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Which of the following is a cause of high output heart failure?  (A) pulmonary emphysema  (B) mitral stenosis  (C) ventric...
The most frequent cause of pure right-sided heart failure is  (A) congenital heart disease  (B) ischemic heart disease  (C...
Which of the following is most often complicated by pure right-sided heart failure?  (A) congenital heart disease  (B) isc...
A 50-year-old man is admitted for congestive heart failure.  He has no history of chest pain or ethanol abuse.  On physica...
Left-sided heart failure frequently leads to right-sided heart failure because  (A) the basic underlying disease usually a...
<ul><li>Heart failure cells are </li></ul><ul><li>atrophic myocytes </li></ul><ul><li>(B) hypertrophied myocytes </li></ul...
Chronic passive congestion of the liver most often results from  (A) right heart failure  (B) liver cirrhosis  (C) hepato-...
&quot;Nutmeg liver&quot; is a descriptive term for liver changes due to  (A) petechial hemorrhages  (B) toxic hepatitis  (...
Heart failure cells are  (A) degenerating endocardial cells  (B) hemosiderin-laden alveolar macrophages  (C) hypertrophied...
The most conspicuous feature of right-sided heart failure is  (A) brown induration of the lung  (B) lower extremity edema ...
Assuming that the heart on the right is normal, which of the following is most likely associated with the heart on the lef...
A 67-year-old man developed increasing shortness of breath over a three day period. His neighbor drove him to the emergenc...
A 65-year-old man with a long history of congestive heart failure is found on chest x-ray to have diffuse, fluffy pulmonar...
Edema fluid in the lung is primarily removed by  (A) phagocytosis  (B) lymphatic drainage  (C) coughing  (D) reabsorption ...
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board review - CHF.ppt

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board review - CHF.ppt

  1. 1. Which of the following is a cause of high output heart failure? (A) pulmonary emphysema (B) mitral stenosis (C) ventricular aneurysm (D) hypothyroidism (E) arterio-venous fistula
  2. 2. The most frequent cause of pure right-sided heart failure is (A) congenital heart disease (B) ischemic heart disease (C) pulmonary disease (D) liver disease (E) renal disease
  3. 3. Which of the following is most often complicated by pure right-sided heart failure? (A) congenital heart disease (B) ischemic heart disease (C) chronic lung disease (D) systemic hypertension (E) rheumatic heart disease
  4. 4. A 50-year-old man is admitted for congestive heart failure. He has no history of chest pain or ethanol abuse. On physical examination he has a blood pressure of 190/120 mm Hg, mild hepatosplenomegaly, and no cardiac murmur. The heart failure is most likely due to (A) aortic stenosis (B) cardiomyopathy (C) hypertension (D) myocardial infarct (E) pulmonary emboli
  5. 5. Left-sided heart failure frequently leads to right-sided heart failure because (A) the basic underlying disease usually affects both chambers of the heart (B) poor perfusion of the right coronary artery results from left ventricular failure (C) enlargement of the left ventricle partially obstructs pulmonary outflow (D) increased pulmonary arterial pressure strains the right ventricle
  6. 6. <ul><li>Heart failure cells are </li></ul><ul><li>atrophic myocytes </li></ul><ul><li>(B) hypertrophied myocytes </li></ul><ul><li>(C) macrophages containing ceroid </li></ul><ul><li>(D) macrophages containing hemosiderin </li></ul><ul><li>(E) macrophages containing lipofuscin </li></ul>
  7. 7. Chronic passive congestion of the liver most often results from (A) right heart failure (B) liver cirrhosis (C) hepato-renal failure (D) left heart failure (E) portal hypertension
  8. 8. &quot;Nutmeg liver&quot; is a descriptive term for liver changes due to (A) petechial hemorrhages (B) toxic hepatitis (C) viral hepatitis (D) chronic passive congestion (E) active hyperemia
  9. 9. Heart failure cells are (A) degenerating endocardial cells (B) hemosiderin-laden alveolar macrophages (C) hypertrophied myocardial cells (D) necrotic myocardial cells (E) stimulated pericardial cells
  10. 10. The most conspicuous feature of right-sided heart failure is (A) brown induration of the lung (B) lower extremity edema (C) mitral stenosis (D) pulmonary edema (E) hypertension
  11. 11. Assuming that the heart on the right is normal, which of the following is most likely associated with the heart on the left? (A) elevated MB fraction of serum CK (B) history of intravenous drug abuse (C) hypertension (D) mitral valve stenosis (E) uremia
  12. 12. A 67-year-old man developed increasing shortness of breath over a three day period. His neighbor drove him to the emergency department where a chest x-ray revealed fluffy pulmonary infiltrates, a partially calcified, rounded density in the right upper lobe, and bilateral pleural effusions. Aspiration of some of the pleural fluid showed a specific gravity of 1.006. Of the following, the effusion is most likely due to (A) congestive heart failure (B) lung cancer (C) pneumonia with pleural involvement (D) rupture of the thoracic duct into the pleural cavity (E) tuberculosis with pleural involvement
  13. 13. A 65-year-old man with a long history of congestive heart failure is found on chest x-ray to have diffuse, fluffy pulmonary infiltrates interpreted as pulmonary edema, a fluid level at the base of the right pleural cavity, and an ill-defined density in the upper lobe of right lung. Aspirated fluid from the right pleural cavity has a specific gravity of 1.006. The best explanation of the fluid accumulation is (A) hypoalbuminemia (B) lymphatic obstruction within the lung (C) acute bacterial pneumonia (D) increased pulmonary venous pressure (E) lung cancer
  14. 14. Edema fluid in the lung is primarily removed by (A) phagocytosis (B) lymphatic drainage (C) coughing (D) reabsorption into capillaries (E) passive drainage

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