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155 Cards in this Set

  • Front
  • Back

Massive release of histamine with consequent vasodilation and hypotension occurs with what type of shock?

anaphylactic

Cardiogenic shock is characterized by low cardiac output, low blood pressure, and low cardiac preload. T/F

False

Which of the following types of shock has the highest mortality rate?

septic

Bradycardia describes an abnormally slow heart rate.

True

A patient presenting with fever, hypotension, and lactic acidosis is most likely to be experiencing what type of shock?

Septic

All forms of shock are associated with inadequate tissue perfustion.

True

Which of the following will decrease stroke volume, potentially leading to systolic heart failure?

ventricular remodeling due to ischemia

An example of an acyanotic heart defect is:

ventricular septal defect

Initially, ventral septal defects produce a _______ shunt.

L to R

Common ventricular outflow in early embryonic heart:

truncus arteriosis

Pulsus paradoxus is classically found with:

cardiac tamponade

Mitral regurgitation will lead to:

left ventricular hypertrophy, left atrial dilation, right ventricular failure

Second-degree heart block type I (Wenckenback) is characterized by:

variable PR interval and dropped QRS complexes

All of the following are acyanotic congenital defects except:

truncus arteriosus

Which of the following are the result of aortic stenosis?

decreased stroke volume, decreased systolic blood pressure, left ventricular hypertrophy

Which of the following is an accurate description of patent ductus arteriosus?

a communication between the aorta and the pulmonary arter

The common denominator in all forms of heart failure is:

reduced cardiac output

The majority of dysrhythmias are believed to occur because of:

re-entry mechanisms

Rheumatic heart disease is most often a consequence of:

beta-hemolytic streptococcal infection

If an infant had transposed great arteries in conjunction with a large VSD, which of the following is possible:

only mild cyanosis due to mixing between circuits

Hypertrophy of the right ventricle is a compensatory response to......

pulmonary stenosis

The compensatory mechanisms that are triggered following myocardial infarction.....

increase myocardial oxygen demands

A patient with heart failure who complains of intermittent shortness of breath during the night is experiencing....

paroxysmal nocturnal dyspnea

Left-sided heart failure is characterized by:

pulmonary congestion

High blood pressure increases the workload of the left ventricle because it increases_____.

afterload

Restrictive cardiomyopathy clinically mimics which of the following:

constrictive pericarditis

Which of the following causes Eisenmenger syndrome with a VSD?

pulmonary vascular resistance exceeding systemic

Right-sided heart failure usually is a consequence of:

elevated right ventricular afterload

Restrictive pericarditis is associated with:

impaired cardiac filling

Hypotension associated with neurogenic and anaphylactic shock is due to:

peripheral pooling of blood

Cardiogenic and hypovolemic shock can be differentiated based on differences in cardiac preload.

True

Cardiogenic shock is characterized by:

reduced cardiac output

Low cardiac output in association with high preload is characteristic of:

cardiogenic shock

After sitting in a chair for an hour, an elderly patient develops moderate lower extremity edema. His edema is most likely a consequence of:

right-sided heart failure

Systolic failure is associated with a low cardiac output and low ejection fraction.

True

Mitral valve stenosis may lead to right ventricular failure.

True

Tachycardia describes an abnormally slow heart rate.

False

Inflammation of the inner layer of the heart wall is termed endocarditis.

True

Truncus arteriosus is the term for the combined fetal atria.

False

Acute myocardial infarction and unstable angina are both acute coronary syndromes

True

Inflammation of the inner heart layer is termed pericarditis

False

Although smoking has been linked to heart disease, it is no longer considered a major risk factor.

False

Coronary heart disease is also referred to as ischemic heart disease.

True

An ASD located high in the atrial septum is termed a sinus venosus defect.

True

what changes do not occur during an acute asthma episode

alveolar collapse

Another term for Croup Syndrome is:

laryngotracheobronchitis

COPD is emphysema in conjunction with:

chronic bronchitis

Name for procedure to close pneumothorax by introduction of caustic substances into the pleural space:

pleurodesis

Persistent abnormal dilation of bronchi:

bronchiectasis

Which of the following disorders does not alter neuronal function or neuronal communication?

muscular dystrophy

Croup is characterized by:

a barking cough

Term for subjective sensation of uncomfortable breathing:

dyspnea

A patient with a productive cough and a localized area of infiltrate or atelectasis on x-ray probably has:

bacterial pneumonia

Viral pneumonia is characterized by:

a dry cough

Disorder characterized by hypersecretion of mucus and productive cough that continues for at least 3 months of the year for at least 2 consecutive years:

chronic bronchitis

To further evaluate the diagnosis of asthma, a child has pulmonary function tests. Which test result is consistent with a diagnosis of asthma?

