Question 1

A male smoker presents with pain in his extremities after exercise. He also complains of color changes in his digits when exposed to cold. Which of the following diseases need to be ruled out before considering a diagnosis of Buerger's disease?

Accepted Answer

A) Systemic lupus erythematosus, diabetes, hypercoagulable conditions, scleroderma 
B) Bleeding disorders, dyslipidemia, systemic lupus erythematosus 
C) Bleeding disorders, diabetes, hypertension, vasculitis 
D) Hypercoagulable states, disorders of lipid metabolism, polyarteritis nodosa

Question 2

Which systemic complications are associated with peripheral thromobolectomy?

Accepted Answer

A) Vessel vasospasm, hematoma formation, compartment syndrome 
B) Renal failure, rhabdomyolysis, vessel vasospasm, hemorrhage 
C) Edema, hyperkalemia, cardiac arrhythmia, renal failure, rhabdomyolysis 
D) All of the above

Question 3

An adolescent boy presents with complaints of chest pain which increases on coughing and deep breathing. During auscultation, the nurse finds that heart sounds are muffled. What is the most likely cause of his condition?

Accepted Answer

A) Dressler syndrome 
B) Aortic dissection 
C) Myocardial infarction 
D) Viral infection

Question 4

What is measured on an EKG by the horizontal squares?

Accepted Answer

A) Q wave 
B) R wave 
C) Duration 
D) Voltage

Question 5

Which of the following non-pharmacologic techniques is not used for treatment of maladaptive responses to coping?

Accepted Answer

A) Cognitive restructuring 
B) Cognitive behavioral therapy 
C) Electroconvulsive therapy and/or light therapy 
D) Psychotherapy

Question 6

What is a Wenckebach AV block?

Accepted Answer

A) A delay in the conduction of the impulse through the AV junction 
B) Increasingly difficult AV node conduction showing a P wave not followed by a QRS complex on EKG 
C) A delayed AV conduction at the bundle braches 
D) No conduction of impulse from the atria to the ventricles

Question 7

A patient of peripheral arterial disease is being released from hospital. What advice should be given by the nurse about foot care?

Accepted Answer

A) Wash and moisturize feet daily; wear thick socks and comfortable shoes 
B) Clean the foot by rubbing with pumice stone 
C) Clean feet using soft scrubber and keep dry 
D) Clean feet and regularly walk barefoot in morning

Question 8

What is the normal polarity of a myocardial cell during the resting period, which causes the electrical potential in for the cell?

Accepted Answer

A) Positively charged 
B) Negatively charged 
C) Outside the cell membrane is negatively charged, inside is positively charged 
D) Inside the cell membrane is negatively charged, outside is positively charged

Question 9

A patient is being released from hospital after improving from familial congestive heart failure. His son was anxious to know if the disease can be prevented by lifestyle modification or prophylactic medications. What advice should the attending nurse give him?

Accepted Answer

A) Avoid alcohol and smoking, maintain proper blood pressure, reduce salt and fluid intake, and maintain an active lifestyle 
B) Treatment of co-morbidities is sufficient to prevent progression of disease 
C) Avoiding alcohol and smoking and diet containing low sodium and fat are enough 
D) Nothing needs to be done except for maintaining an active lifestyle

Question 10

The nurse receives the blood test reports for a patient who was admitted to hospital with complaints of chest pain. The report shows an elevated level of CKMB. What does this report signify in this patient?

Accepted Answer

A) Damage to myocardium 
B) Damage to intercostals muscles 
C) Liver damage 
D) None

Question 11

Which of the following investigations is useful in differentiating intermittent claudication due to arterial disease and neurogenic claudication?

Accepted Answer

A) Real-time Duplex scanning 
B) Doppler flow studies 
C) Digital subtraction angiography scan 
D) All of above

Question 12

What is the test function of Holter EKG monitoring?

Accepted Answer

A) Monitors blood glucose level throughout the day 
B) Radioactive dye is injected to show abnormalities in the EKG 
C) Measures the vasodilation of the major vessels of the heart and shows them on the EKG 
D) Tracks abnormalities on EKG as they occur throughout the day

Question 13

A patient presents with acute Arterial Occlusion of one of his upper limbs. Which of the following drugs should the nurse prepare to administer to the patient?

Accepted Answer

A) Streptokinase 
B) Heparin 
C) Warfarin 
D) Urokinase

Question 14

In what part of the heart do cardiac impulses originate?

Accepted Answer

A) SA node 
B) AV node 
C) Bundle of His 
D) Left atrium

Question 15

What are the contraindications of percutaneous transluminal angioplasty of the lower extremity?

Accepted Answer

A) Hypertensive patients of poor ventricular function 
B) Patients having dyslipidemia 
C) Medically unstable, diabetic patient, long arterial occlusion, poor distal run off 
D) Patient who has undergone coronary angioplasty

Question 16

Which of the following is used to assess coronary artery calcium?

Accepted Answer

A) Electron beam computed tomography 
B) Radionuclide ventriculography 
C) Single photon emission computed tomography 
D) Radionuclide scintigraphy

Question 17

Which of the following set of diseases is associated with valvular heart disease?

Accepted Answer

A) Systemic lupus erythematosus, syphilis, Marfan syndrome, carcinoid syndrome 
B) Amyloidosis, Tuberculosis, Sjogren syndrome 
C) Ankylosing spondylitis, Leprosy 
D) Rheumatic fever, collagen vascular disease

Question 18

What electrolyte abnormality causes an ST depression with prominent U waves and flattened T waves?

Accepted Answer

A) Hyperkalemia 
B) Hypokalemia 
C) Hypocalcemia 
D) Hypercalcemia

Question 19

What are some causes of a third-degree AV block?

Accepted Answer

A) Certain drugs, such as quinidine and atropine 
B) Age, digitalis intoxication, or myocardial infarction 
C) Heart disease and damage from uncontrolled diabetes mellitus 
D) Hypertension, coronary artery disease, and cardiomyopathy

Question 20

What is the measurement provided by the PR interval on an EKG?

Accepted Answer

A) The time needed for the impulse to spread through the ventricles and pass through the SA node 
B) The time needed for the impulse to spread through the atria and pass through the SA node 
C) The time needed for the impulse to spread through the ventricles and pass through the AV junction 
D) The time needed for the impulse to spread through the atria and pass through the AV junction

Exam 1: Free CSC