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Exam (elaborations)

NURS 611 EXAM 3 MARYVILLE QUIZZES AND SOLUTIONS

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Acute Pericarditis - acute inflammation of the pericardium what is the etiology of pericarditis - idiopathic or caused by viral infection pulsus paradoxus - drop in Arterial bp by more than 10 mmHg in inspiration What is pulsus paradoxus - arterial BP during expiration exceeds arterial pressure during inspiration by more than 10 mmHg symptoms of cardiac tamponade - dyspnea, tachycardia, jugular venous distention, cardiomegaly, and pulsus paradoxus Echocardiogram - what test do you do to check the functioning of a valve varicose veins - enlarged, superficial veins; a twisted, dilated vein w/ incompetent valves Causes of varicose veins - (1) trauma to the saphenous veins that damages one or more valves, or (2) gradual venous distention caused by the action of gravity on blood in the legs chronic venous insufficiency/ venous insufficiency - condition in which venous circulation is inadequate due to partial vein blockage or leakage of venous valves; primarily affects feet and ankles; discoloration of the skin. Makes it difficult for blood to return to the heart from the legs Hyperpituitarism - Pituitary adenoma usually benign and slow growing. arise from the anterior pituitary. Acromegaly - endocrine disorder. occurs when the pituitary gland produces an excessive amount of growth hormone after the completion of puberty hypothyroidism - Slowly progressive disease. Connective tissue proliferation. Hypersecretion of growth hormone Hypothyroidism - -automimune thyroiditis (Hashimoto) -Iatrogenic loss of thyroid tissue after surgical or radioactive treatment neurological manifestations of hypothyroidism - 1. poor concentration, memory, dementia, psychosis, coma 2. seizures 3. headaches (pseudotumor cerebri) 4. CN: papilledema, ptosis, tonic pupil, trigeminal neuralgia, facial palsy, tinnitus, hearing loss 5. cerebellar ataxia: truncal + gait ataxia > limb ataxia, dysarthria, nystagmus 5. NMJ: myasthenia gravis 6. nerves: carpal tunnel, polyneuropathy, delayed DTR

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NURS 611 Exam



NURS 611 EXAM 3 MARYVILLE
QUIZZES AND SOLUTIONS
Acute Pericarditis - acute inflammation of the pericardium



what is the etiology of pericarditis - idiopathic or caused by viral infection



pulsus paradoxus - drop in Arterial bp by more than 10 mmHg in inspiration



What is pulsus paradoxus - arterial BP during expiration exceeds arterial pressure
during inspiration by more than 10 mmHg



symptoms of cardiac tamponade - dyspnea, tachycardia, jugular venous distention,
cardiomegaly, and pulsus paradoxus



Echocardiogram - what test do you do to check the functioning of a valve



varicose veins - enlarged, superficial veins; a twisted, dilated vein w/ incompetent
valves



Causes of varicose veins - (1) trauma to the saphenous veins that damages one or
more valves, or (2) gradual venous distention caused by the action of gravity on
blood in the legs



chronic venous insufficiency/ venous insufficiency - condition in which venous
circulation is inadequate due to partial vein blockage or leakage of venous valves;

NURS 611 Exam

,NURS 611 Exam


primarily affects feet and ankles; discoloration of the skin. Makes it difficult for
blood to return to the heart from the legs



Hyperpituitarism - Pituitary adenoma usually benign and slow growing. arise from
the anterior pituitary.



Acromegaly - endocrine disorder. occurs when the pituitary gland produces an
excessive amount of growth hormone after the completion of puberty



hypothyroidism - Slowly progressive disease. Connective tissue proliferation.
Hypersecretion of growth hormone



Hypothyroidism - -automimune thyroiditis (Hashimoto)

-Iatrogenic loss of thyroid tissue after surgical or radioactive treatment



neurological manifestations of hypothyroidism - 1. poor concentration, memory,
dementia, psychosis, coma

2. seizures

3. headaches (pseudotumor cerebri)

4. CN: papilledema, ptosis, tonic pupil, trigeminal neuralgia, facial palsy, tinnitus,
hearing loss

5. cerebellar ataxia: truncal + gait ataxia > limb ataxia, dysarthria, nystagmus

5. NMJ: myasthenia gravis

6. nerves: carpal tunnel, polyneuropathy, delayed DTR




NURS 611 Exam

, NURS 611 Exam


Graves (or Graves') disease - a common form of hyperthyroidism resulting from
overproduction of thyroxine; caused by a false immune system response (goiter is
often formed). Antibodies to TSH receptor that stimulate T3 and T4 production.
Diffuse nontender goiter. Proptosis and extraocular muscle dysfunction occurs in
50% of cases.



Grave's Disease - Type II hypersensitivity where there is stimulation of the thyroid
by antibodies directed against the TSH receptor

The gland results in hyperplasia of the gland (goiter). Increased synthesis of TH



the effect of low plasma albumin - In the case of decreased production or
excessive loss of albumin , the reduced oncotic pressure leads to excessive
movement of fluid and solutes into the tissues and decreased blood volume.



What is the most abundant class of plasma protein - Albumin (approximately 60%
of total plasma protein at a concentration of about 4 g/dl) is the most abundant
plasma protein.



erythrocytes - Because it cannot undergo mitotic division, the erythrocyte has a
limited life span of approximately 120 days.



Granulocytes that contain granules of vasoactive amines, such as histamine, are
called - Basophils contain cytoplasmic granules that hold an abundant mixture of
biochemical mediators, including histamine, chemotactic factors, proteolytic
enzymes, and an anticoagulant (heparin)



formed elements of the blood that are not cells but are disk-shaped cytoplasmic
fragments essential for blood clotting - Platelets (thrombocytes) are not true cells
but are disk-shaped cytoplasmic fragments that are essential for blood coagulation
and control of bleeding.

NURS 611 Exam

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