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Diseases of the heart and circulatory system

Total questions: 50

Worksheet time: 28mins

Name
Class
Date
1.

A narrowing of the heart valve due to stiff or fused valve cusps. It makes the heart work very hard to pump the blood through the valve.

a)

heart murmurs

b)

mitral valve prolapse

c)

palpitations

d)

valvular stenosis

2.

Extra whooshing or swishing sounds heard by a stethoscope during a heartbeat. It is caused by one of the heart valves not closing properly.

a)

Valvular stenosis

b)

Mitral Valve prolapse

c)

Heart murmurs

d)

palpitations

3.

An incomplete closing of the mitral valve. In this disorder the blood will flow backwards through the valve into the left atrium

a)

valvular stenosis

b)

heart murmur

c)

palpitations

d)

mitral valve prolapse

4.

The sensation of rapid heartbeats

a)

mitral valve prolapse

b)

palpitations

c)

heart murmurs

d)

valvular stenosis

5.

Inflammation of the pericardial sac that surrounds your heart.

a)

myocarditis

b)

endocarditis

c)

pericarditis

d)

cardiomyopathy

6.

Inflammation of the myocardium, the middle layer of the heart. Symptoms are similar to those of pericarditis.

a)

endocarditis

b)

myocarditis

c)

pericarditis

d)

cardiomyopathy

7.

An abnormal ballooning of a blood vessel. Usually due to a weakness in the wall of the vessel.

a)

coronary heart disease

b)

atherosclerosis

c)

aneurysm

d)

ischemia

8.

A hardening of the arteries due to plaque hardening

a)

coronary artery disease

b)

atherosclerosis

c)

ischemia

d)

angina pectoralis

9.

Commonly referred to as "chest pains", the heart is receiving an insufficient amount of blood during stressful situations or exercise

a)

ischemia

b)

angina pectoralis

c)

atherosclerosis

d)

aneurysm

10.

A lack of blood flow to the heart

a)

angina pectoris

b)

ischemia

c)

myocardial infarction

d)

hypertension

11.

Commonly known as a heart attack, this is tissue death that occurs in a segment of heart muscle from blockage of a coronary artery

a)

hypertension

b)

peripheral vascular disease

c)

myocardial infarction

d)

a stroke

12.

Another word for high blood pressure. It occurs when the force of the blood against the arterial wall remains elevated for a period of time.

a)

a stroke

b)

hypertension

c)

peripheral vascular disease

d)

transient ischemic attack (TIA)

13.

A condition caused by the narrowing of the arteries in the legs. Usually results from a lack of blood flow to calf, feet and thighs.

a)

transient

b)

hypertension

c)

peripheral vascular disease

d)

myocardial infarction

14.

A cerebral vascular accident, is a medical emergency that occurs when blood flow to the brain stops.

a)

hypertension

b)

peripheral vascular disease

c)

myocardial infarction

d)

a stroke

15.

A temporary lack of blood flow to the brain. In this case most of the symptoms can disappear within 1 to 2 hours. However, medial attention is recommended afterwards.

a)

a stroke

b)

transient ischemic attack (TIA)

c)

hypertension

d)

ischemia

16.

What is Heart Failure?

a)

heart attack

b)

the heart stops beating

c)

the heart has the inability to pump enough blood to meet the body's oxygen or nutrients needs

d)

the heart fills with blood but it unable to pump any blood to the lungs or body

17.

What causes Heart Failure?

a)

Chronic Hypertension

b)

Dysrhythmias

c)

Heart Attack

d)

All of the above

18.

In heart failure, heart chambers get larger, salt & water retention increases and cardiac muscle mass increases over time making the walls thicker. What is this called?

a)

hypertrophy

b)

hypotrophy

c)

arrhythmia

d)

myocardial infarction

19.

Acute heart failure (sudden and abrupt) can be caused by ......

a)

myocardial infarction

b)

pulmonary embolism

c)

rupture of heart chamber or valve cusp

d)

severe malignant hypertension

e)

all of these

20.

Narrowing of a valve opening in the heart, which impedes blood flow, is called...

a)

stenosis

b)

ischaemic heart disease

c)

left sided failure

d)

angina pectoris

21.

Ischaemic heart disease is usually caused by....

a)

atheromatous plaques narrowing or blocking coronary arteries

b)

back flow of blood in the heart

c)

pathogens in the blood

d)

coarctation of the aorta

22.

Precipitating factors for angina pectoris include (tick all that apply)....

a)

extra physical effort

b)

cold weather

c)

emotional state

d)

eating a hot curry

23.

myocardial infarction is caused when a branch of the coronary artery is blocked, usually by an atheromatous plaque or thrombosis. Swift treatment with clot-dissolving drugs is essential as complications include....(tick all that apply)

a)

ventricular fibrillation

b)

cardiogenic shock

c)

ventricle wall rupture

d)

pericarditis

e)

heart murmur

24.

An inflammatory, auto-immune illness, sometimes following a streptococcal throat infection, most commonly occurring in children or young adults. The antibodies produced to combat the initial infection damage the heart.

(a)  

25.

Inflammation and infection of the endocardium (possibly on or near heart valves) caused by bacteriaemia, depressed immune response and heart abnormalities.

a)

myocarditis

b)

endocarditis

c)

pericarditis

d)

cardiomyopathy

26.

