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What procedure uses a catheter to open blocked coronary arteries and improve blood flow to the heart muscle?
- A. Angioplasty
- B. Stent placement
- C. Coronary artery bypass graft (CABG)
- D. Valve replacement
Correct Answer: A
Rationale: The correct answer is A: Angioplasty. Angioplasty involves using a catheter with a balloon to open blocked coronary arteries, improving blood flow to the heart muscle. The balloon is inflated to compress the plaque against the artery walls, restoring blood flow. Stent placement (B) involves inserting a mesh tube to keep the artery open after angioplasty. CABG (C) is a surgical procedure that uses grafts to bypass blocked coronary arteries. Valve replacement (D) is a procedure to replace damaged heart valves, not specifically for opening blocked coronary arteries.
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What is this surgical procedure that restores blood flow to the heart by diverting blood around a blocked artery?
- A. Coronary artery bypass graft (CABG)
- B. Angioplasty
- C. Stent placement
- D. Valve replacement
Correct Answer: A
Rationale: The correct answer is A: Coronary artery bypass graft (CABG). This procedure involves diverting blood flow around a blocked artery using a healthy blood vessel from another part of the body. It is the most effective treatment for severe coronary artery disease. Angioplasty (B) involves opening a blocked artery with a balloon, stent placement (C) involves inserting a mesh tube to keep an artery open, and valve replacement (D) is for replacing damaged heart valves, not restoring blood flow to the heart.
What is a type of medication that helps to prevent blood clots by thinning the blood?
- A. Anticoagulant
- B. Beta-blocker
- C. ACE inhibitor
- D. Calcium channel blocker
Correct Answer: A
Rationale: The correct answer is A: Anticoagulant. Anticoagulants prevent blood clots by inhibiting the blood's ability to clot. They do not actually thin the blood, but rather prevent clots from forming. Beta-blockers (B), ACE inhibitors (C), and Calcium channel blockers (D) are not used to prevent blood clots. Beta-blockers are used to treat high blood pressure and heart conditions, ACE inhibitors are used to treat high blood pressure and heart failure, and Calcium channel blockers are used to treat high blood pressure and certain heart conditions.
The nurse is teaching a client about the side effects of beta blockers. What is the most important side effect to monitor?
- A. Hypotension
- B. Bradycardia
- C. Hyperkalemia
- D. Tachycardia
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Beta blockers can cause a decrease in blood pressure, leading to hypotension. Monitoring for hypotension is crucial as it can result in dizziness, fainting, or even shock. Bradycardia (choice B) is a common side effect but usually not as critical as hypotension. Hyperkalemia (choice C) is a potential side effect of some beta blockers but is less common and typically not as urgent as hypotension. Tachycardia (choice D) is the opposite of what beta blockers typically cause, making it an unlikely side effect to monitor for in this case.
What is a chronic condition where the bronchial tubes in the lungs become inflamed and narrowed, often caused by smoking?
- A. Chronic bronchitis
- B. Emphysema
- C. Asthma
- D. Tuberculosis
Correct Answer: A
Rationale: The correct answer is A: Chronic bronchitis. Chronic bronchitis is characterized by inflammation and narrowing of the bronchial tubes, often caused by smoking. This condition leads to persistent coughing and mucus production. Emphysema (B) is a separate condition where the air sacs in the lungs are damaged, causing shortness of breath. Asthma (C) is a chronic respiratory condition characterized by airway inflammation and bronchospasms, triggered by various factors. Tuberculosis (D) is a bacterial infection that primarily affects the lungs, causing symptoms like coughing up blood and weight loss. Chronic bronchitis specifically relates to the inflammation and narrowing of the bronchial tubes due to smoking.
This is a branch of the left coronary arteries which supplies the LEFT ATRIUM, posterior lateral surface of the left ventricle.
- A. Right coronary artery
- B. Left circumflex artery
- C. Left anterior descending artery
- D. Posterior descending artery
Correct Answer: B
Rationale: The correct answer is B, the Left circumflex artery. This artery branches off the left coronary artery and supplies the left atrium and the posterior lateral surface of the left ventricle. The Left anterior descending artery (C) supplies the anterior surface of the left ventricle. The Right coronary artery (A) supplies the right atrium and right ventricle. The Posterior descending artery (D) is a branch of the right coronary artery and supplies the posterior wall of the left ventricle. Therefore, B is the correct answer based on the specific areas supplied by each artery.