portage pathophysiology exam 4 UPDATED ACTUAL Questions and
CORRECT Answers
Question: The three stages of hemostasis include each of the following except
Correct Answer: : vascular dilation
Question: Which of the following medications would decrease a person's risk for clotting? Select all that
apply.
Correct Answer: heparin, warfarin, lovenox
Question: Which of the following is a hypercoagulable state? Select all that apply.
Correct Answer: congestive heart failure, smoking, post-surgical state
Question: Which of the following is FALSE of disseminated intravascular coagulation (DIC)? Select all
that apply.
Correct Answer: lab results show a decreased PT, PTT
Question: In which of the following ways is blood flow NOT negatively affected?
Correct Answer: low hematocrit
Question: Which of the following increases the strength of the muscular contraction?-
Correct Answer: inotropic influence
Question: Which of the following is NOT a regulator of blood pressure?
Correct Answer: parasympathetic nervous system activation
Question: Which of the following does NOT lead to an increased risk for DVT? Select all that apply.
Correct Answer: non-smoker
Question: Which of the following symptoms is NOT associated with iron deficiency anemia?
Correct Answer: neurologic changes
Question: What are the two major causes of microcytic anemias?
Correct Answer: iron deficiency anemia, thalassemias
Question: Treatment of or prevention of sickling crisis in sickle cell disease include each of the following
except
Correct Answer: : iron supplementation
Question: A child with homozygous sickle cell disease arrives at the ER. Lab tests indicate pneumococcal
sepsis, a bacterial infection. Imaging called spleen scintigraphy measures IV administered
radiopharmaceutical tracers present in the tissue, and is used to assess the size, shape, position, and health
of the organ. While the physician could palpate the patient's spleen, it could not be visualized by the
scintigraphy. What is the likely complication this patient is experiencing?
Correct Answer: functional asplenia
Question: Which of the following is NOT true of vitamin B12 deficiency anemia?
Correct Answer: dietary deficiencies are common
, Question: Each of the following are risk factors for secondary hyperlipidemia except?-
Correct Answer: autosomal dominant disorder of LDL receptor
Question: Lifestyle changes to treat hyperlipidemia include each of the following except
Correct Answer: : increase red meat consumption
Question: The following are all drug therapies used to treat hyperlipidemia except
Correct Answer: : - beta-blockers
Question: What is the most common cause of cardiogenic shock?
Correct Answer: myocardial infarction
Question: which does NOT occur during cardiogenic shock?
Correct Answer: decreased systemic vascular resistance
Question: 1. Explain how ventricular hypertrophy is an adaptive mechanism
Correct Answer: 2. What happens during exercise in someone with coronary artery disease?: 1. The
ventricle can offset the increased stress on the wall. Or when elevated blood pressure increases the
workload of the left ventricle also increases the pressure against the heart. Over time, the left ventricle
hypertrophies to compensate for the increased pressure and work. 2. During exertion, the heart beats harder
and faster to supply oxygen to the muscles. The coronary vessels vasodilate and increase blood flow to the
cardiac muscle to meet its increased demand for oxygen. With atherosclerotic disease, the coronary vessel
lumens are narrowed and blood supply to the heart is diminished. With exertion, the vessels cannot
adequately vasodilate. This can manifest as chest pain or tightness and/or shortness of breath.
Question: 1. Hypertension is often called "the silent killer." By the time symptoms of hypertension occur,
the complications can affect the kidneys, heart, eyes, and blood vessels. What is this term called? 2. Left
ventricular hypertrophy is a major risk factor for what other diseases? Name at least 2.
Correct Answer: 1. Target-organ damage 2. coronary heart disease, cardiac dysrhythmias, congestive heart
failure, and sudden death.
Question: The most common cause of death immediately after the onset of acute myocardial infarction is
Correct Answer: : arrhythmia
Question: A 40-year-old woman is hospitalized with a chronic illness characterized by hepatomegaly,
distended neck veins, and peripheral edema. Which of the following disorders is the most likely cause of
these findings?
Correct Answer: right heart failure
Question: Upon seeing this on your patient, which disease would you screen for? shows picture of
xanthomas (cholesterol deposits around eyes and skin of joints)
Correct Answer: hyperlipidemia
Question: With atherosclerotic disease, the coronary vessel lumens are narrowed and blood supply to the
heart is diminished. With exertion, the vessels cannot adequately vasodilate. This can manifest as chest pain
or tightness and/or shortness of breath. What is this referred to as?
Correct Answer: stable angina
Question: Which arrhythmia is the most common chronic arrhythmia and incidence increases with age?
