EXAM 3 NURS 5315 UTA CARDIAC AND
PULMONARY ACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS
◉ what is inactivated in ARDS.
Answer: surfactant
◉ when the body walls off TB which cells are activated.
Answer: cytotoxic t cells
◉ what needs to be reduced in cardiogenic shock.
Answer: afterload
◉ why is afterload important in cardiogenic shock.
Answer: a high afterload stresses the heart and makes the shock
worse
◉ what is not considered a restrctive pulmonary disorder.
Answer: pnemothorax
◉ what type of murmur is heart with ASD.
,Answer: crescendo-decresendo systolic murmur
◉ what type of vascular changes can be observed.
Answer: change in the retina of the eye
◉ what type of murmur can be heard with aortic stenosis.
Answer: crescendo-decresndo systolic heart murmur heard best at
the 2nd ICS that radiates to the neck
◉ When do CM of aortic stenosis develop.
Answer: develop when heart is <1cm
◉ what results from aortic stenosis in the heart(4).
Answer: 1. left ventricular hypertrophy
2. increased pressure and volume in Left Atria
3. Pulmonary HTN
4. edema
◉ CM of aortic stenosis.
Answer: 1. decreased stroke volume
2. reduced systolic pressure secondary to foward flow obstruction
3. narrowed pulse pressure
,4. decreased heart rate
◉ sepsis is what type of response.
Answer: inflammatory
◉ what happens during sepsis.
Answer: vasodilation and leaky blood vessels to allow for
neutrophils to come in and eat bacteria
◉ basic pathological reasons for shock(name 3).
Answer: 1. decrease in cardiac output
2. a decrease in circulating volume
3. widespread vasodilation.
◉ what will shock lead to?(5).
Answer: 1. hypotension
2. decreased organ perfusion
3. tissue and cellular hypoxia
4. anaerobic metabolism
5. production of lactic acid.
◉ what is needed to perfuse the body.
, Answer: minimum of a systolic BP of 90mmHg
◉ CM of pneumonia.
Answer: dyspnea
fever
cough
chills
malaise
pleuritic chest pain
pulmonary rales
tactile fremitus
egophony( changes in ascultation when saying certain words)
whispered pectoriloquy(increased resosance of voice)
◉ atherosclerosis definition.
Answer: results from the accumulation of fat, WBC, platelets and
other substances in the vessel wall and forms a plaque in the intima
of the artery.
◉ injury to arterial wall can occur from what(6).
Answer: 1. aging
2. hypertension (which causes endothelial cell damage)
PULMONARY ACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS
◉ what is inactivated in ARDS.
Answer: surfactant
◉ when the body walls off TB which cells are activated.
Answer: cytotoxic t cells
◉ what needs to be reduced in cardiogenic shock.
Answer: afterload
◉ why is afterload important in cardiogenic shock.
Answer: a high afterload stresses the heart and makes the shock
worse
◉ what is not considered a restrctive pulmonary disorder.
Answer: pnemothorax
◉ what type of murmur is heart with ASD.
,Answer: crescendo-decresendo systolic murmur
◉ what type of vascular changes can be observed.
Answer: change in the retina of the eye
◉ what type of murmur can be heard with aortic stenosis.
Answer: crescendo-decresndo systolic heart murmur heard best at
the 2nd ICS that radiates to the neck
◉ When do CM of aortic stenosis develop.
Answer: develop when heart is <1cm
◉ what results from aortic stenosis in the heart(4).
Answer: 1. left ventricular hypertrophy
2. increased pressure and volume in Left Atria
3. Pulmonary HTN
4. edema
◉ CM of aortic stenosis.
Answer: 1. decreased stroke volume
2. reduced systolic pressure secondary to foward flow obstruction
3. narrowed pulse pressure
,4. decreased heart rate
◉ sepsis is what type of response.
Answer: inflammatory
◉ what happens during sepsis.
Answer: vasodilation and leaky blood vessels to allow for
neutrophils to come in and eat bacteria
◉ basic pathological reasons for shock(name 3).
Answer: 1. decrease in cardiac output
2. a decrease in circulating volume
3. widespread vasodilation.
◉ what will shock lead to?(5).
Answer: 1. hypotension
2. decreased organ perfusion
3. tissue and cellular hypoxia
4. anaerobic metabolism
5. production of lactic acid.
◉ what is needed to perfuse the body.
, Answer: minimum of a systolic BP of 90mmHg
◉ CM of pneumonia.
Answer: dyspnea
fever
cough
chills
malaise
pleuritic chest pain
pulmonary rales
tactile fremitus
egophony( changes in ascultation when saying certain words)
whispered pectoriloquy(increased resosance of voice)
◉ atherosclerosis definition.
Answer: results from the accumulation of fat, WBC, platelets and
other substances in the vessel wall and forms a plaque in the intima
of the artery.
◉ injury to arterial wall can occur from what(6).
Answer: 1. aging
2. hypertension (which causes endothelial cell damage)
