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Download Назва наукового напрямку (модуля): Семестр: 10 Ішемічна
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Transcript
Назва наукового напрямку (модуля): Семестр: 10 Ішемічна хвороба серця Опис: Перелік питань: 1. A. * B. C. D. E. 2. A. * B. C. D. E. 3. A. * B. C. D. E. 4. A. * B. C. D. E. 5. A. * B. C. D. E. 6. A. * B. C. D. E. 7. A. * B. C. D. E. Atrial pacing is shown at: Synoatrialniy blockade Second degree atrioventricular block Third degree atrioventricular block All of the states None of these states The absolute indications for permanent electrostimulation are: Third degree atrioventricular block with attacks Morgan-Adams-Stokes Sinus bradicardic action Sinus arrhythmia Atrial fibrillation All of the states Bicameral stimulation is most effective when: The Full atrioventricular block Paroxysmal supraventricular tachycardia Atrial fibrillation All of the states None of these states Temporary eleсtroсardiostimulation shown patients with: Postinfarct acute atrioventricular block Sinus arrhythmia Congenital complete atrioventricular block All the states listed None of the above states The absolute contraindication for implantation of artificial drivers are: Sepsis Complete atrioventricular block Sinus syndrome weakness Age older than 1990 All listed At the turn of the endocardial electrode stimulator pulse frequency: No Increased Decreases Increases Significantly reduced What is happening in the ventricle, when an effect Venkebaha: The frequency of ventricular rate remains at upper limit Upovilnyayetsya ventricular rate cuts Cavity is no longer declining None of the listed The frequency of ventricular rate doubles 8. A. * B. C. D. E. 9. A. * B. C. D. E. 10. A. * B. C. D. E. 11. A. * B. C. D. E. 12. A. * B. C. D. E. 13. A. * B. C. D. E. 14. A. * B. C. D. E. 15. A. * When threshold stimulation reaches the highest value after stimulator implantation? Between two and six weeks after surgery At 9-10 months after surgery In a few hours after surgery A year after surgery After 5 years after surgery Form stimulating wave QRS: A similar blockade of the left bundle branch block legs Such a normal QRS A similar blockade of the right bundle branch block legs Similar regulations Similar to symptoms of acute coronary syndrome When endocardial electrode dislocation: Burst stimulator is realized in part, or all Accelerated heart rhythm The rhythm of the heart does not change I get pain syndrome Endangered pain syndrome Availability of ECG symptoms characteristic of peredzbudzhennya ventricle in patients with mitral defect, requires osobolyvoyi attention due to: Great features of atrial fibrillation and risk associated with this high frequency of ventricular rhythm Violations result of abnormal hemodynamics in order of ventricular rate More serious attack tachycardia All listed Nothing listed When a temporary stimulation stimulation threshold necessary to check: Every day Every 6 hours Once in 3-4 days Once a week No need Permissible limit of stimulus amplitude at a temporary stimulation: 6 Volt 2 Volta 15 Volt 20 Volt 50 volts Indications for permanent atrial stimulation: Sinus syndrome weakness with reduced heart rate to 40 beats per minute or loss of consciousness Frederick Syndrome Atrial extrasystoles All of the listed Nothing listed Indications for permanent ventricular stimulation: Complete AV-block with attacks Morhanyi-Adams-Stokes B. AV-block II degree C. D. E. 16. A. * B. C. D. E. 17. A. * B. C. Sinus syndrome weakness of attacks Morhanyi Adomsa-Stokes Ventricular hemodynamics in violation ekstasystoliya All of the listed Paroxysmal atrial fibrillation differs from SUPRAVENTRICULAR tachycardia: Distance between the tips of irregular ventricular complexes Higher heart rate Wide complex ventricular All the features listed None of these signs To slow the rate in the treatment of atrial fibrillation paroxysms apply: Verapamil Novokainamid Digoxin Rytmalen Any of these drugs To treat a form of permanent atrial fibrillation patient weighing 70 kg is prescribed: Hinidyn of 600-800 mg 4 times a day Finoptin to 80 mg 4 times a day Hinidyn 300 mg 3 times daily Hinidyn 1200 mg 4 times a day Finoptin of 800 mg 3 times daily Indications for surgical treatment of patients with tachycardia are: Go near paroxysmal tachycardia accompanied with loss of consciousness The presence of ECG signs of ventricular overexcited The presence of ECG signs of ventricular overexcited BEATS Go near tachicardia 2-3 times per year Go near tachicardia 1-2 times a month In the treatment of paroxysmal tachycardia undesirable