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WorksheetsDiseases of the heart and circulatory system
Total questions: 50
Worksheet time: 28mins
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.
heart murmurs
mitral valve prolapse
palpitations
valvular stenosis
Extra whooshing or swishing sounds heard by a stethoscope during a heartbeat. It is caused by one of the heart valves not closing properly.
Valvular stenosis
Mitral Valve prolapse
Heart murmurs
palpitations
An incomplete closing of the mitral valve. In this disorder the blood will flow backwards through the valve into the left atrium
valvular stenosis
heart murmur
palpitations
mitral valve prolapse
The sensation of rapid heartbeats
mitral valve prolapse
palpitations
heart murmurs
valvular stenosis
Inflammation of the pericardial sac that surrounds your heart.
myocarditis
endocarditis
pericarditis
cardiomyopathy
Inflammation of the myocardium, the middle layer of the heart. Symptoms are similar to those of pericarditis.
endocarditis
myocarditis
pericarditis
cardiomyopathy
An abnormal ballooning of a blood vessel. Usually due to a weakness in the wall of the vessel.
coronary heart disease
atherosclerosis
aneurysm
ischemia
A hardening of the arteries due to plaque hardening
coronary artery disease
atherosclerosis
ischemia
angina pectoralis
Commonly referred to as "chest pains", the heart is receiving an insufficient amount of blood during stressful situations or exercise
ischemia
angina pectoralis
atherosclerosis
aneurysm
A lack of blood flow to the heart
angina pectoris
ischemia
myocardial infarction
hypertension
Commonly known as a heart attack, this is tissue death that occurs in a segment of heart muscle from blockage of a coronary artery
hypertension
peripheral vascular disease
myocardial infarction
a stroke
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 stroke
hypertension
peripheral vascular disease
transient ischemic attack (TIA)
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.
transient
hypertension
peripheral vascular disease
myocardial infarction
A cerebral vascular accident, is a medical emergency that occurs when blood flow to the brain stops.
hypertension
peripheral vascular disease
myocardial infarction
a stroke
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 stroke
transient ischemic attack (TIA)
hypertension
ischemia
What is Heart Failure?
heart attack
the heart stops beating
the heart has the inability to pump enough blood to meet the body's oxygen or nutrients needs
the heart fills with blood but it unable to pump any blood to the lungs or body
What causes Heart Failure?
Chronic Hypertension
Dysrhythmias
Heart Attack
All of the above
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?
hypertrophy
hypotrophy
arrhythmia
myocardial infarction
Acute heart failure (sudden and abrupt) can be caused by ......
myocardial infarction
pulmonary embolism
rupture of heart chamber or valve cusp
severe malignant hypertension
all of these
Narrowing of a valve opening in the heart, which impedes blood flow, is called...
stenosis
ischaemic heart disease
left sided failure
angina pectoris
Ischaemic heart disease is usually caused by....
atheromatous plaques narrowing or blocking coronary arteries
back flow of blood in the heart
pathogens in the blood
coarctation of the aorta
Precipitating factors for angina pectoris include (tick all that apply)....
extra physical effort
cold weather
emotional state
eating a hot curry
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)
ventricular fibrillation
cardiogenic shock
ventricle wall rupture
pericarditis
heart murmur
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)
Inflammation and infection of the endocardium (possibly on or near heart valves) caused by bacteriaemia, depressed immune response and heart abnormalities.
myocarditis
endocarditis
pericarditis
cardiomyopathy
Normal sinus rhythm below 60 bpm. Occurs during sleep, and in athletes, but is abnormal following MI or when accompanied by intracranial pressure.
Sinus bradycardia
sinus tachycardia
asystole
fibrillation
Normal sinus rhythm above 100bpm at rest. Occurs during exercise and anxiety, but is an indicator of fever, hyperthyroidism and some cardiac conditions.
Sinus bradycardia
sinus tachycardia
asystole
fibrillation
No electrical activity in the heart, no cardiac output.
Sinus bradycardia
sinus tachycardia
asystole
fibrillation
Contraction of cardiac muscle in disorderly and uncoordinated sequence.
Sinus bradycardia
sinus tachycardia
asystole
fibrillation
Patent ductus arteriosus, atrial septal defect, coarctation of the aorta and Fallot's tetralogy are all...
Congenital abnormalities of the heart
Blood pressure disorders
Types of cardiac arrhythmia
Type of heart valve disorder
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....
Normal
mild hypertension
moderate hypertension
severe hypertension
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....
Normal
mild hypertension
moderate hypertension
severe hypertension
MODERATE hypertension would give a systolic reading of .......
130 mmHg or below
140-159 mmHg
160-179 mmHg
>180 mmHg
Risk factors for hypertension include...(tick all that apply)
smoking
obesity
family history
high intakes of salt or alcohol
diabetes mellitus
There is a well documented link between low birth weight and hypertension in later life.
True
False
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)
Secondary hypertension results from other diseases/conditions and accounts for approx 5% of cases. Some causes of this could be.... (check the FALSE answer)
Kidney disease
Adrenal gland disorder
Pregnancy
Drug treatments (eg hormonal contraceptives, corticosteroids)
Cervical cancer
Hypertension predisposes to the following complications
stroke
ischaemic heart disease
kidney damage
aneurysm
all of these answers
(a) hypotension is an abrupt fall in BP on standing up suddenly from a sitting or lying position, causing dizziness and occasionally, fainting.
Stress can increase BP
True
False
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 .....
atherosclerosis
hypertensive retinopathy
myocardial infarction
essential hypertension
Hypertension can be classified as essential (primary, idiopathic) or secondary (to other diseases). Which is the most common, accounting for 95% of all cases?
essential (primary)
secondary
A characteristic combination of FOUR congenital cardiac abnormalities causing cyanosis, growth retardation and exercise intolerance in babies and young children.
atrial septal defect
patent ductus arterioles
coarctation of the aorta
Fallot's tetralogy
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.
atrial septal defect
patent ductus arterioles
coarctation of the aorta
Fallot's tetralogy
Which ECG shows atrial fibrillation? Trace (a) shows normal sinus rhythm.
b
c
d
e
f
Which ECG shows ventricular fibrillation? Trace (a) shows normal sinus rhythm.
b
c
d
e
f
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?
HCG (Human Chorionic Gonadotrophin)
oestrogen
progesterone
testosterone
A teratogen is a substance causing abnormal foetal development. Which of the following are teratogenic?
alcohol
certain drugs (eg antibodies and anti cancer drugs)
ionizing radiation (eg X-rays)
Some infections (eg rubella, syphillis)
paracetamol
Where would you find the radial, ulnar and basilica veins?
lower arm
upper arm
lower leg
upper leg
AVVV. What's missing?
Ataxia
Vomiting
Visual disturbances
(a)
