final Flashcards
Lung cancer is the leading cause of death for smokers
true
what is the percentage of lung cancer recovery
15%
Hereditary tumors make up only a small fraction of all benign and malignant tumors afflicting humans
t
Hereditary is responsible for a large percentage of breast carcinomas
F- pretty small percentage
There is a blood test for prostate cancer called a prostatic specific antigen test (PSA)
T
Tachycardia is a term meaning that a person has in irregular heart rate
F. Rapid Heart rate
Congestive heart failure is characterized by pulmonary and systemic edema
T
As many as 25% of all patients with myocardial infarcts have very few symptoms and do not consult a physician
T
The pulmonary artery is a vessel that provides blood for the heart
F. Goes to lungs to puck up 02
Aspirin is widely used in clinical medicine to reduce the risk of heart attack and stroke
T
Cocaine related flat arrhythmias and myocardial infarcts do not occur in persons with normal coronary arteries
F they do
what is some cerebral injury
brain is well protected with cranium and cerebrospinal fluid
what is the cerebrospinal fluid
hydrostatic cushion that insulates the brain (protects it)
could a hematoma may compress brain and impair function?
T
increased cranial pressure may decrease blood flow to the brain
T
what does the Cerebellum do for the brain
thinking part, muscle coordination equilibrium
What is it called when a malignant growth of cells that multiplies at an uncontrollable rate
cancer
what is it when a tumor that does not spread of invade other tissues, can cause death
benign tumor
What is it when it is to spread disease from one part of the body to another in cancer
metastasize
what is it called when a tumor has spread and grown in a part body remote from original site
secondary tumor
what is skin cancer
malignant melanoma and carcinoma
what are the cancer types?
- Leukemia
- lymphoma
- sarcoma
- Carcinoma
- Melanoma (skin cancer)
what is the prognosis of melanoma
thickness of melanoma
What is leukemia
cancer of blood forming organs
what is lymphoma
cancer of infection fighting organs/ lymphatic
what is sarcoma
cancer of bone, muscle or connective tissue
what is carcinoma
cancer of epithelial cells, lungs, liver
carcinoma is the most
What are risk factors of cancer
One third of cancers are related to poor nutrition, physical inactivity, and obesity. Another third are related to tobacco, which means they could have been prevented.
what is the 5 year survival rate for lung cancer
15%
what is the five year survival rate for breast cancer
90%
what is the fiver year survival rate for prostate cancer
95%
overall what is the fiver year survival rate in cancer
68
what are warning signs of cancer
C- change in bowel or bladder habits
A- sore that does not heal
U- nusual bleeding or discharge
T- hickening of lump in breasts or elsewhere
I- indigestion or difficulty in swallowing
O- obvious change in a wart or mole
N- agging cough or hoarseness
What is the incidence and death rate of lung cancer
LEADING TYPE OF CANCER AND DEATH
- 156,940 deaths
- 27% of all cancer deaths
what is the death rate of colon and rectal cancer
49,380 deaths
largely a disease of older age
what is the death rate of breast cancer
39,520 deaths
-majority of deaths in women over 65
-
what is the death rate in prostate cancer
240,890 cases, 33,720 deaths
how does the blood circulate through the right side of the heart
Superior Vena Cava (Head) inferior Vena Cava (Body) Right Atrium Tricuspid Valve Right Ventricle Pulmonary Artery Arteries Arterioles Capillaries Venues Vein Pulmonary Vein
right side of the heart goes to the
LUNGS
how does the blood circulate through the left side of the heart
Left Atrium Bicuspid (Mitral) Valve Left Ventricle Aorta Arteries Arterioles Capillaries Venues Veins Back to vena Cava's
left side of the heart goes to the
body
what are the two large coronary arteries and where do they go
Right- Lung
Left- Body
how do impulses travel down internal tracts to atrioventricular node
electrical impulse
what is the SA node
pacemaker of heart, so heart beats in unison
What are risk factors for heart disease
- Hypertension
- Elevated Blood Cholesterol
- Elevated low density Lipoprotein
- Smoking
- Obesity (Overweight)
- Diabetes
What are the two types of blood pressure
systolic
diastolic
what is diastolic pressure
lowest pressure when the ventricles are relaxed
what is systolic pressure
highest pressure reached during ventricular contraction
what are signs and symptoms of heart attack
Angina Pectoris: Chest pain - tightness Dyspnea: Difficulty breathing Cyanosis: Blue skin coloration Diaphoretic: Perspiration - sweating Tachycardia: Rapid Heart Rate (Over 100) Bradycardia: Slow Heart Rate (Below 60) Arrhythmia: Irregular Heart Rate
What is the destruction of heart tissue from lack of oxygen
myocardial infarction
what is the blockage of coronary arteries- results in M.I.
