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FINAL

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Chapter 3,12,14
Lilly Coleman
Quiz by Lilly Coleman, updated more than 1 year ago
Lilly Coleman
Created by Lilly Coleman almost 5 years ago
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Question 1

Question
Transthoracic echocardiogram is a
Answer
  • 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

Question 2

Question
Ultrasound is a sound wave with a frequency greater than ____
Answer
  • 20 hertz
  • 200 hertz
  • 2,000 hertz
  • 20,000 hertz

Question 3

Question
In order to achieve real-time, continuous movement, ____
Answer
  • Decrease depth
  • Do not utilize the zoom feature
  • Utilize the largest field of vision possible
  • Utilize the lowest frame rate possible

Question 4

Question
The ____ transmits and receives ultrasound pulses that collide with structures, such as the heart walls and valves.
Answer
  • Transducer
  • Matching layer
  • Near field
  • Ultrasound unit monitor

Question 5

Question
When the beam reaches half of its original diameter, the focus is reached; and then beyond that, the far field offers the best resolution.
Answer
  • True
  • False

Question 6

Question
The pediatric transducer typically utilized a ___ frequency transducer that provides excellent resolution, while adult transducer utilizes a ___ frequency transducer that provides better depth penetration.
Answer
  • High/low
  • Low/high

Question 7

Question
If the transducer is place too high during the apical views, ___ may result.
Answer
  • False positive mitral Valve prolapse
  • Foreshortening
  • Oblong images of the heart
  • Pericardial effusion

Question 8

Question
The best 2D image is produced when the transducer is parallel to the structure being examined.
Answer
  • True
  • False

Question 9

Question
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.
Answer
  • True
  • False

Question 10

Question
2D Echo allows us to visualize the relationship between the heart structures in real time.
Answer
  • True
  • False

Question 11

Question
The indicators that travel down the side of the 2D image represent ___ and each indicator is equal to ___ centimeters.
Answer
  • Depth/ one
  • Gray scale/ one
  • Heart structures/ one
  • Time/ one

Question 12

Question
M-mode produces an icepick image of the heart and displays it in the form of a time/depth graph.
Answer
  • True
  • False

Question 13

Question
M-mode is utilized for timing events of the cardiac cycle.
Answer
  • True
  • False

Question 14

Question
M-mode produces a two-dimensional graph of the heart.
Answer
  • True
  • False

Question 15

Question
The ASE recommends M-mode dimensions, not 2D dimensions.
Answer
  • True
  • False

Question 16

Question
Doppler Echo utilizes ultrasound to record the velocity and direction of the blood flow.
Answer
  • True
  • False

Question 17

Question
The CFD appearance is based on ___
Answer
  • 2D image quality
  • Blood flow velocity
  • Color map
  • All of the above

Question 18

Question
In most labs, flow traveling toward the transducer is ___, and flow traveling away from the transducer is ___.
Answer
  • Blue/ Red
  • Red/ Blue

Question 19

Question
____ Doppler is used to measure blood flow from a specific site that is < 2 m/s
Answer
  • Continuous wave
  • High-pulsed repetition frequency
  • Non-imaging continuous wave
  • Pulsed Wave

Question 20

Question
___ Doppler is superimposed, steerable, and measures any velocity making it ideal for performing valve calculations.
Answer
  • Continuous wave
  • High-pulsed repetition frequency
  • PEDOF
  • Pulsed wave

Question 21

Question
Continuous wave Doppler detects flow from a specific sample volume.
Answer
  • True
  • False

Question 22

Question
Aliasing occurs when the velocity is > 2 m/s while using ___ Doppler.
Answer
  • Continuous wave
  • PEDOF
  • pulsed
  • spectral

Question 23

Question
What similarities do PWD and CWD share?
Answer
  • 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

Question 24

Question
The PEDOF probe is a non-imaging probe; therefore, the sonographer must rely on the ___
Answer
  • 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

Question 25

Question
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.
Answer
  • True
  • False

Question 26

Question
What is your most important responsibility during exercise electrocardiography?
Answer
  • Providing for safety
  • Applying the leads
  • Monitoring the ECG tracing
  • Taking the patients blood pressure

Question 27

Question
Which of the following conditions would be a reason that a patient should not perform exercise electrocardiography?
Answer
  • Coronary vascular disease
  • Previous heart attack
  • Congestive heart failure
  • Previous symptoms of angina

