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  • Question 1 - The SA and AV nodes are usually supplied by which artery? ...

    Correct

    • The SA and AV nodes are usually supplied by which artery?

      Your Answer: Right coronary artery

      Explanation:

      The right coronary artery supplies the right atrium, right ventricle, SA and AV nodes.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      9.6
      Seconds
  • Question 2 - Which of the following suggests the presence of mitral regurgitation as well as...

    Correct

    • Which of the following suggests the presence of mitral regurgitation as well as mitral stenosis?

      Your Answer: Displaced apex beat

      Explanation:

      Mitral stenosis on its own does not lead to left ventricular dilatation and hence a displaced apex beat. Thus a displaced apex beat is suggestive of mixed mitral disease. The other options occur in mitral stenosis.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      21.2
      Seconds
  • Question 3 - According to Starling's law of the heart: ...

    Incorrect

    • According to Starling's law of the heart:

      Your Answer: Energy of contraction is proportional to the pressure in the left ventricle

      Correct Answer: The extent of the preload is proportional to the end-diastolic volume

      Explanation:

      Frank starlings law describes that an increase in the venous return or the end diastolic volume will cause an increase in the stroke volume/ preload and also cardiac output. It stems from the fact that increased venous return will increase the stretch on the ventricular muscle fibers. The sarcomere will stretch a considerable length that is needed for maximum contraction and the development of tension in the muscle fiber. The greater the venous return the greater the cardiac output. This relationship is directly proportional.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      12.4
      Seconds
  • Question 4 - Vasodilatation of coronary arteries is caused by: ...

    Incorrect

    • Vasodilatation of coronary arteries is caused by:

      Your Answer: None of options provided

      Correct Answer: Hypoxia

      Explanation:

      The heart is highly metabolically active and boasts the highest oxygen consumption by mass of any organ. This demand for oxygen is met by the coronary circulation, which is responsible for delivering blood to the myocardium and represents approximately 5% of cardiac output. Vasodilation may be due to the local effect of hypoxia on coronary vessels, or local metabolic vasodilation, or the activation of β-adrenoceptors or some combination of these mechanisms.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      8.6
      Seconds
  • Question 5 - What type of intercellular connection found between cardiac muscle fibers allow for the...

    Incorrect

    • What type of intercellular connection found between cardiac muscle fibers allow for the spread of excitation from one cell to another?

      Your Answer: Desmosomes

      Correct Answer: Gap junctions

      Explanation:

      The cardiac muscles have gap junctions in-between the cells. They form low resistance passages, which allow ions to diffuse through every muscle fiber rapidly and result in the cardiac muscles functioning as a syncytium, without any protoplasmic bridges involved.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      9.4
      Seconds
  • Question 6 - Catecholamines… ...

    Incorrect

    • Catecholamines…

      Your Answer: Are both positive ionotropic and negative chronotropic

      Correct Answer: Activate adenylyl cyclase

      Explanation:

      Norepinephrine and epinephrine activate or deactivate adenylyl cyclase resulting in a decrease or an increase in the production of cAMP.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      4.6
      Seconds
  • Question 7 - Which of the following is first to rise following myocardial infarction? ...

    Incorrect

    • Which of the following is first to rise following myocardial infarction?

      Your Answer: Troponin I

      Correct Answer: Myoglobin

      Explanation:

      Myoglobin, is a sensitive indicator of muscle injury and is first to rise following MI within two hours but is nonspecific.Troponin and CK-MB both begin to rise approximately three hours after MI. The cardiac troponins T and I which are released within 4–6 hours of an attack of MI and remain elevated for up to 2 weeks, have nearly complete tissue specificity and are now the preferred markers for assessing myocardial damage.Lactate dehydrogenase (LDH) begins to rise approximately 12 hours after MI.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      4.9
      Seconds
  • Question 8 - Impulse conduction through the AV node is slow and depends on the action...

    Incorrect

    • Impulse conduction through the AV node is slow and depends on the action potential produced by which of the following.

      Your Answer: Potassium flux

      Correct Answer: Calcium flux

      Explanation:

      The action potentials in the SA and AV nodes are largely due to Ca2+, with no contribution by Na+ influx.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      6.6
      Seconds
  • Question 9 - The bradycardia that occurs in patients with raised intracranial pressure is a result...

    Incorrect

    • The bradycardia that occurs in patients with raised intracranial pressure is a result of the?

      Your Answer: Autoregulation

      Correct Answer: Cushing reflex

      Explanation:

      When intracranial pressure is increased, the blood supply to RVLM neurons is compromised. This results in an increase in their discharge as a result of hypoxia and hypercapnia. The resultant rise in systemic arterial pressure (Cushing reflex) tends to restore the blood flow to the medulla.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      5.7
      Seconds
  • Question 10 - Which structure forms the major part of the sternocostal surface of the heart?...

    Incorrect

    • Which structure forms the major part of the sternocostal surface of the heart?

      Your Answer: Left ventricle

      Correct Answer: Right ventricle

      Explanation:

      The anterior (sternocostal) surface is formed mainly by the right ventricle.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      3.8
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Cardiovascular (2/10) 20%
Medicine (2/10) 20%
Passmed