reduced forced expiratory volume in 1 second (FEV1)

Copious, foul-smelling respiratory secretions are generally associated with:

bronchiectasis

Widespread atelectasis, non-cardiogenic pulmonary edema, and fibrosis are characteristic of:

acute respiratory distress syndrome (ARDS)

An individual suffering from occupational lung disease due to working in a coal mine would be diagnosed with:

anthracosis

Restriction of which electrolytes is recommended in the management of high blood pressure?

sodium

High blood pressure increases the workload of the left ventricle because it increases:

afterload

A patient with a blood pressure consistently measured at 140/80 is correctly diagnosed as having stage 1 hypertension.

True

norepinephrine would cause vasoconstriction?

True

The most important factor regarding increased peripheral resistance is vasoconstriction.

True

Peripheral edema is a result of:

venous thrombosis

A venous thromboembolus is most likely to form _______ and lodge in the ________.

in the legs, pulmonary circulation

vasoconstriction would result in an increase in systemic blood pressure?

True

Blood pressure is lowest in the:

right atrium

Risk factors for hypertension most often alter:

pressure-natriuresis relationship

A hypertensive patient is reluctant to adhere to the prescribed plan because he feels fine and doesn't like his new diet. It can be explained to him that high blood pressure increases the risk of all of the following except:

diabetes

A serious complication of deep vein thrombosis is:

pulmonary embolus

A common cause of secondary hypertension is:

renal disease

Stimulation of the renin-angiotensin-aldosterone system results in a lowering of MAP

False

The greatest risk associated with dissecting aneurysms is rupture.

True

A patient with a blood pressure consistently measured at 109/92 is correctly diagnosed as having stage 1 hypertension.

True

Blood pressure (MAP) equals the produce of cardiac output and systemic vascular resistance (peripheral resistance)

False

Deposition of antigen-antibody complexes in the lung after inhalation of organic particles occurs with hypersensitivity pneumonitis.

True

The hypoxia associated with ARDS responds well to supplemental oxygen.

False

Emphysema decreases the surface area available for gas exchange.

True

Infants born prematurely may develop IRDS because their production of surfactant is insufficient.

True

Chronic bronchitis is defined as a chronic productive cough for at least 6 months for three or more consecutive years.

False

A person in the end-stages of which disorder are termed "blue bloaters?"

chronic bronchitis

A serious complication of a thromboembolus leaving the left atrium is a cerebrovascular accident (stroke)

True

A common cause of lymphedema is removal of lymph nodes with surgery for breast cancer.

True

If viscosity of blood decreases, the resistance to blood flow decreases

True

Atrial natriuretic peptide:

increases excretion of water and sodium by the kidney

What best describes lymphedema.

accumulation of tissue fluid due to impairment of lymph circulation

Secondary chronic orthostatic hypotension can be caused by:

endocrine disorders

a 24 hour urine collection contains 4.0 g of protein. L.E. has progressed to:

nephrotic syndrome

Pain in the kidney, as occurs with pyelonephritis or trauma, is a result of:

stimulation of pain receptors located in the renal capsule

The cause of chronic pyelonephritis is:

recurrent urinary infection

Polycystic renal disease:

manifests with decreasing renal function, hypertension, and flank pain in adults

The pain that accompanies kidney disorders is called:

nephralgia

Polycystic kidney disease is:

genetically transmitted

If acute glomerulonephritis progresses to renal failure, what type of renal failure will it cause?

intrarenal

A person with acute pyelonephritis would most typically have:

fever

The fibrosis leading to cirrhosis following alcohol abuse is primarily due to damage to hepatocytes.

True

Hepatitis C is a chronic condition in about 85% of cases.

True

Pyelonephritis is an infection of the kidney that commonly follows group A Streptococcus pharyngitis.

False

Colicky, spasmodic pains in the flank area are likely to occur with ureteral irritation.

True

Most renal calculi are composed of calcium crystals.

True

Unilateral renal agenesis is not compatible with life.

False

Alcohol abuse is the primary risk factor for chronic pancreatitis.

True

Alcohol abuse is the primary risk factor for chronic pancreatitis.

