APEA-Cardiovascular- Patho Questions
and Correct Answers/ Latest Update /
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A common cause of diastolic heart failure is:
myocarditis
myocardial infarction
dilated cardiomyopathy
hypertension
Ans: Hypertension
long-term hypertension is a common cause of diastolic heart failure.
Diastolic dysfunction occurs when the filling of one or both ventricles is
impaired because the ventricle has become less compliant.
The heart must pump more forcefully in order to push blood into
circulation against increased vascular resistance.
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Which type of angina results from coronary artery vasospasm and
occurs in atypical patterns?
Classic angina
Prinzmetal's angina
Unstable angina
Pleuritic chest pain
Ans: Prinzmetal's angina
Results from coronary artery vasospasm and occurs in an atypical pattern.
It is usually at a single site. It can occur in a normal or disease vessel. Pain is
usually resolved with angina medication.
Classic (stable angina) occurs when the heart is stressed, lasts less than 5
minutes, and usually resolves with rest.
Unstable angina is considered a medical emergency because it lasts
longer than 5 minutes, does not follow the normal pain pattern, and may
not resolve with rest or angina medication. It is often associated or signals
a MI.
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A patient who is in cardiogenic shock will present with:
a high cardiac index
decreased vascular resistance
increased ventricular ejection fraction
mixed venous oxygen saturation
Ans: mixed venous oxygen saturation
Patients will have a low cardiac index, elevated filling pressures of the left,
right, or both ventricles, and a decreased mixed venous oxygen
saturation.
With each heart beat, blood within the left and right ventricle is
ejected into the:
left atrium only
aorta and pulmonary artery
anterior descending artery
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right coronary artery
Ans: aorta and pulmonary artery
The primary cause of cardiogenic shock in a patient with an acute
MI is:
failure of the ventricle to pump blood adequately
failure of the aortic valve to pump blood adequately
regurgitation of the tricuspid valve
regurgitation of the mitral valve
Ans: failure of the ventricle to pump adequately
Unstable angina is characterized by:
angina with prolonged activity
angina symptoms lasting >6 months.
increasing crescendo angina
angina with elevated cardiac markers