Cardiac Self Assessment Practice Questions PDF

Okay, here is the converted text from the image into a structured markdown format. ### Page 44 **USE THIS ANGIOGRAM FOR THE NEXT 2 QUESTIONS.** The image is of a coronary arteriogram, with numbers 1-9 identifying different locations on the screen. 188. What coronary artery and view are shown?...

Okay, here is the converted text from the image into a structured markdown format. ### Page 44 **USE THIS ANGIOGRAM FOR THE NEXT 2 QUESTIONS.** The image is of a coronary arteriogram, with numbers 1-9 identifying different locations on the screen. 188. What coronary artery and view are shown? a. Dominant RCA in RAO view b. Non-dominant RCA in LAO view c. Dominant LCA in RAO view d. Non-dominant LCA in LAO view 189. From this angiogram you can tell that this patient has had: a. A circumflex stent placed b. A LAD stent placed c. Open heart surgery d. AV node ablation **USE THIS ANGIOGRAM FOR THE NEXT 2 QUESTIONS.** The image is of a coronary arteriogram, with numbers 1-5 identifying different locations on the screen. 190. What coronary angiographic view is shown in this the diagram? a. Shallow RAO b. Steep RAO c. Shallow LAO d. Steep LAO 191. What is shown at # 5? a. Mid LCA noncritical eccentric lesion b. Mid LCA critical complex lesion c. Mid RCA noncritical eccentric lesion d. Mid RCA critical complex lesion 192. The image is of a graph titled *Cardiac enzymes post MI* showing relative enzyme level vs post MI days. The X axis, labeled "Post MI Days", ranges from 1 to 5, and the Y axis, labeled with "1x", "2x", "10x" and "50x", represents the "upper normal limit" of the cardiac enzyme levels. There are three curves plotted on the graph, labeled *1*, *2* and *3*. Which cardiac enzyme peaks late, usually 2 days after myocardial infarction, and rises highest above normal, as shown at #3? a. Troponin (TnT) b. CK-MB c. Myoglobin d. LD (Lactate dehydrogenase) 193. Prinzemetal or variant angina typically occurs: a. During mental stress b. During exercise c. With acute MI d. At rest 194. In a 12-lead ECG, ST elevation in lead II, III, and aVF usually signify: a. Inferior wall injury b. Lateral wall injury c. Anterior wall injury d. An old inferior infarct ## ### Page 45 **C4 - CHF** 195. Volume overload of the left ventricle is usually compensated with LV: a. Atrophy only b. Dilatation only c. Hypertrophy only d. Both dilatation and hypertrophy e. Both atrophy and dilatation 196. Retention of sodium and water by the kidneys due to insufficient cardiac output is an example of: a. Starling's Law b. Poiseuille's Law c. Forward CHF d. Backward CHF 197. Considering all types of shock, only one results in an elevated wedge pressure. It is: a. Anaphylactic shock b. Hypovolemic shock c. Cardiogenic shock d. Septic shock 198. Both anaphylactic and hypovolemic shock should be treated with: a. IV fluid and Trendeleburg positioning b. IV fluid and reverse Trendeleburg positioning c. Diuretic and Trendelenburg positioning d. Diuretic and reverse Trendelenburg positioning **C5 - Congenital** 199. For an intracardiac shunt to be cyanotic it must: a. Shunt right to left (R-L) b. Shunt left to right (L- R) c. Have an arterial $PO_2$ lower than 70 mmHg d. Have an arterial $PO_2$ greater than 70 mmHg 200. What normally causes the patent foramen oval to close at birth? a. Higher $PaO_2$ causes foramen constriction b. Bradykinin release causes foramen constriction c. Higher RA pressure d. Higher LA pressure 201. Surgery on a ventricular septal defect is generally considered only when: a. The heart is dilated b. The heart is hypertrophied c. It has not closed by age 20 d. Qp/Qs exceeds 2:1 **C6 - Vascular Disease** 202. Deep thigh and calf veins are the sources for: a. Claudication pain b. Calcified plaques c. Metabolic acidosis