Cardiology and Hypertension Quiz
36 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary cause of untreated hypertension?

  • Stress
  • Kidney disease
  • End organ damage
  • Lifestyle factors (correct)

Which criterion is used for the diagnosis of conditions like infective endocarditis?

  • NIH criteria
  • Duke's criteria (correct)
  • McKenzie criteria
  • Revised Uniform Guidelines

What is the primary target for managing hypertensive emergencies?

  • Gradually decrease to 120/80 mm Hg
  • Normalize BP immediately
  • Decrease BP to 160/100 mm Hg over 2 hours (correct)
  • Maintain BP at 150/90 mm Hg

Which is considered the first marker to increase following a myocardial infarction (MI)?

<p>Myoglobin (B)</p> Signup and view all the answers

What is characteristic of angina pain?

<p>Relieved by rest or nitroglycerin (B)</p> Signup and view all the answers

Which type of ventricular tachycardia is characterized by a single QRS morphology on the ECG?

<p>Monomorphic VT (C)</p> Signup and view all the answers

What is the serum potassium level range associated with hyperkalemia?

<p>5.5 – 6.5 mEq/L (C)</p> Signup and view all the answers

Which valve is most commonly affected by infective endocarditis in adults?

<p>Mitral valve (D)</p> Signup and view all the answers

Which group of organisms is associated with the HACEK group in infective endocarditis?

<p>Haemophilus species (C)</p> Signup and view all the answers

What is a common immunological manifestation observed in infective endocarditis?

<p>Immune complex deposition (D)</p> Signup and view all the answers

Which of the following risk factors is not classified under thrombophilia?

<p>Immobilization (C)</p> Signup and view all the answers

What is the most specific test for identifying right heart strain in a patient?

<p>ECG with S1Q3T3 pattern (A)</p> Signup and view all the answers

In a hemodynamically unstable patient, which scenario would contraindicate anticoagulation treatment?

<p>History of intracranial bleeding (D)</p> Signup and view all the answers

A chronic smoker develops blood-tinged sputum with a normal evaluation. What is the most appropriate next step to take?

<p>Perform a bronchoscopy (D)</p> Signup and view all the answers

Which clinical feature is most indicative of a pulmonary thromboembolism according to Wells' Criteria?

<p>Unilateral leg swelling (D)</p> Signup and view all the answers

What is the best investigation for detecting minimal pleural effusion?

<p>Chest X-ray (D)</p> Signup and view all the answers

Which type of pleural effusion usually indicates underlying pneumonia?

<p>Parapneumonic effusion (C)</p> Signup and view all the answers

What management should be considered for a CURB-65 score of 3 or more?

<p>Hospital admission for IV antibiotics (C)</p> Signup and view all the answers

Which of the following findings suggest a diagnosis of empyema in a pneumonia patient?

<p>Pleural fluid glucose level below normal (A)</p> Signup and view all the answers

What is the normal volume of pleural fluid present in healthy adults?

<p>10-20 mL (A)</p> Signup and view all the answers

Which statement about the types of pleural fluid is true?

<p>Transudate is usually bilateral (B)</p> Signup and view all the answers

What action should be taken if fever persists for five days despite appropriate antibiotic treatment in a pneumonia patient?

<p>Suspect empyema (D)</p> Signup and view all the answers

Which type of aphasia is characterized by impaired speech production but relatively preserved comprehension?

<p>Broca's aphasia (D)</p> Signup and view all the answers

Which of the following criteria is used to differentiate between transudate and exudate?

<p>Pleural fluid LDH/serum LDH (A)</p> Signup and view all the answers

What type of motor neuron lesion is characterized by muscle atrophy and fasciculations?

<p>Lower motor neuron lesion (A)</p> Signup and view all the answers

Which syndrome is associated with occlusion of the lateral medullary area?

<p>Lateral medullary syndrome (A)</p> Signup and view all the answers

Which condition is a post-infectious neuropathy characterized by acute inflammatory demyelination?

<p>Guillain Barre syndrome (D)</p> Signup and view all the answers

In motor neuron disease, which symptom is most likely associated with the disease progression?

<p>Respiratory failure (D)</p> Signup and view all the answers

What is indicated by the difference between MAP and ICT in severe cases?

