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NR507 Midterm Exam Questions With Verified Answers(AGrade)

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NR507 Midterm Exam Questions With Verified Answers(AGrade) How does blood flow through the heart? - Answers-Deoxygenated venous blood → Sup. Vena Cava → Right Atrium →Tricuspid (AV) →Empties into R. Ventricle (& it contracts) → Blood ejected through Pulmonary Valve → Pulmonary Artery → Lungs to be Oxygenated → Pulmonary Veins → L. Atrium → Mitral (AV) → L. Ventricle (pumps with each contraction) → Aortic Valve → Aorta → Body .What is systole? - Answers-Contraction of the heart which pumps blood .Diastole - Answers-Relaxation of the heart .What produces S1 and S2 sound? - Answers-closing of the heart valves .What produces S1? - Answers-The mitral and tricuspid valves which close in systole .What produces S2 sound? - Answers-The closing of the aortic and pulmonic valves in diastole .What is cardiac output? - Answers-the volume of blood pumped out by each ventricle per minute .What is stroke volume? - Answers-amount of blood pumped out by each ventricle with contraction .What determines cardiac output? - Answers-stroke volume and heart rate .What is preload? - Answers-the degree of stretch on the heart before it contracts, related to ventricular filling, end diastolic pressure, amount of blood entering the ventricle during diastole .What is afterload? - Answers-resistance left ventricle must overcome to circulate blood .What is contractility? - Answers-Normal ability of muscle to contract at a given force for a given stretch. It is independent of preload/afterload .Will sustained tachycardia result in increased or decreased stroke volume? - Answers-Decreased .What conditions can result in decreased contractility? - Answers-Ischemia, acidosis, cardiomyopathy .What can cause increase afterload? - Answers-HTN, pulmonary disease, damage to the aortic valve .What has the most immediate effect on afterload? - Answers-HTN .Why would hemorrhaging cause decreased afterload? - Answers-Decreased volume of blood creates less resistance .What does increased preload do to stroke volume? - Answers-Increases stroke volume, over time the body will be unable to compensate however .What can cause a decreased preload? - Answers-Hemorrhage, dehydration...anything that causes reduced blood volume .What side of the heart is affected by cor-pulmonale? - Answers-Right (AKA Right sided HF) .What is cor-pulmonale? - Answers-is defined as right ventricular hypertrophy with eventual RV failure resulting from pulmonary HTN, secondary to pulmonary disease. Causes dilation (stretching) of the right ventricle causes a back up of blood flow, and hypertrophy of cardiac cells .What conditions could cause cor pulmonale? - Answers-COPD, PE, Pulmonary fibrosis, sleep apnea, myasthenia gravis, polio .What are causes of heart failure? - Answers-CAD, HTN, Cardiomyopathy, faulty heart valves .Explain how systemic HTN can lead to heart failure? - Answers-HTN causes increased LV preload which increases LA preload causing pulmonary edema . - Answers- . - Answers- . - Answers- .What makes up the pulmonary anatomy? - Answers-nose-pharynx-larynx-trachea-bronchi-bronchioles--alveoli .What is ventilation? - Answers-The action of inhaling and exhaling .What is perfusion? - Answers-the ability of the lungs to perform gas exchange at the alveolar-capillary level moving blood into and out of the capillary cells

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NR507 Midterm Exam Questions With
Verified Answers(AGrade)

How does blood flow through the heart? - Answers-Deoxygenated venous blood →
Sup. Vena Cava → Right Atrium →Tricuspid (AV) →Empties into R. Ventricle (& it
contracts) → Blood ejected through Pulmonary Valve → Pulmonary Artery → Lungs to
be Oxygenated → Pulmonary Veins → L. Atrium → Mitral (AV) → L. Ventricle (pumps
with each contraction) → Aortic Valve → Aorta → Body

.What is systole? - Answers-Contraction of the heart which pumps blood

.Diastole - Answers-Relaxation of the heart

.What produces S1 and S2 sound? - Answers-closing of the heart valves

.What produces S1? - Answers-The mitral and tricuspid valves which close in systole

.What produces S2 sound? - Answers-The closing of the aortic and pulmonic valves in
diastole

.What is cardiac output? - Answers-the volume of blood pumped out by each ventricle
per minute

.What is stroke volume? - Answers-amount of blood pumped out by each ventricle with
contraction

.What determines cardiac output? - Answers-stroke volume and heart rate

.What is preload? - Answers-the degree of stretch on the heart before it contracts,
related to ventricular filling, end diastolic pressure, amount of blood entering the
ventricle during diastole

.What is afterload? - Answers-resistance left ventricle must overcome to circulate blood

.What is contractility? - Answers-Normal ability of muscle to contract at a given force for
a given stretch. It is independent of preload/afterload

.Will sustained tachycardia result in increased or decreased stroke volume? - Answers-
Decreased

.What conditions can result in decreased contractility? - Answers-Ischemia, acidosis,
cardiomyopathy

, .What can cause increase afterload? - Answers-HTN, pulmonary disease, damage to
the aortic valve

.What has the most immediate effect on afterload? - Answers-HTN

.Why would hemorrhaging cause decreased afterload? - Answers-Decreased volume of
blood creates less resistance

.What does increased preload do to stroke volume? - Answers-Increases stroke
volume, over time the body will be unable to compensate however

.What can cause a decreased preload? - Answers-Hemorrhage, dehydration...anything
that causes reduced blood volume

.What side of the heart is affected by cor-pulmonale? - Answers-Right (AKA Right sided
HF)

.What is cor-pulmonale? - Answers-is defined as right ventricular hypertrophy with
eventual RV failure resulting from pulmonary HTN, secondary to pulmonary disease.
Causes dilation (stretching) of the right ventricle causes a back up of blood flow, and
hypertrophy of cardiac cells

.What conditions could cause cor pulmonale? - Answers-COPD, PE, Pulmonary
fibrosis, sleep apnea, myasthenia gravis, polio

.What are causes of heart failure? - Answers-CAD, HTN, Cardiomyopathy, faulty heart
valves

.Explain how systemic HTN can lead to heart failure? - Answers-HTN causes increased
LV preload which increases LA preload causing pulmonary edema

. - Answers-

. - Answers-

. - Answers-

.What makes up the pulmonary anatomy? - Answers-nose->pharynx->larynx->trachea-
>bronchi->bronchioles-->alveoli

.What is ventilation? - Answers-The action of inhaling and exhaling

.What is perfusion? - Answers-the ability of the lungs to perform gas exchange at the
alveolar-capillary level moving blood into and out of the capillary cells

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