d. Pulmonary emboli 203. At the time of heart catheterization an "accelerating angina" patient is found to have diffuse severe multi-vessel coronary disease. CABG surgery is openly discussed with the patient. He has diabetes and elevated blood creatinine and BUN levels. His BP has recently elevated from 150/90 to 190/110 mmHg. Besides LV and coronary angiography, what additional angiography should be done at this time? a. Ilio-femoral arteriogram (for IABP insertion pre-surgery) b. Carotid arteriography(for stroke prevention) c. Renal arteriography (possible reno-vascular stenosis) d. IMA arteriography (evaluate IMA for CABG) ## ### Page 46 204. The image shows an abdominal aortogram. What abnormality is shown on this aortogram? a. Mycotic AAA b. Fusiform AAA c. False thoracic aortic aneurysm d. Wide neck, true renal aneurysm 205. Where should vena caval filters normally be placed in the IVC? a. Above the renal veins b. Below the renal veins c. Superior to the femoral bifurcation d. Inferior to the femoral bifurcation 206. A mottled leg color and cool leg following left heart catheterization are most associated with: a. Deep Vein Thrombosis (DVT) b. The patient being cold c. Hematoma formation d. Femoral Atery occulusion 207. Carotid atherosclerosis and their embolizing thrombi cause: a. DVT b. PVC's c. CVA's d. DIC 208. Patients with secondary varicose veins of the lower extremity have: a. Increased venous pressure b. Decreased venous pressure c. Incompetent venous valves d. Stenotic venous valves 209. Which form of arterial occlusive peripheral vascular disease is most common? a. Upper extremity b. Lower extremity c. Carotid arteries d. Renal arteries **NO COPIES PLEASE.** Copyright 2023 Cardiac Self Assessment Copyright infringement is punishable by up to $150,000 fine and/or imprisonment. Educational exceptions must be in writing and signed by the author. Please report any suspected illegal copies to the author. You will be kept anonymous. Contact Wes Todd (509) 926-0344. ## ### Page 53 Vol. II Practice Test - Unit D Diagnostic Techniques - 153 Questions All questions taken from Todd's Cardiovascular Review, Volume II - Unit D. Please refer to either the printed or digital editions of Todd's CV Review for additional questions, content, and details. **D1 Catheters** 210. Braided steel wires are woven into the walls of most guider catheters to improve their: a. Bursting pressure b. Backup support c. Torque control d. Memory 211. According to Poiseuille's law if the length of a catheter is doubled, how much should the injection pressure be increased to get the same flow? a. Doubled b. Four times c. Eight times d. Sixteen times 212. The distance between a catheter's primary and secondary bends measure: a. A catheter's backup support power b. A catheter's French size c. The curve size of a Judkins coronary catheter d. The curve size of an Amplatz coronary catheter **USE THIS DIAGRAM FOR THE NEXT QUESTION.** The image shows a diagram of six *Left PTCA guider catheters*, labeled 1 through 6. 213. Identify the left coronary PCI guider catheter labeled at #5 on the diagram. a. Judkins Femoral Left b. Judkins Femoral Left short tip c. Voda Left d. Amplatz Left e. A-1 Multipurpose **D2 - Other Cath Equipment** 214. Excessive bleeding around a sheath can be prevented or controlled by: a. Switching to a smaller diameter sheath b. Switching to a larger diameter sheath c. Introducing the femoral sheath over the needle d. Introducing the femoral sheath over the wire without a dilator 215. An 8F sheath will admit a/an: a. 6F catheter b. 6F, 7F catheters c. 6F, 7F, 8F catheters d. 6F, 7F, 8F, 9F catheters 216. When doing angiographic flood injections with a 4F or 5F catheter the injector pressure should not exceed: a. 500 psi b. 1200 psi c. 2000 psi d. 3500 psi