Exam 2 Flashcards
_____, this valve disease will decrease left ventricular volume
Mitral Stenosis
____, this valve disease, causes ventricular enlargement.
Aortic Stenosis
More plasma potassium leads to more potassium going into the cell, leading to (depolarization or hyperpolarization), less excitable cells and bradycardia
hyperpolarization
3rd Heart Sound most likely occur …
during the rapid filling phase
4th heart sound most likely occur…
during atrial contraction
2nd heart sound most likely occur…
by the closure of aortic and pulmonic valves
1st heart sound most likely occur…
by the closure of the mitral and tricuspid valve
____ causes systolic murmur.
Mitral regurgitation
____ causes diastolic function disorder
Mitral stenosis, Aortic Regurgitation, Restrictive Cardiomyopathy
Afterload is related to ______ (BP=COxTPR)
arterial pressure
Preload is related to …
volume and venous return
Increase afterload occurs with (increase, decrease) arteriolar resistance, and increased preload occurs with (less, more) venous compliance
increase; less
Tension is greatest in ….
big vessels with large diameters (aorta)
Tension is smallest in…
small vessels with low pressure (capillaries)
Vasculitis disease includes…
Raynaud
Buerger
Wegner
Coronary blood flow is controlled mainly by autoregulation, and coronary blood flow is (highest, lowest) at a high heart rate.
lowest
Coronary autoregulation is primarily through ____ activation and ___ generation
eNOS; NO
Patient with 75% occlusion: What do we expect?
Symptoms with exercise
Patient with 95% occlusion: What do we expect?
Symptoms at rest and with exercise
Cardiac demand for O2 is increased by …
high systolic pressure
increased ventricular volume
increased heart rate of stroke volume
Infarction is…
necrosis resulting from irreversible cellular hypoxia.
(1/3 or 2/3) of total CV volume is intracellular volume.
2/3
1/3 of total CV volume is extracellular volume and of that, ___% is plasma volume and ___% is interstitial volume
20;80
Fluid Flux: Starlings Law – flux occurs (up/down) pressure gradient
down (high to low)
Fluid Flux: Normal flux is out on the end of (arterial or venous)
arterial
When baroreceptors detect low pressure ….
SV increases, TPR increases, Vasoconstriction increases, and CO increases
The baroreflex is great for controlling blood pressure for (long-term or short term)
short term
____ + ___ are great for controlling blood pressure long term
AVP;RAAS
AVP: High levels of ___ in the body activate aquaporins to increase volume
sodium
____ increases sodium retention in the kidney to pull water back in and increase volume
RAAS
Match type of Shock
Hemorrhaging due to major car accident
Cardiogenic Hypovolemic Neurogenic Septic Anaphylactic
Hypovolemic
Match type of Shock
Allergic reaction to lisinopril
Cardiogenic Hypovolemic Neurogenic Septic Anaphylactic
anaphylactic
Match type of Shock
Bacterial endotoxin
Cardiogenic Hypovolemic Neurogenic Septic Anaphylactic
Septic
Match type of Shock
Anesthesia
Cardiogenic Hypovolemic Neurogenic Septic Anaphylactic
Neurogenic
Match type of Shock
Myocardial Infarction
Cardiogenic Hypovolemic Neurogenic Septic Anaphylactic
Cardiogenic
Normal CK level for a man?
38-200 IU/L
Normal CK level for a woman?
26-150 IU/L
Troponin is the cardiac specific troponin biomarker with a normal value of …
< 1.5 ng/mL
Troponin, Creatinine Kinase, and lactate dehydrogenase are all cardiac markers and markers of ____ damage
muscle
Normal ratio of LDH1:LDH2 is (greater or less) than 1
less
Increase radius + Decrease resistance= ___ flow
increase/more
Arterioles: Decrease radius + increase resistance would decrease flow which means there are more pressure in the upstream (artery) or downstream (capillaries)
Less Flow= Less pressure downstream but more pressure upstream
___ valve disease, pressure overload in L. Atrium
Mitral Stenosis
____ valve disease, Pressure overload in L. Ventricle
Aortic Stenosis
____ valve disease, loud S1, Diastolic sound
Mitral Stenosis
____ valve disease, Late (S4) systolic sound
Aortic Stenosis
____ valve disease, long S1 sound, Systolic (all)
Mitral Regurgitation
_____ valve disease, Volume overload of Atrium, enlargement of atrium and ventricle (S3)
Mitral regurgitation
____ valve disease, volume overload of ventricle
Aortic regurgitation
_____ valve disease, early diastolic murmur, floppy valve leaflets
Aortic regurgitation
Low resistance would (increase or decrease) flow
increase
low pressure would (increase or decrease) flow
decrease
Increased resistance would increase pressure and flow (upstream or downstream)
upstream
Decreased resistance would increase pressure (upstream or downstream)
downstream
Sympathetic would (increase or decrease) compliance which results in more pressure (stiffen walls)
decrease
Less compliance would result in (more or less) volume and result in increased venous return
less
Increase in Sympathetic Tone will (decrease or increase) cardiac output
increase
T or F: Parasympathetic NS has little effect on venous tone
T
T or F:
Parasympathetic only affects arteriolar resistance in small subset of arterioles and this would not directly alter Cardiac output
T
Mitral Stenosis increases left atrial pressure work and would (decrease or increase) L. Ventricle Stroke volume
decrease
Aortic Stenosis increases ____ pressure
left ventricle
___ heart sound is during atrial contraction, occur with LV enlargement secondary to aortic stenosis
4th
___ heart sound is during rapid filling phase
3rd
Mitral stenosis causes (ventricular or atrial) enlargement
atrial