coronary artery disease
what is it when there is thickening and hardening of arteries
Arteriosclerosis
what is it when there is plaque deposited in arteries
Atherosclerosis
What is coronary heart disease
heart attack
what is myocarditis
inflammation of heart due to bacterial or viral infection. Tissue destruction
what is rheumatic heart disease
damage to heart valves following streptococcus infection- persons own antibodies attack heart valves
what is congestive heart disease
Failure of heart to work as an effective pump. Hypertrophy of Atrium and/or Ventricles. Results in pulmonary and systemic edema
what is congenital heart disease
heart defect present at birth
what are the two types of congenital heart disease
Cyanotic
acyanotic
What is acyanotic heart defect
no problems evident at birth
what is cyanotic heart defect
infant for with cyanosis
what is the most severe congenital problem
tetralogy of fallot
Anencephaly is when there is
non brain
what are some side effects from anencephaly
cephalic end of neural tube fails to close
- abnormal cranial cavity
- neck absent
- increased incidence in females incompatible with postnatal life
spina bifida is
a split spine
what are the side effects of spina bifida
malformation of caudal end of neural tube
- multifactorial pattern of inheritance
- deficiency of folic acid
- failure of fusion of vertebral arches
What is Hydrocephalus
obstruction of normal circulation of spinal fluid
- buildup of fluid causes compression
- atrophy of brain
what is Myelitis
infection of spinal cord
what is meningitis
infection of meninges surrounding brain/spinal cord
what is encephalitis
infection of brain
what is polio
loss of nerve innervation with destruction of lower motor neurons (virus)
what is Alzheimer’s disease
Atrophy of Cerebral Cortex with loss of neurons Neurofibrillary tangles & senile plaques - Affects Acetylcholine neuron Chronic, progressive disease
what is Guillain Barr’e syndrome
(Idiopathic Polyneuritis)
Inflammatory changes and widespread demyelination
Onset usually occurs a few weeks after a mild respiratory infection Autoimmune reaction - Immune system attacks myelin Muscular weakness in legs & spreads to trunk & upper extremities
Patient maintains awareness and intellectual functioning
Intercostal muscles impaired Respiratory distress & difficulty swallowing
what is multiple sclerosis
degeneration of meylin sheath of nerves in brain and spinal cord
the pulmonary vein has what kind of oxygen
high
the pulmonary artery has what kind of oxygen
low
what is neurosis
Mental disorder characterized by ANXIETY symptoms related to unresolved conflicts.
what is the treatment of neurosis
psychotherapy- minor tranquilizers
what is psychosis
Major mental disorder characterized by gross impairment in reality testing. Loss of touch with reality.
