NUR 206 Exam 3 UPDATED Exam
Questions and CORRECT Answers
Cardiomyopathy - CORRECT ANSWER -•disease that affects heart muscle's ability to
pump effectively
•primary abnormality of heart muscle that affects it's structural or functional characteristics
Dilated Cardiomyopathy - CORRECT ANSWER -•most common
•inherited (1/3)
•chemical exposure
•common occurrence in 20-60 yo
•men > women
•muscle becomes thinner and weaker as it dilates
•SOB, fatigue, LE edema, JVD
Hypertrophic Cardiomyopathy (HCM) - CORRECT ANSWER -•↓ compliance of LV and
hypertrophy
•usually inherited
•also sec to HTN
•muscle mass enlarges, leading to small LV volume
•septal hypertrophy may inhibit outflow
Restrictive Cardiomyopathy (RCM) - CORRECT ANSWER -•rigid ventricular walls that
restrict heart's ability to stretch and fill w/ blood
•usually acquired as result of amyloidosis (build up of protein)
•↓ compliance (expansion)
•diastolic dysfunction and HF
,Arrythmogenic Right Ventricular Dysplasia (ARVD) - CORRECT ANSWER -•↑ risk of
ventricular dysrhythmias sec to thickening of cardiac muscle
•usually hereditary
•can cause sudden cardiac death in young adults and athletes
Unclassified Cardiomyopathy - CORRECT ANSWER -•peripartum cardiomyopathy
(PPCM)
•rare but serious
•usually seen in last months of pregnancy or up to 5 months PP
•risk factors = multiple pregnancies, obesity, poor nutrition, HTN, some meds
Stenosis vs. Regurgitation - CORRECT ANSWER -*Stenosis*
•narrowing of valve or artery
*Regurgitation*
•backflow of blood into atria during ventricular systole
Conditions that Lead to Valvular Heart Disease - CORRECT ANSWER -•congenital
•valvular stenosis
•valvular insufficiency
•HTN
•age
•atherosclerosis
•infection
•MI
Clinical Manifestations of Valvular Heart Disease - CORRECT ANSWER -•SOB
(mitral/aortic)
•weakness/lightheadedness (mitral/aortic)
•chest discomfort (any?)
, •edema of LE (tricuspid/pulmonic)
•palpitations (any?)
•rapid weight gain (tricuspid/pulmonic)
Valvular Heart Disease Treatment and Interventions - CORRECT ANSWER -
*Medication*
•BB
•ACE inhibitors
•nitrates
•diuretics
•calcium channel blockers
•statins
•hydrazeline
*Interventions*
•low Na+ diet
•weight management
•↓ stress
•↑ physical activity
•stop smoking
Left Sided Heart Failure - CORRECT ANSWER -•forward effects
•fatigue
•activity intolerance
•dizziness/syncope
•pulmonary congestion/edema
•orthopnea/PND
•S3,S4 heart sounds
Questions and CORRECT Answers
Cardiomyopathy - CORRECT ANSWER -•disease that affects heart muscle's ability to
pump effectively
•primary abnormality of heart muscle that affects it's structural or functional characteristics
Dilated Cardiomyopathy - CORRECT ANSWER -•most common
•inherited (1/3)
•chemical exposure
•common occurrence in 20-60 yo
•men > women
•muscle becomes thinner and weaker as it dilates
•SOB, fatigue, LE edema, JVD
Hypertrophic Cardiomyopathy (HCM) - CORRECT ANSWER -•↓ compliance of LV and
hypertrophy
•usually inherited
•also sec to HTN
•muscle mass enlarges, leading to small LV volume
•septal hypertrophy may inhibit outflow
Restrictive Cardiomyopathy (RCM) - CORRECT ANSWER -•rigid ventricular walls that
restrict heart's ability to stretch and fill w/ blood
•usually acquired as result of amyloidosis (build up of protein)
•↓ compliance (expansion)
•diastolic dysfunction and HF
,Arrythmogenic Right Ventricular Dysplasia (ARVD) - CORRECT ANSWER -•↑ risk of
ventricular dysrhythmias sec to thickening of cardiac muscle
•usually hereditary
•can cause sudden cardiac death in young adults and athletes
Unclassified Cardiomyopathy - CORRECT ANSWER -•peripartum cardiomyopathy
(PPCM)
•rare but serious
•usually seen in last months of pregnancy or up to 5 months PP
•risk factors = multiple pregnancies, obesity, poor nutrition, HTN, some meds
Stenosis vs. Regurgitation - CORRECT ANSWER -*Stenosis*
•narrowing of valve or artery
*Regurgitation*
•backflow of blood into atria during ventricular systole
Conditions that Lead to Valvular Heart Disease - CORRECT ANSWER -•congenital
•valvular stenosis
•valvular insufficiency
•HTN
•age
•atherosclerosis
•infection
•MI
Clinical Manifestations of Valvular Heart Disease - CORRECT ANSWER -•SOB
(mitral/aortic)
•weakness/lightheadedness (mitral/aortic)
•chest discomfort (any?)
, •edema of LE (tricuspid/pulmonic)
•palpitations (any?)
•rapid weight gain (tricuspid/pulmonic)
Valvular Heart Disease Treatment and Interventions - CORRECT ANSWER -
*Medication*
•BB
•ACE inhibitors
•nitrates
•diuretics
•calcium channel blockers
•statins
•hydrazeline
*Interventions*
•low Na+ diet
•weight management
•↓ stress
•↑ physical activity
•stop smoking
Left Sided Heart Failure - CORRECT ANSWER -•forward effects
•fatigue
•activity intolerance
•dizziness/syncope
•pulmonary congestion/edema
•orthopnea/PND
•S3,S4 heart sounds
