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Coronary Artery Disease and Angina Pectoris Questions

Total questions: 39

Worksheet time: 20mins

Name
Class
Date
1.

In the anatomy of coronary arteries, the Left Main Coronary Artery sends blood to which side of the heart muscle?

a)

Right side

b)

Posterior side

c)

Left side

d)

Inferior side

2.

The Posterior Descending/Interventricular Artery (PD) primarily supplies which area of the heart?

a)

A. Apex and anterior interventricular septum

b)

B. Posterior septum

c)

C. Right ventricle

d)

D. Left circumflex

3.

The plaque build-up in coronary atherosclerosis is characterized by fatty deposits, cholesterol, and other substances within the arterial walls, which gradually restricts:

a)

Peripheral blood flow

b)

Blood flow to the heart

c)

Pulmonary oxygenation

d)

SA and AV node function

4.

Ischemic Heart Disease risk is more common in males until women reach what physiological stage?

a)

Puberty

b)

Menopause

c)

Pregnancy

d)

Retirement

5.

Which factor is considered Potentially or Partially Reversible among the Ischemic Heart Disease risk factors?

a)

A. Aging

b)

B. Male sex

c)

C. Diabetes mellitus

6.

Which of the following is listed as a clinical presentation of coronary artery disease?

a)

Myocardial infection (MI)

b)

Angina pectoris

c)

Sudden cardiac death

d)

All of the above

7.

Angina Pectoris reflects an imbalance between:

a)

Blood pressure and heart rate

b)

Oxygen supply and demand in the heart

c)

Lactic acid and troponin levels

d)

Systolic and diastolic function

8.

Which cause of angina relates to Decreased Oxygen Supply?

a)

A. Physical exertion

b)

B. Heavy meals

c)

C. Anemia

d)

D. Emotional stress

9.

Which type of angina is considered a medical emergency as it may progress to Myocardial Infarction (MI)?

a)

A. Stable Angina

b)

B. Unstable Angina

c)

C. Variant Angina

d)

D. Microvascular Angina

10.

The chest pain of Angina Pectoris may radiate to the left or right arm and:

a)

Right leg

b)

Throat, jaws, and teeth

c)

Abdomen

d)

Right foot

11.

The diagnostic test considered the "gold standard" for assessing the site and severity of coronary artery blockages is:

a)

ECG

b)

Stress testing

c)

Coronary angiography

d)

Echocardiography

12.

In the medical therapy for CAD, Beta-blockers function primarily to:

a)

Control lipid levels

b)

Provide symptom relief

c)

Reduce O2 demand

d)

Prevent platelet aggregation

13.

Which drug class is used for lipid control in the medical therapy for CAD?

a)

Nitrates

b)

Statins

c)

Calcium channel blockers

d)

ACE Inhibitors

14.

In MI pathophysiology, the thrombus completely blocks the blood flow through the artery, causing myocardial cells to switch to:

a)

Aerobic metabolism

b)

Anaerobic metabolism

c)

Catabolic respiration

d)

Ischemic glycolysis

15.

In the acute management of MI, the 'A' in the acronym "MONA" stands for Aspirin, which provides:

a)

Pain relief

b)

Improved oxygen delivery

c)

Vasodilation

d)

Antiplatelet effect

16.

What is the most common complication after MI?

a)

Heart failure

b)

Ventricular aneurysm

c)

Arrhythmias (most common)

d)

Recurrent MI

17.

Thrombolytic therapy for MI is generally most effective if given within what time frame of the ischemic event?

a)

Within 24 hours

b)

Within 12 hours

c)

Within 6 hours

d)

Within 48 hours

18.

In Phase II Physiotherapy post-MI, a key goal is to:

a)

Prevent complications of immobility

b)

Achieve 100% functional capacity

c)

Improve cardiovascular endurance

d)

Resume all pre-MI activities immediately

19.

Anticoagulants are used in preoperative drug management to control:

a)

Arrhythmias

b)

Preoperative thromboembolism

c)

Cardiac dysfunction

d)

Hypovolumic effects

20.

