Patho 370 CYU #3 - Weekly Test | Actual Questions
and Answers Latest Updated (Graded A+)-WCU
1. Myocarditis should be suspected in a patient who presents with:
a. Chest pain and ST elevation
b. Acute onset of left ventricular dysfunction
c. Murmur and abnormal valves on echocardiogram
d. Family history of cardiomyopathy
2. A middle-aged patient has a follow up visit for a recorded blood pressure of 162/96 mm
Hg taken 3 weeks ago. The patient has no significant past medical history and takes no
medications, but smokes 1 1/2 packs of cigarettes per day, drinks alcohol regularly, and
exercises infrequently. The patient is about 40 lbs. overweight and admits to a high-fat,
high-calorie diet. At the office visit today, the patient’s blood pressure is 150/92 mm Hg.
What is the least appropriate intervention for this patient at this time?
a. Begin lifestyle modifications
b. Begin antihypertensive drug therapy
c. Recheck blood pressure in 4 to 6 weeks
d. Encourage smoking cessation
3. A patient is diagnosed with cardiogenic shock. The patient is hyperventilating and is
therefore at risk for the respiratory complication of respiratory acidosis.
a. True
b. False
4. Rheumatic heart disease is most often a consequence of:
a. Chronic intravenous drug abuse
b. Viral infection with herpesvirus
c. Beta-hemolytic streptococcal infection
d. Cardiomyopathy
5. A patient has a history of falls, syncope, dizziness, and blurred vision. The patient’s
symptomatology is most likely related to:
a. Hypertension
b. Hypotension
c. Deep vein thrombosis
d. Angina
6. What compensatory sign would be expected during periods of physical exertion in a
patient with limited ventricular stroke volume?
a. Hypotension
b. Bradycardia
c. Aortic regurgitation
d. Tachycardia
7. Angiotensin-converting enzyme (ACE) inhibitors block the:
, a. Release of renin
b. Conversion of angiotensin I to angiotensin II
c. Conversion of angiotensinogen to angiotensin I
d. Effect of aldosterone on the kidney
8. What results when systemic blood pressure is increased?
a. Hypovolemia
b. Decreased cardiac output
c. Vasoconstriction
d. Decreased vascular resistance
9. High blood pressure increases the workload of the left ventricle, because it increases:
a. Stroke volume
b. Blood volume
c. Preload
d. Afterload
10. A patient presents to the emergency department with a diastolic blood pressure of 132
mm Hg, retinopathy, and symptoms of an ischemic stroke. This symptomatology is likely
the result of:
a. Atherosclerosis
b. Angina
c. Myocardial infarction
d. Hypertensive crisis
11. Patent ductus arteriosus is accurately described as a(n):
a. Opening between the atria
b. Structure of the aorta that impedes blood flow
c. Communication between the aorta and the pulmonary artery
d. Cyanotic heart defect associated with right-to-left shunt
12. Patients presenting with symptoms of unstable angina and no ST segment elevation are
treated with:
a. Cardiac catheterization
b. Antiplatelet drugs
c. Acute reperfusion therapy
d. Cardiac biomarkers only
13. An example of an acyanotic heart defect is:
a. Tetralogy of Fallot
b. Transposition of the great arteries
c. Ventricular septal defect
d. All right-to-left shunt defects
14. Which finding is indicative of orthostatic hypotension in a person with a supine blood
pressure (BP) of 110/70 and a heart rate (HR) of 100?
a. Sitting BP 88/60, HR 118
b. Sitting BP 108/68, HR 102
c. Sitting BP 110/78, HR 98
d. Sitting BP 120/80, HR 100
15. Primary treatment for myocardial infarction (MI) is directed at:
a. Protecting the heart from further ischemia
b. Decreasing myocardial oxygen demands
and Answers Latest Updated (Graded A+)-WCU
1. Myocarditis should be suspected in a patient who presents with:
a. Chest pain and ST elevation
b. Acute onset of left ventricular dysfunction
c. Murmur and abnormal valves on echocardiogram
d. Family history of cardiomyopathy
2. A middle-aged patient has a follow up visit for a recorded blood pressure of 162/96 mm
Hg taken 3 weeks ago. The patient has no significant past medical history and takes no
medications, but smokes 1 1/2 packs of cigarettes per day, drinks alcohol regularly, and
exercises infrequently. The patient is about 40 lbs. overweight and admits to a high-fat,
high-calorie diet. At the office visit today, the patient’s blood pressure is 150/92 mm Hg.
What is the least appropriate intervention for this patient at this time?
a. Begin lifestyle modifications
b. Begin antihypertensive drug therapy
c. Recheck blood pressure in 4 to 6 weeks
d. Encourage smoking cessation
3. A patient is diagnosed with cardiogenic shock. The patient is hyperventilating and is
therefore at risk for the respiratory complication of respiratory acidosis.
a. True
b. False
4. Rheumatic heart disease is most often a consequence of:
a. Chronic intravenous drug abuse
b. Viral infection with herpesvirus
c. Beta-hemolytic streptococcal infection
d. Cardiomyopathy
5. A patient has a history of falls, syncope, dizziness, and blurred vision. The patient’s
symptomatology is most likely related to:
a. Hypertension
b. Hypotension
c. Deep vein thrombosis
d. Angina
6. What compensatory sign would be expected during periods of physical exertion in a
patient with limited ventricular stroke volume?
a. Hypotension
b. Bradycardia
c. Aortic regurgitation
d. Tachycardia
7. Angiotensin-converting enzyme (ACE) inhibitors block the:
, a. Release of renin
b. Conversion of angiotensin I to angiotensin II
c. Conversion of angiotensinogen to angiotensin I
d. Effect of aldosterone on the kidney
8. What results when systemic blood pressure is increased?
a. Hypovolemia
b. Decreased cardiac output
c. Vasoconstriction
d. Decreased vascular resistance
9. High blood pressure increases the workload of the left ventricle, because it increases:
a. Stroke volume
b. Blood volume
c. Preload
d. Afterload
10. A patient presents to the emergency department with a diastolic blood pressure of 132
mm Hg, retinopathy, and symptoms of an ischemic stroke. This symptomatology is likely
the result of:
a. Atherosclerosis
b. Angina
c. Myocardial infarction
d. Hypertensive crisis
11. Patent ductus arteriosus is accurately described as a(n):
a. Opening between the atria
b. Structure of the aorta that impedes blood flow
c. Communication between the aorta and the pulmonary artery
d. Cyanotic heart defect associated with right-to-left shunt
12. Patients presenting with symptoms of unstable angina and no ST segment elevation are
treated with:
a. Cardiac catheterization
b. Antiplatelet drugs
c. Acute reperfusion therapy
d. Cardiac biomarkers only
13. An example of an acyanotic heart defect is:
a. Tetralogy of Fallot
b. Transposition of the great arteries
c. Ventricular septal defect
d. All right-to-left shunt defects
14. Which finding is indicative of orthostatic hypotension in a person with a supine blood
pressure (BP) of 110/70 and a heart rate (HR) of 100?
a. Sitting BP 88/60, HR 118
b. Sitting BP 108/68, HR 102
c. Sitting BP 110/78, HR 98
d. Sitting BP 120/80, HR 100
15. Primary treatment for myocardial infarction (MI) is directed at:
a. Protecting the heart from further ischemia
b. Decreasing myocardial oxygen demands
