Mina Phlamon
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Quiz sobre P1-12, criado por Mina Phlamon em 24-07-2014.

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P1-12

Questão 1 de 138

1

Which drug is taken in small doses on a continuing basis to reduce platelet adhesion?

Selecione uma das seguintes:

  • acetylsalicylic acid (ASA)

  • streptokinase

  • acetaminophen

  • heparin

Explicação

Questão 2 de 138

1

What will a partial obstruction in a coronary artery likely cause?

Selecione uma das seguintes:

  • pulmonary embolus

  • hypertension

  • angina attacks

  • myocardial infarction

Explicação

Questão 3 de 138

1

Cigarette smoking is a risk factor in coronary artery disease because smoking:

Selecione uma das seguintes:

  • reduces vasoconstriction and peripheral resistance

  • decreases serum lipid levels

  • promotes platelet adhesion

  • increases serum HDL levels

Explicação

Questão 4 de 138

1

What does the term arteriosclerosis specifically refer to?

Selecione uma das seguintes:

  • development of atheromas in large arteries

  • intermittent vasospasm in coronary arteries

  • degeneration with loss of elasticity and obstruction in small arteries

  • ischemia and necrosis in the brain, kidneys, and heart

Explicação

Questão 5 de 138

1

Which of the following actions causes the atrioventricular valves to close?

Selecione uma das seguintes:

  • increased intraventricular pressure

  • depolarization at the AV node

  • ventricular relaxation and backflow of blood

  • contraction of the atria

Explicação

Questão 6 de 138

1

When stroke volume decreases, which of the following could maintain cardiac output?

Selecione uma das seguintes:

  • decreased peripheral resistance

  • increased heart rate

  • decreased venous return

  • general vasodilation

Explicação

Questão 7 de 138

1

Each of the following compares the output of blood from the left and right ventricles with each contraction of a normal heart. Which is correct?

Selecione uma das seguintes:

  • Left ventricular output is slightly greater than the right ventricular output.

  • Left ventricular output is approximately double that of right ventricular output.

  • Left ventricular output equals the right ventricular output.

  • Left ventricular output is less than right ventricular output.

Explicação

Questão 8 de 138

1

Which of the following describes the pericardial cavity correctly?

Selecione uma das seguintes:

  • It contains sufficient fluid to provide a protective cushion for the heart.

  • It is a potential space containing a very small amount of serous fluid.

  • It is lined by the endocardium.

  • It is located between the double-walled pericardium and the epicardium.

Explicação

Questão 9 de 138

1

Which of the following factors greatly improves venous return to the heart during strenuous exercise?

Selecione uma das seguintes:

  • rapid emptying of the right side of the heart

  • forceful action of the valves in the veins

  • contraction and relaxation of skeletal muscle

  • peristalsis in the large veins

Explicação

Questão 10 de 138

1

What is the function of the baroreceptors? To:

Selecione uma das seguintes:

  • stimulate the parasympathetic or sympathetic nervous systems at the SA node as needed

  • adjust blood pressure by changing peripheral resistance

  • sense a change in blood oxygen and carbon dioxide levels

  • signal the cardiovascular control center of changes in systemic blood pressure

Explicação

Questão 11 de 138

1

The normal delay in conduction through the atrioventricular node is essential for:

Selecione uma das seguintes:

  • preventing an excessively rapid heart rate

  • limiting the time for a myocardial contraction

  • allowing the ventricles to contract before the atria

  • completing ventricular filling

Explicação

Questão 12 de 138

1

Which of the following results from increased secretion of epinephrine?

Selecione uma das seguintes:

  • increased heart rate and force of contraction

  • decreased stimulation of the SA node and ventricles

  • vasoconstriction in skeletal muscles and kidneys

  • vasodilation of cutaneous blood vessels

Explicação

Questão 13 de 138

1

Which of the following causes increased heart rate?

Selecione uma das seguintes:

  • stimulation of the vagus nerve

  • increased renin secretion

  • administration of beta-blocking drugs

  • Stimulation of the sympathetic nervous system

Explicação

Questão 14 de 138

1

Which event causes the QRS wave on an ECG tracing?

Selecione uma das seguintes:

  • atrial depolarization

  • atrial repolarization

  • ventricular depolarization

  • ventricular repolarization

Explicação

Questão 15 de 138

1

What is the cardiac reserve?

Selecione uma das seguintes:

  • afterload

  • the difference between the apical and radial pulses

  • the ability of the heart to increase cardiac output when needed

  • the extra blood remaining in the heart after it contracts

Explicação

Questão 16 de 138

1

What does the term preload refer to?

Selecione uma das seguintes:

  • volume of venous return

  • peripheral resistance

  • stroke volume

  • cardiac output

Explicação

Questão 17 de 138

1

Which are the first arteries to branch off the aorta?

Selecione uma das seguintes:

  • common carotid arteries

  • pulmonary arteries

  • coronary arteries

  • subclavian arteries

Explicação

Questão 18 de 138

1

Vasodilation in the skin and viscera results directly from:

Selecione uma das seguintes:

  • decreased blood pressure

  • increased parasympathetic stimulation

  • relaxation of smooth muscle in the arterioles

  • increased stimulation of alpha-adrenergic receptors

Explicação

Questão 19 de 138

1

Which of the following drugs decrease sodium and fluid retention in the body?

