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NR 507 Midterm QUESTIONS AND CORRECT DETAILED ANSWERS

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NR 507 Midterm QUESTIONS AND CORRECT DETAILED ANSWERS

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NR 507 Midterm QUESTIONS AND CORRECT DETAILED ANSWERS





Glomerulonephritis - (answer)The glomerular-capillaries can trap blood-borne Ab & Ag-Ab complexes

- Causes: PRIMARY: infection, drugs, toxins, vascular disorders, ischemia, immunologic responses, free
radicals. SECONDARY: DM, CHF, HIV, Lupus



Triggering event (infection)- Ag-Ab complex formation & deposition in glomerulus- Activation of
complement system & WBC infiltration- Glomerular injury & leakage- Proteinuria/hematuria- edema,
increase creat, azotemia, oliguria

OR

after glomerular injury & leakage- Coagulation cascade activation & FIbrin deposition- Decreased
capillary perfusion- decreased GFR- edema, increase creat, azotemia, oliguria



S1 - (answer)-Closing of mitral and tricuspid valve

- Beginning of systole



S2 - (answer)- Closure of the aortic and pulmonic valve

- End of systole



Valvular stenosis - (answer)the valve orifice is constricted and narrowed, impeding the forward flow of
blood and increasing the workload of the cardiac chamber proximal to the diseased valve.
Intraventricular or atrial pressure increases in the chamber to overcome resistance to flow through the
valve. Increased pressure causes the myocardium to work harder, causing myocardial hypertrophy.



Aortic stenosis - (answer)- LV hypertrophy

- L heart failure

- Pulmonary edema

- Exertional dyspnea

-Syncope

-Angina pectoris

- Systolic murmur

, NR 507 Midterm QUESTIONS AND CORRECT DETAILED ANSWERS





Mitral Stenosis - (answer)- LA hypertrophy

-R ventricular failure

- Pulmonary edema

- Orthopnea

- Respiratory infections

- PH

-Edema

-Atypical chest pain

- Diastolic murmur



Stroke volume - (answer)The volume of blood ejected per bear during systole



Cor Pulmonale - (answer)right ventricular hypertrophy and heart failure due to pulmonary hypertension



Cardiac output - (answer)HR x SV

-Normal= 5Lpm

-Preload, afterload, contractility, heart rate



Preload - (answer)The volume inside the ventricle at the end of diastole



Determined by:

- Amount of venous blood returning to the ventricle during diastole

- The amount of blood in the ventricle after systole



Afterload - (answer)The resistance to ejection of blood from the ventricle



total peripheral resistance (TPR)

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