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WorksheetsLange Ch 25 Cardiac
Total questions: 65
Worksheet time: 1hrs 5mins
Name
Class
Date
1.
The action to be followed if a patient is experiencing a cardiac arrhythmia, specifically a ventricular fibrillation, would be to:
a)
start an IV
b)
defibrillate
c)
order blood to replace blood volume
d)
administer intravenous lidocaine
2.
Dextran is used parenterally to:
a)
expand blood plasma volume
b)
renourish vital tissue
c)
carry oxygen through the system
d)
decrease blood viscosity
3.
Which drug can be added to saline for irrigation during a vascular procedure?
a)
Protamine
b)
Epinephrine
c)
Sublimaze
d)
Heparin
4.
The intraoperative diagnostic test that measures tissue perfusion is:
a)
blood volume
b)
respiratory tidal volume
c)
arterial blood gases
d)
hematocrit
5.
Passage of a sterile catheter into the heart via the brachial or femoral artery for the purpose of image intensification is called:
a)
angiography
b)
arteriography
c)
cardiac catheterization
d)
cardioscopy
6.
Hypothermia is employed in cardiac surgery:
a)
to reduce oxygen consumption
b)
to reduce elevated temperature
c)
to slow metabolism
d)
to induce ventricular fibrillation
7.
Which vessels are harvested for a coronary artery bypass?
a)
Pulmonary vein and external mammary vein
b)
Portal vein and hepatic artery
c)
Saphenous vein and internal mammary artery
d)
Pulmonary artery and pulmonary vein
8.
The term used to denote the function accomplished by the cardiopulmonary bypass machine is:
a)
diversion
b)
dialysis
c)
perfusion
d)
profusion
9.
In balloon angioplasty, the dilating balloon is inflated with:
a)
diluted heparin
b)
diluted solution of contrast media
c)
saline
d)
Ringer's lactate solution
10.
*What position is commonly used for cardiac procedures?
a)
Supine
b)
Lateral
c)
Prone
d)
Sims
11.
A drug used intraoperatively for its antispasmodic effect on the smooth muscle of the vessel wall is:
a)
Ringer's lactate
b)
papaverine hydrochloride
c)
Physiosol
d)
protamine sulfate
12.
The technique applied to the patient who is unable to be weaned from cardiopulmonary bypass is:
a)
IAPB
b)
VADs
c)
Pacemaker
d)
Both A and B
13.
What is the most commonly acquired valvular lesion?
a)
Mitral regurgitation
b)
Mitral stenosis
c)
Tricuspid valve regurgitation
d)
Aortic insufficiency
14.
What drug is used to effect coronary thrombolysis in the cardiac catheterization laboratory?
a)
Tissue plasminogen activator
b)
Heparin
c)
Streptokinase
d)
Both A andC
15.
Electrical impulses that stimulate the heart muscle are achieved with:
a)
pacemaker
b)
arterial defibrillation
c)
ESU
d)
alligator clamp
16.
Fibrillation is described as:
a)
fast heart rate
b)
involuntary muscle contraction
c)
slow heart rate
d)
coronary artery occlusion
17.
The cardiac phase when the ventricles contract is:
a)
systole
b)
diastole
c)
fibrillation
d)
relaxation
18.
Bradycardia is defined as_____ bpm.
a)
40-60
b)
80-100
c)
Higher than 110
d)
100-110
19.
The most commonly used incision for surgical procedures of the heart is:
a)
right lateral
b)
left lateral
c)
anterior thoracotomy
d)
median sternotomy
20.
The aortic valve maintains one way blood flow to the aorta from the:
a)
right atrium
b)
left atrium
c)
left ventricle
d)
right ventricle
21.
The only arteries in the body that carry deoxygenated blood to the lungs are:
a)
carotid
b)
subclavian
c)
coronary
d)
pulmonary
22.
