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Lung and Heart 4

Total questions: 49

Worksheet time: 25mins

Name
Class
Date
1.

Which of the following can help lower blood pressure levels?

a)

Vitamin C

b)

Chromium

c)

Niacin

d)

Vitamin B12

2.

When blood pressure falls, the kidneys release

a)

Angiotensinogen

b)

Renin

c)

Angiotensin

d)

Aldosterone

3.

Common causative factors for primary hypertension include

a)

Kidney disease, age

b)

Age, family history, race

c)

Kidney disease, age, family history

d)

Family history, race

4.

Digoxin is mainly used for

a)

Hyperlipidemia

b)

Heart failure

c)

Arterial stenosis

d)

Hypertension

5.

Which of the following may be dangerous for people with high blood pressure?

a)

Microwaves

b)

Physical activity

c)

Eggs

d)

Cold and flu medicines

6.

A person with high blood pressure

a)

Has a high risk of stroke and heart attack

b)

Has high cholesterol

c)

Has a nervous condition

d)

May experience erratic heartbeats

7.

Which of the following is the most significant risk factor for heart disease?

a)

Low HDL and high LDL

b)

Low HDL and low LDL

c)

High HDL and low LDL

d)

High HDL and high LDL

8.

Which of the following is more likely to contribute to high blood pressure?

a)

Physical activity

b)

Ice cream

c)

High cholesterol level

d)

Salt/sodium intake

9.

Which of the following is the most desirable blood pressure reading?

a)

140/80

b)

Below 120/80

c)

180/110

d)

130/90

10.

Which of the following are warning signs of a stroke?

a)

Sudden trouble seeing, sudden trouble walking, sudden chest pain

b)

Sudden confusion, sudden trouble seeing, sudden trouble walking, sudden severe headaches

c)

Sudden numbness, sudden confusion, sudden trouble seeing, sudden trouble walking, sudden severe headaches

d)

Sudden numbness, sudden confusion, sudden trouble seeing, sudden trouble walking, sudden severe headaches, sudden chest pain

11.

Aldosterone causes the kidneys to

a)

Retain potassium and excrete sodium

b)

Retain sodium and excrete potassium

c)

Reduce antidiuretic hormone (ADH)

d)

Release angiotensin I and angiotensin II

12.

Major risk factors, other than high blood pressure, for heart disease and stroke include

a)

Over-exercising, High cholesterol, Smoking, and a Family history of heart disease

b)

High cholesterol, Smoking, Family history of heart disease

c)

Smoking, Family history of heart disease, Over-exercising

d)

Smoking, Family history of heart disease

13.

The leading cause of high blood pressure is

a)

stress

b)

obesity

c)

Unknown

d)

Aging

14.

What non-invasive test is used to diagnose aortic stenosis?

a)

Holter Monitor

b)

angiography

c)

Electrocardiogram

d)

echocardiogram

15.

Which of the following is not involved in regulating blood pressure?

a)

aldosterone

b)

angiotensin

c)

renin

d)

SA node

16.

Shortness of breath while lying down can occur with advanced

a)

right-sided heart failure

b)

left-sided heart failure

17.

The cause of stable angina is

a)

atherosclerosis and/or vasospasms

b)

atherosclerosis

c)

vasospasms

18.

As a person ages, which changes in blood pressure are expected?

a)

No change in systolic blood pressure

b)

Unequal blood pressure readings in the left and right arms

c)

Increase in systolic blood pressure

d)

Decrease in systolic blood pressure

19.

Upon auscultating a patient with atrial fibrillation you expect to hear

a)

Regularly irregular rhythm

b)

Irregularly irregular rhythm

c)

Mid-systolic click

d)

Fast regular rhythm

20.

In a patient with an acute episode of congestive heart failure, you expect the patient to sleep

a)

sitting up

b)

supine

c)

lying on right side

d)

laying on left side

21.

Which symptoms indicate right-sided heart failure?

a)

shortness of breath, fatigue, fluid accumulation in the lungs

b)

shortness of breath, fatigue, edema of ankles, legs, and abdomen

22.

The cause of unstable angina is

a)

Vasospasms

b)

Atherosclerosis and/or vasospasms

c)

Atherosclerosis

d)

None of the above

23.

The most common cause of angina pectoris is

a)

Atherosclerosis

b)

Smoking

c)

Vasospasm

d)

Anemia

24.

In differentiating the different types of angina, the pain of unstable angina usually occurs

a)

Only in cold temperatures

b)

During rest

c)

After eating

d)

With exertion or stress

25.

Which symptoms indicate left-sided heart failure?

a)

Jaundice, abdominal distension, weight loss

b)

Shortness of breath, fatigue, and fluid accumulation in the lungs

c)

Chest pain, syncope, bradycardia

d)

Shortness of breath, fatigue, edema of ankles, legs, and abdomen

26.

What can be heard at the junction of the left 5th intercostal space and the mid-clavicular line?

a)

The tricuspid valve

b)

The chordae tendineae

c)

The mitral valve

d)

The aortic valve

27.

The generic name of cholesterol-lowering drugs usually ends in

a)

...statin

b)

...ine

c)

...pril

d)

...ol

28.

