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What is a condition where the heart's mitral valve does not close properly, causing blood to leak backward into the left atrium?
- A. Mitral valve prolapse
- B. Aortic stenosis
- C. Mitral stenosis
- D. Tricuspid regurgitation
Correct Answer: A
Rationale: Mitral valve prolapse is the correct answer because it is a condition where the mitral valve doesn't close properly, leading to blood leakage into the left atrium during the heart's contraction. This results in a characteristic systolic click on auscultation. Aortic stenosis (B) involves narrowing of the aortic valve, not the mitral valve. Mitral stenosis (C) refers to a narrowing of the mitral valve, not improper closure. Tricuspid regurgitation (D) is when the tricuspid valve doesn't close properly, causing blood to leak backward into the right atrium, not the left atrium.
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What is the procedure where a catheter is used to open a blocked or narrowed coronary artery, often involving the placement of a stent?
- A. Angioplasty
- B. Valve replacement
- C. Stent placement
- D. Coronary artery bypass graft (CABG)
Correct Answer: A
Rationale: The correct answer is A: Angioplasty. During angioplasty, a catheter with a balloon at its tip is used to open a blocked or narrowed coronary artery. The balloon is inflated to widen the artery and improve blood flow. Often, a stent is placed during the procedure to help keep the artery open. Option B, valve replacement, is incorrect as it involves replacing a faulty heart valve, not opening a blocked coronary artery. Option C, stent placement, is close but not specific to the procedure of using a catheter and balloon. Option D, CABG, is a surgical procedure where arteries or veins are used to bypass blocked coronary arteries, not using a catheter.
What test measures the electrical activity of the heart over a 24- or 48-hour period?
- A. Holter monitor
- B. Electrocardiogram
- C. Stress test
- D. Chest X-ray
Correct Answer: A
Rationale: The correct answer is A: Holter monitor. This device records the electrical activity of the heart over an extended period, typically 24-48 hours, providing a more comprehensive assessment compared to a standard ECG (choice B). A stress test (choice C) evaluates the heart's response to physical exertion, not prolonged monitoring. A chest X-ray (choice D) is used to visualize the heart and lungs, but does not measure electrical activity. Therefore, the Holter monitor is the most appropriate test for continuous monitoring of heart activity over an extended period.
What procedure involves using a catheter to create a small scar in the heart tissue to block abnormal electrical signals and restore normal heart rhythm?
- A. Catheter ablation
- B. Angioplasty
- C. Stent placement
- D. Valve replacement
Correct Answer: A
Rationale: The correct answer is A: Catheter ablation. This procedure involves using a catheter to create a small scar in the heart tissue to block abnormal electrical signals and restore normal heart rhythm. First, the catheter is guided to the heart through blood vessels. Then, using various techniques such as radiofrequency energy or freezing, the abnormal tissue causing the irregular heartbeat is destroyed to restore the heart's normal rhythm.
Choice B, Angioplasty, involves opening blocked or narrowed blood vessels to improve blood flow, not addressing abnormal heart rhythms. Choice C, Stent placement, involves inserting a mesh tube to keep arteries open, not related to treating abnormal electrical signals in the heart. Choice D, Valve replacement, is a procedure to replace damaged heart valves, not specifically targeting abnormal electrical signals in the heart.
Which valve prevents backflow of blood into the left ventricle from the aorta?
- A. Aortic valve
- B. Mitral valve
- C. Tricuspid valve
- D. Pulmonary valve
Correct Answer: A
Rationale: The correct answer is A: Aortic valve. The aortic valve is located between the left ventricle and the aorta, preventing the backflow of blood into the left ventricle during diastole. This is essential for maintaining proper blood flow direction and preventing regurgitation. The other choices, B: Mitral valve, C: Tricuspid valve, and D: Pulmonary valve, are all located in different areas of the heart and serve different functions. The mitral valve is between the left atrium and ventricle, the tricuspid valve is between the right atrium and ventricle, and the pulmonary valve is between the right ventricle and pulmonary artery. None of these valves are responsible for preventing backflow into the left ventricle from the aorta.
Two weeks later, Mr. Cook returns with normal blood pressure readings. Your evaluation of this situation would be
- A. since his blood pressure is normal, he no longer needs medication
- B. since his blood pressure recordings are normal, he no longer needs to maintain his prescribed diet
- C. his medication needs to be adjusted
- D. the combination of weight loss and medication is effective
Correct Answer: D
Rationale: Weight loss and medication contribute to effective blood pressure control.