Selecione uma das seguintes:

  • warfarin (Coumadin)

  • digoxin (Lanoxin)

  • nitroglycerin (Isordil)

  • hydrochlorothiazide (Hydro DIURIL)

Explicação

Questão 20 de 138

1

Which of the following are predisposing factors to thrombus formation in the circulation?
1. decreased viscosity of the blood
2. damaged blood vessel walls
3. immobility
4. prosthetic valves

Selecione uma das seguintes:

  • 1, 3

  • 2, 4

  • 1, 3, 4

  • 2, 3, 4

Explicação

Questão 21 de 138

1

Modifiable factor that increase the risk for atherosclerosis include:

Selecione uma das seguintes:

  • sedentary life style

  • female more than 40 years of age

  • exclusion of saturated fats from the diet

  • familial hypercholesterolemia

Explicação

Questão 22 de 138

1

An atheroma develops from:

Selecione uma das seguintes:

  • a torn arterial wall and blood clots

  • accumulated lipids, cells, and fibrin where endothelial injury has occurred

  • thrombus forming on damaged walls of veins

  • repeated vasospasms

Explicação

Questão 23 de 138

1

Low-density lipoproteins (LDL):

Selecione uma das seguintes:

  • promote atheroma development

  • contain only small amounts of cholesterol

  • transport cholesterol from cells to the liver for excretion

  • are associated with low intake of saturated fats

Explicação

Questão 24 de 138

1

Factors that may precipitate an angina attack include all of the following EXCEPT:

Selecione uma das seguintes:

  • eating a large meal

  • an angry argument

  • walking down stairs

  • shovelling snow on a cold, windy day

Explicação

Questão 25 de 138

1

When comparing angina with myocardial infarction (MI), which statement is true?

Selecione uma das seguintes:

  • Both angina and MI cause tissue necrosis.

  • Angina often occurs at rest; MI occurs during a stressful time.

  • Pain is more severe and lasts longer with angina than with MI.

  • Angina pain is relieved by rest and intake of nitroglycerin; the pain of MI is not.

Explicação

Questão 26 de 138

1

Which of the following best describes the basic pathophysiology of myocardial infarction?

Selecione uma das seguintes:

  • Cardiac output is insufficient to meet the needs of the heart and body.

  • Temporary vasospasm occurs in a coronary artery.

  • Total obstruction of a coronary artery causes myocardial necrosis.

  • Heart rate and force is irregular, reducing blood supply to coronary arteries.

Explicação

Questão 27 de 138

1

Which of the following are typical early signs or symptoms of myocardial infarction?

Selecione uma das seguintes:

  • brief, substernal pain radiating to the right arm, with labored breathing

  • persistent chest pain radiating to the left arm, pallor, and rapid, weak pulse

  • bradycardia, increased blood pressure, and severe dyspnea

  • flushed face, rapid respirations, left-side weakness, and numbness

Explicação

Questão 28 de 138

1

Which statement describes a coronary artery bypass procedure?

Selecione uma das seguintes:

  • removing the section of an artery containing plaque and thrombus

  • compressing the thrombus with an inflated balloon to provide a larger lumen

  • attaching a section of vein to the coronary artery proximal and distal to the obstruction

  • adding a piece of vein to the end of each coronary artery

Explicação

Questão 29 de 138

1

Calcium-channel blocking drugs are effective in:

Selecione uma das seguintes:

  • reducing the risk of blood clotting

  • decreasing the attraction of cholesterol into lipid plaques

  • reducing cardiac and smooth muscle contractions

  • decreasing all types of cardiac arrhythmias

Explicação

Questão 30 de 138

1

Which of the following confirms the presence of a myocardial infarction?

Selecione uma das seguintes:

  • a full description of the pain

  • the presence of elevated serum cholesterol and triglycerides

  • characteristic patterns for serum isoenzymes and the ECG

  • leukocytosis and elevated C-reactive protein

Explicação

Questão 31 de 138

1

The size of the necrotic area resulting from myocardial infarction may be minimized by all of the following EXCEPT:

Selecione uma das seguintes:

  • previously established collateral circulation

  • immediate administration of thrombolytic drugs

  • maintaining maximum oxygen supply to the myocardium

  • removing the predisposing factors to atheroma development

Explicação

Questão 32 de 138

1

What is the most common cause of death immediately following a myocardial infarction?

Selecione uma das seguintes:

  • cardiac arrhythmias

  • ruptured ventricle

  • congestive heart failure

  • cerebrovascular accident

Explicação

Questão 33 de 138

1

Why does ventricular fibrillation result in cardiac arrest?

Selecione uma das seguintes:

  • Delayed conduction through the AV node blocks ventricular stimulation.

  • Insufficient blood is supplied to the myocardium.

  • The ventricles contract before the atria.

  • Parasympathetic stimulation depresses the SA node.

