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144 Cards in this Set
- Front
- Back
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1) Which type of pulmonary embolism is most likely to produce transient chest pain?
a) Large b) Small c) Saddle d) Medium |
b small
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1) Which of the following is the primary cause of pulmonary edema?
a) right ventricular failure b) near drowning c) premature birth d) left ventricular failure |
d left ventricular failure
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1) Which of the following is the primary complication of pulmonary edema?
a) right ventricular failure b) liver failure c) left ventricular failure d) stroke |
a right ventricular failure
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1) Which of the following manifestations is a concern for the field of clinical respirology?
a) altered gait b) alteration in bowel movements c) heartburn d) chest pain |
d chest pain
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2) Absorption collapse of the lung is related to which of the following?
a) trauma related hemothorax b) bronchial obstruction c) bronchiectasis d) spontaneous pneumothorax |
b bronchial obstruction
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3) Which of the following terms represents pus in the parietal cavity?
a) pneumothorax b) orthopnea c) empyema d) hemothorax |
c empyema
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4) Which of the following is considered the major source of pulmonary emboli?
a) pulmonary trunk b) right ventricle c) tricuspid valve d) deep veins of the lower leg |
d deep veins of leg
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5) Place the following terms in the proper sequence of development: 1) embolus 2) thrombus 3) embolism 4) manifestation
a) 1,2,3,4 b) 2,4,3,1 c) 3,1,2,4 d) 2,1,3,4 |
d thrombus, embolus, embolism, manifestation
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6) Paroxysmal nocturnal dyspnea, hemoptysis and altered mental status are all signs and symptoms associated with which of the
following? a) acute pulmonary edema b) bronchiectasis c) atelectasis d) pulmonary embolism |
a acute pulmonary edema
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7) Manifestations associated with bronchiectasis include all EXCEPT which of the following?
a) hypotension b) foul smelling breath c) foul smelling sputum d) chronic cough |
a hypotension
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8) Which of the following conditions is most likely to cause a pulmonary embolus?
a) mitral valve disease b) endocarditis of the left ventricular wall c) immobilization after fracture d) thrombosis in a pulmonary vein |
c immobilization after fracture
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1) Which of the following is considered an obstructive airway disorder characterized by the manifestations of wheezing, chest
tightness and a cough? a) atelectasis b) emphysema c) bronchitis d) asthma |
d asthma
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1) An acute life-threatening complication of asthma is?
a) persistent asthma b) chronic obstructive pulmonary disease c) status asthmaticus d) bronchiectasis |
c status asthmaticus
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1) An individual with chronic bronchitis eventually shows signs of heart failure because:
a) pursed-lip breathing takes up most of their energy b) the heart has to work harder to get oxygen to the tissues c) the shape of the chest occurs to accommodate for changes in respiratory patterns d) alveoli are non-elastic |
b heart has to work harder
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1) The term “pink puffer” is associated with which condition?
a) chronic bronchitis b) emphysema c) status astmaticus d) persistent asthma |
b emphysema
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1) Patients who require elevation of the head of the table while lying supine may be experiencing _________________ which is a
symptom of _________________ caused from ________________________ a) dyspnea; pulmonary embolism; right sided heart failure b) orthopnea; left sided heart failure; pulmonary edema c) orthopnea; pulmonary edema; left sided heart failure d) orthopnea; pulmonary edema; right sided heart failure |
d orthopnea caused by pulmonary edema from left sided heart failure
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1) A 64-year old patient presents with one-sided calf pain. Upon examination of his leg, you notice significant edema, erythema and
the leg is warm to the touch. What could be the reason for such a presentation and how would you confirm that diagnosis? What would you do with this patient? a) DVT; positive Homan’s sign, apply deep pressure to the calf b) DVT; negative Homan’s sign; refer to the ER c) venous stasis; positive McBurney’s point sign; apply deep pressure to the calf d) DVT; positive Homan’s sign; refer to the ER |
d positive homans, ref to ER
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1) A 16 year old athlete comes in as she is experiencing pain in her chest.
