Your-Doctor Multiple Choice Questions (MCQ)

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Category: Cardiology--->Pulmonary Hypertension And Pericardium
Page: 2

Question 6#Print Question

You are managing a patient admitted with worsening heart failure symptoms. She has been diagnosed with idiopathic pulmonary arterial hypertension and receives continuous IV epoprostenol.

Which one of the following is true?

a. An interruption to the infusion can be tolerated for hours
b. Redness around the line infusion site is expected
c. Treatment with this agent would have been started when the patient was in NYHA class III or IV
d. This treatment will not be used in combination with other advanced therapies
e. Ramipril should be considered if the patient is not already on it

Question 7#Print Question

You are invited by your consultant to study data recorded from right heart catheterization.

Which one of the following is true? 

a. The transpulmonary gradient is the difference between mean pulmonary artery pressure (mPAP) and mean pulmonary wedge pressure (mPWP)
b. The pulmonary vascular resistance is the transpulmonary gradient (TPG) multiplied by the cardiac output (CO)
c. Left atrial hypertension is reflected by a pulmonary wedge pressure >20 mmHg
d. A positive pulmonary vasodilator test is indicative of a patient who will always respond to calcium-channel blockade
e. Adenosine is used to assess vasodilatation response

Question 8#Print Question

Which one of the following factors would worry you about a patient with pulmonary arterial hypertension?

a. A six-minute walk distance >380 m
b. Static symptoms
c. MVo2 < 12 mL/min/kg
d. Normal BNP levels
e. Right atrial pressure (RAP) <10 mmHg

Question 9#Print Question

Concerning the treatment of pulmonary hypertension:

a. Pulmonary transplant is never considered
b. Sildenafil is recommended as a treatment for patients with left heart failure
c. A majority of patients are on calcium-channel blockade
d. Sildenafil was originally tried as an anti-anginal
e. Prostanoid preparations are only intravenous

Question 10#Print Question

With respect to pulmonary hypertension patients with congenital heart disease:

a. Pregnancy is well tolerated, making counselling on the topic unnecessary
b. Venesection is recommended to reduce hyperviscosity relating to high hematocrit
c. Eisenmenger syndrome describes reversal of a right to left shunt due to the development of pulmonary hypertension
d. Transthoracic echocardiography inadequately images the upper septum and so sinus venous defects may be missed
e. The six-minute walk test is an infallible measure of disease severity

Category: Cardiology--->Pulmonary Hypertension And Pericardium
Page: 2 of 3