Explicação

Questão 34 de 138

1

What does the term cardiac arrest mean?

Selecione uma das seguintes:

  • cardiac output is less than the demand

  • decreased circulating blood volume

  • missing a ventricular contraction

  • cessation of all cardiac function

Explicação

Questão 35 de 138

1

Which change results from total heart block?

Selecione uma das seguintes:

  • a prolonged PR interval

  • periodic omission of a ventricular contraction

  • a wide QRS wave

  • spontaneous slow ventricular contractions, not coordinated with atrial contraction

Explicação

Questão 36 de 138

1

What does the term PVC mean?

Selecione uma das seguintes:

  • Atrial muscle cells are stimulating additional cardiac contractions.

  • The ventricles contract spontaneously following a period without a stimulus.

  • Additional contractions arise from ectopic foci in the ventricular muscle.

  • Increased heart rate causes palpitations.

Explicação

Questão 37 de 138

1

Which of the following is most likely to cause left-sided congestive heart failure?

Selecione uma das seguintes:

  • incompetent tricuspid heart valve

  • chronic pulmonary disease

  • infarction in the right atrium

  • uncontrolled essential hypertension

Explicação

Questão 38 de 138

1

Which is the best definition of congestive heart failure?

Selecione uma das seguintes:

  • cessation of all cardiac activity

  • inability of the heart to pump enough blood to meet the metabolic needs of the body

  • insufficient circulating blood in the body

  • the demand for oxygen by the heart is greater than the supply

Explicação

Questão 39 de 138

1

Which of the following are significant signs of right-sided congestive heart failure?

Selecione uma das seguintes:

  • severe chest pain and tachycardia

  • edematous feet and legs with hepatomegaly

  • frequent cough with blood-streaked frothy sputum

  • orthopnea, fatigue, increased blood pressure

Explicação

Questão 40 de 138

1

Paroxysmal nocturnal dyspnea is marked by:

Selecione uma das seguintes:

  • hemoptysis and rales

  • distended neck veins and flushed face

  • bradycardia and weak pulse

  • cardiomegaly

Explicação

Questão 41 de 138

1

Which of the following occur as compensation mechanisms for decreased cardiac output in cases of congestive heart failure?

Selecione uma das seguintes:

  • slow cardiac contractions

  • increased renin and aldosterone secretions

  • decreased erythropoietin secretion

  • fatigue and cold intolerance

Explicação

Questão 42 de 138

1

In which blood vessels will failure of the left ventricle cause increased hydrostatic pressure?

Selecione uma das seguintes:

  • veins of the legs and feet

  • jugular veins

  • pulmonary capillaries

  • blood vessels of the liver and spleen

Explicação

Questão 43 de 138

1

Which of the following drugs improves cardiac efficiency by slowing the heart rate and increasing the force of cardiac contractions?

Selecione uma das seguintes:

  • Furosemide

  • Digoxin

  • Epinephrine

  • Nifedipine

Explicação

Questão 44 de 138

1

In an infant, which of the following is frequently the initial indication of congestive heart failure?

Selecione uma das seguintes:

  • distended neck veins

  • feeding problems

  • low-grade fever and lethargy

  • frequent vomiting

Explicação

Questão 45 de 138

1

Which of the following effects may be expected from a beta-adrenergic blocking drug?

Selecione uma das seguintes:

  • increasing systemic vasoconstriction

  • decreased sympathetic stimulation of the heart

  • blockage of an angiotensin receptor site

  • increased release of renin

Explicação

Questão 46 de 138

1

Which of the following is a sign of aortic stenosis?

Selecione uma das seguintes:

  • increased cardiac output

  • congestion in the liver, spleen, and legs

  • flushed face and headache

  • a heart murmur

Explicação

Questão 47 de 138

1

What would an incompetent mitral valve cause?

Selecione uma das seguintes:

  • increased blood to remain in the right atrium

  • hypertrophy of the right ventricle

  • decreased output from the left ventricle

  • decreased pressure in the left atrium

Explicação

Questão 48 de 138

1

Which of the following describes the blood flow occurring with a ventricular septal defect?

Selecione uma das seguintes:

  • from the left ventricle to the right ventricle

  • from the right ventricle to the left ventricle

  • increased cardiac output from the left ventricle

  • mixed oxygenated and unoxygenated blood in the systemic circulation

Explicação

Questão 49 de 138

1

In children with tetralogy of Fallot, why does unoxygenated blood enter the systemic circulation?

Selecione uma das seguintes:

  • The aorta and pulmonary artery have exchanged positions.

  • Pulmonary stenosis changes the ventricular pressures.

  • The left ventricular wall has hypertrophied.

  • The septal defect allows exchange of blood between the atria.

Explicação

Questão 50 de 138

1

Why does cyanosis occur in children with tetralogy of Fallot?

Selecione uma das seguintes:

  • More carbon dioxide is present in the circulating blood.

  • A large amount of hemoglobin in the general circulation is unoxygenated.

  • The pulmonary circulation is overloaded and congested.

  • The circulation is sluggish (slow) throughout the system.