She points to the location on her right chest around the level of rib 3-4 but can’t pinpoint a specific location. With pressure in that spot, pain does not get worse or better. The past week she has been training intensely for a triathlon but has been having trouble with her circuit due to the pain. What do you suspect? a) muscular strain b) atelectasis c) pulmonary embolism d) anxiety |
b atelectasis
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9) A 84 year old man comes in for a massage but it quite winded by the time he reaches your massage therapy table from the chair in the
waiting room. He tells you that he has been having some shortness of breath the past few days and has been quite distressed about it. He visited his doctor a few days ago he gave him a prescription for an anxiolytic. It hasn’t reduced the SOB. As you are doing your massage, he is telling you about the wonderful trip him and his wife took last week to Egypt. Immediately, you stop your massage and call 911. Why? a) the man is having a serious side effect to the anxiolytic b) he is having a pulmonary embolism c) the man is having a heart attack d) massage is contraindicated for someone taking anxiolytics |
b pulmonary embolism
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10) A patient comes into your office and has noted on their intake form that they are taking warfarin. What class of drug is this and what must
you be concerned about? a) antihypertensive; hypertensive crisis b) birth control pill; blood clots c) antipsychotic; withdrawal d) antihypertensive; orthostatic hypotension e) anticoagulant; easy bleeding/ bruising |
e anticoagulant
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11) Someone with a family history, a history of allergic rhinitis, urticaria or eczema is more likely to develop what condition?
a) acute bronchitis b) chronic bronchitis c) asthma d) COPD |
c asthma
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12) A blue bloater refers to someone who has _________________ which manifests as ________________ and ___________________.
a) emphysema; pink puffer and cyanosis b) chronic bronchitis; barrel chest and pursed-lip breathing c) chronic bronchitis; cyanosis and fluid retention d) emphysema; cyanosis and fluid retention |
c chronic bronchitis manifesting with cyanosis and fluid retention
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13) What is the most common cause of COPD? As health care providers, what is our best strategy for decreasing the incidence of this
disease? a) smoking; encourage smoking at an earlier age b) air pollution; install an air purifier c) smoking; encourage smoking cessation d) iatrogenic; encourage smoking cessation |
c smoking
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14) Another term for an extrinsic trigger of asthma is __________ or _________ and an example is _____________.
a) allergic or intrinsic; animal dander b) atopic or allergic; respiratory tract infections c) atopic or allergic; animal dander d) nonatopic or non-allergic; animal dander |
c atopic/allergic, animal dander
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15) A patient comes into your clinic complaining of this nagging cough that has been present for a few weeks. Other than the cough the patient
feels fine but tells you that a few weeks prior was quite sick for a few days with extreme prostration, muscle aches and a low-grade fever. What do you tell this patient? a) refer to their MD; this patient is suffering from chronic bronchitis and needs to have further diagnostic imaging as soon as possible b) call 911; this patient is likely infected with the H2N3 virus and needs to be quarantined c) not to worry; they likely have acute bronchitis as a result on infection with the influenza virus and the symptoms will all resolve shortly d) not to worry; they have chronic bronchitis which is a self-limiting condition that will heal completely in another few weeks |
c acute bronchitis
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16) Which of the following is a symptom of asthma?
a) shortness of breath b) chest tightness c) coughing d) wheezing e) all of the above |
e all of the above
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17) Asthmatics often have difficulty breathing. Would you notice an increased inspiratory or expiratory effort and why?
a) inspiratory effort because of progressive airway obstruction b) expiratory effort because of progressive airway obstruction c) inspiratory and expiratory effort because of increased mucous production d) increased inspiratory effort because of clogged and swollen bronchioles |
b expiratory effort
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18) What condition often occurs simultaneously or as a precursor to emphysema?
a) acute bronchitis b) influenza c) chronic bronchitis d) pulmonary hypertension |
c chronic bronchitis
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19) A clinical diagnosis of chronic bronchitis requires what?
