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NR 507 - EDAPT - Week 3:
Alterations in Pulmonary
Function
A patient with mitral stenosis would most likely present with:
a. Bradycardia.
b. Rumbling, decrescendo diastolic murmur heard at apex of the heart.
c. High-pitched murmur.
d. Holosystolic murmur.
b
The patient with aortic regurgitation would most likely present with:
a. An early, high-pitched diastolic murmur heard at the left lower sternal border
b. A diastolic rumbling murmur heart at the apex of the heart
c. A systolic crescendo-decrescendo murmur heart at the left upper sternal
border
d. All of the above
d
Rheumatic fever is a common cause for valve disorder.
a. Mitral Valve Prolapse
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b. Mitral Stenosis
c. Aortic Regurgitation
d. Aortic Stenosis
b
A 64-year old female reports to the primary care office with a complaint of
"fainting". She reported that the episode occurred while she was engaged in her
usual low impact aerobics class. She also noticed, for the first time, during
exercise that her heart "hurt". The NP conducts a symptom analysis of the chest
pain and determined that the patient describes it as chest pressure. The patient
reports no dyspnea with exercise and denies orthopnea or paroxysmal nocturnal
dyspnea. On examination, the NP notes that all vital signs are normal, lungs are
clear to auscultation; There is a laterally displaced, sustained apical impulse and a
grade 4/6 mid-systolic crescendo-decrescendo murmur, heard loudest at the
base and radiating to the neck. There is also an S4 gallop. no peripheral edema
noted. There is a laterally displaced, sustained apical impulse and a grade 4/6
mid-systolic crescendo-decrescendo murmur, heard
c
A 60-year old male reports to the primary care office with "shortness of breath"
that started a few days after being released from the hospital following
angioplasty and stent placement. Upon exam, the NP observes that the patient
does have dyspnea and jugular vein distention. Crackles are also noted in lung
bases bilaterally. A blowing holosystolic murmur is also heard at the heart's apex
with radiation into the axilla.
a. Aortic Regurgitation
b. Mitral Regurgitation
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c. Mitral Valve Prolapse
d. Mitral Valve Stenosis
b
hat are four clinical characteristics of anemia?
tachycardia (due to hypoxemia), pallor, dyspnea, and fatigue
which RBC indices measures the average size of red blood cells?
mean corpuscular volume (MCV)
anemia can be caused by ______, ______, and ______.
excessive blood loss, impaired RBC production, and increased RBC
destruction
which anemia is considered a microcytic anemia?
iron-deficiency anemia
definition of anemia
Anemia is a hematological disorder characterized by a reduction in the total
number of circulating red blood cells (RBCs) and/or a decrease in hemoglobin
(Hb) amount or function.
Complete blood count (CBC) components that relate to RBCs and their production
microcytic anemia
NR 507 - EDAPT - Week 3:
Alterations in Pulmonary
Function
A patient with mitral stenosis would most likely present with:
a. Bradycardia.
b. Rumbling, decrescendo diastolic murmur heard at apex of the heart.
c. High-pitched murmur.
d. Holosystolic murmur.
b
The patient with aortic regurgitation would most likely present with:
a. An early, high-pitched diastolic murmur heard at the left lower sternal border
b. A diastolic rumbling murmur heart at the apex of the heart
c. A systolic crescendo-decrescendo murmur heart at the left upper sternal
border
d. All of the above
d
Rheumatic fever is a common cause for valve disorder.
a. Mitral Valve Prolapse
, Page |2
b. Mitral Stenosis
c. Aortic Regurgitation
d. Aortic Stenosis
b
A 64-year old female reports to the primary care office with a complaint of
"fainting". She reported that the episode occurred while she was engaged in her
usual low impact aerobics class. She also noticed, for the first time, during
exercise that her heart "hurt". The NP conducts a symptom analysis of the chest
pain and determined that the patient describes it as chest pressure. The patient
reports no dyspnea with exercise and denies orthopnea or paroxysmal nocturnal
dyspnea. On examination, the NP notes that all vital signs are normal, lungs are
clear to auscultation; There is a laterally displaced, sustained apical impulse and a
grade 4/6 mid-systolic crescendo-decrescendo murmur, heard loudest at the
base and radiating to the neck. There is also an S4 gallop. no peripheral edema
noted. There is a laterally displaced, sustained apical impulse and a grade 4/6
mid-systolic crescendo-decrescendo murmur, heard
c
A 60-year old male reports to the primary care office with "shortness of breath"
that started a few days after being released from the hospital following
angioplasty and stent placement. Upon exam, the NP observes that the patient
does have dyspnea and jugular vein distention. Crackles are also noted in lung
bases bilaterally. A blowing holosystolic murmur is also heard at the heart's apex
with radiation into the axilla.
a. Aortic Regurgitation
b. Mitral Regurgitation
, Page |3
c. Mitral Valve Prolapse
d. Mitral Valve Stenosis
b
hat are four clinical characteristics of anemia?
tachycardia (due to hypoxemia), pallor, dyspnea, and fatigue
which RBC indices measures the average size of red blood cells?
mean corpuscular volume (MCV)
anemia can be caused by ______, ______, and ______.
excessive blood loss, impaired RBC production, and increased RBC
destruction
which anemia is considered a microcytic anemia?
iron-deficiency anemia
definition of anemia
Anemia is a hematological disorder characterized by a reduction in the total
number of circulating red blood cells (RBCs) and/or a decrease in hemoglobin
(Hb) amount or function.
Complete blood count (CBC) components that relate to RBCs and their production
microcytic anemia
