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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.
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Which of the following is a central vasoconstrictor and peripheral vasodilator?
- A. Parasympathetic nervous system
- B. Sympathetic nervous system
- C. Dopamine
- D. Epinephrine
Correct Answer: D
Rationale: The correct answer is D: Epinephrine. Epinephrine acts as a central vasoconstrictor by constricting blood vessels in vital organs to redirect blood flow to muscles during fight-or-flight response. It also acts as a peripheral vasodilator by dilating blood vessels in skeletal muscles to increase oxygen delivery. Parasympathetic nervous system (A) mainly promotes relaxation, sympathetic nervous system (B) typically causes vasoconstriction, and dopamine (C) has limited vasoactive effects.
Which heart chamber receives oxygenated blood from the lungs and pumps it to the rest of the body?
- A. Left atrium
- B. Right atrium
- C. Left ventricle
- D. Right ventricle
Correct Answer: C
Rationale: The correct answer is C, the left ventricle. The left ventricle receives oxygenated blood from the lungs through the left atrium and pumps it to the rest of the body via the aorta. This chamber has thicker muscular walls compared to the right ventricle to generate enough force to propel blood throughout the body. The left atrium receives oxygenated blood from the lungs but does not pump blood out to the body. The right atrium receives deoxygenated blood from the body and sends it to the right ventricle, which then pumps it to the lungs for oxygenation. Therefore, choices A, B, and D are incorrect as they do not accurately describe the function of the heart chamber that receives oxygenated blood from the lungs and pumps it to the rest of the body.
Which type of medication helps to reduce blood pressure by relaxing the blood vessels?
- A. Calcium channel blocker
- B. ACE inhibitor
- C. Beta-blocker
- D. Diuretic
Correct Answer: A
Rationale: The correct answer is A: Calcium channel blocker. These medications work by blocking calcium from entering the smooth muscle cells of the blood vessels, causing them to relax and dilate, which leads to a decrease in blood pressure. ACE inhibitors (B) work by blocking the conversion of angiotensin I to angiotensin II, causing blood vessels to dilate. Beta-blockers (C) decrease heart rate and contractility but do not directly relax blood vessels. Diuretics (D) increase urine output to lower blood volume and pressure but do not directly act on blood vessels.
What is the narrowing of the arteries due to the buildup of plaque, which can lead to heart attacks and strokes?
- A. Coronary artery disease
- B. Peripheral artery disease
- C. Aortic stenosis
- D. Mitral valve prolapse
Correct Answer: A
Rationale: The correct answer is A: Coronary artery disease. This condition involves the narrowing of arteries supplying blood to the heart due to plaque buildup. Plaque can lead to blockages, causing heart attacks and strokes. Peripheral artery disease (B) affects arteries outside the heart. Aortic stenosis (C) is the narrowing of the aortic valve, not arteries. Mitral valve prolapse (D) is a condition affecting the mitral valve, not arteries. Therefore, A is the correct answer.
Which measure is used to relieve the symptoms of left-sided heart failure?
- A. Weighing the patient daily
- B. Applying an abdominal binder
- C. Maintaining total bed rest
- D. Elevating the patient's head
Correct Answer: D
Rationale: Head elevation reduces pulmonary congestion.