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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 />

d) Myxoma<br />

e) Teratomas of the pericardium<br />

2) Along with lymphoma and sarcoma, which of the following primary cardiac tumors is<br />

malignant<br />

a) Myxoma<br />

b) Rhabdomyoma<br />

c) Mesothelioma<br />

d) Lipoma<br />

e) Fibroma<br />

3) A 45-year-old woman presents with fever and malaise. After auscultation the clinician<br />

is suspicious of rheumatic heart disease. However, echocardiography reveals a myxoma.<br />

Which of the following best describes how the tumor could simulate rheumatic disease<br />

a) Left atrial myxoma plops over and obstructs mitral valve during diastole<br />

b) Right myxoma plops over and obstructs tricuspid valve during diastole<br />

c) Left ventricular myxoma obstructs aortic valve outflow during systole<br />

d) Right ventricular myxoma obstructs pulmonic valve outflow during systole<br />

4) A patient presents with intermittent flushing of the skin, cramps, nausea, vomiting, and<br />

diarrhea. Auscultation reveals isolated tricuspid stenosis. The clinician suspects carcinoid<br />

tumors, which are endocrine in nature. Thus, the clinician asks for a urine sample to test<br />

for metabolites of which of the following, which correlates to the severity of right heart<br />

lesions<br />

a) Histamine<br />

b) Serotonin<br />

c) Prostaglandins<br />

d) Dopamine<br />

e) Epinephrine<br />

5) What is the most common finding in heart disease of rheumatoid arthritis<br />

a) Mitral valve stenosis<br />

b) Mitral valve insufficiency<br />

c) Aortic root stenosis<br />

d) Aortic valve cusp thickening<br />

e) Fibrous pericarditis<br />

Cardiology #18 – Diseases of the Pericardium<br />

1) The parietal layer of the pericardium adheres to the heart.<br />

a) True<br />

b) False, the visceral layer adheres to the heart<br />

2) Which of the following is NOT a function of the pericardium<br />

a) Prevents spread of infection<br />

b) Cools the heart during pumping work<br />

c) Prevents extreme dilation of the heart<br />

d) Limits motion of the heart<br />

3) Which of the following is NOT often associated with pulsus paradoxus being<br />

increased > 10mmHg, with a slight shift in the intraventricular septum to the left<br />

a) COPD<br />

b) Hypovolemic shock<br />

<strong>Version</strong>: 16Oct2008 Page 50 of 60

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