Cardiology Quiz on Arrhythmias and Heart Function

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Questions and Answers

What is the heart rate classification for tachycardia?

  • Between 60 and 100 beats per minute
  • More than 100 beats per minute (correct)
  • Less than 60 beats per minute
  • More than 120 beats per minute

Which of the following symptoms can be caused by bradycardia?

  • Excessive sweating
  • Fainting spells (correct)
  • Fast heartbeat
  • Chest pain

What type of tachycardia involves only the ventricles?

  • Supraventricular tachycardia
  • Sinus tachycardia
  • Atrial fibrillation
  • Ventricular tachycardia (correct)

Which factor can contribute to the development of arrhythmias?

<p>Blood chemical imbalances (D)</p> Signup and view all the answers

What is a serious consequence of ventricular fibrillation?

<p>The heart quivering and unable to pump blood (A)</p> Signup and view all the answers

What can help correct the symptoms of bradycardia?

<p>Implanting an electronic pacemaker (A)</p> Signup and view all the answers

Which symptom is NOT associated with arrhythmias?

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

What do P waves indicate in relation to the heart's electrical activity?

<p>The top of the heart received electrical activity (A)</p> Signup and view all the answers

What is the role of QRS waves in heart function?

<p>They reflect the electrical activity causing the heart to contract (C)</p> Signup and view all the answers

Which effect is commonly associated with antiarrhythmic drugs?

<p>Negative inotropic effects (B)</p> Signup and view all the answers

What does angina pectoris primarily signify?

<p>Chest pain due to myocardial ischaemia (A)</p> Signup and view all the answers

Which of the following drug classifications is associated with prolonged repolarization?

<p>Potassium Channel Blockade (B)</p> Signup and view all the answers

Which of the following is a symptom of arrhythmias?

<p>Dizziness or lightheadedness (B)</p> Signup and view all the answers

What type of heart condition does bradycardia refer to?

<p>Slow heart rate (D)</p> Signup and view all the answers

How are antiarrhythmic drugs classified?

<p>According to their mechanism of action (A)</p> Signup and view all the answers

What is the primary characteristic of congestive heart failure?

<p>Impaired ventricular performance (D)</p> Signup and view all the answers

Which side of the heart failure is likely to cause blood backup in the lungs?

<p>Left-sided heart failure (A)</p> Signup and view all the answers

Which of the following conditions is a common cause of heart failure?

<p>Coronary artery disease (B)</p> Signup and view all the answers

What type of dysfunction in heart failure is characterized by thickened ventricular walls?

<p>Diastolic dysfunction (A)</p> Signup and view all the answers

Which of the following best describes systolic dysfunction?

<p>Inadequate wall tension to pump blood effectively (B)</p> Signup and view all the answers

What physical habit may increase the occurrence of heart failure?

<p>Advancing age (D)</p> Signup and view all the answers

What effect does heart failure have on other organs in the body?

<p>Oxygen and nutrient deficiency (D)</p> Signup and view all the answers

Which of the following is a type of heart failure that affects the ability to fill the ventricles?

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

What is the primary function of HDL cholesterol?

<p>To transport cholesterol from tissues to the liver (C)</p> Signup and view all the answers

What condition is characterized by excess LDL cholesterol in the blood?

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

What is the potential consequence of a clot forming in a narrowed artery due to atherosclerosis?

<p>Heart attack or stroke (B)</p> Signup and view all the answers

Which class of drugs works primarily by inhibiting the HMG-CoA reductase enzyme?

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

How do bile acid-binding resins lower cholesterol levels?

<p>By preventing the enterohepatic cycling of bile acids (B)</p> Signup and view all the answers

What is the unique action of the drug Ezetimibe?

<p>It blocks the absorption of dietary cholesterol (B)</p> Signup and view all the answers

Niacin primarily affects lipid levels by:

<p>Inhibiting lipolysis in adipose tissue (B)</p> Signup and view all the answers

What is a characteristic feature of statins?

<p>They are used to decrease LDL cholesterol levels (C)</p> Signup and view all the answers

What is the primary goal of drug therapy for essential hypertension?