<p>Cerebral perfusion pressure (CPP) (D)</p> Signup and view all the answers

Which of the following is a common complication of uncontrolled raised intracranial pressure?

<p>Uncal herniations (B)</p> Signup and view all the answers

What is a characteristic feature of Huntington’s disease?

<p>Anticipation phenomenon (A)</p> Signup and view all the answers

Which of the following treatments is appropriate for Normal Pressure Hydrocephalus (NPH)?

<p>CSF pressure monitoring (C)</p> Signup and view all the answers

Which feature is typically associated with the recognition of a stroke?

<p>Weakness on one side of the body (C)</p> Signup and view all the answers

What distinguishes reversible causes of dementia from irreversible ones?

<p>Their treatment options (C)</p> Signup and view all the answers

Which drug class is used as a treatment for Parkinson's disease?

<p>Dopamine agonists (A)</p> Signup and view all the answers

What is one of the '4 P's' commonly associated with pinpoint pupils in stroke diagnosis?

<p>Pupil reaction (B)</p> Signup and view all the answers

Flashcards

Monomorphic Ventricular Tachycardia

A type of ventricular tachycardia where the rhythm originates from the same location in the ventricle, leading to a consistent (monomorphic) waveform on the ECG.

Polymorphic Ventricular Tachycardia

A type of ventricular tachycardia with irregular waveforms caused by a variable origin of the rhythm within the ventricle. ECG shows a changing beat-to-beat appearance.

Hyperkalemia: ECG Changes

A condition with elevated potassium in the blood, characterized by ECG changes such as wide QRS complex, tall T waves, flattened P waves, and increased PR interval. These changes become more pronounced as potassium level increases.

Hypokalemia: ECG Changes

A condition with low potassium in the blood, characterized by ECG changes such as flattened T waves, prominent U waves, and ST segment depression. These changes become more pronounced as potassium level decreases.

Signup and view all the flashcards

Infective Endocarditis

An infection of the heart valves, usually caused by bacteria circulating in the bloodstream. It can lead to serious complications like heart failure, stroke, and emboli.

Signup and view all the flashcards

What is hypertension?

High blood pressure is a common condition, often caused by lifestyle factors. It can lead to serious health issues if left untreated, but can be managed effectively through lifestyle changes and medication.

Signup and view all the flashcards

What is the DASH diet?

The DASH diet is a healthy eating plan designed to lower blood pressure. It emphasizes fruits, vegetables, whole grains, and low-fat dairy products, while limiting saturated fat, cholesterol, and sodium.

Signup and view all the flashcards

What is Angina?

Angina is chest pain that occurs when the heart muscle doesn't get enough oxygen. It's often a symptom of coronary artery disease, a condition where the arteries supplying blood to the heart become narrowed or blocked.

Signup and view all the flashcards

What is an Acute Coronary Syndrome (ACS)?

An acute coronary syndrome (ACS) is a serious condition often involving a sudden blockage of blood flow to the heart. It can lead to a heart attack or unstable angina.

Signup and view all the flashcards

What is troponin?

Troponin is a protein released into the bloodstream when heart muscle is damaged. It's a very sensitive marker for detecting a heart attack, even if the ECG is normal.

Signup and view all the flashcards

Mycoplasma

A type of bacteria that can cause pneumonia, especially in people with weakened immune systems.

Signup and view all the flashcards

Legionella

A type of bacteria that can cause pneumonia, particularly Legionnaires' disease.

Signup and view all the flashcards

HIV

A type of virus that can cause pneumonia, particularly in people with HIV/AIDS.

Signup and view all the flashcards

Lobar Consolidation (Pneumonia)

A sign of pneumonia where the lung tissue becomes solid, resulting in a dull sound when tapped.

Signup and view all the flashcards

CURB-65 Score

The process of determining a patient's risk of pneumonia severity based on a specific scoring system.

Signup and view all the flashcards

Pleural Effusion

A type of fluid that accumulates in the space between the lung and chest wall.

Signup and view all the flashcards

Exudate (Pleural Effusion)

A type of pleural effusion where the fluid has a high protein content and is usually localized to one side of the chest.