Question 28

Question
What type of test would be performed on a patient who is unable to stand or exercise?
Answer
  • Chemical (pharmacologic) stress test
  • Blood pressure test
  • Treadmill stress test
  • Stress electrocardiogram

Question 29

Question
During exercise electrocardiography, your patient appears to be short of breath. After informing the physician of your suspicions, what would you do?
Answer
  • 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

Question 30

Question
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.
Answer
  • 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

Question 31

Question
A beta blocker is
Answer
  • A protocol for exercise electrocardiography
  • A medication for hypertension
  • Necessary when performing exercise electrocardiography
  • A type of ultrasound

Question 32

Question
Which of the following is measured during exercise electrocardiography?
Answer
  • Blood pressure and temperature
  • Blood pressure and weight
  • 12-lead ECG and weight
  • 12-Lead ECG and blood pressure

Question 33

Question
When educating the female patient for exercise electrocardiography, you should instruct her not to wear
Answer
  • Shorts
  • Tennis shoes
  • An underwire bra
  • Comfortable clothing

Question 34

Question
Patients should avoid alcohol, tobacco, and caffeine for at least 8 hours prior to exercise electrocardiography
Answer
  • True
  • False

Question 35

Question
Patients should be encouraged to report any symptoms such as shortness of breath, weakness, dizziness, or fatigue during exercise electrocardiography.
Answer
  • True
  • False

Question 36

Question
After exercise electrocardiography, the patient should not take a hot bath or shower for at least 2 hours
Answer
  • True
  • False

Question 37

Question
You should discuss the results of the exercise electrocardiography with the patient as soon as the results are available.
Answer
  • True
  • False

Question 38

Question
Patients should wear comfortable, casual clothing on the day of the test, including tennis shoes and loose-fitting pants.
Answer
  • True
  • False

Question 39

Question
You should attach the leads to the chest at the same sites as you would for an ambulatory monitor.
Answer
  • True
  • False

Question 40

Question
Emergency equipment should be available in the room or nearby during exercise electrocardiography
Answer
  • True
  • False

Question 41

Question
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
Answer
  • chemical stress test

Question 42

Question
The middle layer of the heart, composed of muscle tissue is the [blank_start]myocardium[blank_end]
Answer
  • myocardium

Question 43

Question
A [blank_start]beta blocker[blank_end] is a medication used to treat hypertension
Answer
  • beta blocker

Question 44

Question
Another name for high blood pressure is [blank_start]hypertension[blank_end]
Answer
  • hypertension

Question 45

Question
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]
Answer
  • nuclear stress test

Question 46

Question
Chest pain caused by reduced blood flow is [blank_start]angina[blank_end]
Answer
  • angina

Question 47

Question
Abnormal cardiac rhythm is called [blank_start]dysrhythmia[blank_end]
Answer
  • dysrhythmia

Question 48

Question
A [blank_start]cardiologist[blank_end] is a physician who specializes in the study of the heart
Answer
  • cardiologist

Question 49

Question
Failure of the heart to pump an adequate amount of blood to the tissue is [blank_start]congestive heart failure[blank_end]
Answer
  • congestive heart failure

Question 50

Question
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]
Answer
  • coronary vascular disease

Question 51

Question
An echocardiogram is a non invasive diagnostics test that uses ultrasound waves to provide images of the heart and blood vessels
Answer
  • True
  • False

Question 52

Question
A false positive is a diagnostic test result that indicates that disease is present when in reality no disease is present
Answer
  • True
  • False

Question 53

Question
[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
Answer
  • THR

Question 54

Question
A noninvasive procedure requires entrance into a body cavity, tissue, or blood vessel.
Answer
  • True
  • False

Question 55

Question
A Naughton protocol is most commonly utilized for a stress test
Answer
  • True
  • False

Question 56

Question
A modified Bruce protocol is most often used during a stress test for patients with an exercise capacity limited by cardiac disease.
Answer
  • True
  • False

Question 57

Question
A 12-Lead ECG is obtained toward the beginning of each stage of exercise electrocardiography
Answer
  • True
  • False

Question 58

Question
After a stress test, the patient should avoid alcohol, tobacco, and caffeine for at least 3 hours
Answer
  • True
  • False

Question 59

Question
A patient should take all of his prescribed medications on the day of his stress test unless the physician directs otherwise.
Answer
  • True
  • False

Question 60

Question
All chest pain is cardiac in origin
Answer
  • True
  • False

Question 61

Question
Angina is the heart’s way of complaining it needs more oxygen
Answer
  • True
  • False

Question 62

Question
All acute myocardial infarctions present with ST segment elevation
Answer
  • True
  • False

Question 63

Question
The A in SAMPLE refers to allergies
Answer
  • True
  • False

Question 64

Question
Patients must sign a consent for procedures before receiving narcotics.
Answer
  • True
  • False

Question 65

Question
Fibrinolytic agents may be used on any patient
Answer
  • True
  • False

Question 66

Question
Beta blockers decrease heart rate and blood pressure
Answer
  • True
  • False

Question 67

Question
The circumflex artery supplies blood to the right atrium and ventricle
Answer
  • True
  • False

Question 68

Question
What is the name of the innermost layer of an artery?
Answer
  • Tunica media
  • Tunica adventitia
  • Tunica os
  • Tunica intima

Question 69

Question
Which major coronary artery and vessel supplies blood to both ventricles?
Answer
  • Circumflex artery
  • Left anterior descending artery
  • Right descending artery
  • Right main and marginal arteries

Question 70

Question
Which of the following complaints may be cardiac in origin?
Answer
  • Jaw pain
  • Nausea
  • Indigestion
  • All of the above

Question 71

Question
Symptoms of unstable angina include which of the following?
Answer
  • 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

Question 72

Question
Which three groups of patients often present with atypical symptoms of MI?
Answer
  • Women, infants, and children
  • Women, elderly patients, and patients with diabetes
  • Men, women, and children with diabetes
  • All of the answers are correct

Question 73

Question
Due to damage to blood vessels, patients with diabetes are ____ as likely as a non diabetic individual to experience a stroke or heart attack
Answer
  • 10 times
  • 5 times
  • Twice
  • Not

Question 74

Question
Which of the following are included when referring to acute coronary syndrome?
Answer
  • STEMI, NSTEMI, and unstable angina
  • STEMI, NSTEMI, and stable angina
  • STEMI, NSTEMI, and diabetes
  • STEMI, NSTEMI, and CVA

Question 75

Question
What percentage of patients may present with STEMI?
Answer
  • 20-40
  • 40-45
  • 75-80
  • 100

Question 76

Question
What percentage of patients may present with NSTEMI?
Answer
  • 20-25
  • 40-45
  • 75-80
  • 100

Question 77

Question
Heart failure is simply defined as ___
Answer
  • Pulmonary edema
  • Hyperlipidemia
  • Pulmonary failure
  • Pump failure

Question 78

Question
Which type of heart failure causes fluid to back up in the lungs, causing pulmonary edema?
Answer
  • Right atrial
  • Right ventricular
  • Left atrial
  • Left ventricular

Question 79

Question
Mnemonic devices are commonly used in medicine to ____
Answer
  • 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

Question 80

Question
Which of the following would not be done during patient assessment and initial treatment of a cardiac patient ?
Answer
  • Obtain a 12-Lead ECG
  • Start oxygen
  • Obtain the vital signs
  • Obtain a urine specimen

Question 81

Question
Nitroglycerin causes blood vessels to ___ and blood pressure to ___.
Answer
  • Constrict, increase
  • Relax, increase
  • Constrict, decrease
  • Relax, decrease

Question 82

Question
Which procedure allows visualization of the coronary arteries and placement of a stent?
Answer
  • Coronary artery bypass
  • Echocardiography
  • Cardiac catheterization
  • Enhanced external counter pulsation

Question 83

Question
Coumadin is used to ____
Answer
  • Increase heart rate
  • Increase clot formation in blood
  • Decrease heart rate
  • Decrease clot formation in blood

Question 84

Question
Occlusion of the proximal left coronary artery is often referred to as the [blank_start]widow maker[blank_end]
Answer
  • widow maker

Question 85

Question
What should be done in the first 10 minutes of cardiac patients arrival?
Answer
  • Assess pain level
  • 12-Lead ECG
  • Start oxygen
  • Get urine sample
  • Check vitals
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