a) a chronic productive cough that is present for 6 months or more for at least 2 consecutive years b) a chronic non-productive cough that is present for 3 months or more and occurs for at least 2 consecutive years c) a chronic productive cough for at least 3 consecutive months over 2 consecutive years d) a chronic productive cough for at least 2 consecutive months over 3 consecutive years |
c chronic cough 3 monts over 2 consecutive years
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20) The typical cough of acute bronchitis is ____________; chronic bronchitis is _________________ and bronchiectasis is
____________________ a) productive cough with clear sputum; non-productive cough with clear sputum; frequent cough with green or yellow sputum b) productive cough with green or yellow sputum; productive cough with clear sputum; non-productive cough with clear sputum c) productive cough with clear sputum; productive cough with clear sputum; frequent cough with green or yellow sputum d) non-productive cough with clear sputum; productive cough with clear sputum; persistent cough with clear sputum |
c
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1) Which of the following terms pertains to pneumonia?
a) silent killer b) silent thief c) pessimistic d) opportunistic |
d opportunistic
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2) Pneumonia that affects a segment of or an entire lobe is classified as
a) segmental pneumonia b) interstitial pneumonia c) lobar pneumonia d) bronchopneumonia |
c lobar
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3) Grating chest wall pain on mild deep breathing could be a symptom of
a) wet pleurisy b) dry pleurisy c) empyema d) pneumothorax |
b dry pleurisy
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4) Which of the following is “a physiologic response to increased demand” the
definition for? 1) exercise 2) passive hyperemia 3) active hyperemia 4) hemorrhage |
3 active hyperemia
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5) An infection within the pleural fluid is called what?
a) emphysema b) empyema c) pneumonia d) pneomothorax |
b empyema
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6) Which of the following is the most common type of pneumonia?
a) bacterial b) fungal c) viral d) mycoplasma |
c viral
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7) The incubation period of viral pneumonia is approximately __________; it tends to be __________________ and _____________
respond to antibiotics. a) 1-3 weeks; self-limiting; does b) 1-3 days; serious; does not c) 1-3 weeks, serious, does d) 1-3 days; self-limiting; does not |
d
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8) Having viral pneumonia makes you susceptible to developing what?
a) gastroenteritis b) bacterial pneumonia c) influenza d) cardiac arrest |
b bacterial pneumonia
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9) Common strains of bacterial pneumonia include which of the following:
a) staphylococcus b) streptococcus c) E-coli d) Legionella e) all of the above |
e all of the above
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10) What type of pneumonia has a long incubation of about 1-4 weeks, involves a less severe manifestation of pneumonia known as walking
pneumonia or atypical pneumonia and responds well to antibiotics? a) fungal b) bacterial c) viral d) mycoplasma |
d mycoplasma
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11) What type of pneumonia occurs almost exclusively in patients with HIV/AIDS and other immunocompromised conditions?
a) Klebsiella b) Chlamydia c) Pseudomonas d) Pneumocystic carinii |
d pneumocystic carinii
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12) Hospital-acquired pneumonia is ___________ common than community acquired pneumonia and is considered a _______________
infection. a) more; iatrogenic b) more; nosocomial c) less; nosocomial d) less; autoimmune |
c less common, nosocomial
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13) What is the order of pathogenesis of pneumonia?
a) red hepatisation; congestion; grey hepatisation; resolution b) congestion; red hepatisation; grey hepatisation; resolution c) congestion; grey hepatisation; red hepatisation; resolution d) none of the above |
b congestion, red hept, grey hept, resolution
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14) Complications of pneumonia include
a) abscess formation b) empyema c) pleurisy d) pleural effusion e) all of the above |
e all of above
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15) Which statement is true concerning TB?
