Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CP3 > Ch 13 > Flashcards

Ch 13 Flashcards

1
Q

1 A common obstacle to the timely intervention by healthcare provider when a patient complains of chest pain is:
a. Mistrust
b. Timidity
c. Anxiety
d. Denial

A

D Denial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

2 Collateral circulation allows for:
a. Alternative path of blood flow in the event of occlusion
b. Circulating continuum during diastole
c. Maintaining artery patency during spasm
d. Blood flow continuum during systole

A

A. Alternate path of blood flow in the event of occlusion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

3 The pain of angina pectoris:
a. Is always constant
b. Is typically temporary
c. Occurs only during rest
d. Is never mistaken for indigestion

A

B. Is typically temporary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

4 Myocardial infarction is:
a. Always temporary
b. Usually diagnosed with 24 hours
c. Age-limited in most patients
d. Due to myocardial cell death

A

D. Due to myocardial cell death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

5 The most common cause of AMIs is:
a. Coronary vasospasms
b. Atherosclerotic lesions
c. Thrombus formation
d. Arteriosclerotic blebs

A

C. Thrombus formation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

6 In acute myocardial infarction, chest pain is:
a. Short in duration and relieved by nitroglycerin
b. Short in duration but not relieved by nitroglycerin
c. Long in duration and relieved by nitroglycerin
d. Long in duration and not relieved by nitroglycerin

A

D. Long in duration and not relieved by nitroglycerin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

7 Patients experiencing an acute myocardial infarction will always complain of chest pain.
a. True b. False

A

B. False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

8 Some elderly patients may experience an AMI without chest pain, most commonly their only presenting symptom will be a complaint of profound:
a. Depression
b. Weakness
c. Nausea
d. Dizziness

A

B. Weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

9 Unstable angina generally indicates the progression of atherosclerotic heart disease and is also referred to as:
a. PND
b. Cor pulmonale
c. Infarctional angina
d. Preinfarctional angina

A

D. Preinfarctional angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

10 When interpreting dysrhythmias, you should remember that the most important key is the:
a. PR interval
b. Rate and rhythm
c. Presence of dysrhythmias
d. Patient’s clinical appearance

A

D. Patient’s clinical appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

11 The primary goal of management of the patient with symptomatic chest pain is to:
a. Interrupt the infarction progress
b. Augment the infarction progress
c. Institute fibrinolytic therapy
d. Increase myocardial oxygen consumption

A

A. Interrupt the infarction progress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

12 Management of a patient who is suspected of having sustained a myocardial contusion should:
a. Focus primarily on the associated and isolated chest injury
b. Be similar to the treatment administered to a suspected MI patient
c. Be initiated only at the definitive care facility following transport
d. Be completed in the prehospital arena, before transport to the hospital

A

B. Be similar to the treatment administered to a suspected MI patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

13 emergency management of left heart failure is aimed at:
a. Decreasing myocardial oxygen demand
b. Improving myocardial contractility
c. Improving oxygenation and ventilation
d. All of the above

A

D. All of the above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

14 Medications commonly prescribed to treat the patient experiencing left heart failure include:
a. Adenosine
b. Prednisone
c. Heparin
d. Furosemide

A

D. furosemide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

15 It is important to note that hypotension secondary to right heart failure, which is often seen in right ventricular infarcts, may mimic:
a. Angina pectoris
b. Pneumothorax
c. Cardiogenic shock
d. Neurogenic shock

A

C. cardiogenic shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

16 Signs and symptoms of cardiac tamponade include all of the following except:
a. Muffled heart sounds
b. Jugular vein distention
c. Widening pulse pressure
d. Hypotension

A

C. widening pulse pressure

17
Q
  1. A pulsus paradoxus, as evidenced by a systolic blood pressure that drops more than ___ mmHg during inspiration, may occur in cardiac tamponade.
    a. 20-25
    b. 10-15
    c. 25-30
    d. 35-40
A

B 10-15

18
Q
  1. When ineffective myocardial contractions result in a marked decrease in stroke volume, as well as significantly decreased cardiac output, ultimately leading to inadequate tissue perfusion, this condition is known as __ shock.
    a. cardiogenic
    b. neurogenic
    c. psychogenic
    d. hypovolemic
A

A. cardiogenic

19
Q
  1. Cardiogenic shock is most often associated with large infarctions, as well as those that involve loss of more than 40 percent of the left __ ventricle.
    a. inferior
    b. posterior
    c. anterior
    d. lateral
A

C. anterior

20
Q
  1. Patients in cardiogenic shock will often present with signs and symptoms of myocardial infarction.
    a. True b. False
A

A. True

CP3 (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions