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.
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ECG changes in myocardial infarction.
- A. ST elevation
- B. Q waves
- C. Both A and B
- D. None of the above
Correct Answer: C
Rationale: ECG shows characteristic ST elevation and Q waves during MI.
The diagnostic test that is most useful in differentiating the dyspnea related to pulmonary effects of heart failure from the dyspnea of pulmonary disease is
- A. Exercise stress testing
- B. A cardiac catheterization
- C. B-type natriuretic peptide (bNP) levels
- D. Serum blood urea nitrogen (BUN) levels
Correct Answer: C
Rationale: bNP is released from the ventricles in response to ventricular stretch and is a good marker for heart failure. If the bNP is elevated, shortness of breath is due to heart failure.
What is a chronic condition where the heart is unable to pump blood effectively, leading to fluid buildup in the lungs and other parts of the body?
- A. Heart failure
- B. Myocardial infarction
- C. Pericarditis
- D. Pulmonary edema
Correct Answer: A
Rationale: Step 1: Heart failure is the correct answer because it is a chronic condition where the heart is unable to pump blood effectively.
Step 2: This ineffective pumping leads to fluid buildup in the lungs (pulmonary congestion) and other parts of the body (edema).
Step 3: Myocardial infarction (B) is incorrect as it is an acute condition resulting from a blockage in coronary arteries causing heart muscle damage.
Step 4: Pericarditis (C) is incorrect as it is inflammation of the pericardium, the outer lining of the heart, not directly related to heart pumping efficiency.
Step 5: Pulmonary edema (D) is incorrect as it specifically refers to fluid accumulation in the lungs, not necessarily linked to heart failure.
Which of the following heart chambers has the highest pressure in order to pump oxygenated blood to the tissues?
- A. Right atrium
- B. Right ventricle
- C. Left ventricle
- D. Left atrium
Correct Answer: C
Rationale: The left ventricle generates the highest pressure to pump oxygenated blood through the systemic circulation.
Which condition is characterized by chronic inflammation of the airways resulting in excess mucus production, leading to frequent coughing and breathing difficulties?
- A. Chronic bronchitis
- B. Asthma
- C. Pneumonia
- D. COPD
Correct Answer: A
Rationale: Chronic bronchitis is characterized by chronic inflammation of the airways leading to excess mucus production, coughing, and breathing difficulties. This condition is specifically defined by a productive cough lasting at least three months for two consecutive years. Asthma involves airway inflammation and hyperreactivity, but it is not primarily characterized by excess mucus production. Pneumonia is an acute infection of the lungs, not a chronic inflammatory condition. COPD is a broad term that includes chronic bronchitis, but it also encompasses emphysema, so it is not as specific as chronic bronchitis in this context.