PATH 370 ASSESSMENT 3 (CH. 16, 18, 19, 20)
QUESTIONS AND ANSWERS
What results when systemic blood pressure is increased?
a. Hypovolemia
b. Vasoconstriction
c. Decreased cardiac output
d. Decreased vascular resistance - Answers -b. Vasoconstriction
The prevalence of high blood pressure is higher in
a. Asian children.
b. non-Hispanic black adults.
c. Mexican-American adults.
d. non-Hispanic white adults. - Answers -b. non-Hispanic black adults.
Restriction of which electrolytes is recommended in the management of high blood
pressure?
a. Magnesium
b. Calcium
c. Sodium
d. Potassium - Answers -c. Sodium
A patient who was involved in a fall from a tree becomes short of breath. The lung
sounds are absent on one side. This patient is experiencing ________ shock.
a. cardiogenic
b. hypovolemic
c. distributive
d. obstructive - Answers -d. obstructive
The most reliable indicator that a person is experiencing an acute myocardial infarction
(MI) is
a. ST-segment elevation.
b. severe, crushing chest pain.
c. pain radiating to the lower legs.
d. dysrhythmias. - Answers -a. ST-segment elevation.
The majority of cardiac cells that die after myocardial infarction do so because of
a. cell rupture.
, b. thrombus.
c. insufficient glucose.
d. apoptosis. - Answers -d. apoptosis.
Constrictive pericarditis is associated with
a. elevated myocardial oxygen consumption.
b. impaired cardiac filling.
c. increased cardiac preload.
d. cardiac hypertrophy. - Answers -b. impaired cardiac filling.
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. Recheck blood pressure in 4 to 6 weeks.
c. Encourage smoking cessation.
d. Begin antihypertensive drug therapy. - Answers -d. Begin antihypertensive drug
therapy.
Which serum biomarker(s) are indicative of irreversible damage to myocardial cells?
a. Prolonged coagulation time
b. Elevated LDL
c. Markedly decreased CK-MB and troponin I
d. Elevated CK-MB, troponin I, and troponin T - Answers -d. Elevated CK-MB, troponin
I, and troponin T
Aortic regurgitation is associated with
a. elevated left ventricular/aortic systolic pressure gradient.
b. diastolic murmur.
c. shortened ventricular ejection phase.
d. elevated systemic diastolic blood pressure. - Answers -b. diastolic murmur.
After sitting in a chair for an hour, an elderly patient develops moderate lower extremity
edema. His edema is most likely a consequence of
a. arterial obstruction.
b. peripheral vascular disease.
c. right-sided heart failure.
d. isolated left-sided heart failure. - Answers -c. right-sided heart failure.
QUESTIONS AND ANSWERS
What results when systemic blood pressure is increased?
a. Hypovolemia
b. Vasoconstriction
c. Decreased cardiac output
d. Decreased vascular resistance - Answers -b. Vasoconstriction
The prevalence of high blood pressure is higher in
a. Asian children.
b. non-Hispanic black adults.
c. Mexican-American adults.
d. non-Hispanic white adults. - Answers -b. non-Hispanic black adults.
Restriction of which electrolytes is recommended in the management of high blood
pressure?
a. Magnesium
b. Calcium
c. Sodium
d. Potassium - Answers -c. Sodium
A patient who was involved in a fall from a tree becomes short of breath. The lung
sounds are absent on one side. This patient is experiencing ________ shock.
a. cardiogenic
b. hypovolemic
c. distributive
d. obstructive - Answers -d. obstructive
The most reliable indicator that a person is experiencing an acute myocardial infarction
(MI) is
a. ST-segment elevation.
b. severe, crushing chest pain.
c. pain radiating to the lower legs.
d. dysrhythmias. - Answers -a. ST-segment elevation.
The majority of cardiac cells that die after myocardial infarction do so because of
a. cell rupture.
, b. thrombus.
c. insufficient glucose.
d. apoptosis. - Answers -d. apoptosis.
Constrictive pericarditis is associated with
a. elevated myocardial oxygen consumption.
b. impaired cardiac filling.
c. increased cardiac preload.
d. cardiac hypertrophy. - Answers -b. impaired cardiac filling.
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. Recheck blood pressure in 4 to 6 weeks.
c. Encourage smoking cessation.
d. Begin antihypertensive drug therapy. - Answers -d. Begin antihypertensive drug
therapy.
Which serum biomarker(s) are indicative of irreversible damage to myocardial cells?
a. Prolonged coagulation time
b. Elevated LDL
c. Markedly decreased CK-MB and troponin I
d. Elevated CK-MB, troponin I, and troponin T - Answers -d. Elevated CK-MB, troponin
I, and troponin T
Aortic regurgitation is associated with
a. elevated left ventricular/aortic systolic pressure gradient.
b. diastolic murmur.
c. shortened ventricular ejection phase.
d. elevated systemic diastolic blood pressure. - Answers -b. diastolic murmur.
After sitting in a chair for an hour, an elderly patient develops moderate lower extremity
edema. His edema is most likely a consequence of
a. arterial obstruction.
b. peripheral vascular disease.
c. right-sided heart failure.
d. isolated left-sided heart failure. - Answers -c. right-sided heart failure.
