pathophysiology lecture quiz 3 Flashcards


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1

Pulse pressure is defined as

systolic pressure – diastolic pressure.

2

Beta-blockers are advocated in the management of heart failure because they

reduce cardiac output.

3

An erroneously low blood pressure measurement may be caused by????

positioning the arm above the heart level.

4

when systemic blood pressure is increased…what could happens?

heart attack or stroke

5

Angiotensin-converting enzyme (ACE) inhibitors block the…What ?

conversion of angiotensin I to angiotensin II

6

High blood pressure increases the workload of the left ventricle because it increases…..What?

afterload

7

which electrolytes is recommended in the management of high blood pressure?

sodium

8

Hypertension with a specific, identifiable cause is known as What kind of hypertension?

secondary

9

Critically ill patients may have parenterally administered vasoactive drugs that are adjusted according to their ……what kind of pressure.?

mean aterial

10

A patient has a history of falls, syncope, dizziness, and blurred vision. The patient’s symptomology is most likely related to what?

hypotension

11

High blood pressure increases the risk of which conditions? ALL OF THEM!!

heart disease, heart attack, and stroke.

12

Atherosclerosis puts a patient at risk for which problems?

ischemic stroke, retinal injury, renal impairment

13

Blood pressure is regulated on a short-term basis through which measures?

carotid, aortic baroreceptors, vasomotor center brainstem, >SNS, < PSNS.

14

An example of an acyanotic heart defect is______????

ventricular septal defect.

15

Constrictive pericarditis is associated with…What ?

impaired cardiac filling

16

Aortic regurgitation is associated with…What ?

diastolic murmur

17

Angina caused by coronary artery spasm is called _____ .

Prinzmetal variant

18

What compensatory sign would be expected during periods of physical exertion in a patient with limited ventricular stroke volume?

Tachycardia

19

A patient with a history of myocardial infarction continues to complain of intermittent chest pain brought on by exertion and relieved by rest. The likely cause of this pain is to WHAT?

stable angina

20

The majority of cardiac cells that die after myocardial infarction do so because of….WHAT?

apoptosis.

21

A loud pansystolic murmur that radiates to the axilla is most likely a result of

mitral regurgitation

22

Myocarditis should be suspected in a patient who presents with…What ?

acute onset of left ventricular dysfunction

23

Acute coronary syndrome in the presence of thrombosis may present with which manifestations? ALLL !!!OF THEM!!

Unstable angina, MI, sudden cardiac arrest

24

In which dysrhythmias should treatment be instituted immediately?

with ventricular rate 220 beats/minute

25

A laboratory test that should be routinely monitored in patients receiving digitalis therapy is

serum potassium

26

After sitting in a chair for an hour, an older patient develops moderate lower extremity edema. His edema is most likely a consequence of…What?

right-sided heart failure.

27

Low cardiac output to the kidneys stimulates the release of WHAT? from juxtaglomerular cells.

renin

28

The majority of tachydysrhythmias are believed to occur because of……..???

reentry mechanism

29

A patient is diagnosed with heart failure with preserved ejection fraction (HFpEF). This patient is most likely described as a(n)…..WHAT

left chamber (left ventricle)

30

Which statement is true about the incidence of heart failure? Meaning …review all about heart failure!

heart failure is the fastest-growing cardiac disorder

increased hospitalization rates of heart failure reflect the aging population in the USA

incidence of heart failure is 10 per 1000 population after age 65

31

Right-sided heart failure is usually a consequence of which conditions…ALL OF THEM !!

elevated right ventricular afterload, right ventricular infarction.

32

The most common causes of heart failure include which of the following? AGAIN ALL ABOUT HEART FAILURE!!!

coronary heart disease

heart inflammation

high blood pressure

cardiomyopathy

an irregular heartbeat

33

Dysrhythmias are significant for which reasons? Again ALL REASON

your heart might beat too fast or too slowly. Or your heart's rhythm might be disrupted

34

The Renin-Angiotensin-Aldosterone System (RAAS) has which effects on the heart? ALL THE EFFECTS

increased heart rate

hypertension

cardiac hypertrophy

atherosclerosis

35

Class II hypovolemic shock is characterized by WHAT!!!

tachycardia (rate >100 beats per minute)

tachypnea

decrease in pulse pressure

cool clammy skin

delayed capillary refill

slight anxiety

36

Cardiogenic shock is characterized by WHAT?

reduced cardiac output

37

Administration of which therapy is most appropriate for hypovolemic shock?

Crystalloids

38

Improvement in a patient with septic shock is indicated by an increase in..WHAT?

systemic vascular resistance

39

Hypotension associated with neurogenic and anaphylactic shock is because of????

peripheral pooling blood

40

NICE !!!!!question……In which stage of shock is a patient who has lost 1200 mL of blood, who has normal blood pressure when supine, but who experiences orthostatic hypotension upon standing?..AUCH !!! the challenging one

Class II, Compensated Stage

41

Massive release of histamine with consequent vasodilation and hypotension occurs with what type of shock?

anaphylactic

42

Sepsis has been recently redefined as……..??????

a systemic inflammatory response to infection