Cardiovascular Certification Exam
Review A+ Guide Question and Answers
Systolic Heart Faiure - correct answer ✅✅The left ventricle loses its ability
to contract normally. The heart can't pump with enough force to push enough
blood into circulation.
Diastolic Heart Faiure - correct answer ✅✅The left ventricle loses its
ability to relax normally (because the muscle has become stiff). The heart
can't properly fill with blood during the resting period between each beat.
Right-sided heart failure - correct answer ✅✅Right-sided or right
ventricular (RV) heart failure usually occurs as a result of left-sided failure.
When the left ventricle fails, increased fluid pressure is, in effect, transferred
back through the lungs, ultimately damaging the heart's right side. When the
right side loses pumping power, blood backs up in the body's veins. This
usually causes swelling in the legs and ankles.
Janeway lesion (description) - correct answer ✅✅non-tender, small
erythematous or haemorrhagic macular or nodular lesions on the palms or
soles only a few millimeters in diameter
Janeway lesions (diagnosis) - correct answer ✅✅infective endocarditis
Anterior STEMI leads - correct answer ✅✅I, aVL, V1-V6
Lateral STEMI leads - correct answer ✅✅I, aVL, V5-V6
Inferior STEMI leads - correct answer ✅✅II, III aVF
Right Ventricle STEMI leads - correct answer ✅✅V1 and V4R
III > II
, Cardiovascular Certification Exam
Review A+ Guide Question and Answers
Posterior STEMI - correct answer ✅✅V7, 8, and 9
Anterior STEMI artery blocked... - correct answer ✅✅LAD
Lateral STEMI artery blocked... - correct answer ✅✅LCX or MO
Inferior STEMI artery blocked... - correct answer ✅✅RCA
Posterior STEMI artery blocked... - correct answer ✅✅RCX
NYHA Class I Heart Failure - correct answer ✅✅Patients with cardiac
disease but resulting in no limitation of physical activity. Ordinary physical
activity does not cause undue fatigue, palpitation, dyspnea or anginal pain.
NYHA Class II Heart Failure - correct answer ✅✅Patients with cardiac
disease resulting in slight limitation of physical activity. They are comfortable
at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea or
anginal pain.
NYHA Class III Heart Failure - correct answer ✅✅Patients with cardiac
disease resulting in marked limitation of physical activity. They are
comfortable at rest. Less than ordinary activity causes fatigue, palpitation,
dyspnea or anginal pain.
NYHA Class IV Heart Failure - correct answer ✅✅Patients with cardiac
disease resulting in inability to carry on any physical activity without
discomfort. Symptoms of heart failure or the anginal syndrome may be
Review A+ Guide Question and Answers
Systolic Heart Faiure - correct answer ✅✅The left ventricle loses its ability
to contract normally. The heart can't pump with enough force to push enough
blood into circulation.
Diastolic Heart Faiure - correct answer ✅✅The left ventricle loses its
ability to relax normally (because the muscle has become stiff). The heart
can't properly fill with blood during the resting period between each beat.
Right-sided heart failure - correct answer ✅✅Right-sided or right
ventricular (RV) heart failure usually occurs as a result of left-sided failure.
When the left ventricle fails, increased fluid pressure is, in effect, transferred
back through the lungs, ultimately damaging the heart's right side. When the
right side loses pumping power, blood backs up in the body's veins. This
usually causes swelling in the legs and ankles.
Janeway lesion (description) - correct answer ✅✅non-tender, small
erythematous or haemorrhagic macular or nodular lesions on the palms or
soles only a few millimeters in diameter
Janeway lesions (diagnosis) - correct answer ✅✅infective endocarditis
Anterior STEMI leads - correct answer ✅✅I, aVL, V1-V6
Lateral STEMI leads - correct answer ✅✅I, aVL, V5-V6
Inferior STEMI leads - correct answer ✅✅II, III aVF
Right Ventricle STEMI leads - correct answer ✅✅V1 and V4R
III > II
, Cardiovascular Certification Exam
Review A+ Guide Question and Answers
Posterior STEMI - correct answer ✅✅V7, 8, and 9
Anterior STEMI artery blocked... - correct answer ✅✅LAD
Lateral STEMI artery blocked... - correct answer ✅✅LCX or MO
Inferior STEMI artery blocked... - correct answer ✅✅RCA
Posterior STEMI artery blocked... - correct answer ✅✅RCX
NYHA Class I Heart Failure - correct answer ✅✅Patients with cardiac
disease but resulting in no limitation of physical activity. Ordinary physical
activity does not cause undue fatigue, palpitation, dyspnea or anginal pain.
NYHA Class II Heart Failure - correct answer ✅✅Patients with cardiac
disease resulting in slight limitation of physical activity. They are comfortable
at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea or
anginal pain.
NYHA Class III Heart Failure - correct answer ✅✅Patients with cardiac
disease resulting in marked limitation of physical activity. They are
comfortable at rest. Less than ordinary activity causes fatigue, palpitation,
dyspnea or anginal pain.
NYHA Class IV Heart Failure - correct answer ✅✅Patients with cardiac
disease resulting in inability to carry on any physical activity without
discomfort. Symptoms of heart failure or the anginal syndrome may be