combination: Finoptin and obzidan Novokainamid and Digoxin Hinidin and Digoxin Novokainamid and finoptin There are no restrictions on the combinations of these drugs The most effective method for termination of atrial flutter include: Esophageal pacing Vahusni tests (nadavlennya of the eyes, etc.) Countershock terpiya Retrograde pacing None of these methods are not effective Left ventricular function to evaluate by: Indexed (listed on 1 square meter area of ??the body) end-diastolic value of volume, end-systolic volume, stroke volume, minute volume of the heart The absolute value of end-diastolic volume, stroke volume, minute volume of the heart for each age group D. E. 18. A. * B. C. D. E. 19. A. * B. C. D. E. 20. A. * B. C. D. E. 21. A. * B. C. D. E. 22. A. * B. C. D. E. 23. A. * B. C. D. E. 24. A. B. C. * D. E. 25. A. * B. C. D. E. 26. A. * B. C. D. E. 27. A. * B. C. D. E. 28. A. * B. C. D. E. 29. A. * B. C. D. E. The absolute value of end-diastolic volume, end-systolic volume, stroke volume Size end-diastolic volume and heart rate Any of these methods Which of the following parameters characterizing skorochuvannist miokaroda: Ejection fraction Fraction Reduction Speed ??circulation reducing fibers The thickness of the back of the interventricular membrane All listed What is for use of digitalis: Second degree atrioventricular block All listed Atrial fibrillation in mitral heart gaps Zdavlyuyuchyy pericarditis with heart failure Tachycardia at tyreotoksyozi Sick prymav digitalis in the case of paroxysmal tachycardia in it you need: Stop receiving digitalis Increase dose of digitalis Zmeneshyty double dose Advanced assign other medicines None of the listed Beat this: An extraordinary reduction in relation to the main heart rhythm Upovilnyuvane reduction The reduction is not a source of basic rate All listed None of the listed As often occurs beat in patients with acute myocardial infarction? Virtually all patients Rarely parasystoliya Only in patients with anterior myocardial infarction Only in patients with posterior myocardial infarction This dysrhythmia is not characteristic of myocardial Can register on electrocardiogram extrasystoles in healthy people? When monitorirovanni on Holter in 50-60%: Extrasystoles not registered Only in acute inflammatory diseases Only at the Oncological Pathology Only in severe injuries What is the most frequent mechanism underlying the occurrence of beats? Turning excitation Ectopic automatism Morning trace potentials Late potentials trace Asynchronous myocardial cell membrane repolarization 30. A. * B. C. D. E. 31. A. * B. C. D. E. 32. A. * B. C. D. E. 33. A. * B. C. D. E. 34. A. * B. C. D. E. 35. A. * B. C. D. E. 36. A. * B. C. D. E. What changes in hemodynamics observed beats? Changes in hemodynamics and endure depends on the frequency of extrasystoles, degrees of peredchastnosti, localization and functional state of cardiac muscle Changes in hemodynamics and endure depends on concomitant cardiac pathology Changes in hemodynamics and endure depends on the age of the patient Pronounced changes Violation of hemodynamics in beats are not observed What compensated hemodynamics of beats? Postekstrasystolichnym potentiation forces beat Basic rhythm Pryskorynnyam rhythm after extrasystoles By stimulating the vagus nerve receptors Hemodynamic compensation is not required Is Extrasystolic complexes informative in terms of diagnosis hidden in ordinary complexes vohneschevosti? Registration is informative Q wave in complex Extrasystolic Informative be registered in the S wave Extrasystolic complex Extrasystolic complexes are informative only for acute myocardial infarction Extrasystolic complexes do not contain additional information Informing a member of a complex type QS How common regulatory dysfunction synoatrial node in patients with clinical and electrocardiographic signs of his weakness? In half of patients with this symptomatology In the small number of patients In all patients with this symptomatology Only in young patients Only in elderly and senile patients Which of the following antiarrhythmic drugs affects synoatrialnyy knot? Propranolol Lidokain Digoxin Etmozyn All of the Among whom the most common weakness sinus syndrome: Among women Among men Among children Among the Elderly In all equally Bradytahikardiyi syndrome occurs more frequently: In elderly patients In younger patients In patients with drug-node dysfunction synoatrialnoho In patients with dysfunction of the regulatory unit synoatrialnoho In children 37. A. * B. C. D. E. 38. A. * B. C. D. E. 39. A. * B. C. D. E. 40. A. * B. C. D. E. 41. A. * B. C. D. E. 