Explicação

Questão 51 de 138

1

Which of the following represent(s) the pathophysiologic changes in the heart in cases of rheumatic fever?

Selecione uma das seguintes:

  • infection in the heart by hemolytic streptococci

  • highly virulent microbes causing vegetations on the heart valves

  • septic emboli obstructing coronary arteries

  • an abnormal immune response, causing acute inflammation in all layers of the heart

Explicação

Questão 52 de 138

1

Common signs of rheumatic fever include all of the following EXCEPT:

Selecione uma das seguintes:

  • arthritis causing deformity of the small joints in the hands and feet

  • erythematous skin rash and subcutaneous nodules

  • epistaxis, tachycardia, and fever

  • elevated ASO titer and leukocytosis

Explicação

Questão 53 de 138

1

How does rheumatic heart disease usually manifest in later years?

Selecione uma das seguintes:

  • swollen heart valves and fever

  • cardiac arrhythmias and heart murmurs

  • thrombus formation and septic emboli

  • petechial hemorrhages of the skin and mucosa

Explicação

Questão 54 de 138

1

Why are septic emboli a common complication of infective endocarditis?

Selecione uma das seguintes:

  • Vegetations are loosely attached and fragile.

  • The valves are no longer competent.

  • Cardiac output is reduced.

  • Heart contractions are irregular.

Explicação

Questão 55 de 138

1

Which of the following apply to subacute infective endocarditis?

Selecione uma das seguintes:

  • A microbe of low virulence attacks abnormal or damaged heart valves.

  • Virulent microbes invade normal heart valves.

  • No permanent damage occurs to the valves.

  • Prophylactic medication does not prevent infection.

Explicação

Questão 56 de 138

1

Why does pericarditis cause a reduction in cardiac output?

Selecione uma das seguintes:

  • Delays in the conduction system interfere with cardiac rhythm.

  • Due to friction rub, the myocardial contractions are weak.

  • Excess fluid in the pericardial cavity decreases ventricular filling.

  • Incompetent valves allow regurgitation of blood.

Explicação

Questão 57 de 138

1

Which of the following may cause pericarditis?
1. infection
2. abnormal immune responses
3. injury
4. malignant neoplasm

Selecione uma das seguintes:

  • 1, 2

  • 3, 4

  • 1, 3, 4

  • 1, 2, 3, 4

Explicação

Questão 58 de 138

1

Which of the following could be the source of an embolus causing an obstruction in the brain?

Selecione uma das seguintes:

  • femoral vein

  • pulmonary vein

  • carotid artery

  • coronary artery

Explicação

Questão 59 de 138

1

What is considered to be the basic pathophysiologic change in essential hypertension?

Selecione uma das seguintes:

  • development of lipid plaques in large arteries

  • recurrent inflammation and fibrosis in peripheral arteries

  • degeneration and loss of elasticity in arteries

  • increased systemic vasoconstriction

Explicação

Questão 60 de 138

1

Where is uncontrolled hypertension most likely to cause ischemia and loss of function?

Selecione uma das seguintes:

  • kidneys, brain, and retinas of the eye

  • peripheral arteries in the legs

  • aorta and coronary arteries

  • liver, spleen, and stomach

Explicação

Questão 61 de 138

1

When is a diagnosis of essential hypertension likely to be considered in young or middle-aged individuals?

Selecione uma das seguintes:

  • blood pressure remains consistently above 140/90

  • blood pressure fluctuates between 130/ 85 and 180/105

  • blood pressure increases rapidly and is unresponsive to medication

  • chronic kidney disease leads to consistently elevated blood pressure

Explicação

Questão 62 de 138

1

What is atherosclerosis in the iliac or femoral arteries likely to cause?
1. gangrenous ulcers in the legs
2. strong rapid pulses in the legs
3. intermittent claudication
4. red, swollen legs

Selecione uma das seguintes:

  • 1, 2

  • 1, 3

  • 2, 3

  • 2, 4

Explicação

Questão 63 de 138

1

What does the term intermittent claudication refer to?

Selecione uma das seguintes:

  • sensory deficit in the legs due to damage to nerves

  • chest pain related to ischemia

  • ischemic muscle pain in the legs, particularly with exercise

  • dry, cyanotic skin with superficial ulcers

Explicação

Questão 64 de 138

1

What is the primary reason for amputation of gangrenous toes or feet in patients with peripheral vascular disease?

Selecione uma das seguintes:

  • promotes more rapid healing of ulcerated areas

  • improves circulation to other areas

  • prevents spread of infection and reduces pain

  • reduces swelling in the peripheral areas

Explicação

Questão 65 de 138

1

An echocardiogram is used to demonstrate any abnormal:

Selecione uma das seguintes:

  • activity in the conduction system

  • movement of the heart valves

  • change in central venous pressure

  • blood flow in coronary arteries

Explicação

Questão 66 de 138

1

A friction rub is associated with:

Selecione uma das seguintes:

  • infectious endocarditis

  • arrhythmias

  • pericarditis

  • an incompetent aortic valve

Explicação

Questão 67 de 138

1

How does a dissecting aortic aneurysm develop?

