:

Select one or more of the following:

a. the most common cause of aortic stenosis is rheumatic fever over it in the past
b. patients with severe aortic stenosis occurs with exertion of angina pectoris
c. Electrocardiogram are often symptoms of left ventricular hypertrophy
d. systolic volume noise in perfect correlation with the degree of stenosis
e. Patients with aortic stenosis may have syncope

Explanation

Question 97 of 101

196. What applies to artificial heart valves:

Select one of the following:

a. mechanical valves have better hemodynamic characteristics of biological
b. patients with artificial mechanical heart valve must be one year after surgery to receive anticoagulation protection
c. the biologic valve is essential for life antiplatelet therapy
d. for Biological valves are deciding in young patients
e. artificial aortic valve can be inserted percutaneously, without surgery

Explanation

Question 98 of 101

197. Typical signs and symptoms of degenerative aortic valve stenosis are:

Select one or more of the following:

A. Heavy breath with exertion
B. Syncope with exertion
C. In particular, a right-sided heart failure
F. Exertional angina
D. Sistolodiastolični noise over Erbovo point

Explanation

Question 99 of 101

198. The degree of aortic valve stenosis most reliable estimate with respect to:

Select one of the following:

A. The volume of noise
B. Changes in ECG
C. Hitrst blood flow through the aortic valve
D. The surface area of the aortic orifice
E. Size cardiac shadow on chest X-ray

Explanation

Question 100 of 101

199. prognostic worst symptom in symptomatic aortic valve stenosis is:

Select one of the following:

A. Angina pectoris in the Effort
B. Syncope with exertion
C. Heavy breath with exertion (heart failure)
D. Palpitations
E. Headaches

Explanation

Question 101 of 101

200. In asymptomatic patients with severe aortic stenosis decide to change the valve in the following cases:

Select one or more of the following:

A. If at the same time decide to bypass
B. If it falls left ventricular ejection fraction less than 50%
C. Always, with no concomitant diseases
D. If symptoms occur when stress test
E. If the patient is younger than 50 years

Explanation

Check answer

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	Created by mano li over 2 years ago

Quiz on Circulatory System II, created by mano li on 04/01/2022.

Circulatory System II

Question 1 of 101

101. The ten-year survival after heart transplantation is:

Select one of the following:

Explanation

Question 2 of 101

102. What is not a contraindication for heart transplantation:

Select one of the following:

Explanation

Question 3 of 101

103. What applies for heart transplant patients:

Select one of the following:

Explanation

Question 4 of 101

104. In the late period after heart transplantation is an important factor of morbidity ::

Select one of the following:

Explanation

Question 5 of 101

105. What is the 1-year survival of patients with heart failure in NYHA functional class IV:

Select one of the following:

Explanation

Question 6 of 101

106. The most common reason for chronic heart failure are:

Select one or more of the following:

Explanation

Question 7 of 101

107. What kind of drugs shown to prolong life in chronic heart failure?

Select one or more of the following:

Explanation

Question 8 of 101

108. The characteristics of atrial fibrillation (AF) are the following:

Select one or more of the following:

Explanation

Question 9 of 101

109. If a characteristic ventricular tachycardias are:

Select one or more of the following:

Explanation

Question 10 of 101

110. Circle the correct argument that applies to (AV) block:

Select one of the following:

Explanation

Question 11 of 101

111. For preexcitation Wolf-Parkinson-White (WPW) applies (circle the correct combination):

Select one or more of the following:

Explanation

Question 12 of 101

112. The shape of the R electrocardiogram was in sinus tachycardia:

Select one of the following:

Explanation

Question 13 of 101

113. In the case of paroxysmal supraventricular tachycardia and conduction disorders (bundle branch block, ventricular pre-excitation), the QRS complexes:

Select one of the following:

Explanation

Question 14 of 101

114. In atrial flutter, the limit frequency of atrial:

Select one of the following:

Explanation

Question 15 of 101

115. sinus tachycardia does not cause: (a consequence of the appreciation of catecholamines)

Select one of the following:

Explanation

Question 16 of 101

116. In the case of atrial fibrillation in more than 70% of the arrhythmogenic focus on:

Select one of the following:

Explanation

Question 17 of 101

117. The use of digitalis and verapamil is absolutely contraindicated in:

Select one of the following:

Explanation

Question 18 of 101

118. With drugs such as digitalis, verapamil, diltiazem, beta-blockers achieved in atrial fibrillation:

Select one of the following:

Explanation

Question 19 of 101

Select one of the following:

Explanation

Question 20 of 101

120. ventricular tachycardia form a certain number of consecutive ventricular beats. About Ventricular tachycardia can speak, when successive ventricular beats

Select one of the following: