Wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Heart Throbs

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

What does the image represent

a)

Janeway lesions

b)

Roth spots

c)

Quincke sign

d)

Eisenmerger syndrome

2.

Water Hammer Pulse is seen in

a)

Aortic Stenosis

b)

Aortic Regurgitation

c)

Rheumatic Heart Disease

d)

Coarctation of Aorta

3.

Which of the following is the Right-to-Left Shunt

a)

VSD

b)

ASD

c)

TOF

d)

PDA

4.

A 10-year old Caucasian male is brought to your office complaining of occasional headaches and nose bleeds, as well as difficulty walking or running uphill due to muscle weakness. Pulsatile vessels are palpable along the patient's ribs. He most likely suffers from:

a)

PDA

b)

Coarctation of the Aorta

c)

VSD

d)

TOF

5.

Coronary angiography of a 69-year-old Caucasian female with chronic atypical chest pain shows extensive atherosclerosis and near-total occlusion of the left anterior descending (LAD) artery. The absence of myocardial necrosis and scarring despite vessel occlusion in this patient can best be explained by which of the following features of the occluding plaque?

a)

Thin fibrous cap

b)

Rich lipid core

c)

Active peripheral inflammation

d)

Slow growth rate

6.

The autopsy of a 78 yr old Caucasian male who died of esophageal cancer reveals a small heart without significant coronary artery atherosclerosis. Myocardial cells show prominent intracytoplasmic granules that are tinged yellowish-brown. Which of the following most likely accounts for the observed microscopic changes?

a)

Lipid peroxidation

b)

Tyrosine oxidation

c)

Glucose polymerization

d)

Iron overload

7.

A 9-year-old Caucasian male experiences several episodes of syncope. Evaluation of his cardiac cells shows decreased outward potassium flow and resultant prolongation of action potentials. This patients is most likely to suffer:

a)

Torsades de pointes and sudden death

b)

Chest pain and areas of ischemic myocardial necrosis

c)

Dynamic left ventricular outflow obstruction

d)

Left ventricular dilation and heart failure

8.

A 16 yr old Caucasian male collapses and dies suddenly while jogging. Autopsy reveals significant left ventricular hypertrophy predominantly affecting the septum. There are no valvular abnormalities. The patient's family history is significant for an uncle who died suddenly at age 20. Assuming this patient died of an inherited condition, the relevant mutation was most likely one affecting which of the following structures

a)

Mitochondrial enzymes involved in oxidative phosphorylation

b)

Dystrophin, a cardiac cell cytoskeleton protein

c)

Beta-myosin heavy chain, a cardiac cell sarcomere protein

d)

Fibrillin-1 (FBN1), a connective tissue protein

9.

A 55 yr old Caucasian male is brought to the ER with sudden onset severe substernal chest pain, as well as sweating and mild dyspnea. The pain does not respond to aspirin or sublingual nitroglycerin. His past medical history is significant for hypertension, diabetes and hyperlipidemia. ECG demonstrates ST-segment elevation in leads I, aVL and V1-V3 with deep Q-wave development over the next several hours. Cardiac catheterization in this patient would most likely show which of the following

a)

Atherosclerotic plaque obstructing 50% of the lumen, no thrombus

b)

Atherosclerotic plaque obstructing 80% of the lumen, no thrombus

c)

Ulcerated Atherosclerotic plaque with fully obstructive thrombus

d)

Ruptured atherosclerotic plaque with fully obstructive thrombus

10.

Atherosclerosis impedes coronary blood flow by which of the following mechanisms?

a)

Plaques obstruct the vein

b)

Plaques obstruct the artery

c)

Blood clots form outside the vessel wall

d)

Hardened vessels dilate to allow the blood to flow through

11.

What is the term used to describe an enlargement of the heart muscle?

a)

Cardiomegaly

b)

Pericarditis

c)

Myocarditis

d)

Cardiomyopathy

12.

Septal involvement occurs in which type of cardiomyopathy?

a)

Congestive

b)

Restrictive

c)

Hypertrophic

d)

Dilated

13.

Which hereditary disease is most closely linked to aneurysm?

a)

Cystic fibrosis

b)

Myocardial infarction

c)

Marfan’s syndrome

d)

Lupus erythematosus

14.

Which of the following blood vessel layers may be damaged in a client with an aneurysm?

a)

Externa

b)

Interna and Media

c)

Media

d)

Interna

15.

Which of the following symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?

a)

Abdominal pain

b)

Lower back pain

c)

Angina

d)

Absent pedal pulses

16.

A pulsating abdominal mass usually indicates which of the following conditions?

a)

Abdominal aortic aneurysm

b)

Gastritis

c)

Gastic distention

d)

Enlarged spleen

17.

Which ofthe following symptoms is most commonly associated with left-sided heart failure?

a)

Crackles

b)

Hypotension

c)

Hepatic engorgement

d)

Arrhythmias

18.

What is the most common complication of a myocardial infarction?

a)

Cardiogenic shock

b)

Pericarditis

c)

Arrhythmias

d)

Heart failure

19.

These slides illustrate prominent owl-eye macrophages that are deemed pathognomonic for this disease called

a)

Aschoff cells

b)

Anitschkow cells

c)

MacCallum cells

d)

Libman-Sacks cells

20.

Which of the following blood tests is most indicative of cardiac damage?

a)

a. Lactate dehydrogenase

b)

b. Complete blood count

c)

c. Troponin I

d)

d. Creatine kinase