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Part 3 Quiz Version - Sinoe medical homepage.

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Cardiology – <strong>Part</strong> 3<br />

<strong>Quiz</strong><br />

4) The polymorphic ventricular tachycardia Torsade de Pointed (TdP), or “twisting of the<br />

points,” is associated with all of the following EXCEPT<br />

a) Class Ia antiarrhythmics<br />

b) Class III antiarrhythmics<br />

c) Hypokalemia<br />

d) Magnesium supplements<br />

e) Long QT syndrome<br />

5) What is the strongest independent predictor of sudden cardiac death in patients who<br />

have previously suffered a myocardial infarction (indication for an ICD)<br />

a) Left ventricular dysfunction with ejection fraction < 30%<br />

b) Right ventricular dysfunction with ejection fraction < 30%<br />

c) Aortic stenosis with blood pressure > 140mmHg systolic<br />

d) Pulmonary hypertension with blood pressure > 140mmHg systolic<br />

e) Ventricular dyssynchrony with heart rate > 100 beats per minute<br />

6) Along with angiotensin converting enzyme (ACE) inhibitors, what type of medications<br />

have been proven to reduce the risk of sudden cardiac death as well as total mortality<br />

(25% reduction) in survivors of myocardial infarction<br />

a) NSAIDs<br />

b) Class Ia antiarrhythmics<br />

c) Class III antiarrhythmics<br />

d) Beta-blockers<br />

e) Calcium-channel blockers<br />

7) Which of the following causes of sudden cardiac death in patients without structural<br />

cardiac pathology accounts for 90% of long QT syndrome cases<br />

a) Romano-Ward syndrome<br />

b) Wolff-Parkinson-White syndrome<br />

c) Lown-Ganong-Levine syndrome<br />

d) Brugada syndrome<br />

e) Jervell-Lange-Nielsen syndrome<br />

Cardiology #6 – Electrophysiologic Interventional Procedures & Surgery<br />

1) Which of the following is NOT a common correctable cause for symptomatic<br />

bradycardia which should be excluded prior to the implantation of a permanent cardiac<br />

pacemaker<br />

a) Hypothyroidism<br />

b) Beta-adrenergic blocker use<br />

c) Calcium-channel blocker use<br />

d) Alternating bundle branch block<br />

e) Digitalis overdose or antiarrhythmic drug use<br />

2) Which of the following is NOT true regarding the use of electrical cardioversion<br />

a) Requires defibrillator pads and ECG monitoring leads for synchronization<br />

b) For patients with atrial fibrillation, 3 weeks of anticoagulation is needed<br />

c) Should be avoided in digitalis toxicity due to post shock arrhythmias<br />

d) Is an elective treatment option for supraventricular tachycardia (SVT)<br />

e) Is the treatment of choice for ventricular fibrillation (VF) and pulseless<br />

ventricular tachycardia (VT)<br />

<strong>Version</strong>: 16Oct2008 Page 10 of 60

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