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Pathos week 4 quiz

front 1

Hypotension, distended neck veins, and muffled heart sounds are classic manifestations of

back 1

cardiac tamponade

front 2

The most reliable indicator that a person is experiencing an acute myocardial infarction (MI)

back 2

ST segment elevation

front 3

Cardiogenic shock is characterized by

back 3

reduced cardiac output

front 4

Hypertrophy of the right ventricle is a compensatory response to

back 4

pulmonary stenosis

front 5

The common denominator in all forms of heart failure is

back 5

decreased cardiac output

front 6

Orthostatic hypotension is a risk factor for (Select all that apply.)

back 6

-Stroke

-cognitive impairment

-death

front 7

Which causes of shock are considered to be obstructive? (Select all that apply.)

back 7

-Pulmonary embolus

-cardiac tamponade

-tension pneumothorax

front 8

Acute coronary syndrome in the presence of thrombosis may present as ( Select all that

back 8

-Unstable angina

-MI

-sudden cardiac arrest

front 9

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

back 9

hypotension

front 10

Dysrhythmias are significant since they (Select all that apply.)

back 10

-can indicate an underlying

-disorder

-can impair cardiac output

front 11

Left-sided heart failure is characterized by

back 11

pulmonary congestion

front 12

First-degree heart block is characterized by

back 12

prolonged PR interval

front 13

An abnormally wide (more than 0.10 second) QRS complex is characteristic of

back 13

premature ventricular complexes

front 14

A patient with forward effects of heart failure may present with which symptoms? (Select all that apply.)

back 14

-impaired memory

-mental fatigue

-confusion

front 15

Which statement is true about the incidence of heart failure? (Select all that apply.)

back 15

-Heart failure is the fastest growing cardiac disorder

-the increasing incidence and hospitalization rates of heart failure reflect the aging populations in the u.s

-the incidence of heart failure is 10 pero 1000 population after age 65

front 16

A patient has heart failure with a normal ejection fraction. Which findings are most likely found in this patient? (Select all that apply.)

back 16

Pulmonary congestion

-edema

-ejection fraction greater than 50%

front 17

The most common causes of heart failure are (Select all that apply.)

back 17

-Myocardial ischemia

-hypertension

front 18

A patient’s ECG lacks recognizable waveforms and is deemed to be in sinus arrest. The patient’s sinus arrest may be a result of (Select all that apply.)

back 18

-MI

-electrical shock

-electrolyte disturbance

-acidosis

front 19

The effect of nitric oxide on systemic arterioles is

back 19

Vasodilation

front 20

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

back 20

Anaphylactic

front 21

Sepsis has been recently redefined as a

back 21

systematic inflammatory response to infection

front 22

Tachycardia is an early sign of low cardiac output that occurs because of

back 22

baroreceptor activity

front 23

Which causes of shock are considered to be obstructive? (Select all that apply.)

back 23

-pulmonary embolus

-cardiac tamponade

-tension pneumothorax

front 24

Positive inotropic drugs work by increasing (Select all that apply.)

back 24

-contractility

-cardiac output

-tissue perfusion

-myocardial oxygen demand

front 25

Lactated Ringer solution and normal saline are commonly used ________ solutions that contain electrolytes.

back 25

Crystalloid

front 26

Angiotensin-converting enzyme (ACE) inhibitors block the

back 26

conversion of antigiotensin 1 and 2

front 27

Aortic regurgitation is associated with

back 27

diastolic murmur

front 28

Tumor necrosis factor a and interleukin-1 contribute to shock states because they induce production of

back 28

catecholamines

front 29

Myocarditis should be suspected in a patient who presents with acute onset of

back 29

left ventricular dysfunction

front 30

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

back 30

mital regurgation

front 31

The Juxtaglomerular cells in the liver, when stimulated by low arterial pressure release renin activates angiotensinogen to angiotensin I

back 31

true

front 32

Atrial natriuretic peptides cause kidneys to increase sodium and water excretion by increasing the glomerular filtration rate.

back 32

true

front 33

Coronary perfusion can be altered by all of the following except;

back 33

with increased data receptor input there is a decreased coronary artery filling time

front 34

Rheumatic heart disease is most often a consequence of

back 34

hemolytic streptococcal infection

front 35

Angina due to coronary artery spasm is called _____ angina

back 35

Prinzmetal Variant

front 36

Which one is false about Restrictive Cardiomyopathy?

back 36

Etiologies including amyloidosis and sarcoidosis

front 37

Which is false about Patent Ductus Arteriosus?

back 37

Considered acyantoic involves the foreman ovale

front 38

The ____________ is the failure of the pulmonary artery and aorta to separate resulting in the formation of one large vessel that receives blood from both the right and left ventricles.

back 38

Truncus arteriosus

front 39

A patient presents to the emergency department with a diastolic blood pressure of 132 mm Hg, retinopathy, and symptoms of an ischemic stroke. This symptomology is likely the result of

back 39

hypertensive crisis

front 40

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

back 40

right sided heart failure