Signup and view all the flashcards

Transudate (Pleural Effusion)

A type of pleural effusion where the fluid has a low protein content and is usually present on both sides of the chest.

Signup and view all the flashcards

Deep Vein Thrombosis (DVT)

A condition where blood clots form in the deep veins, commonly in the legs. These clots can travel to the lungs, causing a pulmonary embolism (PE).

Signup and view all the flashcards

Pulmonary Embolism (PE)

A blood clot that travels from one part of your body to your lungs, blocking blood flow and causing serious problems.

Signup and view all the flashcards

Wells' Criteria

A scoring system used to assess the likelihood of a Pulmonary Embolism (PE). It helps doctors decide if further testing is needed.

Signup and view all the flashcards

Thrombophilia

A condition characterized by a high risk of developing blood clots. It can be inherited (present from birth) or acquired (develop later in life).

Signup and view all the flashcards

D-Dimer Test

A test that measures the level of a protein called D-dimer in the blood. High D-dimer levels can indicate the presence of blood clots, but it is not specific for Pulmonary Embolism (PE).

Signup and view all the flashcards

Broca's aphasia

A neurological disorder affecting the brain, specifically Broca's area, causing difficulties in producing speech, characterized by slow, halting, and often grammatically incorrect speech.

Signup and view all the flashcards

Wernicke's aphasia

A neurological condition affecting Wernicke's area in the brain, leading to difficulties in comprehending language despite fluent and seemingly grammatically correct speech, often filled with nonsensical words.

Signup and view all the flashcards

Lateral Medullary Syndrome (Wallenberg Syndrome)

A type of stroke affecting the brainstem, specifically the lateral medulla, leading to a group of specific symptoms, often including loss of sensation on one side of the body (ipsilateral), weakness of the face and limb on the other side (contralateral), difficulty swallowing (dysphagia) and impaired balance (ataxia), often accompanied by Horner's syndrome (droopy eyelid, small pupil, and reduced sweating) and hiccups (singultus).

Signup and view all the flashcards

Amyotrophic Lateral Sclerosis (ALS)

A complex neurological disorder characterized by progressive muscle weakness and atrophy, affecting both upper motor neurons (UMN) and lower motor neurons (LMN). It leads to difficulties in movement, speech, swallowing, and breathing.

Signup and view all the flashcards

Motor Neuron Disease

A specific type of disorder affecting the nervous system, characterized by damage to the motor neurons, leading to muscle weakness, atrophy, and difficulty in movement, with different patterns of weakness depending on whether the upper motor neurons (UMN) or lower motor neurons (LMN) are affected.

Signup and view all the flashcards

Cushing's Triad

A triad of clinical signs indicating increased intracranial pressure (ICT) in severe cases: 1. Hypertension, 2. Bradycardia, 3. Irregular breathing (respiratory distress).

Signup and view all the flashcards

Cushing's Reflex

A reflex where the heart rate slows down (bradycardia) in response to increased intracranial pressure (ICT).

Signup and view all the flashcards

Raised Intracranial Pressure (ICT)

A condition where there is an increase in the pressure inside the skull, often caused by a buildup of fluid or swelling in the brain.

Signup and view all the flashcards

Cerebral Perfusion Pressure (CPP)

The difference between Mean Arterial Pressure (MAP) and Intracranial (ICT) pressure, reflecting the pressure available to perfuse the brain.

Signup and view all the flashcards

Normal Pressure Hydrocephalus (NPH)

A condition characterized by increased CSF pressure within the brain, leading to symptoms like headache, blurred vision, and gait difficulties, but with normal ventricular size.

Signup and view all the flashcards

Pseudotumor Cerebri

A condition with increased intracranial pressure, but with no clear underlying cause, often presenting as symptoms like headaches, blurry vision, and papilledema.

Signup and view all the flashcards

Dementia

A progressive decline in cognitive function, affecting memory, thinking, and behavior, leading to impairment in daily activities.

Signup and view all the flashcards

Alzheimer's Disease

An irreversible form of dementia caused by a buildup of amyloid plaques and neurofibrillary tangles in the brain. The most common type of dementia. Features: memory loss, confusion, disorientation, language difficulties, behavioral changes.