True

The reversible stage of alcoholic liver disease is:

fatty infiltration of the liver

The underlying pathologic mechanism of hemochromatosis is:

excessive absorption of dietary iron

Another name for jaundice is:

icterus

Jaundice is a common manifestation of:

liver disease

What type of hepatitis virus is commonly associated with post-necrotic cirrhosis?

C

What is the cause of primary biliary cirrhosis?

autoimmune reactions

Hepatocellular failure produces all of the following except:

decrease of all water soluble vitamins

A complication of liver disease that is directly attributable to portal hypertension is:

esophageal varices

Most gallstones are composed of:

cholesterol

The usual treatment for chronic pancreatitis includes:

abstinence from alcohol

A deficiency of lipid digestion or absorption commonly results in:

steatorrhea

narcotic analgesic administration could result in a mechanical bowel obstruction:

false

Common manifestations of peptic ulcer disease include:

burning epigastric pain

Ulcerative colitis is commonly associated with?

bloody diarrhea

Type of bowel movement caused by non-absorbable substances in intestinal lumen attracting water.

osmotic diarrhea

All malabsorptive conditions:

affect the small intestine

Which of the following symptoms suggests the presence of a hiatal hernia?

heartburn

Patients with chronic renal failure are at high risk to develop hypocalcemia.

False

Patients with acute renal failure commonly develop metabolic acidosis because of impaired kidney secretion of H+.

True

Signs and symptoms of chronic renal failure begin to appear when approximately 75% of nephrons have been lost.

True

Simple intestinal obstructions are due to failure of peristaltic contractions.

False

Long-term use of non-steroidal anti-inflammatory medications and infections with Helicobacter pylori are causative factors in peptic ulcer disease.

True

Diverticulitis usually is asymptomatic.

False

Findings associated with chronic renal failure but not likely to be found with acute renal failure include:

hypocalcemia and anemia

The stage of "renal insufficiency" is associated with:

polyuria and nocturia

The most helpful laboratory value in monitoring the progression of renal failure is:

serum creatinine

In patients with polycystic kidney disease, renal failure is expected to progress over time as the cystic process destroys more nephrons. At what point will a patient enter the end stage of chronic renal failure?

greater than 90% nephron loss

pyelonephritis could produce prerenal failure

false

Sixty five year old C.V. was admitted to the hospital for management of dehydration associated with a severe gastrointestinal flu. Improvement in C.V.'s GFR correlates most closely with:

normalizing of serum creatinine levels

Sixty five year old C.V. was admitted to the hospital for management of dehydration associated with a severe gastrointestinal flu. What type of acute renal failure is C.V. at risk for?

prerenal

Prerenal kidney failure, regardless of the specific cause, has a single common etiologic factor, which is:

a reduction in renal perfusion

E. Coli is the responsible organism in about 50% of lower urinary tract infections

false

Infectious cystitis is usually a consequence of bacterial invasion from the urethra

true

The usual presenting manifestation of bladder cancer is hematuria

true

Ureteral diverticuli are areas of dilation along the ureter.

true

The primary cause of stress incontinence is

pelvic muscle weakness

When a child that has experienced dryness becomes incontinent, it is termed

secondary enuresis

Which of the following is characterized by a strong and immediate urge to void due to involuntary detrusor contraction?

urge incontinence

Most bladder calculi are composed of

uric acid

Which of the following groups is at highest risk for urinary tract infection

sexually active women

Voiding dysfunction due to CNS or PNS damage is termed

neurogenic bladder

Diarrhea and other lower intestinal fluid losses will contribute to:

metabolic acidosis

Two important renal buffers are

NH3 and HPO4

Which of the following arterial blood gases indicates a compensated respiratory acidosis?

pH 7.36, PaCO2 55, HCO3 30

For a person with the following blood gas measurements, what would be a compensatory response: pH = 7.2, PaCO2 = 40 mm Hg, HCO3 = 18 mEq/L.

hyperventilation

Classify the following arterial blood gas: pH = 7.19, PaCO2 = 49 mm Hg, HCO3 = 24 mEq/L

respiratory acidosis

Vomiting of stomach contents or continuous nasogastric suctioning may predispose to development of

metabolic acid deficit

Loss of upper GI contents (e.g. vomiting) may lead to metabolic acid excess, whereas loss of lower GI contents (e.g. diarrhea) may lead to metabolic acid deficit.

False

A person who chronically hypoventilates will have a higher than normal concentration of bicarbonate in the blood.

True

A patient with respiratory acidosis can correct for the disorder by hyperventilating

True

A patient with respiratory acidosis can compensate for the disorder by hyperventilating

False