WorksheetsHeart Throbs
Total questions: 20
Worksheet time: 10mins
What does the image represent
Janeway lesions
Roth spots
Quincke sign
Eisenmerger syndrome
Water Hammer Pulse is seen in
Aortic Stenosis
Aortic Regurgitation
Rheumatic Heart Disease
Coarctation of Aorta
Which of the following is the Right-to-Left Shunt
VSD
ASD
TOF
PDA
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:
PDA
Coarctation of the Aorta
VSD
TOF
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?
Thin fibrous cap
Rich lipid core
Active peripheral inflammation
Slow growth rate
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?
Lipid peroxidation
Tyrosine oxidation
Glucose polymerization
Iron overload
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:
Torsades de pointes and sudden death
Chest pain and areas of ischemic myocardial necrosis
Dynamic left ventricular outflow obstruction
Left ventricular dilation and heart failure
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
Mitochondrial enzymes involved in oxidative phosphorylation
Dystrophin, a cardiac cell cytoskeleton protein
Beta-myosin heavy chain, a cardiac cell sarcomere protein
Fibrillin-1 (FBN1), a connective tissue protein
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
Atherosclerotic plaque obstructing 50% of the lumen, no thrombus
Atherosclerotic plaque obstructing 80% of the lumen, no thrombus
Ulcerated Atherosclerotic plaque with fully obstructive thrombus
Ruptured atherosclerotic plaque with fully obstructive thrombus
Atherosclerosis impedes coronary blood flow by which of the following mechanisms?
Plaques obstruct the vein
Plaques obstruct the artery
Blood clots form outside the vessel wall
Hardened vessels dilate to allow the blood to flow through
What is the term used to describe an enlargement of the heart muscle?
Cardiomegaly
Pericarditis
Myocarditis
Cardiomyopathy
Septal involvement occurs in which type of cardiomyopathy?
Congestive
Restrictive
Hypertrophic
Dilated
Which hereditary disease is most closely linked to aneurysm?
Cystic fibrosis
Myocardial infarction
Marfan’s syndrome
Lupus erythematosus
Which of the following blood vessel layers may be damaged in a client with an aneurysm?
Externa
Interna and Media
Media
Interna
Which of the following symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?
Abdominal pain
Lower back pain
Angina
Absent pedal pulses
A pulsating abdominal mass usually indicates which of the following conditions?
Abdominal aortic aneurysm
Gastritis
Gastic distention
Enlarged spleen
Which ofthe following symptoms is most commonly associated with left-sided heart failure?
Crackles
Hypotension
Hepatic engorgement
Arrhythmias
What is the most common complication of a myocardial infarction?
Cardiogenic shock
Pericarditis
Arrhythmias
Heart failure
These slides illustrate prominent owl-eye macrophages that are deemed pathognomonic for this disease called
Aschoff cells
Anitschkow cells
MacCallum cells
Libman-Sacks cells
Which of the following blood tests is most indicative of cardiac damage?
a. Lactate dehydrogenase
b. Complete blood count
c. Troponin I
d. Creatine kinase
