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AHF - Echo - 05 - Myocardial Ischemia Flashcards | StudBud
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AHF - Echo - 05 - Myocardial Ischemia
AHF - Echo - 05 - Myocardial Ischemia
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1
The flow of oxygenated blood:
Presentation
Perforation
Perfusion
Posession
2
What are the (3) branches of the RCA?
Obtuse Marginals
Posterior Descending Artery
Acute Marginals
Septal Perforators
Diagonals
3
When will an aneurysmal wall section bulge?
Diastole only
Systole only
Both Systole and Diastole
4
Thrombus attached by a narrow stalk
Mural
Free
Pedunculated
Myxomatous
5
What grade of Valve Regurgitation is most likely to be produced by a "Flail Leaflet"
Severe
Mild
Moderate
6
Angina that occurs at rest:
Unstable
Stable
Variant
7
What is the most likely location of a thrombus in the LV following an MI?
LVOT
Mid Anterior LV
Apex
Basal Inferolateral LV
8
Where do the Coronary Arteries arise from the Aorta?
Aortic Arch
Coronary Sinus
Coronary Sulcus
Sinus of Valsalva
9
What aspect of "CAD" causes "CHF"?
Increased Cardiac Output
Increased Heart Rate
Decreased Wall Motion
Decreased Blood Volume
10
What heart wall do the "Acute Marginals" feed?
Anterior LV
IVS
Inferolateral LV
RVFW
11
Variant Angina's proper name:
Prinzmetal's
Bernoulli's
Poiseulle's
Virchow's
12
Damage to the exterior walls, allowing the inner layer of the ventricle to spill through the hole:
True Aneurysm
Dyskinesis
Pseudoaneurysm
Stenosis
13
Angina that ceases with rest and vasodilators:
Variant
Stable
Unstable
14
What effect will myocardial ischemic damage have on the Q-wave?
Increased size
Decreased size
15
Thrombus that forms along a wall
Pedunculated
Mural
Floating
Attached
16
The insertion of a catheter tipped with a drill-like device to clear out atherosclerotic plaque
Hematoma
Stenting
Angioplasty
Atherectomy
17
Which is more severe:
STEMI
NSTEMI
18
What kind of MI does an NSTEMI represent?
Transmural
Non-Transmural
19
The inner layer of a blood vessel
Tunica Adventicia
Tunica Intima
Tunica Media
20
A hole in the interventricular septum
Pseudoaneurysm
Hemorrhage
Ventricular Septal Defect
Ventricular Septal Aneurysm
21
The middle layer of a blood vessel
Tunica Media
Tunica Adventicia
Endothelium
Tunica Intima
22
Which heart walls do the LAD and RCA share?
Basal Inferior
Apical Anterior
Basal Inferolateral
Basal Inferoseptal
Mid Inferoseptal
Mid Inferior
23
Angina that occurs only during times of exertion:
Unstable
Variant
Stable
24
Select all symptom that correspond with Dressler's Syndrome:
Pleuritis
Chest Pain
Vomiting
Dizziness
Fever
Pericarditis / Effusion / Murmur
25
What kind of MI does a STEMI represent?
Non-Transmural
Transmural
26
What portion of the EKG is most useful in determining the presence of myocardial infarction?
ST Segment
QRS Complex
PR Interval
P wave
27
To reduce in diameter:
Extrapolate
Constrict
Interpolate
Dilate
28
To establish blood flow after an ischemic episode:
Restenosis
Retributed
Reperfusion
Restocking
29
What type of image is this?
Electrocardiogram
Echocardiogram
Stress Echocardiogram
Nuclear Medicine
30
Dysfunction of the AV valve due to increased diamater of the LV, causing the Cordae Tendinae to prevent valve closure
Valve Resection
Valve Tenting
Flail Leaflet
Valve Stenosis
31
A myocardial infarction that does not involve all 3 layers of the heart wall
Completed
Transmural
Nontransmural
Variant
32
What are the (3) types of Angina?
Unstable
Prinzmetals
Vulnerable
Irregular
Stable
Induced
33
Tissue Death:
Inflammation
Ischemia
Infarction
Necrosis
34
The gold standard for determining CAD severity and location:
Cardiac Catheterization
Echocardiography
X-Ray
Magnetic Resonance Imaging
35
The outer layer of a blood vessel
Endothelium
Tunica Adventicia
Tunica Intima
Tunica Media
36
Which heart wall does the CRX feed alone?