what is the treatment for psychosis
major tranquilizers
what is the disease that air in pleural space, leaky lung/chest puncture wound
pneumothorax
what is the disease that has blood in pleural cavity
hemathorax
what disease is an inflammation of lungs
pneumonia
what disease has collapse of part of a lung
atelectasis
what is this disease
Painful breathing
pleura roughened form inflammation
Pleuritis
What is this disease:
Special type of Pneumonia: Tubercle bacillus (Mycobacterium tuberculosis)
Capsules composed of wax & fat - Resistant to destruction
Monocytes accumulate, fuse & form large multinucleated Giant Cells
Also accumulation of lymphocytes & plasma cells
TB
What is this disease:
Spasmodic contraction of smooth muscle in walls of small bronchi & bronchioles - Increased secretions by the bronchial mucous glands
Asthma
What is this disease:
Air sacs distal to terminal bronchioles are enlarged & walls of air sacs are destroyed
Large cystic spaces - Air stays in alveoli - loss of elasticity
Surface area in contact with capillary system is significantly decreased
Important cause of disability and death - Rapid increase in incidence
Usually begins in upper lungs but may eventually involve all lobes
emphysema
what is this disease:
Occurs from exposure to injurious substances
Fibrous thickening of alveolar septa
Lungs rigid - Restricts normal air exchange
Pneumoconiosis: Pulmonary damage caused by dust of other material
Silicosis (Rock Dust), Asbestosis (Asbestos Fibers), Coal dust
pulmonary fibrosis
what is this disease
Fastidious gram negative bacterium - Legionella pneumophila
Transmitted in air, not from person to person - Cooling towers (mist) -
legionnaires disease
T or F
antidepressant drugs are not addictive
F
They are
sign and symptoms of stroke
Hemiplegia, Hemiparesis, Unconsciousness or semiconscious, Rehabilitation goals, Transient Ischemis Attack (TIA), Paralysus, Congenital Cerebral Aneurysm, hard time swallowing, personality change,
What is Hemiplegia
Paralysis on one side of the body
What is Hemiparesis
Weakness on one side of the body
What are rehabilitation goals for stroke
- Regain walking ability 2. Relearn self care activities 3. Prevent stiffness & limitation of motion 4. Emotional adjustments to disability 5. Speech therapy
What is TIA
Transient Ichemic Attack
Brief episodes of neurological dysfunction
What is Paralysis
aphasia (loss of speech)
What is congenital aneurysm
Sac-like outpouching of vessel - Weakness of vessel is congenital - Aneurysm typically develops in young adulthood or middle age - Rupture produces fatal hemorrhage Signs & Symptoms: Headache (Increased intracranial pressure) and stiff neck (Blood irritates the meninges)
what happens when someones goes unconscious or semiconscious
Difficulty breathing or swallowing-Loss of bladder and/or bowel control (incontinence) - Unequal pupil size - Inability to communicate (slurred speech) - Nausea - Vomiting - Drooling - Headache - Confusion - Dizziness - Tinnuitus - Memory changes - Extreme weakness - Personality changes
What are the three major causes of strokes
Cerebral Thrombosis
Cerebral Embolism
Cerebral Hemorrhage
What is cerebral Thrombosis
Atherosclerosis - Narrowing of cerebral vessels - Infarction & necrosis of brain tissue - Phagocytes clean up the debris - cystic cavity - Encephalomalacia (Brain softening)
What is Cerebral Embolism
Wandering clot usually from atherosclerosis of internal carotid - Piece may break off Dx: Cerebral angiogram Tx: Carotid endarterectomy
What is cerebral Hemorrhage
Ruptured vessel - Very serious and if vessel is large it is most often fatal - Pressure on brain tissue Dx: Computerized Tomography (CT) scan - Cerebral hemorrhage is more dense on visualization than a cerebral infarction
What are the types of strokes
TIA
Hemorrhage
What is meningoencephalitis
infection of the brain and meninges
T o F
farther from the equator you are more likely to get MS
t
T or F
closer to the equator you will less MS more
T
What is the WART system
with
alcohol
repeated
trouble
What are the trouble tends to be in one of six areas:
1) Family/Significant other problems
2) Job/School problems
3) Financial problems
4) Legal problems
5) Emotional problems
6) Health problems
What are the three A’s people with drug problems need
1) Admit they have a problem (Addiction)
2) Abstain from drug/alcohol
3) Accept help
what are some factors of alcoholism
1) Genetics
2) Environmental
3) Social + Alcohol = Alcoholism ——- Multiple Problems
4) Personality
5) Individual problems
What disease has:
muscle laking tone- limp- loss of nerve innervation with destruction of lower motor neurons (polio)- loss of reflex arc - atrophy of muscle
flaccid paralysis
What does norepinephrine do
important in stimulation of reward and pleasure. Cocaine and stimulant increase amounts in the brain. individuals with depression have decreased amounts
what does dopamine do
important in motor movement and emotional life (mode.) high levels results in paranoia. Decreased amounts in individuals with parkinson’s disease. PLEASURE.