Selecione uma das seguintes:

  • A dilation or bulge develops at one point on the aortic wall.

  • Thrombus accumulates at a point in the aortic wall.

  • A section of the aorta weakens and dilates in all directions.

  • A tear in the intimal lining allows blood flow between layers of the aortic wall.

Explicação

Questão 68 de 138

1

What is the outcome for many aortic aneurysms?

Selecione uma das seguintes:

  • early diagnosis and repair

  • thrombus formation and pulmonary embolus

  • rupture and hemorrhage

  • pressure on adjacent organs or structures

Explicação

Questão 69 de 138

1

Which factor predisposes to varicose veins during pregnancy?

Selecione uma das seguintes:

  • compressed pelvic veins

  • stenotic valves in leg veins

  • thrombus formation

  • insufficient muscle support for veins

Explicação

Questão 70 de 138

1

Phlebothrombosis is more likely to cause pulmonary emboli than is thrombophlebitis because:

Selecione uma das seguintes:

  • platelets attach to the inflamed wall

  • thrombus forms in a vein and is asymptomatic

  • leg cramps require massage

  • systemic signs of inflammation require treatment

Explicação

Questão 71 de 138

1

How is shock defined?

Selecione uma das seguintes:

  • failure of the heart to supply sufficient blood to body cells

  • general hypoxia causing damage to various organs

  • decreased circulating blood and tissue perfusion

  • loss of blood causing severe hypoxia

Explicação

Questão 72 de 138

1

When does shock follow myocardial infarction?

Selecione uma das seguintes:

  • The stress response causes general vasodilation.

  • Fluid is lost into ischemic tissues.

  • Heart valves are damaged.

  • A large portion of the myocardium is damaged.

Explicação

Questão 73 de 138

1

What are the early signs of circulatory shock?
1. pale moist skin
2. loss of consciousness
3. anxiety and restlessness
4. rapid strong pulse

Selecione uma das seguintes:

  • 1, 2

  • 1, 3

  • 1, 4

  • 3, 4

Explicação

Questão 74 de 138

1

What indicates compensation for shock?

Selecione uma das seguintes:

  • increased heart rate and oliguria

  • lethargy and decreased responsiveness

  • warm, dry, flushed skin

  • weak, thready pulse

Explicação

Questão 75 de 138

1

Why does anaphylactic shock cause severe hypoxia very quickly?

Selecione uma das seguintes:

  • Generalized vasoconstriction reduces venous return.

  • Bronchoconstriction and bronchial edema reduce airflow.

  • Heart rate and contractility are reduced.

  • Metabolic rate is greatly increased.

Explicação

Questão 76 de 138

1

Why does neurogenic (vasogenic) shock result from systemic vasodilation?

Selecione uma das seguintes:

  • increased peripheral resistance and less blood in the microcirculation

  • increased permeability of all the blood vessels leading to hypovolemia

  • slower, less forceful cardiac contractions

  • increased capacity of the vascular system and reduced venous return

Explicação

Questão 77 de 138

1

What is a prolonged period of shock likely to cause?

Selecione uma das seguintes:

  • damage and increased permeability of pulmonary capillaries

  • increased permeability of the glomerular capillaries of the kidneys

  • increased pH of blood and body fluids

  • Increased systemic vasoconstriction

Explicação

Questão 78 de 138

1

What would indicate decompensated acidosis related to shock?

Selecione uma das seguintes:

  • serum bicarbonate level below normal

  • PCO2 above normal

  • serum pH below normal range

  • urine pH of 4.5

Explicação

Questão 79 de 138

1

With shock, anaerobic cell metabolism and decreased renal blood flow cause:

Selecione uma das seguintes:

  • metabolic alkalosis

  • metabolic acidosis

  • decreased serum potassium

  • increased serum bicarbonate

Explicação

Questão 80 de 138

1

Why does shock develop in patients with severe burns?

Selecione uma das seguintes:

  • extensive hemorrhage

  • pain and loss of plasma

  • direct damage to the heart

  • extensive hemolysis of erythrocytes

Explicação

Questão 81 de 138

1

The classic early manifestation(s) of left-sided congestive heart failure are ____, whereas the early indicator(s) of right-sided failure are _______.

Selecione uma das seguintes:

  • palpitations and periodic chest pain; shortness of breath on exertion

  • swelling of the ankles and abdomen; chest pain

  • shortness of breath on exertion or lying down; swelling of the ankles

  • coughing up frothy sputum; hepatomegaly and splenomegaly

Explicação

Questão 82 de 138

1

Which is a common adverse effect of many antihypertensive medications?

Selecione uma das seguintes:

  • orthostatic hypotension

  • bradycardia

  • altered blood coagulation

  • peripheral edema

Explicação

Questão 83 de 138

1

The cause of essential hypertension is considered to be:

Selecione uma das seguintes:

  • chronic renal disease

  • excessive intake of saturated fats and salt

  • sedentary lifestyle

  • idiopathic

Explicação

Questão 84 de 138

1

For which of the following would a cardiac pacemaker likely be inserted?

