This test measures the amount of blood the heart pumps with each beat, often used to assess heart function.
- A. Ejection fraction
- B. Cardiac output
- C. Stroke volume
- D. End-diastolic volume
Correct Answer: A
Rationale: The correct answer is A: Ejection fraction. Ejection fraction is the percentage of blood pumped out of the heart's left ventricle with each contraction. It is a key indicator of heart function and can help diagnose heart conditions such as heart failure. Cardiac output (B) is the total amount of blood pumped by the heart per minute, not the amount pumped with each beat. Stroke volume (C) is the amount of blood pumped by the heart in one contraction, not specifically with each beat. End-diastolic volume (D) is the amount of blood in the ventricle before contraction, not the amount pumped with each beat.
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Which of the following is a rare but serious condition where the pulmonary arteries become narrowed, increasing the blood pressure in the lungs?
- A. Pulmonary hypertension
- B. Pulmonary embolism
- C. Pulmonary fibrosis
- D. Aortic stenosis
Correct Answer: A
Rationale: The correct answer is A: Pulmonary hypertension. This condition is characterized by narrowing of the pulmonary arteries, leading to increased blood pressure in the lungs. Pulmonary embolism (B) is a blockage in one of the pulmonary arteries, not narrowing. Pulmonary fibrosis (C) involves scarring of lung tissue, not artery narrowing. Aortic stenosis (D) is a narrowing of the aortic valve, not the pulmonary arteries. Therefore, the correct choice is A.
During which process does coronary artery blood flow to the myocardium occur during diastole, when coronary vascular resistance is reduced?
- A. Coronary perfusion pressure
- B. Coronary vascular resistance
- C. Diastolic filling
- D. Ventricular ejection
Correct Answer: A
Rationale: The correct answer is A: Coronary perfusion pressure. Coronary perfusion pressure is the pressure gradient that drives blood flow through the coronary arteries into the myocardium during diastole when the coronary vascular resistance is reduced. This pressure gradient is essential for delivering oxygen and nutrients to the heart muscle when it is relaxed and filling with blood. During diastole, the coronary arteries receive blood flow predominantly due to the pressure difference between the aortic diastolic pressure and the pressure in the coronary vasculature.
Summary of why the other choices are incorrect:
B: Coronary vascular resistance - This factor is reduced during diastole, allowing for increased blood flow, but it does not directly drive blood flow to the myocardium.
C: Diastolic filling - This refers to the filling of blood into the ventricles of the heart, not specifically the flow of blood through the coronary arteries.
D: Ventricular ejection - This occurs during systole when the ventricles contract
Which of the following symptoms is observed in the client with right-sided heart failure?
- A. Dependent pitting edema
- B. Exertional dyspnea
- C. Orthopnea
- D. Hemoptysis
Correct Answer: A
Rationale: Right-sided heart failure leads to fluid retention, causing dependent pitting edema.
What is the ability of cardiac cells to respond to an impulse by transmitting the impulse along cell membranes?
- A. Contractility
- B. Automaticity
- C. Conductivity
- D. Rhythmicity
Correct Answer: C
Rationale: The correct answer is C: Conductivity. Cardiac cells have the ability to transmit impulses along cell membranes, allowing for the coordinated contraction of the heart. Conductivity refers to this specific property of cardiac cells to propagate electrical signals.
Contractility (A) refers to the ability of cardiac muscle cells to generate force during contraction. Automaticity (B) refers to the ability of cardiac cells to spontaneously generate electrical impulses. Rhythmicity (D) refers to the regularity of these electrical impulses in the heart. Conductivity is the most relevant choice as it directly addresses the transmission of impulses along cell membranes in cardiac cells.
Which condition is characterized by the lungs becoming scarred and stiff, leading to difficulty breathing and inadequate oxygen intake into the bloodstream?
- A. Pulmonary fibrosis
- B. Cystic fibrosis
- C. COPD
- D. Tuberculosis
Correct Answer: A
Rationale: Pulmonary fibrosis is characterized by scarring and stiffening of the lungs, impairing their ability to expand and contract properly for breathing. This leads to difficulty breathing and inadequate oxygen intake into the bloodstream. In contrast, cystic fibrosis primarily affects the respiratory and digestive systems, COPD is a progressive lung disease primarily caused by smoking, and tuberculosis is a bacterial infection that primarily affects the lungs. Therefore, the correct answer is A because it specifically describes the scarring and stiffness of the lungs resulting in breathing difficulties and inadequate oxygen intake.