a) it is an infectious disease caused by Mycobacterium tuberculosis b) it is a highly contagious, airborne disease c) it is estimated to affect 1/2 of the World’s population d) it is spread from one person to the next during one encounter e) A and B f) A, B and C |
e A & B
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16) What adaptation of the TB organism makes it possible for the organism to exist outside its host and to resist destruction by macrophages
digestive enzymes? a) small molecular size b) waxy coat c) fur coat d) miliary covering |
b waxy coat
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17) Which of the following statements is true about latent TB?
a) it is considered part of the primary phase, in which 10% of cases remain b) T lymphocytes and macrophages surround the organism in granulomas that limit their spread c) those with latent TB have the active disease and can transmit it to others d) symptoms include fever, weight loss, faituge and night sweats e) all of the above f) B only g) A and B |
b spread is limited by t lymphocytes & macrophages in granulomas
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18) When TB erodes into a blood vessel, it is known as _______________; whereas when it disseminates into the brain, meninges, liver,
kidney and bone marrow it is called: a) progressive primary TB; latent TB b) miliary TB; latent TB c) hematogenic dissemination; miliary TB d) miliary TB; hematogenic dissemination |
c hemoatogenic dissemination, miliary TB
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19) Which of the following statement is true?
a) those who develop secondary TB have either been reinfected from inhaled TB or have reactivated a previously healed primary TB lesion b) 10% of cases eventually develop the active disease, known as the secondary phase c) 5% of people with TB will develop primary progressive TB because their immune system is not able to contain the disease d) when a person develops progressive primary TB they can then spread the disease to others e) all of the above |
e all of the above
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20) A positive reaction to the Mantoux tests means what?
a) there has been exposure to TB b) cell-mediated immunity to TB has developed c) the person has active TB d) there is no induration on the skin e) C and D f) A and B |
e A & B
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21) A patient presents in your clinic with chest pain. The patient describes the pain as being very abrupt in onset and unilateral. The pain is
aggravated by deep breathing and coughing. What do you suspect? a) heart attack b) costochondritis c) heart burn d) pleurisy |
d pleurisy
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22) What statements below are consistent with dry pleurisy?
a) more common than wet pleurisy b) less common than wet pleurisy c) causes a pleural friction rub d) causes a cough e) causes a fever f) all of the above g) all except B and D |
g all except B & D
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23) Cystic fibrosis is a _____________ disorder of the _________________ glands that causes ______________ secretions
a) hereditary; endocrine; thick and sticky b) autoimmune; exocrine; thick and sugary c) idiopathic; exocrine; thick and sticky d) hereditary; exocrine; thick and sticky |
d
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24) It is possible to be a carrier of cystic fibrosis but not have the disease. True or false?
a) true b) false |
a true
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26) Which of the following complications are common in CF?
a) dry or productive cough b) chronic pancreatitis, cirrhosis c) failure to thrive d) duodenal ulcers e) arrhythmias f) all of the above |
f all of the above
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27) Abnormal discharge of blood from the vascular compartment refers to what?
a) hemorrhage b) hematoma c) petechia d) ecchymosis |
a hemorrhage
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28) The sequella of thrombus formation happens in what order?
a) canalization, lysis, organization, propagation b) lysis, propagation, organization, canalization c) organization, propagation, lysis, canalization d) canalization, organization, propagation, lysis |
b
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35) Symptoms of SOB, chest pain and hemoptysis is the classic presentation of what?
a) pulmonary hypertension b) venous thrombosis c) pulmonary embolism d) myocardial infarction |
c
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36) A patient comes into your office complaining of a cramp in his left leg. You feel his leg and notice that his leg feels cold and that there is no
dorsalis pedis pulse of posteror tibial pulse. His leg looks pale in colour. What do you suspect? a) there is a clot in his arterial system b) there is a clot in his venous system c) he is having an heart attack d) he is having a pulmonary embolism |
a clot in arterial sys
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1) An accumulation of fluid between cells is known as what?
a) lymphedema b) edema c) angioedema d) anasarca |
b edema
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1) Extreme generalized edema is also known as?
a) massive edema b) lymphedema c) anasarca d) angioedema e) A and D f) A and C |
f A & C
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1) When tissue is soft, puffy and/ or boggy, what must you consider?