Selecione uma das seguintes:

  • angina pectoris

  • heart block

  • congestive heart failure

  • ventricular fibrillation

Explicação

Questão 85 de 138

1

Which of the following is considered to be the most dangerous arrhythmia?

Selecione uma das seguintes:

  • tachycardia

  • bradycardia

  • ventricular fibrillation

  • second-degree heart block

Explicação

Questão 86 de 138

1

Which of the following is NOT true of the drug nitroglycerin?

Selecione uma das seguintes:

  • It decreases myocardial workload by causing systemic vasodilation.

  • It may be administered sublingually, transdermally, or by oral spray.

  • Dizziness or syncope may follow a sublingual dose.

  • It strengthens the myocardial contraction.

Explicação

Questão 87 de 138

1

Which of the following would confirm the diagnosis of a myocardial infarction?
1. specific changes in the ECG
2. marked leukocytosis and increased ESR
3. elevation of cardiac isoenzymes in serum
4. pattern of pain

Selecione uma das seguintes:

  • 1, 2

  • 1, 3

  • 2, 4

  • 3, 4

Explicação

Questão 88 de 138

1

Which of the following statements regarding aneurysms is true?

Selecione uma das seguintes:

  • Aneurysms are always caused by congenital malformations.

  • The greatest danger with aneurysms is thrombus formation.

  • Manifestations of aneurysms result from compression of adjacent structures.

  • Aneurysms involve a defect in the tunica media of veins.

Explicação

Questão 89 de 138

1

What is the most common factor predisposing to the development of varicose veins?

Selecione uma das seguintes:

  • trauma

  • congenital valve defect in the abdominal veins

  • infection

  • increased venous pressure

Explicação

Questão 90 de 138

1

In the period immediately following a myocardial infarction, the manifestations of pallor and diaphoresis, rapid pulse, and anxiety result from:

Selecione uma das seguintes:

  • onset of circulatory shock

  • the inflammatory response

  • release of enzymes from necrotic tissue

  • heart failure

Explicação

Questão 91 de 138

1

Septic shock differs from hypovolemic shock in that it is frequently manifested by:

Selecione uma das seguintes:

  • fever and flushed face

  • elevated blood pressure

  • increased urinary output

  • slow bounding pulse

Explicação

Questão 92 de 138

1

Heart block, in which a conduction delay at the AV node results in intermittent missed ventricular contractions, is called:

Selecione uma das seguintes:

  • first-degree block

  • second-degree block

  • bundle-branch block

  • total heart block

Explicação

Questão 93 de 138

1

More extensive permanent damage is likely when a myocardial infarction is caused by:

Selecione uma das seguintes:

  • a hemorrhage

  • an embolus

  • a thrombus

  • an arrhythmia

Explicação

Questão 94 de 138

1

A very rapid heart rate reduces cardiac output because:

Selecione uma das seguintes:

  • venous return is increased.

  • ventricular fibrillation develops immediately.

  • conduction through the AV node is impaired.

  • ventricular filling is reduced.

Explicação

Questão 95 de 138

1

The right side of the heart would fail first in the case of:
1. severe mitral valve stenosis
2. uncontrolled essential hypertension
3. large infarction in the right ventricle
4. advanced COPD

Selecione uma das seguintes:

  • 1, 2

  • 2, 3

  • 1, 4

  • 3, 4

Explicação

Questão 96 de 138

1

Which of the following compensations that develop in patients with congestive heart failure eventually increase the workload of the heart?

Selecione uma das seguintes:

  • faster heart rate and cardiomegaly

  • peripheral vasoconstriction

  • increased secretion of renin

  • a and c

  • a, b, and c

Explicação

Questão 97 de 138

1

Which statement applies to paroxysmal nocturnal dyspnea?

Selecione uma das seguintes:

  • It indicates decreased CO2 diffusion in the lungs.

  • It indicates swelling in the bronchioles and bronchi.

  • It is caused by increased blood in the lungs when lying in a supine position.

  • It results from pleural effusion.

Explicação

Questão 98 de 138

1

In patients with congestive heart failure, ACE inhibitor drugs are useful because they:

Selecione uma das seguintes:

  • reduce renin and aldosterone secretion

  • slow the heart rate

  • strengthen myocardial contraction

  • block arrhythmias

Explicação

Questão 99 de 138

1

In a child with ventricular septal defect, altered blood flow:

Selecione uma das seguintes:

  • leads to increased stroke volume from the left ventricle

  • results in unoxygenated blood in the systemic circulation

  • is called a right-to-left shunt

  • is called a left-to-right shunt

Explicação

Questão 100 de 138

1

In a child with acute rheumatic fever, arrhythmias may develop due to the presence of:

Selecione uma das seguintes:

  • endocarditis

  • myocarditis

  • pericarditis

  • congestive heart failure

Explicação

Questão 101 de 138

1

Prophylactic antibacterial drugs such as amoxicillin are given to those with certain congenital heart defects or damaged heart valves immediately before invasive procedures to prevent:

Selecione uma das seguintes:

  • formation of septic thrombi

  • infectious endocarditis

  • abscess formation

  • myocarditis

Explicação

Questão 102 de 138

1

Varicose ulcers may develop and be slow to heal because:

Selecione uma das seguintes:

  • leg muscles are painful, restricting movement

  • edema reduces arterial blood supply to the area

  • emboli form in damaged veins leading to local ischemia

  • valves in veins restrict blood flow

Explicação

Questão 103 de 138

1

Excessive fluid in the pericardial space causes:

Selecione uma das seguintes:

  • increased cardiac output

  • myocardial infarction

  • reduced venous return

  • friction rub

Explicação

Questão 104 de 138

1

Aortic stenosis means the aortic valve:

Selecione uma das seguintes:

  • allows blood to leak back into the left ventricle during diastole

  • cannot fully open during systole

  • functions to increase stroke volume

  • does not respond to the cardiac cycle

Explicação

Questão 105 de 138

1

Which of the following would be the most likely cause of an iatrogenic disease?

Selecione uma das seguintes:

  • an inherited disorder

  • a combination of specific etiologic factors

  • an unwanted effect of a prescribed drug

  • prolonged exposure to toxic chemicals in the environment

Explicação

Questão 106 de 138

1

The manifestations of a disease are best defined as the:

Selecione uma das seguintes:

  • subjective feelings of discomfort during a chronic illness

  • signs and symptoms of a disease

  • factors that precipitate an acute episode of a chronic illness

  • early indicators of the prodromal stage of infection

Explicação

Questão 107 de 138

1

The best definition of the term prognosis is the:

Selecione uma das seguintes:

  • precipitating factors causing an acute episode

  • number of remissions to be expected during the course of a chronic illness

  • predicted outcome or likelihood of recovery from a specific disease

  • exacerbations occurring during chronic illness

Explicação

Questão 108 de 138

1

Which of the following is considered a systemic sign of disease?

Selecione uma das seguintes:

  • swelling of the knee

  • fever

  • pain in the neck

  • red rash on the face

Explicação

Questão 109 de 138

1

Etiology is defined as the study of the:

Selecione uma das seguintes:

  • causes of a disease

  • course of a disease

  • expected complications of a disease

  • manifestations of a disease

Explicação

Questão 110 de 138

1

Hypertrophy of the heart would be related to:

Selecione uma das seguintes:

  • an increase in the size of the individual cells

  • an increase in the number of cells in an area

  • replacement of normal cells by a different type of cell

  • a decrease in the size of the individual cells

Explicação

Questão 111 de 138

1

A change in a tissue marked by cells that vary in size and shape and show increased mitotic figures would be called:

Selecione uma das seguintes:

  • metaplasia

  • atrophy

  • dysplasia

  • hypertrophy

Explicação

Questão 112 de 138

1

When a group of cells in the body dies, the change is called:

Selecione uma das seguintes:

  • ischemia

  • gangrene

  • hypoxia

  • necrosis

Explicação

Questão 113 de 138

1

Lack of exercise during an illness may cause skeletal muscle to undergo:

Selecione uma das seguintes:

  • hypertrophy

  • dysplasia

  • atrophy

  • regeneration

Explicação

Questão 114 de 138

1

The term cancer refers to:

Selecione uma das seguintes:

  • dysplasia

  • hyperplasia

  • metaplasia

  • malignant neoplasm

Explicação

Questão 115 de 138

1

To which of the following does the term apoptosis refer?

Selecione uma das seguintes:

  • an increased rate of mitosis by certain cells

  • ischemic damage to cells

  • liquefaction of neurotic tissue

  • preprogrammed cell self-destruction

Explicação

Questão 116 de 138

1

Which of the following statements is TRUE?

Selecione uma das seguintes:

  • Alteration of DNA does not change cell function.

  • Damaged cells may be able to repair themselves.

  • All types of cells die at the same rate.

  • Mild ischemia causes immediate cell death.

Explicação

Questão 117 de 138

1

Caseation necrosis refers to an area where:

Selecione uma das seguintes:

  • cell proteins have been denatured

  • cell are liquefied by enzymes

  • dead cells form a thick cheesy substance

  • bacterial invasion has occurred

Explicação

Questão 118 de 138

1

Routine application of sun block to skin would be an example of:

Selecione uma das seguintes:

  • an iatrogenic cause of cancer

  • a preventative measure

  • a precipitating factor

  • a predisposing condition

Explicação

Questão 119 de 138

1

A circumstance that causes a sudden acute episode of a chronic disease to occur is termed:

Selecione uma das seguintes:

  • latent stage

  • predisposing factor

  • incidence

  • precipitating factor

Explicação

Questão 120 de 138

1

What is an acute episode of a chronic disease called?

Selecione uma das seguintes:

  • an exacerbation

  • a prodromal period

  • a complication

  • a sequel

Explicação

Questão 121 de 138

1

The term homeostasis refers to:

Selecione uma das seguintes:

  • the causative factors in a particular disease

  • maintenance of a stable internal environment

  • a condition that triggers an acute episode

  • a collection of signs and symptoms

Explicação

Questão 122 de 138

1

Which term is used to describe a new and secondary or additional problem that arises after the original disease is established?