During dialysis the patient's blood is shunted to the outside of the body. The term referring to outside the body is:
a)
in situ
b)
angiogram
c)
extracorporeal
d)
intracorporeal
23.
The relaxation phase of the cardiac cycle is:
a)
systole
b)
infarction
c)
diastole
d)
intraoperative vasospasm
24.
A precipitous drop in the patient's blood or fluid volume is:
a)
hypovolemia
b)
hypervolemia
c)
hypertension
d)
ischemia
25.
*If you require surgery on your thymus gland, the surgeon would enter the:
a)
pleural cavity
b)
mediastinal cavity
c)
pericardial cavity
d)
peritoneal cavity
26.
Which surgery requires the use of a heart lung machine?
a)
CABG
b)
AAA
c)
IV C filter umbrella
d)
VATS
27.
The heart is located in which cavity?
a)
mediastinal cavity
b)
endocardial cavity
c)
myocardial cavity
d)
Both B and C
28.
The inner layer of the heart is the:
a)
endocardium
b)
myocardium
c)
epicardium
d)
pericardium
29.
The semilunar valve is also known as:
a)
tricuspid
b)
bicuspid
c)
pulmonary
d)
SA
30.
All are components of the cardiac conduction system except:
a)
AVnode
b)
SA node
c)
purkinje fibers
d)
pericardium
31.
Arrhythmia is defined as:
a)
rapid heart rate
b)
slow heart rate
c)
abnormal heart rhythm
d)
None of the above
32.
What medication is used for ventricular arrhythmias?
a)
Xylocaine
b)
Carcaine
c)
Heparin
d)
Both A and B
33.
Pericardial effusion is defined as:
a)
inflammation of the inner lining of the heart
b)
irregular muscle contractions
c)
fluid buildup surrounding the heart
d)
inflammation of the pericardia! lining of the heart
34.
Which of the following shows the heart using ultrasound?
a)
Echocardiogram
b)
Arteriogram
c)
Angiogram
d)
None of the above
35.
What arteries are used during a cardiac catheterization?
a)
Femoral
b)
Brachial
c)
Carotid
d)
Both A and B
36.
What vessel increases cardiac blood flow to the heart following a CABG:
a)
Carotid
b)
Brachial
c)
Internal mammary
d)
Saphenous vein
37.
What diagnostic procedure visualizes the cavity between the lungs, aorta, and vena cava?
a)
Angiogram
b)
Mediastinoscopy
c)
VATS
d)
Echocardiogram
38.
Levophed:
a)
increases cardiac output
b)
decreases venous return to the heart
c)
increases urine secretion
d)
restores and maintains blood pressure
39.
A drug used to treat metabolic acidosis is:
a)
Inderal
b)
Pronestyl
c)
sodium bicarbonate
d)
Isuprel
40.
*When performing a mediastinoscopy procedure, the incision is made in the:
a)
manubrium
b)
xiphoid
c)
suprasternal notch
d)
trachea
41.
*What congenital cardiac anomaly is commonly known as the cyanotic heart defect?
a)
Tetralogy of Fallot
b)
Patent ductus arteriosus
c)
Atrial septal defect
d)
Ventricular septal defect
42.
*What disease is a defect in the septum of the heart's upper chambers that separates the atria causing it to remain open after birth?
a)
Tetralogy of Fallot
b)
Atrial septal defect
c)
Patent ductus arteriosus
d)
Ventricular septal defect
43.
*How many pulmonary veins are there?
a)
Two
b)
Three
c)
Four
d)
Six
44.
*Which of the following is not a cardiac valve?
a)
Aortic
b)
Mitral
c)
Septal
d)
Tricuspid
45.
*The mitral valve is also known as the:
a)
semilunar valve
b)
bicuspid valve
c)
pulmonary valve
d)
cardiac valve
46.
*Which heart valve is commonly associated with a heart murmer?
a)
Bicuspid
b)
Mitral
c)
Tricuspid
d)
Both A and B
47.
