NAPLEX Questions: Chronic Heart
Failure
In the US, most cases of heart failure are from one of these two things - Answer-MI or long-standing
hypertension
What does systolic mean? - Answer-Contraction
What is an ECHO? - Answer-Echocardiogram; ultrasound of the heart
An EF of less than __% indicates systolic dysfunction or HFrEF - Answer-40%
HFpEF has an EF of at least __% - Answer-50%
In heart failure, these two labs will be increased - Answer-BNP and NT-proBNP
What are the four general signs and symptoms of heart failure? - Answer-Dyspnea, cough,
fatigue/weakness, reduction in exercise capacity
The ACC/AHA has a HFrEF classification system using letters/numbers - Answer-Letters
, The NYHA has a HFrEF classification system using letters/numbers - Answer-Numbers
What might a stage A HFrEF patient look like? - Answer-At high risk kbut no heart failure
What might a stage B class 1 HFrEF patient look like? - Answer-Structural heart disease without signs or
symptoms
What might a stage C HFrEF patient look like? - Answer-Structural heart disease with prior or current
symptoms
What might a stage D HFrEF patient look like? - Answer-Advanced structural disease with symptoms at
rest despite maximal treatment
What might a stage C class 2 HFrEF patient look like? Class 3? - Answer-Structural disease with slight
limitation; moderate limitation
What might a stage C class 4 heart failure patient look like? - Answer-Structural heart disease with
inability to carry on any physical activity without symptoms of HF
CO= HR x ___ - Answer-SV
CI = CO/ ___ - Answer-BSA
During low cardiac output, neurohormones are released that increase __ or __ - Answer-Blood volume
or force/speed of contractions
Failure
In the US, most cases of heart failure are from one of these two things - Answer-MI or long-standing
hypertension
What does systolic mean? - Answer-Contraction
What is an ECHO? - Answer-Echocardiogram; ultrasound of the heart
An EF of less than __% indicates systolic dysfunction or HFrEF - Answer-40%
HFpEF has an EF of at least __% - Answer-50%
In heart failure, these two labs will be increased - Answer-BNP and NT-proBNP
What are the four general signs and symptoms of heart failure? - Answer-Dyspnea, cough,
fatigue/weakness, reduction in exercise capacity
The ACC/AHA has a HFrEF classification system using letters/numbers - Answer-Letters
, The NYHA has a HFrEF classification system using letters/numbers - Answer-Numbers
What might a stage A HFrEF patient look like? - Answer-At high risk kbut no heart failure
What might a stage B class 1 HFrEF patient look like? - Answer-Structural heart disease without signs or
symptoms
What might a stage C HFrEF patient look like? - Answer-Structural heart disease with prior or current
symptoms
What might a stage D HFrEF patient look like? - Answer-Advanced structural disease with symptoms at
rest despite maximal treatment
What might a stage C class 2 HFrEF patient look like? Class 3? - Answer-Structural disease with slight
limitation; moderate limitation
What might a stage C class 4 heart failure patient look like? - Answer-Structural heart disease with
inability to carry on any physical activity without symptoms of HF
CO= HR x ___ - Answer-SV
CI = CO/ ___ - Answer-BSA
During low cardiac output, neurohormones are released that increase __ or __ - Answer-Blood volume
or force/speed of contractions