Selecione uma das seguintes:

  • symptoms

  • occurrence

  • manifestations

  • complication

Explicação

Questão 123 de 138

1

Pathophysiology involves the study of:

Selecione uma das seguintes:

  • the structure of the human body

  • the functions of various organs in the body

  • functional or structural changes resulting from disease processes

  • various cell structures and related functions

Explicação

Questão 124 de 138

1

Which of the following is the best definition of epidemiology?

Selecione uma das seguintes:

  • the science of tracking the occurrence and distribution of diseases

  • the relative number of deaths resulting from a particular disease

  • identification of a specific disease through evaluation of signs and symptoms

  • the global search for emerging diseases

Explicação

Questão 125 de 138

1

Which of the following can cause cell injury or death?
1. hypoxia
2. exposure to excessive cold
3. excessive pressure on a tissue
4. chemical toxins

Selecione uma das seguintes:

  • 1, 2

  • 2, 4

  • 1, 3, 4

  • 2, 3, 4

  • 1, 2, 3, 4

Explicação

Questão 126 de 138

1

All of the following are part of the Seven Steps to Health EXCEPT:

Selecione uma das seguintes:

  • follow cancer screening guidelines

  • use sun block agents whenever exposed

  • participate in strenuous exercise on a regular daily basis

  • choose high fiber, lower fat foods

  • avoid second hand smoke at all times

Explicação

Questão 127 de 138

1

The term disease refers to:

Selecione uma das seguintes:

  • the period of recovery and return to a normal healthy state

  • the relative number of deaths during an epidemic

  • the treatment measures used to promote recovery

  • a basic collection of signs and symptoms

  • a deviation from the normal state of health and function

Explicação

Questão 128 de 138

1

The best definition of ischemia is:

Selecione uma das seguintes:

  • the mechanical damage due to pressure on tissue

  • any imbalance of fluids or electrolytes in the body

  • a deficit of oxygen supply to the cells, due to circulatory obstruction

  • the effects of infection by microorganisms

Explicação

Questão 129 de 138

1

All of the following statements are correct about cell damage EXCEPT:

Selecione uma das seguintes:

  • The Initial stage of cell damage often causes an alteration in metabolic reactions.

  • If the factor causing the damage is removed quickly, the cell may be able to recover and return to its normal state.

  • If the noxious factor remains for an extended period of time, the damage becomes irreversible and the cell dies.

  • Initially cell damage does not change cell metabolism, structure, or function.

Explicação

Questão 130 de 138

1

Which of the following conditions distinguishes double blind studies used in health research?

Selecione uma das seguintes:

  • Neither the members of the control group or the experimental group nor the person administering the treatment know who is receiving the experimental therapy.

  • Both groups of research subjects and the person administering the treatment know who is receiving the experimental therapy.

  • The research subjects do not know, but the person administering the treatment knows who is receiving placebo or standard therapy.

  • Only members of the control group know they are receiving standard therapy.

Explicação

Questão 131 de 138

1

If the data collected from the research process confirm that the new treatment has increased effectiveness and is safe, this is called:

Selecione uma das seguintes:

  • the placebo effect

  • evidence based research

  • blind research studies

  • approval for immediate distribution

Explicação

Questão 132 de 138

1

A short-term illness that develops very quickly with perhaps a high fever or severe pain is called:

Selecione uma das seguintes:

  • acute

  • latent

  • chronic

  • manifestation

Explicação

Questão 133 de 138

1

The term prognosis refers to the:

Selecione uma das seguintes:

  • period of recovery and return to a normal state

  • expected outcome of the disease

  • mortality and morbidity rates for a given population

  • typical collection of signs and symptoms

Explicação

Questão 134 de 138

1

When prolonged ischemia occurs to an area of the heart, the resulting damage is referred to as:

Selecione uma das seguintes:

  • atrophy

  • liquefactive necrosis

  • apoptosis

  • infarction

Explicação

Questão 135 de 138

1

During the evaluation process for a new therapy’s effectiveness and safety, a double blind study may be conducted during:

Selecione uma das seguintes:

  • the first stage

  • the second stage

  • the third stage

  • any of these stages

Explicação

Questão 136 de 138

1

Why are the predisposing factors for a specific disease important to health professionals?

Selecione uma das seguintes:

  • to predict the prognosis

  • to determine treatments

  • to develop preventative measures

  • to develop morbidity statistics

Explicação

Questão 137 de 138

1

Cell damage may be caused by exogenous sources such as:

Selecione uma das seguintes:

  • abnormal metabolic processes

  • certain food additives

  • genetic defects

  • localized hypoxia

Explicação

Questão 138 de 138

1

Which of the following is usually included in a medical history?
1. past illnesses or surgeries
2. current illnesses, acute and chronic
3. prescribed medication or other treatments
4. nonprescription drugs and herbal remedies
5. current allergies

Selecione uma das seguintes:

  • 1, 3

  • 2, 5

  • 2, 4, 5

  • 1, 3, 4

  • 1, 2, 3, 4, 5

Explicação