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What procedure involves inserting a flexible tube with a light and camera into the airways to examine the lungs and collect samples?
- A. Bronchoscopy
- B. Thoracentesis
- C. Lung biopsy
- D. Chest X-ray
Correct Answer: A
Rationale: The correct answer is A: Bronchoscopy. Bronchoscopy involves inserting a tube with a light and camera into the airways to examine the lungs and collect samples. It allows visualization of the airways, biopsy of lung tissue, and collection of samples for further analysis. Thoracentesis involves removing fluid from the pleural space, lung biopsy involves taking a tissue sample from the lung, and a chest X-ray is a radiographic imaging technique that shows the structures in the chest but does not involve direct visualization or sampling of the airways.
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Which surgical procedure involves opening or replacing a narrowed or blocked heart valve?
- A. Valve replacement
- B. Angioplasty
- C. Stent placement
- D. Coronary bypass surgery
Correct Answer: A
Rationale: The correct answer is A: Valve replacement. This surgical procedure involves opening or replacing a narrowed or blocked heart valve. During valve replacement, a damaged valve is removed and replaced with a new one to restore normal blood flow. Angioplasty (B) involves opening blocked arteries, stent placement (C) involves inserting a mesh tube to keep arteries open, and coronary bypass surgery (D) involves rerouting blood flow around blocked coronary arteries. These procedures are not specifically related to treating narrowed or blocked heart valves, making them incorrect choices for this question.
Which type of medication helps to reduce the workload on the heart by slowing down the heart rate?
- A. Beta-blocker
- B. Calcium channel blocker
- C. Diuretic
- D. ACE inhibitor
Correct Answer: A
Rationale: The correct answer is A: Beta-blocker. Beta-blockers work by blocking the effects of adrenaline on the heart, which helps to reduce the heart rate. This reduction in heart rate helps to decrease the workload on the heart muscle, making it an effective treatment for conditions such as high blood pressure and heart failure.
Incorrect choices:
B: Calcium channel blocker - Calcium channel blockers work by dilating blood vessels and reducing the heart's workload by relaxing the muscles in the blood vessels, not by slowing down the heart rate.
C: Diuretic - Diuretics help the body get rid of excess salt and water, reducing blood volume and lowering blood pressure, but they do not directly affect heart rate.
D: ACE inhibitor - ACE inhibitors work by relaxing blood vessels to lower blood pressure and improve blood flow, but they do not specifically target heart rate reduction.
What test uses sound waves to create pictures of the heart, allowing doctors to see how well the heart is functioning?
- A. Echocardiogram
- B. MRI
- C. CT scan
- D. X-ray
Correct Answer: A
Rationale: The correct answer is A: Echocardiogram. An echocardiogram uses sound waves to create images of the heart, providing information on its structure and function. It helps doctors assess the heart's pumping ability, valve function, and overall health. MRI (B) uses magnets and radio waves to create detailed images but does not rely on sound waves. CT scan (C) uses X-rays to produce images and is not specific to the heart. X-ray (D) provides a basic image of the heart but lacks the detail and functionality assessment of an echocardiogram.
A patient uses a mixed β-adrenergic blocking drug for treatment of migraine headaches. What effect might this drug have on BP and why?
- A. Decreased BP due to reduced cardiac output
- B. Increased BP due to unopposed α-adrenergic activity
- C. No effect on BP
- D. Decreased BP due to vasodilation
Correct Answer: A
Rationale: β-blockers reduce heart rate and contractility, lowering BP.
Which artery supplies the right atrium, right ventricle, a portion of the septum, SA node, AV node, and inferior portion of the left ventricle?
- A. Right coronary artery
- B. Left circumflex artery
- C. Posterior descending artery
- D. Aortic artery
Correct Answer: A
Rationale: The correct answer is A: Right coronary artery. This artery supplies the mentioned structures as it branches off from the aorta and follows the coronary sulcus to reach the right side of the heart. It provides blood to the right atrium, right ventricle, part of the septum, SA node, AV node, and inferior left ventricle. The Left circumflex artery (B) mainly supplies the left atrium and lateral part of the left ventricle. The Posterior descending artery (C) typically arises from the right coronary artery and supplies the inferior part of the heart. The Aortic artery (D) is not a specific artery that directly supplies the structures mentioned.