WorksheetsCoronary Artery Disease and Angina Pectoris Questions
Total questions: 39
Worksheet time: 20mins
In the anatomy of coronary arteries, the Left Main Coronary Artery sends blood to which side of the heart muscle?
Right side
Posterior side
Left side
Inferior side
The Posterior Descending/Interventricular Artery (PD) primarily supplies which area of the heart?
A. Apex and anterior interventricular septum
B. Posterior septum
C. Right ventricle
D. Left circumflex
The plaque build-up in coronary atherosclerosis is characterized by fatty deposits, cholesterol, and other substances within the arterial walls, which gradually restricts:
Peripheral blood flow
Blood flow to the heart
Pulmonary oxygenation
SA and AV node function
Ischemic Heart Disease risk is more common in males until women reach what physiological stage?
Puberty
Menopause
Pregnancy
Retirement
Which factor is considered Potentially or Partially Reversible among the Ischemic Heart Disease risk factors?
A. Aging
B. Male sex
C. Diabetes mellitus
Which of the following is listed as a clinical presentation of coronary artery disease?
Myocardial infection (MI)
Angina pectoris
Sudden cardiac death
All of the above
Angina Pectoris reflects an imbalance between:
Blood pressure and heart rate
Oxygen supply and demand in the heart
Lactic acid and troponin levels
Systolic and diastolic function
Which cause of angina relates to Decreased Oxygen Supply?
A. Physical exertion
B. Heavy meals
C. Anemia
D. Emotional stress
Which type of angina is considered a medical emergency as it may progress to Myocardial Infarction (MI)?
A. Stable Angina
B. Unstable Angina
C. Variant Angina
D. Microvascular Angina
The chest pain of Angina Pectoris may radiate to the left or right arm and:
Right leg
Throat, jaws, and teeth
Abdomen
Right foot
The diagnostic test considered the "gold standard" for assessing the site and severity of coronary artery blockages is:
ECG
Stress testing
Coronary angiography
Echocardiography
In the medical therapy for CAD, Beta-blockers function primarily to:
Control lipid levels
Provide symptom relief
Reduce O2 demand
Prevent platelet aggregation
Which drug class is used for lipid control in the medical therapy for CAD?
Nitrates
Statins
Calcium channel blockers
ACE Inhibitors
In MI pathophysiology, the thrombus completely blocks the blood flow through the artery, causing myocardial cells to switch to:
Aerobic metabolism
Anaerobic metabolism
Catabolic respiration
Ischemic glycolysis
In the acute management of MI, the 'A' in the acronym "MONA" stands for Aspirin, which provides:
Pain relief
Improved oxygen delivery
Vasodilation
Antiplatelet effect
What is the most common complication after MI?
Heart failure
Ventricular aneurysm
Arrhythmias (most common)
Recurrent MI
Thrombolytic therapy for MI is generally most effective if given within what time frame of the ischemic event?
Within 24 hours
Within 12 hours
Within 6 hours
Within 48 hours
In Phase II Physiotherapy post-MI, a key goal is to:
Prevent complications of immobility
Achieve 100% functional capacity
Improve cardiovascular endurance
Resume all pre-MI activities immediately
Anticoagulants are used in preoperative drug management to control:
Arrhythmias
Preoperative thromboembolism
Cardiac dysfunction
Hypovolumic effects
Patients with abnormal left ventricular function or strongly positive exercise tests derive greater absolute survival benefit from:
Medical therapy
Coronary artery bypass surgery
PCI
Thrombolytic therapy
Which type of Dyspnea is one of the clinical features of heart disease?
Postural dyspnea
Sleep apnea
Paroxysmal nocturnal dyspnea
Acute hyperventilation
Palpitation is defined as an abnormal subjective awareness of the heart beats that may be associated with or without:
A. Edema
B. Tachycardia-regular or irregular pulse
C. Vomiting
D. Dyspnea
Chest pain caused by Esophageal Spasm is usually possible to elicit some history of pain to:
Local tenderness over a rib
A friction rub
Food or drink intake
Pain persisting after rest
Musculoskeletal chest pain is brought by exertion but often does not cease instantly on rest and is very commonly accompanied by:
Nausea and vomiting
Local tenderness over a rib
Pain persisting after rest
A friction rub
Which of the following is a clinical feature of musculoskeletal chest pain?
Orthopnea
Local tenderness over a rib or costal cartilage
Palpitations
None of the above
Which is a cause of Syncope?
Hypotension
Heart block
Aortic stenosis
All of the above
A patient in Cardiac Class I is characterized by:
Slight limitation in physical activities
Marked limitation in physical activities
No limitation in physical activities
Inability to carry on any physical activity
The treatment for Acute Myocarditis includes Rest and:
Thrombolytic therapy
Coronary Angiography
Corticosteroids
Aspirin
A clinical feature of Acute Myocarditis is:
Pericardial friction rub
Dissecting pain
Ventricular arrhythmia
Only edema
Which of the following is listed as a cause of Acute Pericarditis?
Acute myocardial infarction
Uremia
Viral infections
When comparing Cardiac and Skeletal Muscles, Cardiac Muscle is noted for having the property of:
Voluntary control
Not conductive
Rhythmical property (Rhythmicity)
Several nuclei of the fiber
Unlike Skeletal Muscle, Cardiac Muscle is:
Not conductive
Conductive
Arranged in indiscrete myofilaments
Not extensible
The Control of Cardiac muscle is classified as:
Voluntary
Involuntary
Semi-voluntary
Non-existent
The Myofilament arrangement in Cardiac muscle is described as:
Arranged in indiscrete
Arranged in discrete
Parallel
Inter-connected
A risk factor for atherosclerosis classified as Reversible is:
A. Male sex
B. Obesity
C. Genetic factors
D. Aging
A risk factor for atherosclerosis classified as Potentially or Partially Reversible is:
Cigarette smoking
Hypertension
Hyperlipidemia
Male sex
One of the factors increasing the incidence of pulmonary complications post-CTS is:
Early ambulation
Pre-existing pulmonary disease
Low salt intake
Use of a transvenous pacemaker
The Right Coronary Artery (RCA) divides into smaller branches including the Right Posterior Descending Artery and the:
Left Anterior Descending Artery
Left Circumflex Artery
Acute Marginal Artery
Left Main Coronary Artery
What is the critical time frame for CK-MB to peak after a Myocardial Infarction?
1–2 hours
3–6 hours
24 hours
7–10 days