42. A. * B. C. D. E. 43. A. * B. C. D. E. 44. When are adults, related to weakness sinus syndrome, often sposterihaetsya formation tromboemboliv? When syndrome bradytahikardiyi In case of sinus node When synoatrialniy blockade that occasionally repeated When expressed bradycardia (less than 50 in 1 min.) With all the same What time of day the most unfavorable for patients with sinus syndrome of weakness? From midnight to dawn From morning to afternoon In the afternoon Evening Throughout the day the same Which pathogenetic form Prystupa Morhani-Adams-Stokes equations is most common in patients with sick sinus syndrome weakness? Bradykardychna Tachicardic Bradytahikardychna Tahibradykardychna Mixed At what podovzhenosti asystole appears clear symptoms Prystupa Morhani-Adams-Stokes equations: When you pause 9.5 sec When you pause 3.4 sec At the 2 minute pause If you pause more than 5 minutes When asystole any duration ECG makes it possible to assess: Electrical activity of the heart Skorotlyvist infarction Cardiac Sonic performance of the heart All listed RQ range of evidence: The timing of pulses from sinus to skorochuvanoho infarction Time atrial excitation Time pulse in left bundle branch block nozhtsi Time of momentum in the right bundle branch block nozhtsi None of the listed Which of the following methods to evaluate the localization of disturbances in the heart conduction system? Electrophysiological study Echocardiography Vektorokardiohrafiya Fonokardiohrafiya None of the above When SR prong R always positive in the following assignments: A. * B. C. D. E. 45. A. * B. C. D. E. 46. A. * B. C. D. E. 47. A. * B. C. D. E. 48. A. * B. C. D. E. 49. A. * B. C. D. E. 50. A. * B. C. D. E. 51. A. * B. II II, III, aVL I, II, III, aVL I, II, aVL Always positive in all assignments Under normal electrocardiographic transitional zone is located in the following assignments: V3 V4 V1 V2 V5 V6 V3 V6 No transition zone In normal adult electrocardiogram in the highest R prong in assignments: V4 V1 V3 V6 In all assignments the same The center of automatism of the first order are: Synoatrialnyy node Atrioventricular node A bunch branch block Purkinje fibers All of the Centers automatism third order are: Bundle, fiber purkinje Synoatrialnyy node Cardiomyocytes Atrioventricular node All of the Which of the following identification of electrocardiographic signs of left ventricular hypertrophy indisputable? Increasing the amplitude of R wave in aVL 11 mm more Electrical axis deviation to the left heart Increased R wave amplitude in the third over 15 mm Transition zone to V5 All of the To which of these defects is typical right ventricular hypertrophy? Membrane defect interatrial Aortic stenosis mouth Aortic valve insufficiency Mitral stenosis hole stage II Aortic valve stenosis What is an automatism for the center of the first order? 60-90 in 1 minute 40-60 in 1 minute C. D. E. 52. A. * B. C. D. E. 53. A. * B. C. D. E. 54. A. * B. C. D. E. 55. A. * B. C. D. E. 56. A. * B. C. D. E. 57. A. * B. C. D. E. 58. A. * B. C. D. E. 100-115 for 1 minute 30-45 in 1 minute More than 90 per minute What is an automatism for the center of the second order? 40-60 in 1 minute 60-90 in 1 minute 100-120 for 1 minute 20-35 in 1 minute Over 120 per minute What is an automatism for the third-order center? 20-35 in 1 minute 60-90 in 1 minute 40-60 in 1 minute 90-110 for 1 minute Over 110 per minute How viddyferentsiyuvaty complete atrioventricular dissociation from complete atrioventricular block? As a result of sample atropinovoyi By podovzhenistyu Q R interval Under the form of ventricular QRS complexes Unable to differentiate According ehokardioskopiyi How is the capture of incomplete atrioventricular dissociation from extrasystoles? When excited no compensatory pause After extrasystoles no compensatory pause Hobby premature reduction No differences All listed Lead system includes the heart of everything nyzhchepererahovanoho except: Coronary sinus Synoatrialnoho Site Atrioventricular node Bundle branch block legs Purkinje fibers Mechanism of action of izadrina incomplete atrioventricular block: Improves atrioventricular conduction Improves pump function of heart Improves automatism None of the listed All listed When SLS syndrome: Shorter interval R Q Extended Q R interval Shortened QRS complex Prolonged QRS complex None of the listed 59. A. * B. C. D. E. When SLS syndrome characteristic electrocardiographic feature is: Reducing R interval Q The presence of incomplete blockade of the right bundle The presence of incomplete blockade of left bundle branch block The presence of delta waves All listed