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Questions and Answers

Left coronary blood flow occurs primarily during the ___ phase of the cardiac cycle because_____?

  • Systolic, coronary driving pressure is greatest (correct)
  • Systolic, systolic ejection opens the aortic valve
  • Diastolic, semilunar valves cover the coronary ostia in systole
  • Diastolic, diastole releases compressed endocardial capillaries (correct)

Your patient is right-coronary dominant. Which of the following LV segments would MOST likely be affected by a significant distal RCA stenosis past the crux?

  • Apex
  • Inferior LV wall
  • Anterior LV wall
  • Posterior- lateral LV wall (correct)

Identify the coronary artery labeled #1 on the coronary angiogram.

  • LAD
  • 1st septal
  • OM
  • 1 st diag (correct)

Considering the branching anatomy of the coronary arterial perforators which are of the heart is most susceptible to heart attack and injury?

<p>Sub-endocardium (C)</p> Signup and view all the answers

The lowest blood oxygen saturation normally found in the heart is the:

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

The coronary artery shown on the diagram at #6 is a :

<p>OM (@)</p> Signup and view all the answers

The dotted line in the drawing shows a:

<p>CABG skip graft to diagonal and LAD (D)</p> Signup and view all the answers

Identify the coronary artery shown, indicated #1 on the coronary angio.

<p>LAD (@)</p> Signup and view all the answers

When increased blood pressure is sensed in the arteries, the baroreceptor reflex causes:

<p>Decreased heart rate (B)</p> Signup and view all the answers

Which regulatory system plays the predominant role in the regulation of cutaneous flow?

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

Identify the class of autonomic drugs at #2 in the box

<p>Beta blocker (D)</p> Signup and view all the answers

How is the QRS complex labeled at #5

<p>QS (@)</p> Signup and view all the answers

Increased baro-receptor stimulation ______ sympathetic tone and _______ parasympathetic neural activity.

<p>Decreases, increases (D)</p> Signup and view all the answers

What is atropine's effect on the autonomic nervous system ?

<p>Parasympathetic blocker (anti-cholinergic) (D)</p> Signup and view all the answers

When increased blood pressure is sensed in the arteries the baro-receptor reflex causes:

<p>Decreased heart rate (B)</p> Signup and view all the answers

What is the primary effect of vagal nerve stimulation on the heart?

<p>Decreases automaticity (D)</p> Signup and view all the answers

The calibration signal on an ECG machine is termed:

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

How does a PVC normally affect the blood pressure? The systolic BP associated with the PVC will _____ in pressure, and the following sinus beat will ______ in pressure.

<p>Decrease, increase (D)</p> Signup and view all the answers

What area of the brain regulates heart rate and peripheral vascular resistance?

<p>Nucleus tractus solitarius area in the medulla (C)</p> Signup and view all the answers

What is the pressures for the RA (a, v, m)

<p>6,5,3 mmHg (a, v, mean) (A)</p> Signup and view all the answers

What is the pressures for the RV

<p>25/0/4 mmHg (s/bd, ed) (C)</p> Signup and view all the answers

what is the pressure for the AO

<p>120/70, 85 mmHg (s/ed, mean) (A)</p> Signup and view all the answers

What is the pressure for the LA

<p>10, 13, 8 mmHg (a, v, mean) (B)</p> Signup and view all the answers

What is the pressure for the PA

<p>25/9, 15 mmHg (s/ed, mean) (C)</p> Signup and view all the answers

What is the pressure for the LV

<p>120/0, 9 mmHg (s/bd, ed) (A)</p> Signup and view all the answers

Measure the aortic pulse pressure on this recording

<p>25 mmHg (A)</p> Signup and view all the answers

In mitral valve disease, accurate measurement of "wedge" pressure is critical. Which of the following can be used to confirm the accuracy of a "balloon" wedge pressure"? (Select 3)

<p>Make small contrast injections (contrast should not wash out) (B), Fluoroscopy (Catheter tip advances to lung bed and stops moving) (A), Property timed &quot;A&quot; and &quot;V&quot; waves (C)</p> Signup and view all the answers

Computers typically measure three pressure points on each cardiac chamber. What point is normally the last number reported on arterial pressures.

<p>Mean (@)</p> Signup and view all the answers

Your diagnostic heart cath patient has suspected double vessel CAD. He has left heart failure poorly controlled with medication, a current wedge pressure of 48mmHg, and an elevated creatine level. For LV wall motion analysis you expect to use:

<p>2D biplane echocardiography (A)</p> Signup and view all the answers

Mitral valve prolapse is usually best seen in the ______ LV angio view during ______.

<p>RAO, systole (C)</p> Signup and view all the answers

The LV gram shows:

<p>Infero-apical-anterior akinesis (D)</p> Signup and view all the answers

Aneurysmal LV walls which bulge in systole are termed.

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

For the most accurate LV function (EF and wall motion analysis) the LV angiogram should ideally be done:

<p>Prior to coronary arteriography (B)</p> Signup and view all the answers

This ventriculogram shows:

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

The patient has combined mitral stenosis and regurgitation. What is this patient's angiographic ejection fraction and stroke volume?

HR= 80 bpm Thermodilution CO= 4.8 L/min EDV = 100 cc. ESV = 25 cc.

<p>SV= 75% EF = 75% (A)</p> Signup and view all the answers

Flashcards

Capital of France (example flashcard)

Paris

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