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 Cardiac Surgery Certification (CSC) 
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Q:1-Which of the following statements is not true regarding cardiac arrhythmias?
Mark one answer:
Arrhythmia can cause a slowing, speeding up, or irregular heartbeat
Supraventricular arrhythmias, ventricular arrhythmias, and bradyarrhythmias
Supraventricular arrhythmias originate in the atria
Sick sinus syndrome does not cause any arrhythmia

Q:2-Choose the statement below which correctly defines intermittent claudication.
Mark one answer:
The condition is defined as muscle cramp during physical activity which resolves once activity is stopped
Intermittent claudication arises from occlusion of peripheral arteries
It consists of muscle cramps during night which is severe enough to awake the patient
It consists of joint pain which resolves when the patient starts walking

Q:3-A patient of peripheral arterial disease is being released from hospital. What advice should be given by the nurse about foot care?
Mark one answer:
Wash and moisturize feet daily; wear thick socks and comfortable shoes
Clean the foot by rubbing with pumice stone
Clean feet using soft scrubber and keep dry
Clean feet and regularly walk barefoot in morning

Q:4-A patient presents with complaints of dizziness and lightheadedness and history of one episode of syncope. The nurse record his pulse rate as 40/minute and blood pressure as 90/70 mm Hg. His EKG findings are suggestive of second-degree type II AV block. What should be the goal of treatment in this patient?
Mark one answer:
Increase the heart rate
Restore sinus rhythm and maintain cardiac output
Increase blood pressure
Improve blood supply to vital organs

Q:5-Alpha-adrenergic antagonists are used in the treatment of which of the following conditions?
Mark one answer:
Cardiac arrhythmia, carcinoid syndrome
Cardiogenic shock, postprandial hypertension
Hypotension, cardiac arrhythmia
Hypertension, pheochromocytoma

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Q:6-Which of the following investigations is useful in differentiating intermittent claudication due to arterial disease and neurogenic claudication?
Mark one answer:
Real-time Duplex scanning
Doppler flow studies
Digital subtraction angiography scan
All of above

Q:7-Which of the following classes of drugs constitute the vasodilator group of drugs?
Mark one answer:
Beta-blockers, nitrates, calcium channel blockers
Beta-blockers, sympthomimetic drugs, diuretics
Beta-agonist, cardiac glycoside, steroids
Beta agonist, adrenaline, isoproterenol

Q:8-Which of the following non-pharmacologic techniques is not used for treatment of maladaptive responses to coping?
Mark one answer:
Cognitive restructuring
Cognitive behavioral therapy
Electroconvulsive therapy and/or light therapy
Psychotherapy

Q:9-A patient is wearing Holter monitor. What instructions should the nurse give to follow during monitoring?
Mark one answer:
Stop all his regular medications
Maintain an activity diary of his physical activities
Restrict physical activity
Do strenuous exercise

Q:10-What is the normal polarity of a myocardial cell during the resting period, which causes the electrical potential in for the cell?
Mark one answer:
Positively charged
Negatively charged
Outside the cell membrane is negatively charged, inside is positively charged
Inside the cell membrane is negatively charged, outside is positively charged

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