a) infection b) edema c) pregnancy d) malignancy |
b edema
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1) Fluid accumulation in the pleural cavity is called:
a) ascites b) hydrothorax c) pneumothorax d) hydropericardium e) edema |
b hydrothorax
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1) Localized edema may be attributed to what cause?
a) inflammation b) lymphatic blockage c) venous blockage or insufficiency d) burns e) congestive heart failure f) all answers except E |
f
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1) Movement of substances from blood capillaries into interstitial fluid is called _____________ whereas movement of substances
from interstitial fluid into blood capillaries is called __________ a) filtration; diffusion b) diffusion; active transport c) reabsorption; filtration d) filtration; reabsorption |
d
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1) What pressure acts to pull fluid from tissue spaces back into the capillaries?
a) blood hydrostatic pressure b) blood colloid osmotic pressure c) transcytosis d) diffusion |
b BCOP
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1) Pitting edema is an absolute contraindication to massage.
a) true b) false |
a true
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1) Localized edema typically presents ________________________; whereas systemic edema typically presents
_________________________. a) bilaterally and pitting; unilaterally and non-pitting b) unilaterally and non-pitting, bilaterally and pitting c) bilaterally and non-pitting; unilaterally and non-pitting d) unilaterally and pitting; unilaterally and pitting |
b
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1) An inability of the heart to supply sufficient blood flow to meet the body’s needs is the definition for:
a) cardiac arrest b) congestive heart failure c) myocardial infarction d) arrhythmia |
b
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1) The heart can enter early stages of heart failure with no signs or symptoms.
a) true b) false |
a true
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1) Left-sided heart failure predominantly presents as symptoms affecting the lungs including general weakness and shortness of
breath. a) true b) false |
a true
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1) Right-sided heart failure results in fluid backups throughout the system and presents as edema that is worse in the ankles and legs
and visibly distended veins in the neck. a) true b) false |
a true
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1) Deep tissue and lymphatic massage are recommended treatments for those with congestive heart failure.
a) true b) false |
b false
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1) An abnormal and excessive accumulation of fluid between the layers of tissue that line the lung and chest cavity are known as:
a) pericardial effusion b) pleural effusion c) hydrothorax d) chylothorax |
b
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1) Which is the following is a possible complication of a pleural effusion?
a) atelectasis b) empyema c) hemothorax d) pneumothorax e) all except C f) all of the above |
f
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1) The most common symptoms of a pleural effusion include:
a) sharp chest pain b) chest pain that is made worse with deep inspiration c) chest pain that is made worse with coughing d) chest pain that is not affected by deep breathing or coughing e) all except D |
e
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1) An abnormal amount of fluid between the heart and pericardium is known as:
a) pericardial effusion b) pleural effusion c) pericarditis d) empyema |
a
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1) The most common cause of a pericardial effusion is:
a) pneumonia b) atelectasis c) pericarditis d) pleural effusion |
c
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1) Inflammation of the pericardium is called
a) emphysema b) meningitis c) pericarditis d) epicondylitis |
c
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1) A pericardial effusion that causes shortness of breath, palpitations, syncope and cool, clammy skin is considered:
a) a medical emergency b) life-threatening c) self-limiting d) iatrogenic e) A and B f) all except D |
e
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1) The accumulation of fluid in the peritoneal cavity is known as
a) icterus b) ascites c) cirrhosis d) portal hypertension |
b
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1) The most common cause of ascites is
a) advanced liver disease or cirrhosis b) malignant tumours c) hypertension d) alcoholism |
a
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1) Abdominal pain, bloating, SOB and a large abdomen are symptoms of
a) pregnancy b) pre-menstrual syndrome c) ascites d) esophageal varices |
c
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1) Shock is considered a condition characterized by
a) decreased tissue and organ perfusion b) decrease in cardiac output c) increased cardiac output d) multiple-system organ failure at end stage e) all of the above f) all except C |
f
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1) The stages of shock progress in what sequence
a) initial, irreversible, compensatory, progressive b) progressive, compensatory, initial, irreversible c) initial, progressive, compensatory, irreversible d) initial, compensatory, progressive, irreversible |
d
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1) All of the following are symptoms of shock except:
a) hyperpnea b) tachypnea c) anxiety d) rapid, weak pulse e) cyanotic lips and fingernails f) pale, cool, clammy skin |
a
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1) Hardening of an artery due to an atheromatous plaque is called
a) arteriosclerosis b) atherosclerosis c) hypertension d) hyperlipidemia |
b
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1) What is the major clinical presentation of atherosclerosis?
