1. The characteristic feature that differentiate left ventricle from right ventricle. ---no moderator band 2.

Defined as the pressure generated in myocardium during ventricular contraction ---cardiac work 3. The amount of o2 utilized by the myocardium as work increase, O2 demand: ---increase 4. Specialized cardiac muscle cell @ junction between superior vena cava & right atrium ---SA node 5. What is the physiologic property that is best developed in the purkinje? ---chronotropic 6. Autorhythmicity is best developed in nudal tissue because they ---more permeable to ca ions 7. Starlings law of the heart ---the > the stretch of the ventricular myocardium, the > the force of contraction 8. Which is the most likely mechanism of action of digoxin? ---inhibition of Na-K ATPase 9. Which of the ff is true about glycosides: a. poor aral GIT b. IV is preffered c. life 6-8 hours d. renal 10. These is least likely the adverse effect cardiac glycosides: a. yellow version/halos b. n/v c. arrhythmia ----oliguria 11. 55 y/o diagnosed CHF, hypertension & bronchial asthma ---propanolol 12. One of the ff is a potassium sparing diuretic ---spironolactone (amiloride, triamterene) 13. most effective in treating symptomatic in moderate to severe CHF ---digoxin 14. What drug inhibits the binding of angiotension II to its receptor? a. captopril

15. a. muscular wall tension b. venous tension c. ventricular ejection fraction d. pulmonary vein distention 16. AP complained of dyspnea. Patients finding reveal: thin, sthenic in mild respi-distress, breath sounds, diagnosis of emphysema is most likely chest x-ray reveals: a. hyperinflation b. cardiomegaly c. interstitial edema d. pleural effusion 17. 58 y/o chromic dyspnea, pertinent finding clubbing of fingers, dry rates, fibrousreticular? ---interstitial lung disease 18. 35% 19. Mang Nestor 55yo, has CHF and emphysema which test best determines Left ventricular enjection fraction? ---radionucleid angiogram 20. EC, a 60 y/o man has a 90 pack/yr history of smoking. For the past 5 yrs, he has had a productive cough with copious amounts of mucous sputum. He is currently diagnosed with pneumonia. He is experiencing exertional dyspnea. a. Congestive heart failure b. Chronic bronchitis c. Emphysema d. CB asthma 21. Which of the ff chest x-ray results correlate with your diagnosis of EC? a. left ventricular hypertrophy b. right c. hyper inflated lungs d. pulmonary vein distension 30. Which of the ff drugs may cause thrombocytopenia a. metropolol b. heparin c. lidocaine d. nitroglycerin 31. Drug that can cause life threatening bradyarythmias: a. heparin b. lidocaine c. metoprolol d. nitroglycerin

32. Which of the ff is true of the management of the acute MI? a. 1V heparin b. IV lidocaine c. Nitrates are given parenterally in hypotensive pts. d. Beteblockers are not given in Acute MI 33. A pt suddenly develops wheals of rashes after taking ampicillin? What type of sensitivity? a. type 1 b. type 11 c. type 11 d. type 1V 34. Which of the ff. is a feature of acute myocardial infarction? a. retrosternal pain relieved by nitroglycerin b. elevated senim CPK. Mb after 8 days c. ST elevation followed by Q wave formation then T wave inversion d. precipitated by activity 35. sequence of events that takes place in acute MI I - exposure of pHs to subendothelial collagen II sudden change in morphology of plaque III- pHadlesion, aggregation, activation IV- coronary lumen occlusion by thrombus V- activation of extensive path way a. I-II-V-III-IV b. II-I-III-V-IV c. I-III-IV-II-V d. I-V-III-IV-II 36. smoker 37. Dyspnea 38. Chest pain 39. Neck vein engorgement 40. Rales 41. Killips classification 43. What is the most specific test for myocardial damage? a. troponin test b. creatine kinase test c. lactic dehydrogenase test d. myoglobin test 44. Which of these medications should be given to the patients post MI to reduce mortality & decrease ventricular abnormalities?

a. beta blockers b. anti-platelet therapy c. statins d. ACE inhibitors 45. What is true regarding AMI? a. accumulation of breakdown products b. myofibrillar relaxation & mitochardial swelling c. sarcoplasmic eusinophilia d. beta blocker is.. 46. Which of the ff is a feature of acute myocardial infarction? a. ST elevation followed by Q wave formation then T wave inversion 47. Mr. Sanchez STEMI, LV, LA, septum. a. right posterior descending b. right anterior descending c. LCA d. LAD 48. Most effective during systole a. epicardium b. myocardium d. endocardium 50. Viral load >3000= check for anti-retroviral therapy 51. Appropriate inclination of a px in supine position in getting the SUP a. 30 degrees b. 45 c. 90 d. 15 53. coincides with carotid upswing a. s1 b. s2 c. s3 d. s4 55. Which coronary vessels supplies SA mode a. branch of the LAD b. branch of the RAD coronary artery c. marginal branch of RCA 56. Blood supply of SA node 57. myocardial necrosis a. P wave b. Q wave

c. R wave d. T wave 58. The patient has inferior wall infarct. The most likely arrhythmia to watchout for is a. Bradyarrythmia b. B. vent. Fibrillation c. Av nodal block d. Atrial arrythmia