Test for self – control 1

1. Heart failure is an ...

1. Incompetence of the heart to provide the body’s requirements at blood circulation during rest

2. Incompetence of the heart to provide the body’s requirements at blood circulation during rest and physical activity

3. Incompetence of the heart to provide the body’s requirements at blood circulation during physical activity

4. Incompetence of patient to hold stable level of blood pressure and pulse rate.

5. Nothing from above

2. Which symptoms characterize LVF?

1. Nocturia, hepatomegaly, nocturnal cough.

2. Dyspnea, chest pain, dry cough.

3. Dyspnea, orthopnea, nocturnal cough.

4. Edema of the lower extremities, hepatomegaly.

5. All from above.

3. Which symptoms characterize RVF?

1. Nocturia, hepatomegaly, nocturnal cough.

2. Edema of the lower extremities, hepatomegaly.

3. Edema of the lower extremities, nocturnal cough

4. Dyspnea, chest pain, dry cough.

5. Nothing from above

4. What symptom does not characterize LVF?

1. Dyspnea

2. Orthopnea

3. Cough

4. Nocturia

5. Edema of the lower extremities

5. What symptom does not characterize RVF?

1. Edema of the lower extremities

2. Hydrotorax

3. Hepatomegaly

4. Ascites

5. Dry cough Dyspnea, chest pain, dry cough.

6. What diseases can lead to heart failure?

1. Arterial hypertension

2. Valvular heart disease

3. Myocardial infarction

4. Cardiomyopathies

5. All from above

7. What are percussion findings at the patients with LVF?

1. The left border of relative heart dullness drifts left

2. The right border of relative heart dullness drifts right

3. The right border of relative heart dullness drifts left

4. Nothing from above

5. Depend on clinical situation

8. What are percussion findings at the patients with RVF?

1. The left border of relative heart dullness drifts left

2. The right border of relative heart dullness drifts right

3. The right border of relative heart dullness drifts left

4. Nothing from above

5. Depend on clinical situation

9. What are auscultation findings at the patients with heart failure?

1. Weakened S1 and S2, S3 gallop

2. Weakened S1 and systolic murmur

3. Depend on disease which lead to heart failure

4. Accented S2 over aorta, diastolic murmur

5. Weakened both sounds

10. What are the lung auscultation findings at the patients with heart failure?

1. Vesicular breathing, basal rales

2. Diminished vesicular breathing

3. Diminished vesicular breathing and crepitation

4. Vesicular breathing and pleural friction rub

5. Nothing from above

Test for self – control 2

11. What BP does patient with heart failure have?

1. Systolic BP decreased, narrow pulse pressure

2. Systolic BP increased, wide pulse pressure

3. Systolic BP normal, increased diastolic BP

4. Depend on clinical situation

5. Nothing from above

12. If patient has heart disease, but ordinary activity does not cause dyspnea, he has…

1. I functional class of HF

2. II functional class of HF

3. III functional class of HF

4. IV functional class of HF

5. Nothing from above

13. If patient has dyspnea on ordinary activity, he has…

1. I functional class of HF

2. II functional class of HF

3. III functional class of HF

4. IV functional class of HF

5. Nothing from above

14. If patient has dyspnea at rest and all activity causes discomfort, he has…

1. I functional class of HF

2. II functional class of HF

3. III functional class of HF

4. IV functional class of HF

5. Nothing from above

15. If less than ordinary activity causes dyspnea at the patient, he hes…

1. I functional class of HF

2. II functional class of HF

3. III functional class of HF

4. IV functional class of HF

5. Nothing from above

16. Ecchocardiography:

1. May indicate the cause of HF

2. Can confirm the presence or absence of LV dysfunction

3. Is the less useful than chest X – ray for recognizing HF

4. a and b

5. All from above

17. Ejection fraction is used to determinate…

1. Cause of the LVF

2. Severity of the LVF

3. Cardiothoracic ratio

4. a and b

5. Nothing from above

18. If patient has ejection fraction 37 % he has…

1. No heart failure

2. Mild LVF

3. Moderate LVF

4. Severe LVF

5. Terminal LVF

19. If patient has ejection fraction 44 % he has…

1. No heart failure

2. Mild LVF

3. Moderate LVF

4. Severe LVF

5. Terminal LVF

20. If patient has ejection fraction 23 % he has…

1. No heart failure

2. Mild LVF

3. Moderate LVF

4. Severe LVF

5. Terminal LVF

Control questions:

1. What is a heart failure?

2. What are causes of heart failure?

3. What are the main symptoms of LVF?

4. What are the main symptoms of RVF?

5. What are findings of physical examination of patients with HF?

6. What are findings of instrumental investigations of patients with HF?

7. What is a classification of HF?

Practical task

1.Revealing and assessment of symptoms and signs of the left and right ventricle failure.

2. Revealing and assessment of functional data at patients with heart failure.

Professor assistant Demchuk A.V.