Cardiology Quiz
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Questions and Answers

What ECG changes are seen in a hypertensive patient?

Left atrial and ventricular hypertrophy

What is the most effective analgesic for pain associated with myocardial infarction?

Morphine

What is the usual symptom accused by patients in myocardial infarction?

Precordial Pain

What is the ECG pattern of Wolff Parkinson White (WPW) syndrome?

<p>Delta wave appearance</p> Signup and view all the answers

What is the gold standard examination for diagnosis of acute myocarditis?

<p>Endomyocardial biopsy</p> Signup and view all the answers

What is the absolute contraindication of thrombolytic therapy?

<p>History of hemorrhagic ulcer</p> Signup and view all the answers

How is unstable angina characterized?

<p>Angina lasting more than 20 minutes</p> Signup and view all the answers

What is the ECG pattern in right bundle branch block (RBBB)?

<p>Duration of QRS&gt;0.12 sec in all leads with rSr in V1-V2</p> Signup and view all the answers

What is the treatment for AV Block type III?

<p>Pacemaker implantation</p> Signup and view all the answers

Name a renal cause of arterial hypertension.

<p>Acute glomerulonephritis</p> Signup and view all the answers

What is a risk factor for thrombophlebitis?

<p>Oral anticonceptional drugs</p> Signup and view all the answers

How is cardiac tamponade clinically manifested?

<p>Decreasing blood pressure and tachycardia with filiform paradoxical</p> Signup and view all the answers

What is the treatment of atrial flutter, EXCEPT?

<p>Calcium channel blockers like perindopril</p> Signup and view all the answers

What is the association of metabolic syndrome?

<p>HTN, Hypercholesterolemia, abdominal obesity, glucose intolerance</p> Signup and view all the answers

What are the clinical symptoms of acute myocardial infarction?

<p>Dyspnea, vomiting, nausea, diarrhea, hiccups, intense pain with typical radiation on the radial side of the arm</p> Signup and view all the answers

What is the treatment for atrial fibrillation?

<p>Prevention of thromboembolic events with anticoagulants, pharmacological cardioversion with amiodarone, electrical cardioversion</p> Signup and view all the answers

What is the ECG pattern for Wolff-Parkinson-White (WPW) syndrome?

<p>Delta wave appearance</p> Signup and view all the answers

What are the secondary effects of ACE Inhibitors?

<p>Hypotension at first dose, renal insufficiency in patients with bilateral renal artery stenosis, hyperkalemia</p> Signup and view all the answers

What are the mechanical complications of myocardial infarction?

<p>Mitral insufficiency, rupture of ventricular free wall</p> Signup and view all the answers

What are the absolute contraindications for Betablocker administration in hypertensive patients?

<p>AV Block gr II and III, severe asthma</p> Signup and view all the answers

Study Notes

ECG Changes in Hypertension

  • ECG changes in a hypertensive patient are not specified, but hypertension can cause left ventricular hypertrophy, which can be detected by ECG.

Management of Myocardial Infarction

  • The most effective analgesic for pain associated with myocardial infarction is morphine.
  • The usual symptom accused by patients in myocardial infarction is chest pain or pressure that may radiate to the arm, back, neck, jaw, or stomach.

Wolff-Parkinson-White (WPW) Syndrome

  • The ECG pattern of Wolff-Parkinson-White (WPW) syndrome shows a short PR interval (<0.12 seconds) and a wide QRS complex (>0.12 seconds) with a slurred upstroke (delta wave).

Diagnosis of Acute Myocarditis

  • The gold standard examination for diagnosis of acute myocarditis is endomyocardial biopsy.

Thrombolytic Therapy

  • The absolute contraindication of thrombolytic therapy is active bleeding or a history of bleeding in the last 2 weeks.

Unstable Angina

  • Unstable angina is characterized by angina at rest or minimal exertion, or new-onset angina, or increasing severity or frequency of angina.

Right Bundle Branch Block (RBBB)

  • The ECG pattern in right bundle branch block (RBBB) shows a wide S wave in lead I and a wider QRS complex (>0.12 seconds).

Treatment of AV Block

  • The treatment for AV Block type III (complete heart block) is a pacemaker.

Renal Causes of Arterial Hypertension

  • A renal cause of arterial hypertension is renovascular hypertension due to renal artery stenosis.

Risk Factors for Thrombophlebitis

  • A risk factor for thrombophlebitis is immobility.

Cardiac Tamponade

  • Cardiac tamponade is clinically manifested by Beck's triad: hypotension, jugular venous distension, and muffled heart sounds.

Treatment of Atrial Flutter

  • The treatment for atrial flutter is electrical cardioversion or catheter ablation, except for medications to control heart rate.

Metabolic Syndrome

  • The association of metabolic syndrome is with increased risk of cardiovascular disease and type 2 diabetes.

Clinical Symptoms of Acute Myocardial Infarction

  • The clinical symptoms of acute myocardial infarction include chest pain or pressure, shortness of breath, nausea, vomiting, lightheadedness, and fatigue.

Treatment of Atrial Fibrillation

  • The treatment for atrial fibrillation includes rate control with medications, rhythm control with cardioversion, and prevention of stroke with anticoagulation.

ACE Inhibitors

  • The secondary effects of ACE Inhibitors include cough, hyperkalemia, and angioedema.

Complications of Myocardial Infarction

  • The mechanical complications of myocardial infarction include ventricular septal rupture, papillary muscle rupture, and free wall rupture.

Contraindications for Beta Blockers

  • The absolute contraindications for Betablocker administration in hypertensive patients include sinus bradycardia, heart block, and chronic obstructive pulmonary disease (COPD).

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Description

Test your knowledge of cardiology with this quiz covering topics such as arterial hypertension, unstable angina, mitral regurgitation, stroke prevention, and ECG patterns in right bundle branch block (RBBB).

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