NU 623 Adult Healthcare (Cardiovascular Disorders Ch 34-35) Questions w
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1. What is unstable angina, preinfarct angina, and "crescendo angina: Synonyms
used to describe the new onset of cardiac ischemic chest pain at rest but without evidence of acute myocardial infarction
(MI).
2. Reports of symptoms at rest are more likely to be associated with?: Coronary artery
vasospasm, a condition usually seen in patients with coronary atherosclerosis
3. The pain of costochondritis (a type of chest wall syndrome [CWS]) is often
described as?: Localized, and it may be replicated with arm movement or pressing on the area of tenderness
(point tenderness)
4. How is pain associated with angina pectoris described?: Generally, it is described as a
diffuse, retrosternal sensation of pain, often with radiation, and a heavy, burning sensation, usually lasting more than 1
minute but less than 10 minutes. Exertional symptoms are usually more common in individuals with fixed atherosclerotic
lesions. In assessing the person with known angina pectoris, it is critical to ascertain if there has been a change
in the symptom pattern because this may indicate an alteration in vessel patency such as that found in accelerated
atherosclerosis or vessel spasm.
5. Defined as the awareness of the beating of one's heart and may be benign or
pathological in nature.: Palpitations-
If the patient reports a sensation of a strong but regular rhythmic beating of the heart after stress or exertion, this likely
indicates a normal physiological response to increased catecholamine production. If there is a report of skipped or
missed beats, particularly with the sensation that the heart "stopped" momentarily, this may indicate the presence of
an atrial or ventricular ectopic beat.
6. What diagnostic testing should be performed for a patient with cardiac-relat-
ed syncope?: Thyroid function (thyroid-stimulating hormone), blood chemistries, hemoglobin, and hematocrit
should be evaluated to help rule out thyroid disorder, electrolyte imbalance, and anemia as possible, though less
common, causes of palpitations. Ambulatory cardiac monitoring (Holter monitoring) until at least one event is recorded
is most helpful in ascertaining the presence of a potentially lethal cardiac rhythm disturbance. Echocardiography may be
necessary to assess cardiac outflow tract patency and to help rule out valvular stenosis or hypertrophic cardiomyopathy.
7. Syncope is a loss of consciousness that occurs abruptly as a discrete episode
and usually lasts for a short period of only a few minutes. What is the pathology
of syncope?: The implied pathology is decreased cerebral blood flow caused by a marked decrease in cardiac
output. some of these episodes are explainable and of noncardiac origin (e.g., fluid loss, dehydration, emotional
stress), the majority of these episodes are cardiovascular in origin, including the most common etiology of vasovagal
1/4
Correct Answers 100% Solved
Study online at https://quizlet.com/_i3906l
1. What is unstable angina, preinfarct angina, and "crescendo angina: Synonyms
used to describe the new onset of cardiac ischemic chest pain at rest but without evidence of acute myocardial infarction
(MI).
2. Reports of symptoms at rest are more likely to be associated with?: Coronary artery
vasospasm, a condition usually seen in patients with coronary atherosclerosis
3. The pain of costochondritis (a type of chest wall syndrome [CWS]) is often
described as?: Localized, and it may be replicated with arm movement or pressing on the area of tenderness
(point tenderness)
4. How is pain associated with angina pectoris described?: Generally, it is described as a
diffuse, retrosternal sensation of pain, often with radiation, and a heavy, burning sensation, usually lasting more than 1
minute but less than 10 minutes. Exertional symptoms are usually more common in individuals with fixed atherosclerotic
lesions. In assessing the person with known angina pectoris, it is critical to ascertain if there has been a change
in the symptom pattern because this may indicate an alteration in vessel patency such as that found in accelerated
atherosclerosis or vessel spasm.
5. Defined as the awareness of the beating of one's heart and may be benign or
pathological in nature.: Palpitations-
If the patient reports a sensation of a strong but regular rhythmic beating of the heart after stress or exertion, this likely
indicates a normal physiological response to increased catecholamine production. If there is a report of skipped or
missed beats, particularly with the sensation that the heart "stopped" momentarily, this may indicate the presence of
an atrial or ventricular ectopic beat.
6. What diagnostic testing should be performed for a patient with cardiac-relat-
ed syncope?: Thyroid function (thyroid-stimulating hormone), blood chemistries, hemoglobin, and hematocrit
should be evaluated to help rule out thyroid disorder, electrolyte imbalance, and anemia as possible, though less
common, causes of palpitations. Ambulatory cardiac monitoring (Holter monitoring) until at least one event is recorded
is most helpful in ascertaining the presence of a potentially lethal cardiac rhythm disturbance. Echocardiography may be
necessary to assess cardiac outflow tract patency and to help rule out valvular stenosis or hypertrophic cardiomyopathy.
7. Syncope is a loss of consciousness that occurs abruptly as a discrete episode
and usually lasts for a short period of only a few minutes. What is the pathology
of syncope?: The implied pathology is decreased cerebral blood flow caused by a marked decrease in cardiac
output. some of these episodes are explainable and of noncardiac origin (e.g., fluid loss, dehydration, emotional
stress), the majority of these episodes are cardiovascular in origin, including the most common etiology of vasovagal
1/4