Normal sinus rhythm below 60 bpm. Occurs during sleep, and in athletes, but is abnormal following MI or when accompanied by intracranial pressure.

a)

Sinus bradycardia

b)

sinus tachycardia

c)

asystole

d)

fibrillation

27.

Normal sinus rhythm above 100bpm at rest. Occurs during exercise and anxiety, but is an indicator of fever, hyperthyroidism and some cardiac conditions.

a)

Sinus bradycardia

b)

sinus tachycardia

c)

asystole

d)

fibrillation

28.

No electrical activity in the heart, no cardiac output.

a)

Sinus bradycardia

b)

sinus tachycardia

c)

asystole

d)

fibrillation

29.

Contraction of cardiac muscle in disorderly and uncoordinated sequence.

a)

Sinus bradycardia

b)

sinus tachycardia

c)

asystole

d)

fibrillation

30.

Patent ductus arteriosus, atrial septal defect, coarctation of the aorta and Fallot's tetralogy are all...

a)

Congenital abnormalities of the heart

b)

Blood pressure disorders

c)

Types of cardiac arrhythmia

d)

Type of heart valve disorder

31.

Hypertension is used to describe a level of blood pressure which would benefit the patient if reduced. BP readings where systolic/diastolic values are below 130/85 mmHg are considered....

a)

Normal

b)

mild hypertension

c)

moderate hypertension

d)

severe hypertension

32.

Hypertension is used to describe a level of blood pressure which would benefit the patient if reduced. BP readings where systolic/diastolic values are >180/>110mmHg are considered....

a)

Normal

b)

mild hypertension

c)

moderate hypertension

d)

severe hypertension

33.

MODERATE hypertension would give a systolic reading of .......

a)

130 mmHg or below

b)

140-159 mmHg

c)

160-179 mmHg

d)

>180 mmHg

34.

Risk factors for hypertension include...(tick all that apply)

a)

smoking

b)

obesity

c)

family history

d)

high intakes of salt or alcohol

e)

diabetes mellitus

35.

There is a well documented link between low birth weight and hypertension in later life.

a)

True

b)

False

36.

A rapid & aggressive form of hypertension with diastolic pressure > 120 mmH. Serious effects quickly apparent eg haemorrhage into retina, papilloedema, encephalopathy (cerebral oedema) and renal diseases all leading to cardiac failure.

(a)  

37.

Secondary hypertension results from other diseases/conditions and accounts for approx 5% of cases. Some causes of this could be.... (check the FALSE answer)

a)

Kidney disease

b)

Adrenal gland disorder

c)

Pregnancy

d)

Drug treatments (eg hormonal contraceptives, corticosteroids)

e)

Cervical cancer

38.

Hypertension predisposes to the following complications

a)

stroke

b)

ischaemic heart disease

c)

kidney damage

d)

aneurysm

e)

all of these answers

39.

(a)   hypotension is an abrupt fall in BP on standing up suddenly from a sitting or lying position, causing dizziness and occasionally, fainting.

40.

Stress can increase BP

a)

True

b)

False

41.

The capillaries in the retina are particularly susceptible to the effects of high BP - this can be clearly seen during a routine eye examination with an ophthalmoscope and can lead to loss of vision. It is often the first sign of high BP in an otherwise asymptomatic patient.

This is called .....

a)

atherosclerosis

b)

hypertensive retinopathy

c)

myocardial infarction

d)

essential hypertension

42.

Hypertension can be classified as essential (primary, idiopathic) or secondary (to other diseases). Which is the most common, accounting for 95% of all cases?

a)

essential (primary)

b)

secondary

43.

A characteristic combination of FOUR congenital cardiac abnormalities causing cyanosis, growth retardation and exercise intolerance in babies and young children.

a)

atrial septal defect

b)

patent ductus arterioles

c)

coarctation of the aorta

d)

Fallot's tetralogy

44.

Commonly called a "hole in the heart" - arises when the foramen ovale between the two sides of the heart does not close (as it should do) after birth of a baby.

a)

atrial septal defect

b)

patent ductus arterioles

c)

coarctation of the aorta

d)

Fallot's tetralogy

45.

Which ECG shows atrial fibrillation? Trace (a) shows normal sinus rhythm.

a)

b

b)

c

c)

d

d)

e

e)

f

46.

Which ECG shows ventricular fibrillation? Trace (a) shows normal sinus rhythm.

a)

b

b)

c

c)

d

d)

e

e)

f

47.

Which hormone is secreted in early pregnancy (peaking at around 8-9 weeks), stimulating the corpus lute to produce hormones which prevent menstruation and sustain pregnancy early on?

a)

HCG (Human Chorionic Gonadotrophin)

b)

oestrogen

c)

progesterone

d)

testosterone

48.

A teratogen is a substance causing abnormal foetal development. Which of the following are teratogenic?

a)

alcohol

b)

certain drugs (eg antibodies and anti cancer drugs)

c)

ionizing radiation (eg X-rays)

d)

Some infections (eg rubella, syphillis)

e)

paracetamol

49.

Where would you find the radial, ulnar and basilica veins?

a)

lower arm

b)

upper arm

c)

lower leg

d)

upper leg

50.

AVVV. What's missing?

Ataxia

Vomiting

Visual disturbances

(a)