More CCI practice examines문제

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1. All of the following hemodynamic events b. left atrial 9. The following five structures are activated 4,3,1,5,2
occur post-delivery EXCEPT: pressure during a single cardiac cycle. Rank them in the
a. pulmonary artery blood flow increases decreases normal order of activation.
b. left atrial pressure decreases a. Bundle of HIS
c. pulmonary resistance decreases b. Purkinje fibers
d. foramen ovale flow decreases c. AV node
d. SA node
2. All of the following tend to increase after a. MR
e. left bundle brach
load EXCEPT:
a. MR 10. In a patient with a VSD, which of the following b. mitral
b. AS sites will provide a measure of pulmonic flow? valve
c. ASH a. tricuspid valve
d. hypertension b. mitral valve
c. aortic valve
3. All of the following tend to increase preload c. AS
d. superior vena cava
EXCEPT?
a. MR 11. In the cardiac cell action potential, what phase a. phases 1
b. AI are included in the absolute refractory period? into phase
c. AS a. phases 1 into phase 3 3
d. volume overload b. phase 2 thru 4
c. phase 1 only
4. At what time during fetal growth is the heart c. 40 days
d. phase 2 to the middle of phase 3
first fully developed?
a. 20 days 12. In the normal circulation, what is the value of b. 1
b. 30 days the Qp/Qs ratio?
c. 40 days a. .5
d. 50 days b. 1
c. 1.5
5. The ductus arteriosus connects the pulmonary a. aortic
d. 2
artery and aorta in the fetus. At what site does isthmus
the ductus attach to the aorta? 13. In the normal fetal circulation, which of the d.
a. aortic isthmus following has the least amount of blood flow? pulmonary
b. aortic root a. patent foramen ovale veins
c. sinus of Valsalva b. ductus arteriosus
d. A-V node c. aorta
d. pulmonary veins
6. During the resting state, which of the a. sodium
following ions are pumped out of the cells of 14. On the 30th day, the truncus normally divides. d. truncus
the myocardium? What anomaly occurs if the truncus does not arteriosus
a. sodium divide?
b. potassium a. A-V canal
c. iodine b. muscular VSD
d. magnesium c. transposition of the great vessels
d. truncus arteriosus
7. The fetal ductus arteriosus closes soon after d.
birth? What structure does it become? ligamentum 15. A patients blood pressure is 120/80 mm Hg, c. 5.5
a. coronary sinus arteriosum stroke volume is 80ml, R-R interval is .86 l/min
b. chiari network seconds, heart rate is 70 beats/min, and age is
c. eustachian valve 42 years. What is the patient's cardiac output?
d. ligamentum arteriosum a. 9600 mL/min
b. 3.5 L/beat
8. Following electrical depolarization of the b. sodium
c. 5.5 l/min
myocardial cell membrane, which ions rushes followed
d. 4 l/min
in first, and which ions rushes in later? by calcium
a. potassium followed by sodium
b. sodium followed by calcium
c. calcium followed by calcium
d. potassium followed by calcium
16. The sinus venous forms all of b. pulmonary arteries 22. What is the predominant echo finding a. LV dilatation
the following EXCEPT: associated with increased preload?
a. coronary sinus a. LV dilatation
b. pulmonary arteries b. LA enlargement
c. right atrium c. LV hypertrophy
d. inferior vena cava d. MR
17. The truncus arteriosus forms all a. pulmonary veins 23. When contracting against which of the a. 75 mm Hg
of the following EXCEPT: following pressures will the velocity of
a. pulmonary veins muscle cell contraction be most rapid?
b. carotid artery a. 75 mm Hg
c. pulmonary arteries b. 100 mm Hg
d. ductus arteriosus c. 125 mm Hg
d. 150 mm Hg
18. What are the two right-to-left c. foramen ovale and
shunts in the normal fetal ductus arteriosus 24. Which of the following best describes b. aortic pressure
circulation? after load?
a. ductus arteriosus and primum a. LV end-diastolic pressure
ASD b. aortic pressure
b. VSD and ASD c. ejection fraction
c. foramen ovale and ductus d. LV filling
arteriosus
25. Which of the following best describes a d. RF=50%
d. foramen ovale and VSD
patient with severe MR?
19. What happens to the beat d. the beat is stronger than a. EF=55%
following a premature a typical beat b. RF=25%
ventricular depolarization? c. EF=25%
a. the beat is weaker than a d. RF=50%
typical beat
26. Which of the following best describes b. LV filling
b. the beat is shorter than a
preload?
typical beat
a. left ventricular emptying
c. the beat is similar to a
b. LV filling
typical beat
c. LV systolic pressure
d. the beat is stronger than a
d. ejection fraction
typical beat
27. Which of the following ions helps slow b. potassium
20. What is the Frank-Starling a. the more heart muscle is
heart muscle contraction?
Law? stretched, the more
a. sodium
a. the more heart muscle is forcefully it contracts
b. potassium
stretched, the more forcefully
c. calcium
it contracts
d. magnesium
b. the more heart muscle is
stretched, the faster it 28. Which of the following left-to-right d. patent foramen
contracts shunts is the last to close in the normal ovale, close at
c. the less heart muscle is postpartum period? When does it the end of the
stretched, the more cardiac close? first week
output is stretched a. patent ductus arteriosus, closes in
d. the higher the left atrial the 7th day
pressure, the slower cardiac b. patent foramen ovale, closes in the
muscle contracts 2nd day
c. patent ductus arteriosus, closes in
21. What is the predominant echo c. LV hypertrophy
the 14th day
finding associated with
d. patent foramen ovale, close at the
increased after load?
end of the first week
a. LV dilatation
b. LA enlargement
c. LV hypertrophy
d. MR
29. Which of the following structures is the primary pacemaker of the heart? d. SA node
a. Bundle of HIS
b. Purkinje fibers
c. AV node
d. SA node