FINAL

Descripción

Chapter 3,12,14
Lilly Coleman
Test por Lilly Coleman, actualizado hace más de 1 año
Lilly Coleman
Creado por Lilly Coleman hace casi 5 años
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Resumen del Recurso

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
  • 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
  • Foreshortening
  • 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
  • Gray scale/ one
  • Heart structures/ one
  • 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
  • Non-imaging continuous wave
  • 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
  • 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
  • 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
  • Position & angle of the probe and waveform in comparison to the EKG
  • 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
  • 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
  • Instruct the patient not to take his beta blocker medications
  • 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
  • Blood pressure and temperature
  • Blood pressure and weight
  • 12-lead ECG and weight
  • 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
  • Tennis shoes
  • An underwire bra
  • 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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