Seminar 2 (Diseases of the circulatory system)
Student need to get 23 correct answers (75%) to pass the test 
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1) Number of the group
2) Full name 
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A patient K., who’s been suffering from cardiac failure, underwent dental treatment. Following a harsh rise from the chair the patient lost consciousness. After a while he regained consciousness without medications and was able to go home unassisted. What condition did he develop? *
1 point
A patient L., 55, complains of severe paroxysmal pain in the jaw, which appeared 1,5 weeks ago and lasted for 5-20 mins. Over the time the pain became more frequent, up to 10 times per day. The intake of pain-killers and spasmolytic agents didn’t have any effect; however, the condition was alleviated by the intake of 3 pills of nitroglycerine. Which diagnosis is most likely?
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1 point
A patient with hypertensive heart disease complains of weakness, nausea, headache, palpitations. The patient had nasal bleeding in the morning. Ps - 110 / min, rhythmical, BP 230/110 mm Hg. What is the most likely diagnosis?
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1 point
A patient with left-sided cardiac failure feels much better
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1 point
A patient, 60, suffering from arterial hypertension for 20 years, had a sudden attack of dyspnea after a stressful situation. On PE: orthopnea position, Ps - 120 per min., BP 210/120 mm Hg, I heart sound weakened, an additional sound in the diastole, RR - 32 / min. Breath sounds over the lower lobes were diminished with single bubbling rales. Which complication did the patient develop?
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1 point
During a dental intervention a patient lost consciousness. His dentist decided he fainted and started looking for ammonia. Meanwhile the patient died. How can one rapidly and reliably tell syncope from sudden heart arrest?
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1 point
How long can you spend checking for breathing in the casualty (minimally)?
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1 point
If you are alone and have found a person who may require CPR (cardiopulmonary resuscitation), the first thing to do is to:
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1 point
In a patient with hypertension of 1 stage:
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1 point
Isolated systolic arterial hypertension is
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1 point
Morgagni-Adams-Stokes attacks are accompanied by
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1 point
Name the cardinal sign of a trophic ulcer of the oral cavity against the background of cardiac failure of the III stage
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1 point
Name the site for compressions when performing CPR
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1 point
One of the left-sided heart failure manifestations is
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1 point
One of the risk factors for ischemic heart disease is
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1 point
Target organs in hypertensive disease include:
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1 point
The main driver of the heart rhythm is
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1 point
What is pulse deficit?
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1 point
What is the change of the heart rhythm in which every normal contraction is followed by an extrasystole called?
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1 point
What is the depth of chest compressions in adults?
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1 point
What is the main life-threatening complication of the atrial fibrillation?
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1 point
What of the following causes bradycardia?
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1 point
When assessing a cardiovascular risk with SCORE the following is included (a risk factor)
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1 point
When is it better for dentists to see patients with angina pectoris?
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1 point
Which arrhythmia is pulse deficit characteristic for?
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1 point
Which arrhythmia is the most dangerous as it causes heart arrest without immediate and proper medical management?
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1 point
Which changes on ECG are characteristic for myocardial infarction?
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1 point
Which factor does NOT contribute to the development of angina?
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1 point
Which hormone diurnal secretion rhythm may influence a dentist’s choice of the time of appointment for a patient with angina?
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1 point
Which sign of angina pectoris might indicate the onset of myocardial infarction?
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1 point
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