Patho Hesi Review Questions and Answers Already Passed
A dissecting aneurysm is dangerous due to the fact that there is a tear in which layer of the vessel wall? Inner, middle, outer. ✔✔medial layer- allows blood to seep into the middle layer
A Pulmonary embolus can cause what kind of shock? ✔✔obstructive shock
A patient has type II diabetes, what symptoms should he expect? Select all that apply
- Extreme Hunger
- Excessive thirst
- Polyuria
- Salt craving
- Quick accumulation of fat ✔✔A, B, C
Stenosis of the tricuspid valve would lead to what?
- left sided heart failure
- Right sided heart failure
- Pulmonary regurgitation 1 / 4
- pulmonary stenosis ✔✔B- because the tricuspid valve is located on the right side
#1 sign of right heart failure ✔✔peripheral edema and rapid weight gain
A patient comes into the ER and is shaking and states that she has a sharp pain that's in her upper stomach going all the way up into her back. Her labs come back and show she is experiencing hyperglycemia and a high WBC count, what is she most likely experiencing?
- Diabetes crisis
- Type II diabetes
- Cholilithiasis
- Acute pancreatitis ✔✔D. Acute pancreatitis: sharp pain that radiates to the back
Pancreatitis can lead to ✔✔Type 1 diabetes
Which part of the ekg corresponds with atrial depolarization? ✔✔P wave
It is impossible for ventricular depolarization to occur during which part of the EKG? ✔✔S-T segment: ventricles have fully depolarized, absolute refractory period 2 / 4
Heart failure due to the heart muscle being underdeveloped and not strong enough to overcome the afterload would be chronotropic problem, dromotropic problem, or inotropic problem?✔✔Inotropic problem= Strength of contraction
chronotropic ✔✔beats per min
dromotropic ✔✔rate of electrical conduction through heart
A patient comes in with red lesions on his arms which have a red flare around the border, what is this most likely?
- Urticaria
- Impetigo
- Dermatitis
- Boils ✔✔A. hives= Red flare around the border (#1 symptom)
A pulse pressure that is 78 would most likely indicate?
- hypotension
- hypertension 3 / 4
- shock
- TBI ✔✔D. traumatic brain injury= increased ICP= Cushing's Triad
120-80= what? ✔✔pulse pressure
Any pulse pressure over 60 is considered ✔✔widened
The diastolic pressure is measured during what on an ekg? ✔✔From the T wave (ventricles have stopped beating/contracting) to the beginning of the R wave (ventricles begin to fully contract) Heart spends more time in diastolic
Does the sympathetic nervous system increase or decrease the peripheral vascular resistance?✔✔increase- because BP increases because of vasoconstriction
A patient is receiving a blood transfusion when he starts stating that he's getting itchy. What is your first intervention?
- Stop the transfusion
- Administer Benadryl IM and monitor for worsening of symptoms
- / 4