a) hyperlipidemia b) hyperventilation c) hypertension d) hyperhydrosis |
c
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1) Which of the following statements about atherosclerosis are true?
a) an artery has to be 75-85% occluded before any awareness of the problem exists b) it is often referred to as the silent killer c) it is a disease that only affects the elderly d) smoking, obesity, stress and a sedentary lifestyle are modifiable risk factors for the disease e) all except C f) all except B |
e
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1) Chest pain that is predictable with exercise or exertion and subsides during rest is called
a) stable angina b) unstable angina c) hypertension d) edema |
a
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1) Classifications of vasculitis include:
a) temporal arteritis b) thromboangiitis obliterans c) hypersensitivity angiitis d) all of the above |
d
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2) Inflammation and necrosis of blood vessels: this refers to which of the following?
a) atherosclerosis b) aneurysms c) Raynauds phenomenon d) vasculitis |
d
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3) What is the other name for Buerger’s disease?
a) mad cow disease b) Raynaud’s disease c) thromboangiitis obliterans d) cor-bovinum |
c
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4) Put the classic triad of symptoms for Raynaud’s syndrome in order of sequence.
a) red, white blue b) blue, white, red c) white, red, blue d) white, blue, red |
d
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5) What does the red stage of Raynaud’s syndrome signify?
a) ischemia b) cyanosis c) burning d) re-canalization |
d
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6) Which of the following is considered an etiology for Raynaud’s phenomenon?
a) unknown etiology (idiopathic) b) SLE (lupus) c) vessel dilatation d) pneumonia e) iatrogenic |
b
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7) Which of the following is considered the main etiology for Buerger’s disease?
a) atherosclerosis b) SLE c) scleroderma d) cigarette smoking |
d
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8) Which part of the body does Raynaud’s syndrome most commonly affect?
a) fingers b) toes c) nose d) ears e) hands |
a
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9) Raynaud’s disease is a ________________ disorder; whereas Raynaud’s phenomenon is __________________________:
a) vasodilatory; vasospastic b) secondary to another condition; vasospastic c) functional; secondary to another condition d) vasospastic; vasodilatory |
c
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10) What condition is a multi-system inflammatory disease of smaller and medium-sized arteries; most commonly affects the kidneys
and tends to affect more males than females? a) hypersensitivity arteritis b) polyarteritis nodosa c) temporal arteritis d) Raynaud’s disease |
b
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11) In which disease is hypertension the most common manifestation of the disease?
a) giant cell arteritis b) thromboangiitis obliterans c) polyarteritis nodosa d) hypersensitivity arteritis |
c
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12) A 50-year old man comes into your clinic and complaining that this morning he woke up with a fever, fatigue and hasn’t had much of
an appetite the last few days. He has wandering joint pain and a lot of muscle aches. He also tells you that he has burning and numbness is his lower legs. He has hypertension and takes medication to control it. What is your diagnosis? a) Raynaud’s disease b) Raynaud’s phenomenon c) Buerger’s disease d) polyarteritis nodosa |
d
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13) What disorder, mainly affects the microvasculature (arterioles, capillaries and venules), spares the muscular and large arteries,
manifests as palpable purpura on the lower legs and can lead to kidney failure? a) temporal arteritis b) giant cell arteritis c) polyarteritis nodosa d) hypersensitivity arteritis |
d
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14) Which disease affects medium- and large-sized arteries, more commonly affects female elderly individuals and presents with a
temporal headache, scalp tenderness, facial pain and blurred vision? a) giant cell arteritis b) polyarteritis nodosa c) Raynaud’s phenomenon d) aneurysm |
a
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15) If left untreated, what is the greatest risk of temporal arteritis?
