ATI RN
Physical Exam Cardiovascular System
1. What is a severe and often sudden allergic reaction that can lead to breathing difficulties and anaphylactic shock?
- A. Anaphylaxis
- B. Allergic rhinitis
- C. Bronchospasm
- D. Asthma attack
Correct answer: A
Rationale: Anaphylaxis is the correct answer. It is a severe allergic reaction that can result in difficulty breathing, a drop in blood pressure, and even anaphylactic shock if not treated promptly. Choice B, allergic rhinitis, is characterized by symptoms such as a runny or stuffy nose, sneezing, and itching. Choice C, bronchospasm, refers to the sudden constriction of the muscles in the walls of the bronchioles, leading to breathing difficulties. Choice D, asthma attack, involves the inflammation and narrowing of the airways, resulting in symptoms like wheezing, coughing, and chest tightness.
2. Which type of heart disease involves the stiffening of the heart muscle, reducing its ability to relax and fill with blood?
- A. Restrictive cardiomyopathy
- B. Hypertrophic cardiomyopathy
- C. Dilated cardiomyopathy
- D. Ventricular hypertrophy
Correct answer: A
Rationale: The correct answer is A, restrictive cardiomyopathy. This condition specifically involves the stiffening of the heart muscle, leading to a reduced ability to relax and fill with blood between beats. Choice B, hypertrophic cardiomyopathy, is characterized by abnormal thickening of the heart muscle, not stiffening. Choice C, dilated cardiomyopathy, involves the enlargement and weakening of the heart chambers, not stiffening. Choice D, ventricular hypertrophy, refers to the thickening of the walls of the heart's pumping chambers but does not specifically involve the stiffening that is characteristic of restrictive cardiomyopathy.
3. What is the ability of cardiac cells to generate an electrical impulse without being stimulated by an external source?
- A. Automaticity
- B. Contractility
- C. Conductivity
- D. Refractoriness
Correct answer: A
Rationale: Automaticity is the correct answer because it refers to the inherent ability of cardiac cells to generate electrical impulses without the need for external stimulation. Contractility (Choice B) is the ability of the heart muscle to contract and generate force, not related to electrical impulse generation. Conductivity (Choice C) refers to the ability of cardiac cells to transmit electrical impulses from cell to cell, not the spontaneous generation of impulses. Refractoriness (Choice D) is the period during which the cardiac cells are recovering and not able to respond to a new stimulus, not the spontaneous generation of impulses.
4. What type of medication is used to reduce high blood pressure by relaxing the blood vessels?
- A. Calcium channel blocker
- B. Beta-blocker
- C. ACE inhibitor
- D. Diuretic
Correct answer: A
Rationale: Calcium channel blockers are medications that reduce high blood pressure by relaxing the blood vessels, facilitating easier blood flow through the vessels. Beta-blockers work by reducing the heart rate and the heart's workload. ACE inhibitors help relax blood vessels by blocking the production of a chemical that narrows blood vessels. Diuretics help the body get rid of excess sodium and water to lower blood pressure, but they do not directly relax blood vessels like calcium channel blockers do.
5. Which type of lung cancer is strongly associated with exposure to asbestos?
- A. Mesothelioma
- B. Adenocarcinoma
- C. Squamous cell carcinoma
- D. Small cell lung cancer
Correct answer: A
Rationale: The correct answer is Mesothelioma. This type of lung cancer is indeed strongly associated with exposure to asbestos, affecting the lining of the lungs or abdomen. Adenocarcinoma, Squamous cell carcinoma, and Small cell lung cancer are not primarily linked to asbestos exposure, making them incorrect choices for this question.
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