NUR 313 EXAM #3 QUESTIONS WITH COMPLETE
SOLUTIONS
__ __ in RA: splenomegaly (abnormal enlargement of spleen) &
leukopenia (reduction of WBCs) Correct Answers Felty
syndrome
__ __: everything normal except rate its too high
SA node fires at > 100 BPM, rhythm: regular, P wave: precede
each QRS complex, normal shape and duration, PR interval:
normal, QRS complex: normal shape and duration. Correct
Answers Sinus Tachycardia (def)
__ __: same as pericarditis but pts have __ __ and fevers, and
usually develops 4-6 __ after MI.
They'll have pericardial pain, fever, inflammation, pleural
effusion.
Treated with ___ Correct Answers Dressler syndrome,
pleural effusion, weeks, corticosteroids
__ - __ nitrates are used to ___ the incidence of anginal attacks.
examples: Isodril and it's taken every ___ hours. ImDur is taken
___ a day. NTG ointment is changed every __ hours.
Transdermal patch is changed __ a day.
predominant side effects: headaches. may instruct pt to take a __
if it's a problem. Also still look out for orthostatic hypotension.
Correct Answers long-acting, decrease, 6, once, 6, once,
tylenol
,___
Conditions involving increased secretion of PTH, excessive
levels of circulating PTH lead to hypercalcemia and
hypophosphatemia. It's due to Ca being pulled from the bone,
increased GI absorption of Ca will pull more calcium from our
food, and there's increased kidney reabsorption of Ca so less is
being excreted out. Correct Answers Hyperparathyroidism
(deff),
___
Represents total absence of ventricular electrical activity Correct
Answers Asystole (def)
___ ___ ___ : happens when the arteries that supply blood to the
heart muscle becomes hardened and narrowed. Correct Answers
Coronary artery disease (definition)
___ ___ ___ :electrode-tipped ablation catheter "burns" areas of
conduction system as definitive tx of tachydysrhythmias (done
after EPS had identified the course of the dysrhythmia) Correct
Answers radiofrequency catheter ablation (def)
___ ___ ___ (PCI): finding lesions and fixing it at the same
time. Like putting in a stent is an example of a PCI. Done in
chronic stable angina and acute coronary syndrome. Correct
Answers percutaneous coronary intervention (definition)
___ ___ ___: Contraction originating from ectopic focus in
atrium in location other than SA node.
,Travels across atria by abnormal pathway, creating distorted P
wave. Correct Answers Premature atrial contraction (def)
___ ___ ___: occurs if the infarcted area affected papillary
muscles that attach to the mitral valve. Causes mitral valve
regurgitation, which increases blood volume in the left atrium
(which aggravates LA even more). Will need immediate surgery
to replace the mitral valve, its life threatening. May hear new
systolic murmur. Correct Answers Papillary muscle
dysfunction (definition)
___ ___ ___: persistent lesions, photosensitivity, mild systemic
disease. seen in some SLE cases. Correct Answers Subacute
cutaneous lupus
___ ___ __: Malignant neoplasm of keratinizing epidermal cells.
Frequently occur on sun-exposed skin at the base of an actinic
keratosis or another lesion. Pipe, cigar and cigarette smoking
contribute to formation of SCC on ___ and ___. Less common
than BCC, can be highly aggressive. Has potential to ___. May
lead to death if not treated early and correctly. Correct Answers
Squamous cell carcinoma (SCC), mouth, lips, metastasize
___ ___ : The perfusion to myocardium distal to thrombus is
halted, resulting in ischemia-injury-infarction (necrosis-
irreversible cell death). 80-90% result from ___ formation,
contractile function of the heart stops in necrotic areas, degree of
altered function depends on the area of the heart involved and
the size of the infarction. Correct Answers Myocardial
infarction (definition), thrombus,
, ___ ___ (mole): atypical moles, larger than usual > 5 mm
across, irregular border, various shades of color. Correct
Answers Dysplastic Nevi (def)
___ ___ (solar keratosis): plaques that can appear on the skin of
older white people r/t to sun exposure, benign but can become
malignant. It's typically irregularly shaped, flat, slightly
erythematous papule with indistinct borders and an overlying
hard keratotic scale. Correct Answers Actinic Keratosis (def)
___ ___ angina: When the demand for myocardial oxygen
exceeds the ability of the coronary arteries to supply the heart
with oxygen, myocardial ischemia occurs leading to chest pain.
If they decide to exercise or be active they are going to exert
themselves and oxygen demand goes up which causes ___ pain
and when they stop the oxygen demand goes down so chest pain
___ ___. Correct Answers chronic stable, chest, goes away
___ ___ deformity of the fingers: last joint in fingers bends
inward. Correct Answers Swan neck
___ ___ machine (CPB): Heart is not pumping during the
CABG so therefore, this machine is used to circulate blood to
the entire body during the surgery. Done by putting drains in
IVC and SVC to go through an oxygenator to give blood oxygen
to get to the aorta and pump out to the body. Correct Answers
Cardiopulmonary bypass
(definition)
___ ___ therapy: use of radioactive iodine to eliminate thyroid
tissue/tumors
SOLUTIONS
__ __ in RA: splenomegaly (abnormal enlargement of spleen) &
leukopenia (reduction of WBCs) Correct Answers Felty
syndrome
__ __: everything normal except rate its too high
SA node fires at > 100 BPM, rhythm: regular, P wave: precede
each QRS complex, normal shape and duration, PR interval:
normal, QRS complex: normal shape and duration. Correct
Answers Sinus Tachycardia (def)
__ __: same as pericarditis but pts have __ __ and fevers, and
usually develops 4-6 __ after MI.