Basal Anterolateral
Mid Anterolateral
Basal Inferolateral
None
Mid Inferolateral
Apical Lateral
37
Which heart walls do the LAD and CRX share?
Basal Anterolateral
Mid Anterolateral
Apical Lateral
Mid Anterior
Basal Anteroseptal
Apical Anterior
38
The innermost layer of a blood vessel
Tunica Adventicia
Tunica Media
Tunica Intima
Endothelium
39
A bulging of the ventricular wall involving all 3 layers of the wall
Aneurysm
Dyskinesis
Akinesis
Pseudoaneurysm
40
When a blood vessel overly constricts:
Atherosclerosis
Vasodilation
Vasospasm
Atherectomy
41
An imbalance in the supply of oxygenated blood to heart tissue and the demand for oxygenated blood to that tissue
Myocardial Injury
Myocardial Infarction
Myocardial Ischemia
Myocardial Inflammation
42
An enzyme released during muscle necrosis, detectable by blood test following an MI
Dihydrogen Monoxide
Creatine Kinase
Uremic Potassium
Tropomyosin
43
How many layers of the heart wall does a True Anuerysm involve?
2
3
1
44
Which coronary artery can feed the apical cap in a minority of cases?
LAD
CRX
RCA
45
Which heart wall does the LAD NOT feed alone?
Mid Anteroseptal
Mid Anterior
Basal Anteroseptal
Basal Anterior
Mid Inferoseptal
Apical Anterior
46
Select (2) causes of Atherosclerosis:
Ischemia
Inflammation
Intimal Damage
Exercise
Disability
CHF
47
How many coronary arteries arise from the Aorta?
3
2
4
1
48
Is necrosis reversible?
Yes
No
49
"Narrowing"
Aneurysm
Ischemia
Infarction
Stenosis
50
Buildup of fluid in the Pericardial Space:
Pericarditis
Pleural Effusion
Pleuritis
Pericardial Effusion
51
What are the (3) categories of risk factors for Atherosclerosis?
Increased Cardiac Output
Hypernutremia
Increased Demand
Genetic Predisposition
Hyperlipidemia
Endothelial Damage
52
Inflammation of the Pericardium:
Pericardial Effusion
Pleural Effusion
Pleuritis
Pericarditis
53
What are the (2) Coronary Arteries that rise from the Aorta?
LMCA
Diagonals
Marginals
CRX
LAD
RCA
54
Which coronary artery is most often responsible for feeding the Apical Cap?
LAD
RCA
CRX
55
What are the (2) branches of the LAD?
Acute Marginals
Septal Perforators
Obtuse Marginals
Diagonals
Posterior Descending
56
What layer of the heart wall is contiguous with the Endothelium?
Myocardium
Epicardium
Endocardium
Pericardium
57
A reduction in the supply of oxygenated blood to heart tissue
Myocardial Injury
Myocardial Inflammation
Myocardial Infarction
Myocardial Ischemia
58
Which wave of the EKG is most likely to show Myocardial Ishemic damage?
P
R
Q
S
59
What are the (2) main methods used to induce cardiac stress for a Stress Test?
Ischemia
Treadmill
Toe Raises
Argument
Weight Lifting
Dobutamine
60
A myocardial infarction that involves all 3 layers:
Complete
Transmural
Truncated
Nontrasmural
61
Angina that occurs frequently and lasts a longer time:
Unstable
Stable
Variant
62
What are the (4) windows usually obtained during a Stress Echo?
PSAX-Ao
PSAX-Pap
Apical 2
PLAX
Apical 3
Apical 4
63
In the presence of a VSD, in what direction is blood most likely to flow:
Equally in both directions
From LV to RV
From RV to LV
64
To increase in diameter:
Restrict
Dilate
Perforate
Constrict
65
Angina that does not cease with vasodilators:
Stable
Variant
Unstable
66
Is Myocardial Injury reversible?
Yes
No
67
What heart wall do the "Septal Perforators" feed?
Inferior LV
Anterior LV
IVS
RVFW
68
Angina that only lasts a few minutes:
Stable
Variant
Unstable
69
A partial or temporary lack of oxygenated blood that results in partial cellular damage
Myocardial Inflammation
Myocardial Injury
Myocardial Infarction
Myocardial Ischemia
70
A complete cut-off of oxygenated blood to cardiac tissue
Myocardial Infarction
Myocardial Inflammation
Myocardial Ischemia
Myocardial Injury
71
Angina that occurs during the early hours of the morning only:
Stable
Variant
Unstable