*A disease that affects the mitral valve is:
a)
neurovirus
b)
parasite
c)
rheumatic fever
d)
all of the above
48.
*A ______ traces the electrical activity of the heart, and a _____ shows the heart with ultrasound.
a)
arteriogram, electrocardiogram
b)
echocardiogram, angiogram
c)
electrocardiogram, echocardiogram
d)
angiogram, echocardiogram
49.
*The procedure that is used to scar small areas in the heart by using extreme cold or heat energy, which corrects cardiac abnormalities by preventing the abnormal electrical signals or rhythms from moving through the heart, is termed:
a)
cardioplegia
b)
cardiac conduction
c)
cardiac ablation
d)
cardiac catheterization
50.
*What is the term for a congenital defect where there is a stricture of the aorta in pediatric patients?
a)
Coarctation
b)
Stenosis
c)
Arteriosus
d)
Prolapse
51.
*With ventricular fibrillation, the lower chambers of the heart quiver. This is considered the most serious of cardiac arrythmias. This causes the heart to beat erratically and fast. During this time, the heart:
a)
does not fill the chamber with blood
b)
does not empty blood from the chamber
c)
does not pump the blood adequately
d)
completely stops beating
52.
*Cardiac skin prep may include:
a)
full anterior body prep
b)
peripheral limbs
c)
chin to mid-thigh
d)
all of the above
53.
*What part of the central nervous system controls heart rate, blood pressure, and breathing by providing nerve impulses?
a)
Phrenic nerves
b)
Medulla oblongata
c)
Vagus nerve
d)
Parasympathetic fibers
54.
*When performing an anastomosis on the aorta using a vein graft (CABG), a Satinsky or DeBakey occluding clamp is used on the aorta. A #11 blade is used to make a small incision, and the _____ is used to enlarge the opening.
a)
Potts-Smith scissors
b)
ESU needle tip
c)
aortic punch
d)
tenotomy scissors
55.
*When a cardiac procedure is performed on a beating heart, a/an _____ is used to secure the vessel being worked on to prevent damage because it is very difficult to work on a moving target.
a)
aortic punch
b)
heart stabilizer
c)
cardiac cannula
d)
Cooley anastomosis clamp
56.
*Grafts used in cardiac surgery:
a)
come available in various sizes
b)
can be straight or bifurcated
c)
can consist of Teflon, Dacron, or PTFE
d)
all of the above
57.
*Parts of the cardiopulmonary machine include all EXCEPT:
a)
venous reservoir
b)
oxygenator
c)
cannulator
d)
arterial pump
58.
*Complications of a CABG include:
a)
ventricular/ atrial arrhythmia
b)
clotting
c)
stroke
d)
all of the above
59.
*Which autograft is the ideal graft used for arterial bypass in a CABG procedure?
a)
Saphenous
b)
Femoral
c)
Brachial
d)
Jugular
60.
*When there is excessive buildup of fluid in the pericardial sac causing compression of the heart, it is called:
a)
pericarditis
b)
tamponade
c)
infarction
d)
cardiomyopathy
61.
*Blood enters the heart through the veins (deoxygenated blood) into the:
a)
superior and inferior vena cava
b)
bicuspid valve
c)
right atrium
d)
right ventricle
62.
*From the right atrium, blood flows through the tricuspid valve into the:
a)
left ventricle
b)
right ventricle
c)
pulmonary artery
d)
pulmonary vein
63.
*Blood flows from the right ventricle through the:
a)
pulmonary valve
b)
semilunar valve
c)
pulmonary artery
d)
both A and B
64.
*From the pulmonary artery, blood flows out through the lungs and becomes _______ blood; this blood flows back through the pulmonary vein into the left atrium.
a)
oxygenated
b)
deoxygenated
65.
Blood flows into the left atrium through the bicuspid valve into the __ through the aor-tic valve into the aorta to the body through the arteries.
a)
left ventricle
b)
right ventricle
c)
pulmonary artery
d)
right atrium
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