NR 545 EXAM 2 EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
Pain at rest, severe and not relived by nitroglycerin is ? - answer-myocardial infarction
What is the ECG findings for mi? - answer-st elevation
Other than high troponin how do you diagnoses mi through blood test ? - answer-leukocytosis
and elevated CRP
What does CRP levels suggest ? - answer-signifies inflammation
What is atherosclerosis? - answer-a build-up of cholesterol that forms plaque in the arteries,
When plaque breaks away it can form a clot
Assessment of atherosclerosis - answer-- neck vein distention
-pulse deficits
-edema and calf pain
- recent and increasing fatigue
Diagnosis of atherosclerosis - answer--serum lipid panels
- crp
-stress test
What are ace hibitors? - answer-relax blood pressure and reduce the work and pressure
What are examples of ace hibitor? - answer-- enalapril
- ramipril
What is class i heart failure ? - answer-- no physical activity limitation
What is class ii heart failure ? - answer-cardiac disease resulting in slight limitation of physical
activity. Comfortable at rest.
Dyspnea or palpitation with activity
What is class iv heart failure ? - answer-cardiac disease is affecting the patients ability to carry
out any physical activity without discomfort.
Dyspnea at rest
What is the stage 1 of heart failure ? - answer-heart disease risk, no structural changes
What is stage 2 of heart failure ? - answer-structural disease no symptoms of heart failure
present
, What is stage 4 of heart failure? - answer-end stage disease, nonresponsive to treatment
What are the symptoms of left sided chf? - answer-fatigue, weakness, dyspnea, exercise and
cold intolerance
Tachycardia and pallor, secondary polycythemia, daytime oliguria orthopnea, cough producing
white or pink-tinged phlegm, sob, paroxysmal nocturnal dyspnea, hemoptysis, rales
What the basic effects of left sided chf? - answer-decreased co, pulmonary congestion
S/s of right sided chf - answer-dependent edema in feet, heptomegaly and splenomegaly,
ascites, distended neck veins, headache, flushed face
What are the basic effects of r sided chf - answer-decreased co, systemic congestion, and
edema of legs and abdomen
Hx of theumatic heart disease or chaga's disease could mean you are prone to what ? - answer-
heart failure
What are the cardinal clinical symptoms of hf? - answer--dyspnea
-fatigue
-edema
-rales
If a pt come in the complaints of discomfort when lying down and feelings of feeling better when
sits up. As a clinician what should you suspect? - answer-hf
What are the cardiac signs of hf? - answer-- sbp> 160
- tachycardia
- murmurs of the mitral and tricuspid regurgitation
- cardiac cachexia
What does bnp measure? - answer-- releases from failing heart
- indicator of heart failure, normal is < 100
What's one non pharmacological way you can treat hf ? - answer-patients should avoid nsaid's,
antiarrhythmic drugs, calcium channel blockers, and
Thiazolidinediones
What is the pathway for impulses of cardiac conduction ? - answer-sa node - av node - bundle
of his - purkinje network of fibers
What is the other name for bundle of his ? - answer-av bundle
What is stenosis? - answer-narrowing of a valve
WITH COMPLETE SOLUTIONS
Pain at rest, severe and not relived by nitroglycerin is ? - answer-myocardial infarction
What is the ECG findings for mi? - answer-st elevation
Other than high troponin how do you diagnoses mi through blood test ? - answer-leukocytosis
and elevated CRP
What does CRP levels suggest ? - answer-signifies inflammation
What is atherosclerosis? - answer-a build-up of cholesterol that forms plaque in the arteries,
When plaque breaks away it can form a clot
Assessment of atherosclerosis - answer-- neck vein distention
-pulse deficits
-edema and calf pain
- recent and increasing fatigue
Diagnosis of atherosclerosis - answer--serum lipid panels
- crp
-stress test
What are ace hibitors? - answer-relax blood pressure and reduce the work and pressure
What are examples of ace hibitor? - answer-- enalapril
- ramipril
What is class i heart failure ? - answer-- no physical activity limitation
What is class ii heart failure ? - answer-cardiac disease resulting in slight limitation of physical
activity. Comfortable at rest.
Dyspnea or palpitation with activity
What is class iv heart failure ? - answer-cardiac disease is affecting the patients ability to carry
out any physical activity without discomfort.
Dyspnea at rest
What is the stage 1 of heart failure ? - answer-heart disease risk, no structural changes
What is stage 2 of heart failure ? - answer-structural disease no symptoms of heart failure
present
, What is stage 4 of heart failure? - answer-end stage disease, nonresponsive to treatment
What are the symptoms of left sided chf? - answer-fatigue, weakness, dyspnea, exercise and
cold intolerance
Tachycardia and pallor, secondary polycythemia, daytime oliguria orthopnea, cough producing
white or pink-tinged phlegm, sob, paroxysmal nocturnal dyspnea, hemoptysis, rales
What the basic effects of left sided chf? - answer-decreased co, pulmonary congestion
S/s of right sided chf - answer-dependent edema in feet, heptomegaly and splenomegaly,
ascites, distended neck veins, headache, flushed face
What are the basic effects of r sided chf - answer-decreased co, systemic congestion, and
edema of legs and abdomen
Hx of theumatic heart disease or chaga's disease could mean you are prone to what ? - answer-
heart failure
What are the cardinal clinical symptoms of hf? - answer--dyspnea
-fatigue
-edema
-rales
If a pt come in the complaints of discomfort when lying down and feelings of feeling better when
sits up. As a clinician what should you suspect? - answer-hf
What are the cardiac signs of hf? - answer-- sbp> 160
- tachycardia
- murmurs of the mitral and tricuspid regurgitation
- cardiac cachexia
What does bnp measure? - answer-- releases from failing heart
- indicator of heart failure, normal is < 100
What's one non pharmacological way you can treat hf ? - answer-patients should avoid nsaid's,
antiarrhythmic drugs, calcium channel blockers, and
Thiazolidinediones
What is the pathway for impulses of cardiac conduction ? - answer-sa node - av node - bundle
of his - purkinje network of fibers
What is the other name for bundle of his ? - answer-av bundle
What is stenosis? - answer-narrowing of a valve