They'll have pericardial pain, fever, inflammation, pleural
effusion.
Treated with ___ Correct Answers Dressler syndrome,
pleural effusion, weeks, corticosteroids
__ - __ nitrates are used to ___ the incidence of anginal attacks.
examples: Isodril and it's taken every ___ hours. ImDur is taken
___ a day. NTG ointment is changed every __ hours.
Transdermal patch is changed __ a day.
predominant side effects: headaches. may instruct pt to take a __
if it's a problem. Also still look out for orthostatic hypotension.
Correct Answers long-acting, decrease, 6, once, 6, once,
tylenol
,___
Conditions involving increased secretion of PTH, excessive
levels of circulating PTH lead to hypercalcemia and
hypophosphatemia. It's due to Ca being pulled from the bone,
increased GI absorption of Ca will pull more calcium from our
food, and there's increased kidney reabsorption of Ca so less is
being excreted out. Correct Answers Hyperparathyroidism
(deff),
___
Represents total absence of ventricular electrical activity Correct
Answers Asystole (def)
___ ___ ___ : happens when the arteries that supply blood to the
heart muscle becomes hardened and narrowed. Correct Answers
Coronary artery disease (definition)
___ ___ ___ :electrode-tipped ablation catheter "burns" areas of
conduction system as definitive tx of tachydysrhythmias (done
after EPS had identified the course of the dysrhythmia) Correct
Answers radiofrequency catheter ablation (def)
___ ___ ___ (PCI): finding lesions and fixing it at the same
time. Like putting in a stent is an example of a PCI. Done in
chronic stable angina and acute coronary syndrome. Correct
Answers percutaneous coronary intervention (definition)
___ ___ ___: Contraction originating from ectopic focus in
atrium in location other than SA node.
,Travels across atria by abnormal pathway, creating distorted P
wave. Correct Answers Premature atrial contraction (def)
___ ___ ___: occurs if the infarcted area affected papillary
muscles that attach to the mitral valve. Causes mitral valve
regurgitation, which increases blood volume in the left atrium
(which aggravates LA even more). Will need immediate surgery
to replace the mitral valve, its life threatening. May hear new
systolic murmur. Correct Answers Papillary muscle
dysfunction (definition)
___ ___ ___: persistent lesions, photosensitivity, mild systemic
disease. seen in some SLE cases. Correct Answers Subacute
cutaneous lupus
___ ___ __: Malignant neoplasm of keratinizing epidermal cells.
Frequently occur on sun-exposed skin at the base of an actinic
keratosis or another lesion. Pipe, cigar and cigarette smoking
contribute to formation of SCC on ___ and ___. Less common
than BCC, can be highly aggressive. Has potential to ___. May
lead to death if not treated early and correctly. Correct Answers
Squamous cell carcinoma (SCC), mouth, lips, metastasize
___ ___ : The perfusion to myocardium distal to thrombus is
halted, resulting in ischemia-injury-infarction (necrosis-
irreversible cell death). 80-90% result from ___ formation,
contractile function of the heart stops in necrotic areas, degree of
altered function depends on the area of the heart involved and
the size of the infarction. Correct Answers Myocardial
infarction (definition), thrombus,
, ___ ___ (mole): atypical moles, larger than usual > 5 mm
across, irregular border, various shades of color. Correct
Answers Dysplastic Nevi (def)
___ ___ (solar keratosis): plaques that can appear on the skin of
older white people r/t to sun exposure, benign but can become
malignant. It's typically irregularly shaped, flat, slightly
erythematous papule with indistinct borders and an overlying
hard keratotic scale. Correct Answers Actinic Keratosis (def)
___ ___ angina: When the demand for myocardial oxygen
exceeds the ability of the coronary arteries to supply the heart
with oxygen, myocardial ischemia occurs leading to chest pain.
If they decide to exercise or be active they are going to exert
themselves and oxygen demand goes up which causes ___ pain
and when they stop the oxygen demand goes down so chest pain
___ ___. Correct Answers chronic stable, chest, goes away
___ ___ deformity of the fingers: last joint in fingers bends
inward. Correct Answers Swan neck
___ ___ machine (CPB): Heart is not pumping during the
CABG so therefore, this machine is used to circulate blood to
the entire body during the surgery. Done by putting drains in
IVC and SVC to go through an oxygenator to give blood oxygen
to get to the aorta and pump out to the body. Correct Answers
Cardiopulmonary bypass
(definition)
___ ___ therapy: use of radioactive iodine to eliminate thyroid
tissue/tumors