a) stroke b) heart attack c) blindness d) deafness |
c
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16) Which of the following is the most common?
a) thromboangiitis obliterans b) polyarteritis nodosa c) hypersensitivity arteritis d) temporal arteritis |
d
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17) Which of the following is an occlusive, inflammatory disorder that affects arteries in the lower legs, feet, arms and hands and is
primarily seen in men who are heavy smokers? a) Raynaud’s syndrome b) giant cell arteritis c) Buerger’s disease d) hypersensitivity arteritis |
c
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18) In severe cases Buerger’s disease can result in significant lack of blood flow to an area causing the skin to become thin and shiny,
the nails to become thick and malformed, the fingers to become clubbed and tissue to become ulcerative and gangrenous. What may this situation necessitate? a) amputation b) cauterization c) the use of crutches d) surgery |
a
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19) A permanent bulge in the wall of a blood vessel, caused by weakness in the tunica media is known as what?
a) stroke b) aneurysm c) bubble d) heart attack |
b
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20) In what areas of the body do aneurysms most commonly occur?
a) thoracic aortra b) abdominal aorta c) base of the brain d) distal vessels e) all except D |
e
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22) What type of aneurysm presents as excruciating chest pain that is often described as tearing or ripping?
a) fusiform b) saccular c) dissecting d) berry |
c
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23) What type of aneurysm presents with a sudden severe headache?
a) berry aneurysm b) fusiform c) saccular d) dissecting |
a
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24) What artery in an atherosclerotic aneurysm is most commonly affected?
a) abdominal aorta b) common iliac artery c) renal artery d) femoral artery e) A and B |
e A & B
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25) A 75 year old man comes in for a massage as he is having severe back pain that is getting worse. His history is unremarkable other
than longstanding hypertension. He also mentions that he hasn’t had much of an appetite in the last week or so. He disrobes in front of you to show you that there is a lump just above his belly button. What do you do? a) proceed with a low back and abdominal massage b) suggest that he follow-up with his MD to get his blood pressure reduced even more c) call 911, this patient may have an abdominal aortic aneurysm d) send the patient to the emergency room |
c
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26) Which of the following will increase your chances of developing varicose veins?
a) physical inactivity b) obesity c) family history of varicose veins d) being a male e) all except D f) all of the above |
e
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27) Which of the following statements are is FALSE regarding varicose veins?
a) they are very common – affecting roughly ½ of people over age 50 b) abnormally dilated, tortuous veins with competent valves c) can develop in the legs, anus, esophagus and scrotum d) most commonly occur in the legs e) all except C |
b
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28) What type of disorder presents with veins that are red or blue in colour and a tree-branch or spiderweb appearance?
a) varicose veins b) hemorrhoids c) spider veins d) hemangiomas |
c
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29) What are possible complications of varicose veins?
a) stasis dermatitis b) ulcerations c) thrombosis d) edema e) night cramps f) all of the above |
f
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30) An acute infection with inflammation of a lymphatic vessel is called what?
a) lymphadenitis b) lymphangitis c) lymphadenopathy d) lymphedema |
b
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31) Infections that invade the lymph nodes are called what?
a) lymphangitis b) lymphadenitis c) lymphedema d) lymphoma |
b
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32) A local accumulation of fluid due to a compromised lymphatic system is known as what?
a) lymphedema b) lymphoma c) lymphangitis d) lymphadenitis |
a
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33) What type of lymphoma is more common?
a) Hodgkin’s lymphoma b) Non-Hodgkin’s lymphoma |
b
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34) What is the primary symptom of lymphoma?
