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*Heart and circulation. Examination of the heart and heart circulation. Coronary heart disease *3*12*1*

#49

*!Chest pain or discomfort (angina) is the most common symptom. You feel this pain when the heart is not getting enough blood or oxygen. It may feel heavy or like someone is squeezing your heart. You feel it under your breast bone (sternum), but also in your neck, arms, stomach, or upper back. The pain usually occurs with activity or emotion. Other symptoms include shortness of breath and fatigue with activity (exertion).

What is this passage about?

*Angina

*Discomfort

*+Symptoms

*Pain

*Heart

#50

*!Aspirin. Taking a small (75 mg) daily dose of aspirin makes your blood less likely to form clots in your coronary arteries and reduces your risk of having a heart attack. Statins. These drugs help to lower your cholesterol levels and so slow down the process of atherosclerosis. Beta-blockers. These drugs slow your heart rate and reduce the pumping power of the heart. This reduces your heart's demand for oxygen. Beta-blockers also widen blood vessels helping to lower blood pressure.

What title is the most suitable one for this passage?

*+Medication

*Aspirin

*Statins

*Beta-blockers

*Atherosclerosis

#51

*!Angioplasty (also known as percutaneous coronary intervention or PCI). In this operation a collapsed balloon is threaded through the blood vessels until it reaches the arteries of the heart. The balloon is inflated to widen the narrowed coronary artery. A stent (flexible mesh tube) is sometimes inserted to help keep the artery open afterwards. The stent sometimes releases a drug that helps to keep the blood vessel open.

What is this passage about?

*Angiotomy

*Angiostenosis

*+Angioplasty

*Angiosclerosis

*Angiomalacia

#52

*!In coronary artery bypass graft, the surgeon takes a piece of blood vessel from your leg or chest and uses it to bypass the narrowed coronary arteries. The bypass provides the heart with more blood. This is open-heart surgery and requires a longer stay in hospital.

What title is the most suitable one for this passage?

*Blood vessel

*Surgeon functions

*+Artery bypass

*Artery graft

*Heart disease

#53

*!The origin of the disease, a more or less prolonged period of bacteremia, which may be associated with both the focus of infection in the body (tonsillitis, periodontitis, boil), and with surgery, catheterization, tooth extraction, bronchoscopy, intravenous administering medicines or drugs et al. The process is localized mainly on previously modified valves layering on existing heart defects: congenital, rheumatic, or earlier prosthetic valves.

What title is the most suitable one for this passage?

*Pathogenesis

*Symptoms

*+Etiology

*Signs

*Manifestations

#54

*!Death of or damage to part of the heart muscle due to an insufficient blood supply. Heart attacks occur when one of the coronary arteries that supply blood to the heart muscle is blocked. Blockage is usually caused from a buildup of plaque (deposits of fat-like substances) due to atherosclerosis. If a plaque deposit tears or ruptures, a blood clot may form and block the artery, causing a heart attack.

What title is the most suitable one for this passage?

*Angina pectoris

*Atherosclerosis

*+Heart attack

*Heart blockage

*Blood supply

#55

*!Depending on the results of the physical exam, your doctor may suggest one or more diagnostic tests, including: Blood tests. Lab tests can detect increased levels of cholesterol and blood sugar that may increase the risk of atherosclerosis. You'll need to go without eating or drinking anything but water for nine to 12 hours before your blood test. Your doctor should tell you ahead of time if this test will be performed during your visit.

Which title is the most suitable to this passage?

*Definition of atherosclerosis

*Prevention of atherosclerosis

*Treatment of atherosclerosis

*+Diagnostics of atherosclerosis

*Symptoms of atherosclerosis

#56

*!Vitamins are widely used in the treatment of atherosclerosis because some of them improve the metabolic processes and others dilate the vessels, particularly the peripheral ones.

Other drugs administered in treating atherosclerosis are the so-called lipotropic substances, which prevent fat from accumulating in the organism. Since the nervous system affects the metabolic processes in the human body the patients with atherosclerosis are prescribed such drugs as bromide and valerian to improve its general condition.

Which title is the most suitable to this passage?

*Definition of atherosclerosis

*Prevention of atherosclerosis

*+Treatment of atherosclerosis

*Causes of atherosclerosis

*Symptoms of atherosclerosis

#57

*!While listening to the patient’s heart the doctor found a soft systolic murmur to be heard at the heart apex. These symptoms were accompanied by diastole murmur heard at the apex and base of the heart. The doctor estimated the murmurs to be varying in their intensity and duration.

Which title is the most suitable one to this passage?

*+Physical examination

*Visual examination

*Instrumental studies

*Laboratory studies

*X-Ray examination

#58

*!The patient with the diagnosis of rheumatic endocarditis was treated at the in-patient department. He was administered antibiotic therapy to eliminate the primary focus of infection.  He was recommended diet to be nourishing and containing many vitamins.

Which title is the most suitable one to this passage?

*Causes o of rheumatic endorcarditis

*Diagnosis of rheumatic endorcarditis

*Protection of rheumatic endorcarditis

*Symptoms of rheumatic endorcarditis

*+Treatment of rheumatic endorcarditis

#59

*!The patient with the diagnosis with rheumatic endocarditis was treated at the in patient department. He was administered antibiotic therapy to eliminate the primary focus of infection. He was also administered Adonis preparation to control cardiovascular insufficiency. The preparations of Adonis were administered in the dosage of a tablespoonful three times a day.

Which title is the most suitable one to this passage?

*Causes o of rheumatic endorcarditis

*Diagnosis of rheumatic endorcarditis

*Prevention of rheumatic endorcarditis

*Symptoms of rheumatic endorcarditis

*+Treatment of rheumatic endorcarditis

#60

*!A heart attack occurs if the flow of oxygen-rich blood to a section of heart muscle is cut off. This can happen if an area of plaque in a coronary artery ruptures (breaks open).If a clot becomes large enough, it can mostly or completely block blood flow through a coronary artery. This heart damage may not be obvious, or it may cause severe or long-lasting problems.

Which title is the most suitable one to this passage?

*Aetiology of a heart attack

*Diagnosis of a heart attack

*Prevention of a heart attack

*Symptoms of a heart attack

*+Pathogenesis of a heart attack