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Practical Session Heart and Vessels Thursday January 6, 2011.
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Practical Session Heart and Vessels
Thursday January 6, 2011
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THURSDAY READINESS QUIZPlease 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.
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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.
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Question No. 101In 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.
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Question No. 101
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Question No. 101In 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.
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Question No. 102Which 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
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Question No. 102
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Question No. 102Which 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
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Question No. 103At what interval following
myocardial infarction is the patient at greatest risk for development of the complication shown here?
A. 0 to 24 hoursB. 4 to 7 daysC. 10 to 14 daysD. after 2 weeksE. after 3 month
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Tues Question 103
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Question No. 103At what interval following myocardial
infarction is the patient at greatest risk for development of the complication shown here?
A. 0 to 24 hoursB. 4 to 7 daysC. 10 to 14 daysD. after 2 weeks
E. after 3 months
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Question No. 104Which 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.
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Question No. 104
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Question No. 104Which 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.
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Question No. 105Which 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.
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Thurs Question 105
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Question No. 105Which of the following is true of the lesion shown
here?A. pulmonary hypertension less common than with
atrial septal defectB. usually manifests as cyanosis from birthC. one of the most common congenital cardiac
anomaliesD. often leads to paradoxical emboli that arrest in
veins of lower extremitiesE. usually manifest by early right-to-left shunt
which later reverses to left-to-right.
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Questions 106 through 110 are not illustrated
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Question No. 106Which valves are most likely to be affected in
rheumatic heart disease?A. aortic and pulmonaryB. aortic and mitralC. aortic and tricuspidD. mitral and tricuspidE. pulmonary and tricuspid
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Question No. 107
The underlying condition associated with Libman-Sacks endocarditis is:
A. Loeffler syndromeB. pancreatic carcinomaC. rheumatic feverD. rheumatoid arthritisE. SLE
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Question No. 108
Which of the following cardiac conditions is associated with alcoholism?
A. dilated cardiomyopathyB. restrictive cardiomyopathyC. hypertrophic cardiomyopathyD. non-bacterial thrombotic endocarditisE. Libman-Sacks endocarditis
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Question No. 109Which of the following is most
characteristically a manifestation of rheumatic heart disease?
A. mitral stenosisB. mitral valve prolapse (floppy valve)C. acute infectious endocarditisD. endocarditis of tricuspid valveE. Libman-Sacks endocarditis
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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 defectB. atrial septal defectC. tetralogy of FallotD. coarctation of aortaE. ductus arteriosus
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This slide is purposely left blank
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• End of Readiness Quiz• After discussion of quiz, OK to take notes.
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Discussion Slides
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