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WorksheetsLung and Heart 4
Total questions: 49
Worksheet time: 25mins
Which of the following can help lower blood pressure levels?
Vitamin C
Chromium
Niacin
Vitamin B12
When blood pressure falls, the kidneys release
Angiotensinogen
Renin
Angiotensin
Aldosterone
Common causative factors for primary hypertension include
Kidney disease, age
Age, family history, race
Kidney disease, age, family history
Family history, race
Digoxin is mainly used for
Hyperlipidemia
Heart failure
Arterial stenosis
Hypertension
Which of the following may be dangerous for people with high blood pressure?
Microwaves
Physical activity
Eggs
Cold and flu medicines
A person with high blood pressure
Has a high risk of stroke and heart attack
Has high cholesterol
Has a nervous condition
May experience erratic heartbeats
Which of the following is the most significant risk factor for heart disease?
Low HDL and high LDL
Low HDL and low LDL
High HDL and low LDL
High HDL and high LDL
Which of the following is more likely to contribute to high blood pressure?
Physical activity
Ice cream
High cholesterol level
Salt/sodium intake
Which of the following is the most desirable blood pressure reading?
140/80
Below 120/80
180/110
130/90
Which of the following are warning signs of a stroke?
Sudden trouble seeing, sudden trouble walking, sudden chest pain
Sudden confusion, sudden trouble seeing, sudden trouble walking, sudden severe headaches
Sudden numbness, sudden confusion, sudden trouble seeing, sudden trouble walking, sudden severe headaches
Sudden numbness, sudden confusion, sudden trouble seeing, sudden trouble walking, sudden severe headaches, sudden chest pain
Aldosterone causes the kidneys to
Retain potassium and excrete sodium
Retain sodium and excrete potassium
Reduce antidiuretic hormone (ADH)
Release angiotensin I and angiotensin II
Major risk factors, other than high blood pressure, for heart disease and stroke include
Over-exercising, High cholesterol, Smoking, and a Family history of heart disease
High cholesterol, Smoking, Family history of heart disease
Smoking, Family history of heart disease, Over-exercising
Smoking, Family history of heart disease
The leading cause of high blood pressure is
stress
obesity
Unknown
Aging
What non-invasive test is used to diagnose aortic stenosis?
Holter Monitor
angiography
Electrocardiogram
echocardiogram
Which of the following is not involved in regulating blood pressure?
aldosterone
angiotensin
renin
SA node
Shortness of breath while lying down can occur with advanced
right-sided heart failure
left-sided heart failure
The cause of stable angina is
atherosclerosis and/or vasospasms
atherosclerosis
vasospasms
As a person ages, which changes in blood pressure are expected?
No change in systolic blood pressure
Unequal blood pressure readings in the left and right arms
Increase in systolic blood pressure
Decrease in systolic blood pressure
Upon auscultating a patient with atrial fibrillation you expect to hear
Regularly irregular rhythm
Irregularly irregular rhythm
Mid-systolic click
Fast regular rhythm
In a patient with an acute episode of congestive heart failure, you expect the patient to sleep
sitting up
supine
lying on right side
laying on left side
Which symptoms indicate right-sided heart failure?
shortness of breath, fatigue, fluid accumulation in the lungs
shortness of breath, fatigue, edema of ankles, legs, and abdomen
The cause of unstable angina is
Vasospasms
Atherosclerosis and/or vasospasms
Atherosclerosis
None of the above
The most common cause of angina pectoris is
Atherosclerosis
Smoking
Vasospasm
Anemia
In differentiating the different types of angina, the pain of unstable angina usually occurs
Only in cold temperatures
During rest
After eating
With exertion or stress
Which symptoms indicate left-sided heart failure?
Jaundice, abdominal distension, weight loss
Shortness of breath, fatigue, and fluid accumulation in the lungs
Chest pain, syncope, bradycardia
Shortness of breath, fatigue, edema of ankles, legs, and abdomen
What can be heard at the junction of the left 5th intercostal space and the mid-clavicular line?
The tricuspid valve
The chordae tendineae
The mitral valve
The aortic valve
The generic name of cholesterol-lowering drugs usually ends in
...statin
...ine
...pril
...ol
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
Unstable angina
Acute pericarditis
Stable angina
Variant angina
An angina attack can be stopped with nitroglycerin.
True
False
Which of the following symptoms is not part of a heart attack?
Pain in the middle of the chest
High fever
Lips, hands, or feet may turn slightly blue
Pain in jaw, back, or left arm
In differentiating the different types of angina, the pain of variant angina usually occurs
Only in the morning
After meals
With exertion or stress
During rest
The generic name of ACE inhibitor drugs usually ends in
...ine
...ol
...statin
...pril
Orthostatic hypotension usually occurs
After meals
After exertion
After standing
Before meals
The generic name of Beta Blocker drugs usually ends in
...pril
...ine
...ol
...statin
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
Meningitis
Rotavirus
Reye's syndrome
Kawasaki disease
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?
Binge-eating disorder
Lead poisoning
Iron deficiency anemia
Aluminum poisoning
Which symptom can indicate that a person is having a TIA (transient ischemic attack)?
Brief experiences of sensitivity to light
Brief episodes of profound sadness
Short periods of unilateral weakness
Intermittent migraine headaches
Birth control pills are NOT recommended for women older than age 35 who
Are underweight
Over-exercise
Drink
Smoke
What should a woman taking birth control pills do to reduce the risk of blood clots?
Elevate the legs while sleeping
Stop smoking
Eat more garlic and onions
Abstain from alcohol
OTC decongestants are contraindicated with
Diabetes
Asthma
Hypertension
Migraines
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?
Huntington's disease
Restless leg syndrome
Parkinson's disease
Periodic leg movements of sleep
What test is needed to diagnose aortic dissection?
Cardiac enzymes
Transesophageal echo
Endoscopy
Troponin
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?
Pneumothorax
Stable angina
Pericarditis
Acute coronary syndrome
What test is explicitly done to identify pulmonary embolism?
Cardiac enzymes
CBC
Chest x-ray
D-dimer
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?
Acute cardiac syndrome / CK-MB and coronary angiogram
Pericarditis / EKG and chest x-ray
Pneumonia / CBC with white blood count and x-ray
Angina / EKG and cardiac enzymes
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?
Aortic dissection
GERD
Pulmonary embolism
Pneumothorax
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?
Stable angina
Pleuritic point pain
Acute coronary syndrome
Pericarditis
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?
Pleuritic pain
Pericarditis
Acute coronary syndrome
Stable angina
What is one of the main indications for cardiac troponins?
GERD
Bicuspid aortic valve disease
Ischemic cardiac disease
Aortic dissection
