Accreditatie-vragen

Let op: u kunt de vragen slechts eenmalig beantwoorden.

Voor het beantwoorden van de toetsvragen van de andere delen selecteert u deze pagina.

Klik hier om uw resultaten te bekijken.

Pre-assessment toets 2

Deze toets dient louter ter vergelijking met het resultaat van de post study toets. De antwoorden hebben g??n invloed op het eindresultaat. De pre-assessement toets dient echter wel voorafgaand aan de post study toets te worden beantwoord.

1. 75 year-old female, former smoker, with history of type 2 diabetes treated with diet and arterial hypertension diagnosed 20 years prior currently treated with a combination of Thiazide and Losartan, resulting in good tensional control. An episode of transitory global amnesia occurred last Christmas following diet abuse. For the last month she has experienced exhaustion and feeling a lack of air following slight exercise (going up the stairs, housekeeping.) Arterial pressure is 200/100 mm Hg, and upon auscultation a grade 2/6 protomesosystolic murmur of the second heart sound with regurgitation is found present over the aortic point. Which of the following explorations would be most appropriate in order to treat this patient?

Ambulatory monitoring of arterial pressure.

Coronariography.

Exercise stress test.

Cerebral magnetic resonance imaging.

Catecholamine in blood and urine.

2. Which of the following echocardiogram findings are most likely based on this patient?s medical history?

Apical dyskinesia.

Relaxation abnormality.

Aortic stenosis.

Any or all of the above.

3. Which of the following biochemical markers would be most helpful toward the prognostic stratification of this patient?

B-type natriuretic peptide (BNP).

Creatine kinase-MB fraction (CK-MB).

Glycosylated hemoglobin (HbA1c).

Homocysteine.

Renine/aldosterone results.

4. 40-year old male, exercises regularly, presents during the past month repeated episodes of sharp thoracic pain lasting less than a minute while at rest, coinciding with important stress. Comes to clinic very concerned because an acquaintance passed away recently due to acute myocardial infarction. Which of the following procedures do you think is the best?

Detailed clinical history including family history and cardiovascular risk factors.

Electrocardiogram in order to eliminate the possibility of angina if the results are normal.

Coronariography in order to rule out without reservation coronary heart disease.

Exercise stress test in order to rule out almost completely coronary heart disease.

ECG Holter monitoring in order to discern whether S-T segment alterations exist during pain crisis.

5. A negative exercise electrocardiographic test result:

Allows for diagnosis of significant coronary heart disease.

Specifies that cardiac frequency obtained exceeds the maximal theoretical by 85 %.

Only possesses diagnostic value if the patient presents typical precordial pain.

In addition to electrocardiographic criteria, basal arterial pressure no higher than 20 mm Hg following the exercise is required.

Requires a coronariography in order to confirm diagnosis.

6. The ankle/arm index:

Should be measured in all patients with any sort of atherothrombotic complication.

Predicts evolving cardiovascular complications.

Is determined by bloodless procedure.

Is considered to be pathological when it is under 0.9.

All of the above.

7. The digital multisection tomography:

Only allows the measuring of coronary calcium.

Does not have enough quality to show coronary artery images.

Is indicated to all patients with intermediate probability of ischemic cardiopathy.

It is only indicated in order to ascertain the permeability of aortocoronary grafts.

In addition to availability, its application is restricted due to the high amounts of radiation administered to the patient.

8. Ischemic ictus observed during a diagnostic coronariography is probably a result of:

Left ventricular mural thrombus displacement.

Arterial hypotension.

Vessel spasm due to contrast.

Cholesterol embolism.

Fat embolism.

9. 54 year-old female, with occasional episodes of dizziness and paresthesias of right hand and foot. No previous medical history of tabaquism, diabetes, dyslipidemia, nor any family history of early vasculopathy. Her only pathology is hypothyroidism treated with hormone substitution therapy. Magnetic resonance imaging of the brain was normal, but the magnetic resonance angiogram shows bilateral stenosis of the intracranial vertebral arteries. Which additional procedure can be of special interest?

Lipoprotein(a).

Homocysteine.

HDL-cholesterol.

Genetic study of the angiotensin-converting enzyme.

Apolipoprotein E subtypes analysis.

10. Carotid-artery intima-media layer thickness:

Should be measure systematically in all atherosclerosis patients.

Does not posses any predictive qualities in regards to cardiovascular complications.

Only has diagnostic value for detecting the presence of carotid disease.

Can be a useful procedure towards the detection of silent vasculopathy.

Has the fundamental limitation that it requires arterial punction.

CardioMotief

Accreditatie-vragen

Pre-assessment toets 2

Copyright 2008 EURIN BV