Question 1

A 47- year-old patient with diabetes mellitus type 2 is suspected of having prehypertension.What BP reading would you expect in this patient?

Accepted Answer

A) 118/78 mm Hg 
B) 122/86 mm Hg 
C) 138/90 mm Hg 
D) 142/86 mm Hg 
A) 118/78 mm Hg 
B) 122/86 mm Hg 
C) 138/90 mm Hg 
D) 142/86 mm Hg B

Question 2

What should the medical assistant do if she notes that a patient has an elevated BP?

Accepted Answer

A) Record the first reading for the physician to review. 
B) Check the cuff size to make sure it matches the patient's arm. 
C) Check the BP reading in both arms. 
D) Wait 20 minutes and then recheck the reading. 
E) Both B and C should be done. 
A) Record the first reading for the physician to review. 
B) Check the cuff size to make sure it matches the patient's arm. 
C) Check the BP reading in both arms. 
D) Wait 20 minutes and then recheck the reading. 
E) Both B and C should be done. E

Question 3

The cardinal symptom of myocardial ischemia is angina pectoris.

Accepted Answer

A) True 
 B)False  True

Question 4

You are providing patient education on a transesophageal echocardiogram.What should you include?

Accepted Answer

A) The patient will be asleep during the procedure. 
B) The procedure does not provide as clear a picture as a regular echocardiogram. 
C) The patient will be hospitalized for the procedure. 
D) The patient must swallow the sonogram device. 
A) The patient will be asleep during the procedure. 
B) The procedure does not provide as clear a picture as a regular echocardiogram. 
C) The patient will be hospitalized for the procedure. 
D) The patient must swallow the sonogram device.

Question 5

Contraction of the atria and ventricles is called __________.

Accepted Answer

depolarization
Contr

Question 6

CABG procedures involve the insertion of a flexible catheter into a blocked coronary artery and placement of a stent to maintain the patency of the artery.

Accepted Answer

A) True 
 B)False

Question 7

Nitroglycerin SL tablets should be used immediately if a patient experiences angina.

Accepted Answer

A) True 
 B)False

Question 8

__________ causes pulmonary edema, dyspnea, orthopnea, and tachycardia.

Accepted Answer

Left-sided heart failure
Left-

Question 9

Which statement is true of cyanosis?

Accepted Answer

A) It is caused by hypoxia. 
B) It causes a yellow discoloration of the skin. 
C) It is associated with a hemangioma. 
D) It is a form of atherosclerosis. 
A) It is caused by hypoxia. 
B) It causes a yellow discoloration of the skin. 
C) It is associated with a hemangioma. 
D) It is a form of atherosclerosis.

Question 10

__________ is the part of the electrical conduction process during which the myocardium recovers from the contraction of the atria and ventricles.

Accepted Answer

Repolarization
Repolarization

Question 11

The AV node sends the electrical charge that originated in the right atrium down through the bundle of His, which is located in the interventricular septum.

Accepted Answer

A) True 
 B)False

Question 12

A patient experiencing tachycardia has:

Accepted Answer

A) a heart rate faster than normal 
B) difficulty breathing when lying down 
C) dizzy spells 
D) an irregular heartbeat 
A) a heart rate faster than normal 
B) difficulty breathing when lying down 
C) dizzy spells 
D) an irregular heartbeat

Question 13

Echocardiography is used in the diagnosis of incompetent cardiac valves.

Accepted Answer

A) True 
 B)False

Question 14

Orthostatic hypotension is assessed by taking the patient's BP while the person is standing and then immediately after the patient sits.

Accepted Answer

A) True 
 B)False

Question 15

What is the principal sign of coronary artery disease?

Accepted Answer

A) Damaged heart valves 
B) Inflammation of the blood vessels 
C) Reduction of the blood supply to the myocardium 
D) An irregular heartbeat 
A) Damaged heart valves 
B) Inflammation of the blood vessels 
C) Reduction of the blood supply to the myocardium 
D) An irregular heartbeat

Question 16

Which statement is true about CK levels in a patient with an MI?

Accepted Answer

A) The more severe the cardiac damage, the longer it takes for CK levels to peak. 
B) Levels begin to increase almost immediately after myocardial damage. 
C) CK levels return to normal within 18 hours. 
D) CK levels are not predictive of the extent of cardiac damage. 
A) The more severe the cardiac damage, the longer it takes for CK levels to peak. 
B) Levels begin to increase almost immediately after myocardial damage. 
C) CK levels return to normal within 18 hours. 
D) CK levels are not predictive of the extent of cardiac damage.

Question 17

In BP readings, the contraction phase of the heartbeat is called:

Accepted Answer

A) diastole 
B) systole 
C) tachycardia 
D) pacemaker 
A) diastole 
B) systole 
C) tachycardia 
D) pacemaker

Question 18

Endocarditis can result in permanent damage to the mitral valve.

Accepted Answer

A) True 
 B)False

Question 19

Chronic hypertension may result in left ventricular __________.

Accepted Answer

hypertrophy
Chronic

Question 20

A DVT typically is diagnosed by:

Accepted Answer

A) x-ray films that pick up calcification 
B) Doppler studies that measure the rate of blood flow through a vessel 
C) PT blood tests 
D) troponin levels 
A) x-ray films that pick up calcification 
B) Doppler studies that measure the rate of blood flow through a vessel 
C) PT blood tests 
D) troponin levels

Exam 47: Assisting in Cardiology

A 47- year-old patient with diabetes mellitus type 2 is suspected of having prehypertension.What BP reading would you expect in this patient?

What should the medical assistant do if she notes that a patient has an elevated BP?

The cardinal symptom of myocardial ischemia is angina pectoris.

You are providing patient education on a transesophageal echocardiogram.What should you include?

Contraction of the atria and ventricles is called __________.

CABG procedures involve the insertion of a flexible catheter into a blocked coronary artery and placement of a stent to maintain the patency of the artery.

Nitroglycerin SL tablets should be used immediately if a patient experiences angina.

__________ causes pulmonary edema, dyspnea, orthopnea, and tachycardia.

Which statement is true of cyanosis?

__________ is the part of the electrical conduction process during which the myocardium recovers from the contraction of the atria and ventricles.

The AV node sends the electrical charge that originated in the right atrium down through the bundle of His, which is located in the interventricular septum.

A patient experiencing tachycardia has:

Echocardiography is used in the diagnosis of incompetent cardiac valves.

Orthostatic hypotension is assessed by taking the patient's BP while the person is standing and then immediately after the patient sits.

What is the principal sign of coronary artery disease?

Which statement is true about CK levels in a patient with an MI?

In BP readings, the contraction phase of the heartbeat is called:

Endocarditis can result in permanent damage to the mitral valve.

Chronic hypertension may result in left ventricular __________.

A DVT typically is diagnosed by:

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