What does serotonin do
important in mood control, sensory perception and sleep patters. Individuals who attempt or comment suicide have low levels
what does acetylcholine do
fast acting chemical that controls muscles, thinking and memory. ALZHEIMER
what does GABA do
major inhibitory neurotransmitters allows for fine motor movement. decreased amounts in individuals with hunting tons chorea. unintensoria- autosomal dominant
what does endorphins do
morphine type neurotransmitters. control of PAIN threshold. higher level in individuals who exercise.
what are the functions of cerebral spinal fluid
lubricates, protects, removes waste and brings nutrients to the brain.
T or F
A person buried in sand to the neck with suffocate
T
What does inhalation do
Bellows actions of thoracic cage- diaphragm depends- intercostal muscles expand chest
What does Exhalation do
Intercostals relax -diaphragm rises- volume of thoracic cage reduces
What are terminal bronchioles
smallest bronchioles with blind ends and function only
what are respiratory bronchioles
have alveoli in their walls that transport O2 and participate in gas exchange
What are alveolar ducts
branches from respiratory bronchioles
what are pulmonary alveoli
air sacs forms from alveolar duct
What are the percentages of air we breath and exhale
Normal air 20% oxygen and 79% nitrogen
inhaled air is 16% oxygen
What is pneymothorax
air in pleural space, leaky lung/chest puncture wound
what is hemathorax
blood in pleural cavity
what is pneumohemathorax
blood and air in pleural cavity
what requires oxygen and that waste products be removed
cell metabolism
what circulates blood with nutrients, waste and gases
circulatory system
what delivers O2 and removal of Co2
respiratory system
Respiration have two functions…what are they
- Ventilation- movement of air in and out
2. gas exchange between alveolar air in pulmonary capillaries
What is involved with Alveolus
- Small air space -thin wall
- network of capillaries
- relatively small volume of air
- two types of cells
a. Flat squamous cells -air exchange
b. large secretory cells- produce lipid material- surfactant
What is involved with Acinus -Function unit of lung
- Respiratory bronchioles
- alveolar ducts
- Alveoli
what are the partial blood gases
PO2 and Pco2
Lung disease is characterized by
decreased PO2 and increased PCO2
Tuberculosis is very well controlled throughout the world
T or F
False
T or F
There is no discussion of chronic fatigue syndrome in our textbook
T
What does surfacant do
keep air sacs open and not collapse. It produces lipid material. helps with infants
what is vital capacity
Maximum volume of air expelled after a deep inhalation
T or F
Vital Capacity is a term for the normal amount of air moved in and out of lungs with normal breathing
F
maximum volume of air expelled after deep inhalation
COPD
Chronic Obstructive pulmonary disease
is emphysema and chronic bronchitis
what does dyspnea mean
difficulty breathing
what is cyanosis
skin discoloration
Asthma is
pollen, cold air, triggers, hard time getting air in
what is residual volume
Air that cannot be expelled from the lungs
what is FEV
Maximum volume of air that can be expelled in 1 second
Narrowed bronchioles cause a reduced FEV
if you smoke you will die from
cancer, heart disease
the cancer causing agent in cigarettes is
tar
the vessel that carries blood away from heart
aorta
pulmonary vein
towards heart
pulmonary artery
from heart
two major risks for heart disease
hypertension, cholesterol
SA is the
pace maker of the heart
angina pectoris
chest pain
diaphoretic
perspiration- sweating
tachycardia
rapid heart rate
bradycardia
slow heart rate
arrhythmia
irregular heart rate
if you have swelling in legs
CHF (congestive heart failure)
- back up blood in body due to heart not pumping right.
collateral circulation does what
helps with blockage of vessels, re routes blood
myocarditis
inflammation of heart
who is at higher risk of MS
women 20-40 years old
adult spina bifida has no treatment
T
what is Gyukkaub are disease
doesn’t affect person mentally
total lung volume is
residual plus vital capacity
emphysema is when
you can’t get air out
79% of the air we breathe is oxygen
F Nitrogen
functional unit of lung
acinus
what kind of energy controls the nervous system
electrical, chemical