NUR 631 - Exam 3
1. If the patient reports a skipped or missed beat(s), particularly with the sen-
sation that the heart stopped momentarily, this may indicate the presence of
Answer ectopic atrial beats (which are very common and mostly benign) occurring with excessive catteine,
alcohol, or tobacco use
2. In the elderly population, a report of palpitations should prompt what test in
addition to ECG?
Answer TSH level
3. On some occasions, atrial ectopic beats are precursors to (2)
Answer atrial tachycardia or atrial fibrillation
4. Supraventricular arrhythmias occur most commonly in patients with (4)
Answer COPD rheumatic heart disease
valvular dysfunction
hypothyroidism
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,5. Ventricular ectopy is more likely to be caused by cardiac pathology than atrial
ectopy and may lead to sudden death. These are (3)
Answer - premature ventricular contractions
- ventricular tachycardia
- ventricular fibrillation
6. PVCs are very common and, if isolated or asymptomatic, do not require an
extensive workup. However, investigation is indicated if the patient reports that
the palpitations / tachycardia lasted how long?
Answer > 30 seconds
7. All reports of palpitations require which test?
Answer ECG
8. Which test is the best for evaluating the function of the heart?
Answer ECHO
9. What are the associated symptoms of palpitations that require immediate
workup? (5)
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, Answer - chest pain
- diaphoresis
- shortness of breath
- syncope
- extreme fatigue
10. What test are ordered in a full cardiac workup? (8)
Answer ECG, ECHO, Holter Monitor, CBC, Chem 7, Magnesium, Troponins, Thyroid Panel
11. Untreated peripheral artery disease may lead to (4)
Answer - gangrene
- limb amputation
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1. If the patient reports a skipped or missed beat(s), particularly with the sen-
sation that the heart stopped momentarily, this may indicate the presence of
Answer ectopic atrial beats (which are very common and mostly benign) occurring with excessive catteine,
alcohol, or tobacco use
2. In the elderly population, a report of palpitations should prompt what test in
addition to ECG?
Answer TSH level
3. On some occasions, atrial ectopic beats are precursors to (2)
Answer atrial tachycardia or atrial fibrillation
4. Supraventricular arrhythmias occur most commonly in patients with (4)
Answer COPD rheumatic heart disease
valvular dysfunction
hypothyroidism
1/
21
,5. Ventricular ectopy is more likely to be caused by cardiac pathology than atrial
ectopy and may lead to sudden death. These are (3)
Answer - premature ventricular contractions
- ventricular tachycardia
- ventricular fibrillation
6. PVCs are very common and, if isolated or asymptomatic, do not require an
extensive workup. However, investigation is indicated if the patient reports that
the palpitations / tachycardia lasted how long?
Answer > 30 seconds
7. All reports of palpitations require which test?
Answer ECG
8. Which test is the best for evaluating the function of the heart?
Answer ECHO
9. What are the associated symptoms of palpitations that require immediate
workup? (5)
2/
21
, Answer - chest pain
- diaphoresis
- shortness of breath
- syncope
- extreme fatigue
10. What test are ordered in a full cardiac workup? (8)
Answer ECG, ECHO, Holter Monitor, CBC, Chem 7, Magnesium, Troponins, Thyroid Panel
11. Untreated peripheral artery disease may lead to (4)
Answer - gangrene
- limb amputation
3/
21