Fever, chest pain, left shoulder and left arm pain, and pain that worsens with lying down, swallowing food, coughing, and deep breathing are symptoms of

a)

Unstable angina

b)

Acute pericarditis

c)

Stable angina

d)

Variant angina

29.

An angina attack can be stopped with nitroglycerin.

a)

True

b)

False

30.

Which of the following symptoms is not part of a heart attack?

a)

Pain in the middle of the chest

b)

High fever

c)

Lips, hands, or feet may turn slightly blue

d)

Pain in jaw, back, or left arm

31.

In differentiating the different types of angina, the pain of variant angina usually occurs

a)

Only in the morning

b)

After meals

c)

With exertion or stress

d)

During rest

32.

The generic name of ACE inhibitor drugs usually ends in

a)

...ine

b)

...ol

c)

...statin

d)

...pril

33.

Orthostatic hypotension usually occurs

a)

After meals

b)

After exertion

c)

After standing

d)

Before meals

34.

The generic name of Beta Blocker drugs usually ends in

a)

...pril

b)

...ine

c)

...ol

d)

...statin

35.

A 6-year-old child has a very high fever, strawberry tongue, and peeling skin on the fingers and toes. This makes you think of

a)

Meningitis

b)

Rotavirus

c)

Reye's syndrome

d)

Kawasaki disease

36.

Her father brings a 15-year-old girl to the clinic with an abnormal eating behavior. The father says that she compulsively eats baking soda. She started eating baking soda about one year ago when her parents separated. She reports often feeling fatigued. She knows that it is an unusual habit, but she cannot stop it. Which condition can be associated with the patient eating baking soda?

a)

Binge-eating disorder

b)

Lead poisoning

c)

Iron deficiency anemia

d)

Aluminum poisoning

37.

Which symptom can indicate that a person is having a TIA (transient ischemic attack)?

a)

Brief experiences of sensitivity to light

b)

Brief episodes of profound sadness

c)

Short periods of unilateral weakness

d)

Intermittent migraine headaches

38.

Birth control pills are NOT recommended for women older than age 35 who

a)

Are underweight

b)

Over-exercise

c)

Drink

d)

Smoke

39.

What should a woman taking birth control pills do to reduce the risk of blood clots?

a)

Elevate the legs while sleeping

b)

Stop smoking

c)

Eat more garlic and onions

d)

Abstain from alcohol

40.

OTC decongestants are contraindicated with

a)

Diabetes

b)

Asthma

c)

Hypertension

d)

Migraines

41.

For the past seven months, a 42-year-old woman has had the chief complaint of unpleasant sensations in both her legs. She describes the sensations as crawling and creeping deep within her legs. The sensations are worse during the night when trying to fall asleep. They can also occur during the day, but not as bad. She says that the only thing that makes the sensations disappear is moving her legs. She feels exhausted in the morning. She reports that during the day her legs feel heavy, tired, and weak. What is the most likely diagnosis?

a)

Huntington's disease

b)

Restless leg syndrome

c)

Parkinson's disease

d)

Periodic leg movements of sleep

42.

What test is needed to diagnose aortic dissection?

a)

Cardiac enzymes

b)

Transesophageal echo

c)

Endoscopy

d)

Troponin

43.

A 58-year-old male presents with substernal chest pain that radiates to the neck and jaw, and that lasts over 30 minutes. He is diaphoretic, has nausea, and has vomited once. What is the most likely diagnosis?

a)

Pneumothorax

b)

Stable angina

c)

Pericarditis

d)

Acute coronary syndrome

44.

What test is explicitly done to identify pulmonary embolism?

a)

Cardiac enzymes

b)

CBC

c)

Chest x-ray

d)

D-dimer

45.

A 55-year-old woman presents to you with a history of chest pain that is triggered by exertion and relieved by rest within 20 minutes. She is a pleasant, obese female, alert, blood pressure is 149/88, heart rate is 72, regular rate and rhythm, respiratory is 16 and labored. What is the most likely diagnosis, and the two most important tests to order?

a)

Acute cardiac syndrome / CK-MB and coronary angiogram

b)

Pericarditis / EKG and chest x-ray

c)

Pneumonia / CBC with white blood count and x-ray

d)

Angina / EKG and cardiac enzymes

46.

A 70-year-old man comes in with a sudden onset of severe and sharp chest pain that radiates into the neck, and then he faints. His blood pressure is 160/100, and there is no pulse in his femoral artery on the left side and the right side. What is the most likely diagnosis?

a)

Aortic dissection

b)

GERD

c)

Pulmonary embolism

d)

Pneumothorax

47.

A 38-year-old female presents with chest pain that is stabbing, the pain is worse laying down, better leaning forward. On physical examination, you hear a friction rub with edema of the lower extremities. What is the most likely diagnosis?

a)

Stable angina

b)

Pleuritic point pain

c)

Acute coronary syndrome

d)

Pericarditis

48.

A 48-year-old man presents with chest pain triggered by exertion, relieved by rest in fewer than 30 minutes. What is the most likely diagnosis?

a)

Pleuritic pain

b)

Pericarditis

c)

Acute coronary syndrome

d)

Stable angina

49.

What is one of the main indications for cardiac troponins?

a)

GERD

b)

Bicuspid aortic valve disease

c)

Ischemic cardiac disease

d)

Aortic dissection