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DPT Heart failure

Total questions: 9

Worksheet time: 5mins

Name
Class
Date
1.

A -55-years old patient developed severe dyspnea when he walks routinely. His brother rushed him in ER, he looks cyanosed with pink, frothy sputum/E BP; 180/100. On auscultation crackles are present in both lung bases. The diagnosis will be;

a)

A.Pneumonia

b)

B. Acute myocardial ischemia

c)

C.Pulmonary edema

d)

D.Cardiogenic shock

2.

Cardiogenic shock

a)

Mostly caused by hypertension

b)

Results inadequate cellular metabolism and eventually cell

c)

Mostly a reversible cell damage.

d)

Present with cyanosis

3.

Heart failuremay be defined as;

a)

.Failure of heart to pump

b)

.Failure of heart to eject the blood

c)

.Failure of electrical activity

d)

Unable to pump sufficient amount of blood

e)

E.Unable to supply blood to tissues

4.

The correct definition of Heart failure Stage C;

a)

Structural heart disease but no current or previously recognized symptoms

b)

At risk for developing heart failure

c)

Refractory to therapies

d)

Clinical heart failure

5.

A-78-years-old presents in ER with state of unconsciousness, he appear ashen and blue with cool and mottled extremities. O/E Peripheral pulses are rapid and faint . JVP is raised and there are crackles in the lungs. Your diagnosis will be:

a)

Dead patient

b)

Acute myocardial ischemia

c)

Pulmonary edema

d)

Cardiogenic shock

6.

A-55-years-old male admitted with complaints of ankle swelling and shortness of breath on lying down. On examination neck veins are congested with tender hepatomegaly. Most probable diagnoses is;

a)

A.Left Heart failure

b)

B.Right Heart Failure

c)

C.Biventricular failure

d)

D.Heart Failure

7.

A-55-years-old male admitted with complaints of ankle swelling and shortness of breath on lying down. On examination neck veins are congested with tender hepatomegaly. The important investigation to reach the diagnosis is;

a)

A.Blood CP

b)

B.ECG

c)

C.Chest X-Ray

d)

D.Echocardiography

e)

E.CT Scan

8.

The most important hemodynamic parameters in Cardiogenic shock is

a)

Systolic Blood Pressure <90 mmHg

b)

MAP 30 mmHg lower than baseline

c)

Diastolic Blood Pressure < 40 mmHg.

d)

PCWP >15–18 mmHg

9.

A-65-years-old female admitted with complaints of shortness of breathing when she visited the bazar. Later on she develops swelling of ankles. On examination neck veins are engorged with pedal edema. The important drugs to treat the above condition are;

a)

A.Diuretic with ACE/ARB inhibitors

b)

B.Diuretic with CCBs

c)

C.Diuretic with Beta Blockers

d)

D.Only Need Diuretics

e)

E.No Need of the therapy