CORRECT Answers
Question: The three stages of hemostasis include each of the following except
Correct Answer: : vascular dilation
Question: Which of the following medications would decrease a person's risk for clotting? Select all that
apply.
Correct Answer: heparin, warfarin, lovenox
Question: Which of the following is a hypercoagulable state? Select all that apply.
Correct Answer: congestive heart failure, smoking, post-surgical state
Question: Which of the following is FALSE of disseminated intravascular coagulation (DIC)? Select all
that apply.
Correct Answer: lab results show a decreased PT, PTT
Question: In which of the following ways is blood flow NOT negatively affected?
Correct Answer: low hematocrit
Question: Which of the following increases the strength of the muscular contraction?-
Correct Answer: inotropic influence
Question: Which of the following is NOT a regulator of blood pressure?
Correct Answer: parasympathetic nervous system activation
Question: Which of the following does NOT lead to an increased risk for DVT? Select all that apply.
Correct Answer: non-smoker
Question: Which of the following symptoms is NOT associated with iron deficiency anemia?
Correct Answer: neurologic changes
Question: What are the two major causes of microcytic anemias?
Correct Answer: iron deficiency anemia, thalassemias
Question: Treatment of or prevention of sickling crisis in sickle cell disease include each of the following
except
Correct Answer: : iron supplementation
Question: A child with homozygous sickle cell disease arrives at the ER. Lab tests indicate pneumococcal
sepsis, a bacterial infection. Imaging called spleen scintigraphy measures IV administered
radiopharmaceutical tracers present in the tissue, and is used to assess the size, shape, position, and health
of the organ. While the physician could palpate the patient's spleen, it could not be visualized by the
scintigraphy. What is the likely complication this patient is experiencing?
Correct Answer: functional asplenia
Question: Which of the following is NOT true of vitamin B12 deficiency anemia?
Correct Answer: dietary deficiencies are common
, Question: Each of the following are risk factors for secondary hyperlipidemia except?-
Correct Answer: autosomal dominant disorder of LDL receptor
Question: Lifestyle changes to treat hyperlipidemia include each of the following except
Correct Answer: : increase red meat consumption
Question: The following are all drug therapies used to treat hyperlipidemia except
Correct Answer: : - beta-blockers
Question: What is the most common cause of cardiogenic shock?
Correct Answer: myocardial infarction
Question: which does NOT occur during cardiogenic shock?
Correct Answer: decreased systemic vascular resistance
Question: 1. Explain how ventricular hypertrophy is an adaptive mechanism
Correct Answer: 2. What happens during exercise in someone with coronary artery disease?: 1. The
ventricle can offset the increased stress on the wall. Or when elevated blood pressure increases the
workload of the left ventricle also increases the pressure against the heart. Over time, the left ventricle
hypertrophies to compensate for the increased pressure and work. 2. During exertion, the heart beats harder
and faster to supply oxygen to the muscles. The coronary vessels vasodilate and increase blood flow to the
cardiac muscle to meet its increased demand for oxygen. With atherosclerotic disease, the coronary vessel
lumens are narrowed and blood supply to the heart is diminished. With exertion, the vessels cannot
adequately vasodilate. This can manifest as chest pain or tightness and/or shortness of breath.
Question: 1. Hypertension is often called "the silent killer." By the time symptoms of hypertension occur,
the complications can affect the kidneys, heart, eyes, and blood vessels. What is this term called? 2. Left
ventricular hypertrophy is a major risk factor for what other diseases? Name at least 2.
Correct Answer: 1. Target-organ damage 2. coronary heart disease, cardiac dysrhythmias, congestive heart
failure, and sudden death.
Question: The most common cause of death immediately after the onset of acute myocardial infarction is
Correct Answer: : arrhythmia
Question: A 40-year-old woman is hospitalized with a chronic illness characterized by hepatomegaly,
distended neck veins, and peripheral edema. Which of the following disorders is the most likely cause of
these findings?
Correct Answer: right heart failure
Question: Upon seeing this on your patient, which disease would you screen for? shows picture of
xanthomas (cholesterol deposits around eyes and skin of joints)
Correct Answer: hyperlipidemia
Question: With atherosclerotic disease, the coronary vessel lumens are narrowed and blood supply to the
heart is diminished. With exertion, the vessels cannot adequately vasodilate. This can manifest as chest pain
or tightness and/or shortness of breath. What is this referred to as?
Correct Answer: stable angina
Question: Which arrhythmia is the most common chronic arrhythmia and incidence increases with age?
