Pathophysiology 370 - Pathophysiology » Fall 2022 » Week 3 Check Your Understanding Assignment
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Question #1
Which clinical manifestation differentiates myocardial infarction (MI) from angina pectoris?
A.
Chest pain initiated by exercise. Chest pain aggravated by coughing.
B.
Chest pain initiated by exercise. Chest pain aggravated by coughing. Radiating chest pain
C.
Elevated serum levels of troponin. Chest pain initiated by exercise . Chest pain aggravated by coughing.
D.
ST-segment changes on the ECG. Elevated serum levels of troponin. Radiating chest pain
Question #2
Which is a major determinant of diastolic blood pressure?
A.
Vascular resistance
B.
Stroke volume
C.
Preload
D.
Heart rate
Question #3
In a patient with mitral stenosis, cardiac catheterization findings would indicate increased pressure in the
A.
Right atria
B.
Left atria
C.
Left ventricle
D.
Right ventricle
Question #4
Atherosclerosis predisposes to a number of processes that are factors in myocardial ischemia. These processes include
A.
ventricular dysrhythmia
B.
Hemorrhage
C.
Coronary dilation
D.
Thrombus formation
Question #5
Cardiac output is the product of both
A.
Pulse pressure and mean arterial pressure (MAP)
B.
Mean arterial pressure (MAP) and systemic vascular resistance (SVR)
C.
Systemic vascular resistance (SVR) and pulse pressure
D.
Stroke volume and heart rate
Question #6
A patient with heart failure reports awakening intermittently with shortness of breath. Which terms appropriately describes this clinical manifestation?
A.
Bradypnea
B.
Cyanosis
C.
Paroxysmal nocturnal
D.
Dyspnea
Question #7
Which condition may result in chronic pulmonary hypertension, right ventricular hypertrophy, and right-sided heart failure?
A.
Mitral valve stenosis
B.
Aortic valve stenosis
C.
Acute myocarditis
D.
Aortic insufficiency
Question #8
What is the marker of choice for detecting a myocardial infarction?
A.
Elevated serum levels of cardiac troponin
B.
Elevated T waves on an ECG
C.
Elevated serum levels of C-MB
D.
Elevated serum levels of cardiac myogoblin
Question #9
Risk factors for the development of high blood pressure are which of the following?
A.
Race, Age, Diet, and Weight
B.
Weight, Chronic illness
C.
Age, Diet, Chronic illness
D.
Race, Diet, Chronic illness
Question #10
The nurse includes what information when educating a client concerning a first-degree heart block?
A.
Bradycardia is a common characteristic. First-degree blocks are rare.
B.
Bradycardia is a common characteristic. First-degree blocks are rare. The condition is monitored, but not actively managed.
C.
An electrocardiogram is used to identify this conduction disorder. Congenital heart defects are often the cause of the disorder. The condition is monitored, but not actively managed.
D.
Congenital heart defects are often the cause of the disorder. First-degree blocks are rare.
Question #11
The renin-angiotensin system (RAS) alters blood pressure in response to
A.
Decreased perfusion to the kidney
B.
Decreased perfusion to the liver
C.
Decreased perfusion to the lungs
D.
Decreased flow to the brain
Question #12
Atrial fibrillation is best described as when
A.
Disorganized and irregular atrial waves are accompanied by an irregular ventricular rate
B.
The P wave precedes, follows, or is buried in the QRS complex
C.
An atrial rate of 240 to 350 beats/min in a sawtooth pattern of atrial depolarization is seen
D.
P waves occurs earlier than normal, preceded by a P wave with a normal QRS configuration
Question #13
Systemic vascular resistance (SVR) can be indirectly estimated with the use of which blood pressure measurement?
A.
Left ventricular end-diastolic pressure
B.
Systolic pressure
C.
Pulmonary arterial pressure
D.
Diastolic pressure
Question #14
Which type of shock is characterized by generalized vasodilation and peripheral pooling of blood?
A.
Septic, Neurogenic, Anaphylactic
B.
Cardiogenic , Hypovolemic
C.
Cardiogenic , Neurogenic
D.
Cardiogenic , Hypovolemic, Septic
Question #15
The shift to anaerobic metabolism in shock results in
A.
Decreased hydrogen ion production
B.
Metabolic alkalosis
C.
Increased lactate production
D.
Decreased oxygen utilization
Question #16
Which best defines systolic blood pressure?
A.
Averages 70 mm of Hg
B.
Occurs during ventricular contraction
C.
Occurs during passive elastic recoil of the aorta
D.
Is the sole function of aortic compliance
Question #17
Which describes a pathologic manifestation of neurogenic shock?
A.
Loss of sympathetic activation of arteriolar smooth muscle
B.
Massive immune system activation
C.
Release of vasodilatory mediators such as histamine into the circulation
D.
Increased sympathetic nervous stimulation
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