Ch30 QUIZ Flashcards
0
Q
- Which of the following terms describe this condition of occlusion in a blood vessel from a bolus of circulating matter in bloodstream
a. thrombus
b. embolus
c. thrombophlebitis
d. foam cell
A
b. embolus
1
Q
- Which of the following is NOT one factors that promote dvt
a. venous stasis
b. venous endothelial damage
c. polycythemia
d. hypercogulable
A
c. polycythemia
2
Q
- Which of the following is a factor that leads to aortic aneurysm
a. lack of atherosclerosis
b. deficiencies in wall collagen
c. excessive elastin
d. decreased o2 radicals
A
b. deficiencies in wall collagen
3
Q
- A young woman presents w/ pallor, numbness, & sensation of cold temperature of her digits. Which of the following is MOST likely cause
a. Raynaud phenomenon
b. thromboangiitis obliterans
c. pvd
d. varicose veins
A
a. Raynaud phenomenon
4
Q
- Which statement is FALSE regarding HTN
a. approx. 65% of Americans older than age 60 have HTN
b. 90mmHg
d. it is systolic pressure of 140 mmHg or >
A
c. it is defined as systolic pressure of > 90mmHg
5
Q
- A person experience an elevated systolic pressure accompanied by normal diastolic pressure (
A
d. Isolated systolic htn
6
Q
- Which of following is NOT associated w/ htn
a. family Hx +ve for htn
b. asian race
c. hg dietary Na
d. Glucose intolerance
A
b. asian race
7
Q
- Which of following complications occurs 2ndary to htn
a. cardiovascular muscle atrophy
b. hypoglycemia
c. CHF
d. decreased demand for coronary perfusion
A
c. CHF
8
Q
- Which of following is TRUE regarding atherosclerosis
a. atherosclerosis is acute process of heart muscle degeneration
b. atherosclerosis is thickening & hardening of vessel wall
c. a plaque is caused by neutrophils
d. fatty streaks & foam cells are identical
A
b. atherosclerosis is thickening & hardening of vessel wall
9
Q
- Which of the following pairs regarding dyslipidemia is CORRECT
a. hg density lipoprotein-triglycerides & fat pkg
b. very low density lipoproteins-triglycerides & proteins
c. low density lipoproteis-phospholipids & proteins
d. chylomicron-triglycerides & phospholipids
A
b. very low density lipoproteins-triglycerides & proteins
10
Q
- A woman presents w/ CP that occurs at rest. She is found to have abnormal vasospasms of her coronary arteries. Which of the following is BEST description of this case
a. stable angina
b. Prinzmetal angina
c. silent angina
d. angina pectoris
A
b. Prinzmetal angina
11
Q
- Which of the following is NOT a sign of atherosclerosis
a. Xanthelasmas
b. arcus senilis
c. atrial septal defect
d. extra-rapid heart sounds
A
c. atrial septal defect
12
Q
- Which of the following is TRUE regarding cellular injury of myocardium
a. cardiac cells can w/stand ischemic conditions for about 60mins
b. ECG changes are visible after approx. 120s
c. Myocardial cells remain viable if blood flow returns w/in 20mins
d. after 20s of decreased blood flow, myocardial cells become cooler
A
c. Myocardial cells remain viable if blood flow returns w/in 20mins
13
Q
- Which of the following NOT functional change expected from acute MI
a. decreased contractility
b. decreased stroke volume
c. increased EF
d. increased left ventricular compliance
A
c. increased EF
14
Q
- A person is being transferred from another facility w/ Dx of acute MI. Which of the following is NOT a typical symptom of acute MI
a. cough
b. diaphoresis
c. absence of pain
d. crushing pain
A
a. cough
15
Q
- Which of the following is NOT an enzyme released by myocardial muscle
a. CK-MB
b. LDH
c. AST
d. Trop 1
A
c. AST
16
Q
- Which of the following is the MOST common complication of AMI
a. Dressler postinfarction syndrome
b. dysrhythmia
c. pericarditis
d. CHF
A
b. dysrhythmia
17
Q
- Individual is experiencing an acute MI. Which of the following medications would NOT be expected on admit orders
a. beta blocker
b. aspirin
c. nitrates
d. Ca Chloride
A
d. Ca Chloride
18
Q
- A person sustained a ruptured myocardial wall. Which of the following is ACCURATE regarding cause of this rupture
a. thickening of myocardial wall
b. increased collateral flow
c. shearing effect against stiffened necrotic tissue
d. softened, elastic area of muscle
A
c. shearing effect against stiffened necrotic tissue
19
Q
- 23 yo presents w/ severe CP that worsens w/ respiratory movements & w/ lying down. On exam, there is friction rub. Which of the following Tx is MOST approp. for the condition
a. analgesic
b. percutaneous coronary intervention
c. CABG
d. beta blockers
A
a. analgesic
20
Q
- Person has Dx pericardial effusion that is frank blood. Which of the following is associated w/ bloody effusion
a. TB
b. Coagulation defect
c. neoplasm
d. Left HF
A
b. Coagulation defect
21
Q
- Which of the following medical conditions is NOT associated w/ pericardial effusion
a. renal failure
b. breast ca
c. aortic stenosis
d. open heart Sx
A
c. aortic stenosis
22
Q
- Which of the following is a result of dilated cardiomyopathy
a. increase EF
b. decreased end-diastolic volume
c. increased stroke volume
d. biventricular failure
A
d. biventricular failure
23
Q
- Which of the following medications is used in dilated cardiomyopathy
a. digitalis
b. Ca channel blockers
c. beta blockers
d. fibrinolytic
A
a. digitalis
24
25. Which of the following is NOT one of 3 common causes of aortic stenosis
a. inflammatory damage caused by rheumatic heart dz
b. acute MI
c. congenital malformation of bicuspi valve
d. degeneration w/ aging
b. acute MI
25
26. Person has impaired blood flow from lt atrium to lt ventricle. Which of the following valvular problems does this describe
a. Mitral stenosis
b. Mitral regurgitation
c. Aortic stenosis
d. Aortic regurgitation
a. Mitral stenosis
26
27. Person has loud pansystolic murmur that radiate to back & axilla. Which of the following valvular abn is this describing
a. Mitral stenosis
b. Mitral regurgitation
c. Aortic stenosis
d. Aortic regurgitation
b. Mitral regurgitation
27
28. A man has rheumatic fever. Which of the following valves is MOST commonly affected
a. aortic
b. tricuspid
c. pulmonic
d. mitral
d. mitral
