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Congestive Heart Failure

Total questions: 16

Worksheet time: 8mins

Name
Class
Date
1.

_______ Heart Failure is associated with LVEF </= 40%, a decrease in myocardial contractility and dilated cardiomyopathy

a)

Systolic

b)

Diastolic

2.

_______ Heart Failure is associated with LVEF > 40% a decrease relaxation and/or filling, and hypertrophic cardiomyopathy.

a)

Systolic

b)

Diastolic

3.

Systolic Heart Failure is a problem with the hearts ability to _______

a)

Fill / relax

b)

Pump / contract

4.

Diastolic Heart Failure is a problem with the hearts ability to _______

a)

Fill / relax

b)

Pump / contract

5.

On examination a patient presents with hepatosplenomegaly, dependent, pitting edema and JVD. What type of heart failure do you suspect they have?

a)

Left sided

b)

Right sided

6.

On examination a patient presents with a frequent, new cough, bibasilar crackles and a S3 sound. What type of heart failure do you suspect they have?

a)

Left sided

b)

Right sided

7.

Another name for Right sided heart failure

a)

Aortic Stenosis

b)

Cor Pulmonale

c)

Systolic Heart Failure

d)

Pulmonary Edema

8.

A patient with congestive heart failure who is on Lasix, Digoxin and Potassium supplements must be evaluated carefully for:

a)

Hypokalemia

b)

Hyperkalemia

c)

Digoxin toxicity

d)

All of the above

9.

In congestive heart failure, the body attempts to maintain normal perfusion of vital organs by:

a)

Decreasing force of contraction

b)

Excreting sodium and water

c)

Increasing heart rate

d)

Decreasing venous return

10.

All of the following would indicate right ventricular failure EXCEPT:

a)

Hepatosplenomegaly

b)

Bilateral moist crackles

c)

Dependent, pitting edema

d)

Jucular venous distention

11.

Which of the following are signs of predominant left ventricular failure?

a)

paroxysmal nocturnal dyspnea, ascites and hepatomegaly

b)

S3, frequent new cough, shortness of breath, bibasilar crackles

c)

Pedal edema, ascites, and hepatomegaly

d)

Chest pain, elevated ST segment and tachyarrhythmias

12.

Sudden development of dyspnea and sinus tachycardia in an acute renal failure patient would most likely indicate which of the following?

a)

Hyperkalemia

b)

Pulmonary embolism

c)

Fluid overload

d)

Infection

13.

A drug that increases myocardial contractility

a)

Diltiazem (Cardizem)

b)

Verapamil (Calan)

c)

Metoprolol (Lopressor)

d)

Dobutamine

14.

Drugs which decrease preload include:

a)

Diuretics, nitrates

b)

Bronchodilators

c)

Volume expanders

d)

Sympathomimetics

15.

Mrs. OJ has been on home dialysis for 5 years. She drank a gallon of orange juice that she bought on sale at Costco. She is admitted to Telemetry with CHF and fluid overload. Blood sent to the lab for analysis shows: NA: 116, K 7.4. She is aggressively dialyzed to remove the excess K and fluid. Her K level is rechecked and is 2.2. Her ECG shows tall peaked T waves in all 12 leads. Due to her low K level and peaked T waves, what is she at risk for developing?

a)

Carpal-pedal spasms

b)

Hypertensive crisis

c)

Seizures

d)

Ventricular dysrhythmias

16.

The desired effect from the use of diuretics in the patient with acute left ventricular failure is to:

a)

Reduce ventricular preload

b)

Assure renal function

c)

Lower the serum potassium

d)

Increase cardiac output