a) anemia b) fatigue c) weight loss d) night sweats e) painless, nontender swelling of the lymph nodes, especially in the neck, axilla and inguinal areas |
e
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35) Lymphoma is a cancer that affects _______________ whereas leukemia is a cancer that affects____________:
a) lymph nodes; white blood cells b) white blood cells; lymph nodes |
a
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36) What type of cancer affects the myeloid group of white blood cells and is rapidly progressive?
a) acute myelogenous leukemia b) chronic myelogenous leukemia c) acute lymphocytic leukemia d) chronic lymphocytic leukemia |
a
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37) What type of cancer most commonly affects children?
a) acute myelogenous leukemia b) chronic myelogenous leukemia c) acute lymphocytic leukemia d) chronic lymphocytic leukemia |
c
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38) What type of cancer first presents typically as bone pain?
a) acute lymphocytic leukemia b) multiple lymphoma c) multiple myeloma d) acute myelogenous leukemia |
c
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39) What skin condition presents typically on the face, is often present at birth and appears a reddish-purplish raised sore?
a) telangiectasia b) stork-bite c) hemangioma d) birth mark |
c
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40) What skin condition is common in alcoholics and appears as small blood vessels on the skin?
a) telangiectasia b) stork-bite c) hemangioma d) birth mark |
a
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1) A condition which reduces the efficiency of the myocardium through damage or overloading is known as:
a) heart failure b) heart attack c) hypertension d) hypertrophy |
a
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1) Changes in the heart as a result of congestive heart failure include all except
a) reduced force of contraction due to overloading of the ventricle b) increased heart rate c) hypertrophy d) enlargement of the ventricles e) all of the above are expected changes |
e
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1) The ability of the heart to work harder during exercise or strenuous activity is known as
a) cardiac capacity b) cardiac reserve c) contractility d) stroke volume |
b
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1) Another name for ischemic heart disease is what?
a) coronary heart disease b) coronary artery disease c) coronary ischemia d) A and B |
d
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1) What syndromes can result from ischemic heart disease?
a) MI b) Angina c) Chronic ischemic heart disease d) Sudden cardiac death e) All of the above |
e
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1) Which of the following factors predispose one to having an MI?
a) atherosclerosis b) hypertension c) smoking d) diabetes e) all of the above |
e
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1) What type of angina is stress induced and rest reduced?
a) stable b) unstable c) Prinzmetal’s d) None of the above |
a
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1) Hypertensive heart disease is persistently elevated blood pressure that can lead to what?
a) right ventricular hypertrophy b) left ventricular hypertrophy c) cardiac failure d) B and C |
d B&C
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1) Hypertension is a primary disease of the heart. True or false?
a) true b) false |
b
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1) All congential heart defects require surgery. True or false?
a) true b) false |
b
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1) Which of the following is not a general manifestation of a congenital heart defect?
a) cyanosis b) pulmonary vascular disease c) enlargement of the heart d) impaired growth and development e) all of the above are general manifestations |
e
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1) Atrial septal defect results when
a) incomplete closure of the foramen ovale b) non-closure of the ductus arteriosus c) atrial septum fails to form d) narrowing of the aorta |
a
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1) What is the most common congenital heart defect?
a) atrial septal defect b) coarctation of the aorta c) ventricular septal defect d) tetralogy of fallot |
c
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1) All of the following are involved in Tetralogy of Fallot except
a) pulmonary stenosis b) atrial septal defect c) right ventricular hypertrophy d) overriding aorta |
b
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1) A mother brings her 1 month old infant into see you as she is lethargic all the time and the mother is hoping that massage will increase the vitality in her baby. Upon beginning to massage the baby’s legs, you notice that her lips are bluish in colour. What do you do?
a) send the mother to the ER as central cyanosis in an infant is an ominous sign that could mean a congenital heart defect b) continue massaging, assuming the child is cold and wrap her in more blankets c) continue massaging, ask the mother if they have recently been swimming d) say nothing; blue lips are not a concern |
a
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