Transcript RQ and Discussion Slides

Practical Session
Heart and Vessels
Thursday January 6, 2011
THURSDAY READINESS QUIZ
Please remove all writing materials from your desks
except a pencil and your scantron sheet. Note that the
questions begin with number 101 (reverse side of
scantron).
Please remember to fill in your NAME (Last, First) and
Student ID # (left-aligned, no leading zeroes) M2
students fill in MED, Path Assists fill in GRAD
Do not take notes until discussion of Readiness Quiz is
complete.
After RQ is over (including discussion) notes are fine.
THURSDAY READINESS QUIZ
• The first five questions are pictorial and are based
on projections.
• For each of the five pictorial questions, there will
be three projections:
– A thumbnail (miniature) view showing the illustration
and the question together
– A larger version of the illustration by itself
– A larger version of the question by itself
• The remainder of questions are non-pictorial in
nature.
Question No. 101
In its subacute form, this lesion
involving the mitral valve
would most likely be seen in
which of the following
patients?
A. A young woman with a
characteristic butterfly rash.
B. A middle-aged woman with a
history of mitral stenosis
secondary to rheumatic heart
disease.
C. A 67-year old man with
carcinoma of the pancreas.
D. A middle-aged woman with
sclerodactyly.
E. An immune compromised
patient with a virulent staph
infection.
Question No. 101
Question No. 101
In it's subacute form, this lesion involving the mitral
valve would most likely be seen in which of the
following patients?
A. A young woman with a characteristic butterfly
rash.
B. A middle-aged woman with a history of mitral
stenosis secondary to rheumatic heart disease.
C. A 67-year old man with carcinoma of the
pancreas.
D. A middle-aged woman with sclerodactyly.
E. An immune compromised patient with a virulent
staph infection.
Question No. 102
Which of the following
histories is most
consistent with the aortic
valve lesion shown here?
A. 50 year old woman with
history of rheumatic heart
disease
B. 75 year old man with
degenerative changes in
the valve
C. 45 year old man with a
congenital abnormality of
the valve
Question No. 102
Question No. 102
Which of the following histories is most
consistent with the aortic valve lesion
shown here?
A. 50 year old woman with history of
rheumatic heart disease
B. 75 year old man with degenerative
changes in the valve
C. 45 year old man with a congenital
abnormality of the valve
Question No. 103
At what interval following
myocardial infarction is the
patient at greatest risk for
development of the
complication shown here?
A. 0 to 24 hours
B. 4 to 7 days
C. 10 to 14 days
D. after 2 weeks
E. after 3 month
Tues Question 103
Question No. 103
At what interval following myocardial
infarction is the patient at greatest risk for
development of the complication shown
here?
A. 0 to 24 hours
B. 4 to 7 days
C. 10 to 14 days
D. after 2 weeks
E. after 3 months
Question No. 104
Which of the following is most
characteristic of the disorder
pictured here?
A. fatty infiltration of the right
ventricular wall.
B. excessive thickening of the heart
muscle, especially involving the
interventricular septum, with
potential for ventricular outflow
tract obstruction
C. dilation of all chambers of the heart.
D. diffuse fibroelastic thickening of the
mural endocardium.
E.
multifocal endomyocardial necrosis
and infiltrate of eosinophils.
Question No. 104
Question No. 104
Which of the following is most characteristic of the
disorder pictured here?
A. fatty infiltration of the right ventricular wall.
B. excessive thickening of the heart muscle,
especially involving the interventricular septum,
with potential for ventricular outflow tract
obstruction
C. dilation of all chambers of the heart.
D. diffuse fibroelastic thickening of the mural
endocardium.
E. multifocal endomyocardial necrosis and
infiltrate of eosinophils.
Question No. 105
Which of the following statements are
true?
A. pulmonary hypertension is less
common in patients with this
disease than in patients with
ventricular septal defect.
B. patients with this disease are
usually cyanotic from birth.
C. if one excludes bicuspid aortic
valve and persistent ductus
associated with prematurity this
is the most common congenital
cardiac anomaly.
D. in patients with this disorder,
paradoxical emboli often give
rise to venous thrombosis of the
lower extremity.
E. this disorder usually is associated
an early right-to-left shunt which
turns into a left-to-right shunt.
Thurs Question 105
Question No. 105
Which of the following is true of the lesion
shown here?
A. pulmonary hypertension less common
than with atrial septal defect
B. usually manifests as cyanosis from birth
C. one of the most common congenital
cardiac anomalies
D. often leads to paradoxical emboli that
arrest in veins of lower extremities
E. usually manifest by early right-to-left
shunt which later reverses to left-to-right.
Questions 106 through 110 are not
illustrated
Question No. 106
Which valves are most likely to be affected in
rheumatic heart disease?
A. aortic and pulmonary
B. aortic and mitral
C. aortic and tricuspid
D. mitral and tricuspid
E. pulmonary and tricuspid
Question No. 107
The underlying condition associated with
Libman-Sacks endocarditis is:
A. Loeffler syndrome
B. pancreatic carcinoma
C. rheumatic fever
D. rheumatoid arthritis
E. SLE
Question No. 108
Which of the following cardiac conditions is
associated with alcoholism?
A. dilated cardiomyopathy
B. restrictive cardiomyopathy
C. hypertrophic cardiomyopathy
D. non-bacterial thrombotic endocarditis
E. Libman-Sacks endocarditis
Question No. 109
Which of the following is most
characteristically a manifestation of
rheumatic heart disease?
A. mitral stenosis
B. mitral valve prolapse (floppy valve)
C. acute infectious endocarditis
D. endocarditis of tricuspid valve
E. Libman-Sacks endocarditis
Question No. 110
Which of the following congenital heart defects is
most often associated with rib notching due to
pressure erosion by enlarged intercostal
arteries?
A. ventricular septal defect
B. atrial septal defect
C. tetralogy of Fallot
D. coarctation of aorta
E. ductus arteriosus
This slide is purposely left blank
• End of Readiness Quiz
• After discussion of quiz, OK to take notes.
Discussion Slides
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