<p>To lower blood pressure to prevent serious consequences (D)</p> Signup and view all the answers

What is the most common adverse effect of drugs that increase the excretion of sodium and water?

<p>Excessive loss of water (C)</p> Signup and view all the answers

What do beta-blockers primarily block in the heart to lower blood pressure?

<p>Beta-1 receptors (A)</p> Signup and view all the answers

Which mechanism do alpha-blockers primarily inhibit to produce their antihypertensive effects?

<p>Alpha-1 adrenergic receptors (C)</p> Signup and view all the answers

What do calcium channel blockers interfere with to achieve vasodilation?

<p>Calcium influx in smooth muscle (D)</p> Signup and view all the answers

What is the function of angiotensin converting enzyme (ACE) inhibitors?

<p>Inhibit conversion of angiotensin I to angiotensin II (C)</p> Signup and view all the answers

Which type of drug decreases sympathetic activity and blood pressure from the central nervous system?

<p>Centrally acting sympatholytics (D)</p> Signup and view all the answers

What is the primary action of vasodilators?

<p>Cause relaxation of vascular smooth muscle (B)</p> Signup and view all the answers

Which type of hypertension is caused by an underlying condition?

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

What type of receptors are responsive to the stretching of vessel walls?

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

Phase 3 of the cardiac action potential is characterized by what process?

<p>K+ efflux (B)</p> Signup and view all the answers

Calcium channel blockers primarily reduce which aspect of heart function?

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

What condition is characterized by quivering ventricles that prevents proper blood pumping?

<p>Ventricular fibrillation (D)</p> Signup and view all the answers

Which of the following is NOT considered an anti-arrhythmic drug?

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

Which of the following statements about heart rate is INCORRECT?

<p>Tachycardia refers to a heart rate of less than 60 beats per minute. (B)</p> Signup and view all the answers

What type of angina occurs unpredictably at rest or during sleep due to coronary vasospasm?

<p>Prinzmetal’s angina (C)</p> Signup and view all the answers

Flashcards

Arrhythmia

An abnormal heart rhythm, either too fast, too slow, or erratic.

Tachycardia

A fast heart rate, typically over 100 beats per minute.

Ventricular Tachycardia

A type of tachycardia originating in the ventricles of the heart.

Ventricular Fibrillation

A life-threatening condition where the ventricles quiver and the heart can't pump blood.

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Supraventricular Tachycardia

A type of tachycardia originating in the atria or atrioventricular node of the heart.

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Bradycardia

A slow heart rate, typically below 60 beats per minute.

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Pacemaker

A device implanted under the skin to speed up the heart rhythm.

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Electrophysiology of the heart

The study of the electrical activity of the heart, used to diagnose and treat arrhythmias.

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What does a P wave show?

P waves represent the electrical activity that causes the top of the heart to contract.

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What do QRS waves show?

QRS waves reflect the electrical activity that causes the heart to contract.

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What is an AV block and bradycardia?

An AV block is a problem where the electrical signal from the upper heart chambers (atria) doesn't always reach the lower heart chambers (ventricles). Bradycardia is a slow heart rate (<60 beats per minute).

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What is a pacemaker?

Devices that generate electrical activity to treat slow heart rates, heart blocks, or heart failure.

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What are antiarrhythmic drugs?

Drugs that restore a normal heart rhythm.

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What is angina pectoris?

A condition where the heart muscle is not getting enough oxygen, causing chest pain.

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What are antianginal drugs?

Antianginal drugs are medications used to treat angina pectoris by reducing the heart's workload and increasing oxygen supply.

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How are antiarrhythmic drugs classified?

Antiarrhythmic drugs can be classified by their mechanism of actions, including blocking sodium channels, beta-blockers, blocking potassium channels, calcium channel blockers, and miscellaneous.

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What is Congestive Heart Failure (CHF)?

A complex clinical syndrome characterized by impaired ventricular performance, exercise intolerance, a high incidence of ventricular arrhythmias, and shortened life expectancy.

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Which side of the heart can CHF affect?