Signup and view all the flashcards

Study Notes

Acute Rheumatic Fever

  • Etiology: Post-Streptococcal; Group A beta-hemolytic streptococci (Streptococcus pyogenes)
  • Age group: 5-15 years
  • Pathogenesis: Molecular mimicry
  • Areas affected: Heart, Joints, Skin, CNS
  • Manifestations: Modified Jones criteria (2018)
    • Major criteria:
      • Joints (large joints, e.g., knees)
      • Arthritis (classical)
      • Polyarthralgia or Monoarthritis
    • Minor criteria:
      • Arthralgia
      • Fever (≥38°C)
      • Prolonged PR interval
      • Persistent ESR/CRP elevation (≥30 mm/hr)
      • Excellent response to aspirin
  • Heart manifestations (m/c): Pancarditis (m/c manifestation in childhood), Myocarditis, Endocarditis

Rheumatic Heart Disease (Adult)

  • Sequelae: Rheumatic heart disease (RHD)
  • Major target: Valves (Mitral > Aortic)
  • Valve lesions: Fibrosis, Stenosis, Defective opening, Regurgiation

Prophylaxis

  • Duration: Children without carditis: 5 years; Children with carditis: 10 years; Adult without RHD/surgery: Lifelong
  • Duration: Adults with RHD/ surgery: Lifelong
  • Antibiotics: Benzathine penicillin (i/m), Oral penicillin, Erythromycin

Nodules

  • Subcutaneous Nodules

Modified Jones Criteria

  • Major Criteria:
    • Joints (large joints, e.g., knee)
  • Minor Criteria:
    • Arthralgia
    • Fever (≥38°C)
    • Prolonged PR interval
    • Persistent High ESR/CRP (≥30 mm/hr)

Cardiovascular Disorders Screening Test

  • ACUTE RHEUMATIC FEVER
    • Age group 5-15 Years
    • Pathogenesis: Molecular Mimicry
    • Classification:
      • Low Risk
      • Moderate to High Risk
    • Clinical criteria: Modified Jones Criteria (2018)
  • Major Criteria: Involvement of Multiple Joints, Arthritis/Arthralia, Evidence of Pancarditis, Subacute or Acute Rheumatic Fever, Non-Erosive Arthritis
  • Minor Criteria: Involvement of a single joint, Arthralgia, Temperature ≥38°C, Prolonged PR interval, Increased ESR/CRP

ECG (Electrocardiogram)

  • Leads: Limb (Einthoven leads), Augmented (Goldberger leads)
  • Rhythm/Rate abnormalities: Bradycardia (<60/min), other arrhythmias.
  • Locations of arteries
    • Right Coronary Artery (RCA) (Inferior)
    • Left Anterior Descending Artery (LAD) (Anteroseptal)
    • Left Circumflex Artery (LCA) (Lateral)

ECG Findings in Electrolyte Imbalances

  • Hyperkalemia (K+ > 5.5 mEq/L): Tall T waves, Prolonged PR interval
  • Hypokalemia (K+ < 3.5 mEq/L): Flat or inverted T waves, ST depression, Prominent U wave

Myocarditis

  • Symptoms—chest pain, palpation, murmur
  • Associated conditions—pregnancy, exertion, anemia, hyperthyroidism

Square Duration

  • Small Square: 1 mm = 0.04 second
  • Large Square: 5 mm = 0.2 second

Mitral Valve Prolapse

  • Cause: Myxomatous degeneration

Aortic Stenosis

  • Cause: Myxomatous degeneration

Aortic Regurgitation

  • Types: Fibrosis, Stenosis, Defective opening, Regurgitation

Cardiovascular Disorders - Hypertension

  • Mainstay Management: DASH diet, restrict salt to <5g/day, reduce fat and dairy Intake
  • Types: Essential/Primary, Secondary (due to renal dysfunction/coarctation of aorta)
  • Symptoms: Asymptomatic initially, followed by possible complications (e.g., headache, retinal damage)

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Description

Test your knowledge on key concepts related to cardiology and hypertension. This quiz covers topics such as the causes of hypertension, diagnostic criteria for infective endocarditis, and characteristics of angina pain. Ideal for students and professionals in the medical field.

More Like This

Use Quizgecko on...
Browser
Browser