- 2018 Fall Quarter
Test Module 02 Case Study
Started 10/10/18 1:58 PM
Submitted 10/13/18 5:33 PM
Status Completed
Attempt Score 20 out of 20 points
Time Elapsed 75 hours, 34 minutes
Results Submitted Answers
Displayed
• Question 1
1 out of 1 points
Rashidah is a 55-year-old female who is experiencing acute chest pain and
shortness of breath. She describes the pain as “pressure and squeezing.”
When she becomes nauseous and light-headed, her son insists that he take
her to the emergency room.
Health History: She started smoking when she was 18, attempted to quit
several times in her 40s, and had her last cigarette on her 50 th birthday. She
has been overweight for most of her adult life, but has gained 20 pounds in
the last few years, which increased her BMI to 34. The last time she had a
physical exam was when she turned 50. Her vital signs and blood test results
from that exam are listed below.
BP: 178/90
HDL: 62 mg/dl
LDL: 190 mg/dl
Triglycerides: 174 mg/dl
Total cholesterol: 252
mg/dl
Fasting blood glucose: 128 mg/dl
Which of these statements is most likely correct?
Selected
Answer: Rashidah is likely experiencing a myocardial infarction.
• Question 2
1 out of 1 points
In the emergency room, multiple tests are performed. Which of these
results would confirm myocardial damage?
Selected
Answer: Elevated troponin and creatine kinase
• Question 3
1 out of 1 points
Which of Rashidah’s physical exam lab test results was within normal
limits for her age and sex?
Selected HDL
, Answer:
• Question 4
1 out of 1 points
Given her last physical exam results, Rashidah’s physician believes she
has likely had undiagnosed atherosclerosis for years. Briefly describe the
pathophysiology of atherosclerosis.
Sele
Atherosclerosis is the buildup of plaque, which contains fats and cholesterol, on the
cted
inner layers of the arterial walls. Instead of being smooth and elastic, the layers
Ans
become thickened and irregular with the lumen of the artery becoming narrower.
wer:
This leads to reduced circulation of blood and can lead to elevated blood pressure.
American Heart Association. (2017, November 17). Atherosclerosis: What role does
cholesterol play? Retrieved
from http://www.heart.org/HEARTORG/Conditions/Cholesterol/AboutCholesterol/Ather
osclerosis_UCM_305564_Article.jsp#.W0dgJthKjMI
• Question 5
1 out of 1 points
Rashidah’s most recent Body Mass Index indicates that
she is:
Selected
Answer: Obese
• Question 6
1 out of 1 points
Which of the following statements is
true?
Selected
Answer: Rashidah’s lab results and history tell us that she has
Metabolic Syndrome.
• Question 7
1 out of 1 points
A coronary angiography is performed and shows a complete blockage of
the LAD. Briefly describe what this means.
Selected LAD is the left anterior descending artery. It is the most important and often
Answer: the largest of the 3 main arteries and it supplies the heart with the most blood.
A blockage of the LAD artery is very serious because it does supply so much
blood to the heart.
Ahmed, Mustafa. (2015, February 11). The LAD Artery. Retrieved
from https://myheart.net/articles/the-lad-artery/
• Question 8
1 out of 1 points
Which of the following treatments would help correct Rashidah’s
condition?
Selected
Answer: Surgical placement of a stent in the left descending artery