Page 1 of 37
WCU Pathophysiology Midterm
Exam COMPLETE Questions and
Verified Solutions Latest Update
This Year
QUESTION: While hospitalized, an elderly patient with a history of myocardial infarction was
noted to have high levels of low-density lipoproteins (LDLs). What is the significance of this
finding? - ANSWER-Increased LDL levels are associated with increased risk of coronary artery
disease.
QUESTION: Hypertension is closely linked to - ANSWER-obstructive sleep apnea.
QUESTION: In which stage of shock is a patient who has lost 1200 mL of blood, who has normal
blood pressure when supine, but who experiences orthostatic hypotension upon standing? -
ANSWER-Class II, Compensated Stage
QUESTION: Administration of which therapy is most appropriate for hypovolemic shock? -
ANSWER-Crystalloids
1
, Page 2 of 37
QUESTION: Which finding is indicative of orthostatic hypotension in a person with a supine
blood pressure (BP) of 110/70 and a heart rate (HR) of 100? - ANSWER-Sitting BP 88/60, HR 118
QUESTION: A patient is diagnosed with cardiogenic shock. The patient is hyperventilating and is
therefore at risk for the respiratory complication of respiratory acidosis. - ANSWER-False
A patient diagnosed with cardiogenic shock who is hyperventilating is at risk for respiratory
alkalosis.
A patient is diagnosed with heart failure with normal ejection fraction. This patient is most
likely characterized by a(n) - ANSWER-elderly woman without a previous history of MI.
QUESTION: In which dysrhythmias should treatment be instituted immediately? - ANSWER-
Atrial fibrillation with a ventricular rate of 220 beats/minute
QUESTION: Aortic regurgitation is associated with - ANSWER-diastolic murmur.
QUESTION: Mitral stenosis is associated with - ANSWER-a pressure gradient across the mitral
valve.
2
, Page 3 of 37
QUESTION: First-degree heart block is characterized by - ANSWER-prolonged PR interval.
QUESTION: Which blood pressure reading is considered to be indicative of prehypertension
according to the JNC-7 criteria? - ANSWER-128/82
QUESTION: Increased preload of the cardiac chambers may lead to which patient symptom? -
ANSWER-Edema
QUESTION: Beta-blockers are advocated in the management of heart failure because they -
ANSWER-reduce cardiac output.
QUESTION: Hypotension associated with neurogenic and anaphylactic shock is because of -
ANSWER-peripheral pooling of blood.
QUESTION: Rheumatic heart disease is most often a consequence of - ANSWER-β-hemolytic
streptococcal infection.
QUESTION: Left-sided heart failure is characterized by - ANSWER-pulmonary congestion.
3
, Page 4 of 37
QUESTION: Atherosclerotic plaques with large lipid cores are prone to - ANSWER-rupture.
QUESTION: A patient who reports dizziness and who has absent P waves, wide QRS complexes,
and a heart rate of 38 beats/minute on an ECG is most likely in which rhythm? - ANSWER-
Ventricular escape rhythm
QUESTION: Patients with structural evidence of heart failure who exhibit no signs or symptoms
are classified into which New York Heart Association heart failure class? - ANSWER-Class I
QUESTION: Chronic elevation of myocardial wall tension results in atrophy. - ANSWER-False
Chronic elevation of myocardial wall tension results in hypertrophy.
QUESTION: Improvement in a patient with septic shock is indicated by an increase in - ANSWER-
systemic vascular resistance.
QUESTION: The ingestion of certain drugs, foods, or chemicals can lead to secondary
hypertension. - ANSWER-True
4
WCU Pathophysiology Midterm
Exam COMPLETE Questions and
Verified Solutions Latest Update
This Year
QUESTION: While hospitalized, an elderly patient with a history of myocardial infarction was
noted to have high levels of low-density lipoproteins (LDLs). What is the significance of this
finding? - ANSWER-Increased LDL levels are associated with increased risk of coronary artery
disease.
QUESTION: Hypertension is closely linked to - ANSWER-obstructive sleep apnea.
QUESTION: In which stage of shock is a patient who has lost 1200 mL of blood, who has normal
blood pressure when supine, but who experiences orthostatic hypotension upon standing? -
ANSWER-Class II, Compensated Stage
QUESTION: Administration of which therapy is most appropriate for hypovolemic shock? -
ANSWER-Crystalloids
1
, Page 2 of 37
QUESTION: Which finding is indicative of orthostatic hypotension in a person with a supine
blood pressure (BP) of 110/70 and a heart rate (HR) of 100? - ANSWER-Sitting BP 88/60, HR 118
QUESTION: A patient is diagnosed with cardiogenic shock. The patient is hyperventilating and is
therefore at risk for the respiratory complication of respiratory acidosis. - ANSWER-False
A patient diagnosed with cardiogenic shock who is hyperventilating is at risk for respiratory
alkalosis.
A patient is diagnosed with heart failure with normal ejection fraction. This patient is most
likely characterized by a(n) - ANSWER-elderly woman without a previous history of MI.
QUESTION: In which dysrhythmias should treatment be instituted immediately? - ANSWER-
Atrial fibrillation with a ventricular rate of 220 beats/minute
QUESTION: Aortic regurgitation is associated with - ANSWER-diastolic murmur.
QUESTION: Mitral stenosis is associated with - ANSWER-a pressure gradient across the mitral
valve.
2
, Page 3 of 37
QUESTION: First-degree heart block is characterized by - ANSWER-prolonged PR interval.
QUESTION: Which blood pressure reading is considered to be indicative of prehypertension
according to the JNC-7 criteria? - ANSWER-128/82
QUESTION: Increased preload of the cardiac chambers may lead to which patient symptom? -
ANSWER-Edema
QUESTION: Beta-blockers are advocated in the management of heart failure because they -
ANSWER-reduce cardiac output.
QUESTION: Hypotension associated with neurogenic and anaphylactic shock is because of -
ANSWER-peripheral pooling of blood.
QUESTION: Rheumatic heart disease is most often a consequence of - ANSWER-β-hemolytic
streptococcal infection.
QUESTION: Left-sided heart failure is characterized by - ANSWER-pulmonary congestion.
3
, Page 4 of 37
QUESTION: Atherosclerotic plaques with large lipid cores are prone to - ANSWER-rupture.
QUESTION: A patient who reports dizziness and who has absent P waves, wide QRS complexes,
and a heart rate of 38 beats/minute on an ECG is most likely in which rhythm? - ANSWER-
Ventricular escape rhythm
QUESTION: Patients with structural evidence of heart failure who exhibit no signs or symptoms
are classified into which New York Heart Association heart failure class? - ANSWER-Class I
QUESTION: Chronic elevation of myocardial wall tension results in atrophy. - ANSWER-False
Chronic elevation of myocardial wall tension results in hypertrophy.
QUESTION: Improvement in a patient with septic shock is indicated by an increase in - ANSWER-
systemic vascular resistance.
QUESTION: The ingestion of certain drugs, foods, or chemicals can lead to secondary
hypertension. - ANSWER-True
4