Ch30: Alterations of Cardiovascular Fn Flashcards Preview

Pathophysiology Unit4-6 > Ch30: Alterations of Cardiovascular Fn > Flashcards

Flashcards in Ch30: Alterations of Cardiovascular Fn Deck (25)
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0
Q
  1. Atherosclerosis raises the systolic bp by
    a. increasing arterial distensibility & vessel lumen radius/diameter
    b. increasing arterial distensibility & decreasing vessel lumen radius/diameter
    c. decreasing arterial distensibility & increasing vessel lumen radius/diameter
    d. decreasing arterial distensibility & vessel lumen radius/diameter
A

d. decreasing arterial distensibility & vessel lumen radius/diameter

1
Q
  1. Events in development of atherosclerotic plaque include all of the following EXCEPT
    a. oxidation of LDL
    b. smooth muscle proliferation
    c. decreased antithrombolytics
    d. fibrous plaque overlies foam cells
    e. complement activation
A

e. complement activation

2
Q
  1. G.P. is 50yo man who was referred for eval of bp. If he had a high diastolic bp, which of the following readings would reflect that
    a. 140/82
    b. 160/72
    c. 130/95
    d. 95/68
    e. 140/72
A

c. 130/95

3
Q
  1. Complications of uncontrolled HTN include all EXCEPT
    a. cva
    b. anemia
    c. renal injury
    d. cardiac hypertrophy
A

b. anemia

4
Q
  1. Primary HTN
    a. is essentially idiopathic mediated by a host of neurohumoral effects
    b. can be caused by renal dz
    c. can be caused by hormone imbalance
    d. results from arterial coarctation
A

a. is essentially idiopathic mediated by a host of neurohumoral effects

5
Q
  1. Orthostatic hypotension is caused by all EXCEPT
    a. increased age
    b. increased blood volume
    c. ANS dysfn
    d. bed rest
    e. severe varicose veins
A

b. increased blood volume

6
Q
  1. Adiponectin
    a. an enzyme
    b. increased in obesity
    c. antiatherogenic
    d. inflammatory
A

d. inflammatory

7
Q
  1. Transmural MI
    a. displays non-STEMI
    b. occurs when infarction is limited to part of heart wall
    c. is categorized as STEMI
    d. displays T-wave inversion
A

c. is categorized as STEMI

8
Q
  1. 76yo man came to ER after experiencing chest pain while shoveling snow. Lab tests revealed essentially normal blood levels of SGOT/AST, CPK, & LDH enzymes. The CP was relieved following bed rest& NTG therapy. The MOST probable Dx is
    a. MI
    b. emphysema
    c. stable angina
    d. hepatic cirrhosis
    e. acute pancreatitis
A

c. stable angina

9
Q
  1. Pericardial effusion
    a. fibrotic lesions obliterate pericardial activity
    b. there is associated RA
    c. tamponade compresses right heart before affecting other structures
    d. arterial bp during inspiration exceeds that during expiration
A

c. tamponade compresses right heart before affecting other structures

10
Q
  1. Increased chamber size is observe in ____ cardiomyopathy
    a. dilated
    b. hypertrophic
    c. restrictive
    d. constrictive
A

a. dilated

11
Q
  1. Which of the following is NOT an expected form finding in acute rheumatic fever
    a. Hx of pharyngeal infection
    b. elevated ASO titer (anti-streptolysin O)
    c. leukopenia
    d. fever
A

c. leukopenia

12
Q
  1. In unstable angina
    a. pronounce Q waves are evident
    b. transient ST elevation occurs
    c. vasospasm occurs
    d. T wave inversion occurs
A

d. T wave inversion occurs

13
Q
  1. Secondary HTN is cause by
    a. Na retention
    b. renovascular dz
    c. genetics
    d. decreased cardiac contractibility
    e. increased ventricular preload
A

b. renovascular dz

14
Q
  1. Which of the following statements about HTN is INCORRECT
    a. malignant htn is characterized by a diastolic pressure of more than 140 mmHg
    b. approx. 90% of htn cases are of essential/primary type
    c. headache is most reliable symptom
    d. when left treated, major risks include CVAs & cardiac hypertophy
A

c. headache is most reliable symptom

15
Q
  1. 53yo man was admitted to ER after experiencing sob, weakness, cardiac dysrhythmias, & CP that didn’t subside following NTG therapy. Lab tests revealed pt had elevated serum CPK & SGOT/AST level & trop I monoclonal antibodies. ECG tracing revealed a prominent Q wave & elevated ST segment. The MOST probable Dx
    a. transient ischemic infarct
    b. acute MI
    c. attack of unstable angina pectoris
    d. prinzmetal angina
    e. coronary artery vasospasm
A

b. acute MI

16
Q
  1. Life-threatening consequences of cad include
    a. angina
    b. cardiomegaly
    c. endocarditis
    d. HF
A

d. HF

17
Q
  1. Which accompanies an infarcted myocardium
    a. unconsciousness
    b. transient ST elevation
    c. left ventricular hypertrophy
    d. arrhythmias
A

d. arrhythmias

18
Q
  1. The MOST serious complication of infective endocarditis is
    a. valvular deformity
    b. septic emboli
    c. regurgitated blood by mitral valve
    d. myocardial hypertrophy
A

b. septic emboli

19
Q
  1. Patients w/ only left side HF would exhibit
    a. hepatomegaly
    b. ankle swelling
    c. pulmonary edema
    d. peripheral edema
A

c. pulmonary edema

20
Q
  1. In CHF, there’s
    a. GI disturbance
    b. elevated venous pressure
    c. decreased urinary output
    d. ascites
A

c. decreased urinary output

21
Q
  1. In right side HF, there is
    a. nocturnal dyspnea
    b. dependent edema
    c. blood-tinged sputum
    d. rales
A

b. dependent edema

22
Q
  1. Tricuspid regurgitation
    a. rt ventricular hypertrophy
    b. lt ventricular hypertrophy
    c rt atrial hypertrophy
    d. lt atrial hypertrophy
    e. lt atrial/rt ventricular hypertrophy
    f. rt & lt ventricular/lt atrial hypertrophy
    g. hypertrophy of all chambers
A

c rt atrial hypertrophy

23
Q
  1. Mitral stenosis
    a. rt ventricular hypertrophy
    b. lt ventricular hypertrophy
    c rt atrial hypertrophy
    d. lt atrial hypertrophy
    e. lt atrial/rt ventricular hypertrophy
    f. rt & lt ventricular/lt atrial hypertrophy
    g. hypertrophy of all chambers
A

e. lt atrial/rt ventricular hypertrophy

24
Q
  1. Mitral regurgitation
    a. rt ventricular hypertrophy
    b. lt ventricular hypertrophy
    c rt atrial hypertrophy
    d. lt atrial hypertrophy
    e. lt atrial/rt ventricular hypertrophy
    f. rt & lt ventricular/lt atrial hypertrophy
    g. hypertrophy of all chambers
A

f. rt & lt ventricular/lt atrial hypertrophy