Patients with abnormal left ventricular function or strongly positive exercise tests derive greater absolute survival benefit from:

a)

Medical therapy

b)

Coronary artery bypass surgery

c)

PCI

d)

Thrombolytic therapy

21.

Which type of Dyspnea is one of the clinical features of heart disease?

a)

Postural dyspnea

b)

Sleep apnea

c)

Paroxysmal nocturnal dyspnea

d)

Acute hyperventilation

22.

Palpitation is defined as an abnormal subjective awareness of the heart beats that may be associated with or without:

a)

A. Edema

b)

B. Tachycardia-regular or irregular pulse

c)

C. Vomiting

d)

D. Dyspnea

23.

Chest pain caused by Esophageal Spasm is usually possible to elicit some history of pain to:

a)

Local tenderness over a rib

b)

A friction rub

c)

Food or drink intake

d)

Pain persisting after rest

24.

Musculoskeletal chest pain is brought by exertion but often does not cease instantly on rest and is very commonly accompanied by:

a)

Nausea and vomiting

b)

Local tenderness over a rib

c)

Pain persisting after rest

d)

A friction rub

25.

Which of the following is a clinical feature of musculoskeletal chest pain?

a)

Orthopnea

b)

Local tenderness over a rib or costal cartilage

c)

Palpitations

d)

None of the above

26.

Which is a cause of Syncope?

a)

Hypotension

b)

Heart block

c)

Aortic stenosis

d)

All of the above

27.

A patient in Cardiac Class I is characterized by:

a)

Slight limitation in physical activities

b)

Marked limitation in physical activities

c)

No limitation in physical activities

d)

Inability to carry on any physical activity

28.

The treatment for Acute Myocarditis includes Rest and:

a)

Thrombolytic therapy

b)

Coronary Angiography

c)

Corticosteroids

d)

Aspirin

29.

A clinical feature of Acute Myocarditis is:

a)

Pericardial friction rub

b)

Dissecting pain

c)

Ventricular arrhythmia

d)

Only edema

30.

Which of the following is listed as a cause of Acute Pericarditis?

a)

Acute myocardial infarction

b)

Uremia

c)

Viral infections

31.

When comparing Cardiac and Skeletal Muscles, Cardiac Muscle is noted for having the property of:

a)

Voluntary control

b)

Not conductive

c)

Rhythmical property (Rhythmicity)

d)

Several nuclei of the fiber

32.

Unlike Skeletal Muscle, Cardiac Muscle is:

a)

Not conductive

b)

Conductive

c)

Arranged in indiscrete myofilaments

d)

Not extensible

33.

The Control of Cardiac muscle is classified as:

a)

Voluntary

b)

Involuntary

c)

Semi-voluntary

d)

Non-existent

34.

The Myofilament arrangement in Cardiac muscle is described as:

a)

Arranged in indiscrete

b)

Arranged in discrete

c)

Parallel

d)

Inter-connected

35.

A risk factor for atherosclerosis classified as Reversible is:

a)

A. Male sex

b)

B. Obesity

c)

C. Genetic factors

d)

D. Aging

36.

A risk factor for atherosclerosis classified as Potentially or Partially Reversible is:

a)

Cigarette smoking

b)

Hypertension

c)

Hyperlipidemia

d)

Male sex

37.

One of the factors increasing the incidence of pulmonary complications post-CTS is:

a)

Early ambulation

b)

Pre-existing pulmonary disease

c)

Low salt intake

d)

Use of a transvenous pacemaker

38.

The Right Coronary Artery (RCA) divides into smaller branches including the Right Posterior Descending Artery and the:

a)

Left Anterior Descending Artery

b)

Left Circumflex Artery

c)

Acute Marginal Artery

d)

Left Main Coronary Artery

39.

What is the critical time frame for CK-MB to peak after a Myocardial Infarction?

a)

1–2 hours

b)

3–6 hours

c)

24 hours

d)

7–10 days