It can affect the right side, the left side, or both sides of the heart.

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Where does blood back up in CHF?

Blood may back up into other areas of the body, including the liver, the gastrointestinal tract, and extremities (right-sided heart failure) and the lungs (left-sided heart failure).

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What is systolic dysfunction in CHF?

The ventricles are dilated and unable to develop adequate wall tension to eject a significant quantity of blood.

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What is diastolic dysfunction in CHF?

The ventricular wall is thickened and unable to relax properly during diastole, impairing ventricular filling and leading to low output.

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What are the most common causes of CHF?

Hypertension (high blood pressure) and coronary artery disease (for example, a heart attack).

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What are some other causes of CHF?

Valvular heart disease, congenital heart disease, dilated cardiomyopathy, lung disease, and heart tumor.

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How does age impact CHF?

Heart failure becomes more common with advancing age.

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Secondary Hypertension

Hypertension that occurs due to an underlying medical condition, such as kidney disease or thyroid problems.

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Malignant Hypertension

A severe form of hypertension that rapidly progresses, leading to organ damage and potential complications.

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Baroreceptors

Specialized cells found in the walls of blood vessels, especially in the aorta and carotid arteries, that are sensitive to changes in blood pressure.

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Calcium Channel Blockers

Drugs that block the movement of calcium ions into cells, primarily used to treat hypertension and angina.

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Classical Angina

A condition characterized by chest pain or discomfort due to reduced blood flow to the heart muscle. It often occurs during physical exertion.

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Prinzmetal’s Angina

A type of angina that occurs due to coronary vasospasm, often at rest or during sleep. The timing is unpredictable.

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Cholesterol

A waxy substance that is essential for cell function and hormone production. It circulates in the bloodstream and is transported by lipoproteins.

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Low-density lipoprotein (LDL)

A type of lipoprotein that carries cholesterol from the liver to the body's tissues. It's often referred to as "bad cholesterol" because high levels can contribute to heart disease.

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High-density lipoprotein (HDL)

A type of lipoprotein that carries cholesterol from the body's tissues back to the liver for processing. It's often referred to as "good cholesterol" because it helps remove LDL cholesterol from the bloodstream.

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Hyperlipidemia

A condition where there is a high level of LDL cholesterol in the bloodstream. This can lead to atherosclerosis, a hardening of the arteries.

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Atherosclerosis

A buildup of fatty deposits, cholesterol, and other substances on the inner walls of arteries, which can reduce blood flow and increase the risk of heart attack or stroke.

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Statins

A class of drugs that block the production of cholesterol in the liver by inhibiting the enzyme HMG-CoA reductase. They are often used to lower LDL cholesterol levels.

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Bile acid-binding resins

A class of drugs that bind to bile acids in the gut, preventing their reabsorption into the bloodstream. This reduces cholesterol levels by forcing the liver to use more cholesterol to produce new bile acids.

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Ezetimibe

A unique drug that inhibits the absorption of dietary cholesterol in the small intestine.

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Diuretics

These drugs lower blood pressure by increasing the excretion of sodium and water.

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What is the most common side effect of diuretics?

Excessive water loss, leading to dehydration.

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What is a potential side effect of diuretics related to potassium?

Excessive potassium loss can lead to low potassium levels.

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What is the primary antihypertensive action of beta-blockers?

These drugs block the beta-receptors in the heart, leading to a decrease in heart rate and blood pressure.

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How do beta-blockers affect the renin-angiotensin-aldosterone system?

Beta-blockers can block the release of renin, a key enzyme in the renin-angiotensin-aldosterone system.

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What is the mechanism of action of alpha-blockers?

Drugs that block alpha-1 receptors on vascular smooth muscle, causing vasodilation and reduced peripheral resistance.

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How do calcium channel blockers lower blood pressure?

These drugs interfere with the influx of calcium into cardiac and vascular smooth muscle cells, leading to vasodilation and lower blood pressure.

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What is the mechanism of action of ACE inhibitors?

These drugs inhibit the conversion of angiotensin I to angiotensin II, preventing vasoconstriction and increased blood pressure.

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