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Which of the following is a genetic disorder that causes thick, sticky mucus to build up in the lungs and digestive system, leading to severe respiratory and digestive problems?
- A. Cystic fibrosis
- B. Pulmonary fibrosis
- C. Pulmonary edema
- D. Bronchiectasis
Correct Answer: A
Rationale: The correct answer is A: Cystic fibrosis. This genetic disorder is characterized by the buildup of thick, sticky mucus in the lungs and digestive system. Step 1: Cystic fibrosis specifically mentions the thick, sticky mucus, which is a key characteristic of the disorder. Step 2: Pulmonary fibrosis is a different condition where lung tissue becomes scarred and stiff. Step 3: Pulmonary edema is the accumulation of fluid in the lungs, not mucus. Step 4: Bronchiectasis is a condition where the airways in the lungs become damaged and widened, not specifically related to thick mucus buildup.
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What type of medication is used to relax the muscles around the airways and improve breathing in conditions like asthma and COPD?
- A. Bronchodilator
- B. Corticosteroid
- C. Mucolytic
- D. Antihistamine
Correct Answer: A
Rationale: The correct answer is A: Bronchodilator. Bronchodilators are used to relax the muscles around the airways, allowing them to open up and improve breathing in conditions like asthma and COPD. They work by widening the airways, making it easier to breathe. Corticosteroids (B) reduce inflammation, mucolytics (C) help loosen mucus, and antihistamines (D) are used for allergies and not specifically for relaxing muscles in the airways. Therefore, A is the correct choice for this question.
What test measures the electrical activity of the heart over a period of time, typically 24 to 48 hours?
- A. Holter monitor
- B. Echocardiogram
- C. Stress test
- D. Arterial blood gas (ABG)
Correct Answer: A
Rationale: The correct answer is A: Holter monitor. A Holter monitor is a device that measures the electrical activity of the heart over an extended period, usually 24 to 48 hours. It is used to detect abnormal heart rhythms and assess how the heart responds to daily activities.
Explanation:
1. The Holter monitor records the heart's electrical activity continuously, providing a detailed analysis of any irregularities.
2. Unlike an echocardiogram, which uses sound waves to create images of the heart, the Holter monitor focuses on monitoring electrical signals.
3. A stress test evaluates the heart's performance under physical stress, not over an extended period like the Holter monitor.
4. Arterial blood gas (ABG) measures oxygen and carbon dioxide levels in the blood, not the heart's electrical activity.
In summary, the Holter monitor is the correct choice as it specifically measures the heart's electrical activity over an extended timeframe, distinguishing it from the other options.
If Mrs. Jones has a temporary pacemaker and the pacemaker intermittently fails to capture or sense, increasing the output temporarily restores function. Failure to capture or sense appropriately is most often due to
- A. Prior emergency defibrillation for ventricular failure
- B. Dislodgment of pacing electrode from right ventricle
- C. Occurrence of frequent ectopic beats from right ventricle
- D. Perforation to the right ventricle by pacing electrode
Correct Answer: B
Rationale: Dislodgment affects proper pacemaker function.
What is a condition where the blood flow to the brain is temporarily blocked, often referred to as a mini-stroke?
- A. Transient ischemic attack (TIA)
- B. Stroke
- C. Aneurysm
- D. Myocardial infarction
Correct Answer: A
Rationale: The correct answer is A: Transient ischemic attack (TIA). A TIA is a temporary blockage of blood flow to the brain, causing stroke-like symptoms that typically resolve within 24 hours. This is distinct from a full-blown stroke (choice B) which results in permanent damage. Aneurysm (choice C) is a bulge in a blood vessel, not a blockage. Myocardial infarction (choice D) is a heart attack, not related to brain blood flow. In summary, TIA best fits the description of a temporary blockage of blood flow to the brain, making it the correct choice.
What is most organ damage in hypertension related to?
- A. Increased fluid pressure exerted against organ tissue
- B. Atherosclerotic changes in vessels that supply the organs
- C. Erosion and thinning of blood vessels from constant pressure
- D. Increased hydrostatic pressure causing leakage of plasma into organ interstitial spaces
Correct Answer: B
Rationale: Atherosclerosis impairs organ perfusion.