Knowledge Check: Management of Congestive Heart Failure
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Question 1 of 10
1. Question
Hint
This patient exhibits signs of congestion and fluid overload. The next appropriate therapy is removing some of the excess fluid. See 3:36 in the video.
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Question 2 of 10
2. Question
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Diuretics work on relieving volume overload symptoms. See 7:27 in the video.
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Question 3 of 10
3. Question
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Digoxin increases intracellular calcium, which is the main cation involved in myocardial contractility. See 8:38 in the video.
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Question 4 of 10
4. Question
Hint
The sympathetic tone leads to tachycardia, fluid retention and hypertension. ACE inhibitors inhibit angiotensin II. See 9:30 in the video.
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Question 5 of 10
5. Question
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Beta blockers counteract the chronic sympathetic system activation. See 11:19 in the video.
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Question 6 of 10
6. Question
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Pulmonary vasodilators help with right-sided heart failure by targeting elevated pulmonary vascular resistance. See 12:04 in the video.
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Question 7 of 10
7. Question
Hint
Milrinone is a phophodiesterase-3 inhibitor, which relaxes the smooth muscles of blood vessels. See 12:53 in the video.
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Question 8 of 10
8. Question
Hint
Fluid restriction is an important aspect of heart failure management and can decrease the amount of diuretics needed. In children 10-30 kg, the recommended fluid intake is 600 mL-1 liter, whereas in older children and young adults the limit is 1-2 liters/day. See 15:15 in the video.
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Question 9 of 10
9. Question
Hint
Anticoagulation is an important aspect of heart failure management. For moderate left ventricular dysfunction, an anti-platelet medication such as aspirin should be started. See 16:36 in the video.
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Question 10 of 10
10. Question
Hint
Stage A is the least severe, while stage D is the most severe. See 18:23 in the video.