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CMN 574 FINAL EXAM. QUESTIONS WITH 100% CORRECT ANSWERS.

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List some complications associated with Anorexia Nervosa. Osteoporosis, hypothyroidism, bradycardia, dizziness, hypotension, left ventricular systolic dysfunction, prolonged QT syndrome, reduced peripheral circulation, lanugo, GERD, bloating, constipation, and delayed gastric emptying. What is an Atrial Septal Defect (ASD)? An opening in the septum that allows shunting of blood between the atria. What are the clinical features of Atrial Septal Defect? Fixed widely split S2, right ventricular heave, grade I-II/VI systolic ejection murmur in the pulmonary area, and diastolic flow murmur at the left lower sternal border. How is Atrial Septal Defect often diagnosed? Through radiographs, ECG, and echocardiography. What is the treatment for symptomatic children with a large Atrial Septal Defect? Surgical or catheterization closure. How often must binge eating occur to meet the diagnostic criteria? At least once a week for 3 months on average. What substances can cause false positives in drug screening for opioids? Poppy seeds, dextromethorphan, chlorpromazine, diphenoxylate, amphetamines, ephedrine, phenylephrine, N-acetyl procainamide, pseudoephedrine, chloroquine, procainamide, phencyclidines, diphenhydramine, doxylamine, and thioridazine.

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CMN 574 Final Study Guide
What is the ECG finding characteristic of atrial fibrillation?
Irregularly irregular rhythm with NO P waves.




What laboratory tests are used to confirm atrial fibrillation?
TSH, BMP, and cardiac biomarkers.




What score is used to assess stroke risk in patients with atrial fibrillation?
CHA₂DS₂-VASc score.




Which factors in the CHA₂DS₂-VASc score are assigned 2 points?
Age 75 and history of Stroke/TIA.




What are the components of the CHA₂DS₂-VASc score?
CHF (1), HTN (1), Age 75 (2), DM (1), Stroke/TIA (2), Vascular Disease (1), Age 65-75
(1), Female (1).

,What ECG changes are associated with STEMI?
ST elevation and Q waves.




What ECG changes are associated with NSTEMI?
ST depression and T wave changes.




What ECG changes are associated with unstable angina?
ST depression and T wave changes.




What is the characteristic murmur of Pulmonary Valve Stenosis?
High pitched systolic ejection murmur, maximal in the left second and third
interspaces, with an ejection click that decreases with inspiration.




How is a Ventricular Septal Defect murmur described?
Loud, harsh holosystolic murmur in the left third and fourth interspaces along the
sternum, often with a thrill.




What are the auscultation findings for Mitral Stenosis?

, Opening snap and localized low-pitched diastolic murmur, best heard at the apex in
the left lateral position.




What is the characteristic of Mitral Regurgitation murmur?
Pansystolic murmur maximal at the apex, radiating to the axilla and occasionally to
the base.




What is the murmur associated with Aortic Stenosis?
Harsh systolic murmur, sometimes with thrill along the left sternal border, often
radiating to the neck.




What is the characteristic murmur of Aortic Regurgitation?
Diastolic murmur along the left sternal border.




How is Tricuspid Stenosis murmur characterized?
Diastolic rumble along the lower left sternal border, which increases with inspiration.




What is the murmur associated with Tricuspid Regurgitation?
Holosystolic murmur along the left sternal border, increases with inspiration.

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