ATI RN
Physical Exam Cardiovascular System
1. Which of the following is a type of heart valve disease where the aortic valve becomes narrowed, restricting blood flow from the heart to the rest of the body?
- A. Aortic stenosis
- B. Mitral stenosis
- C. Tricuspid regurgitation
- D. Pulmonary hypertension
Correct answer: A
Rationale: The correct answer is Aortic stenosis. In aortic stenosis, the aortic valve becomes narrowed, which obstructs the blood flow from the heart to the rest of the body. This condition can lead to symptoms like chest pain, shortness of breath, and fainting. Mitral stenosis (choice B) involves narrowing of the mitral valve, not the aortic valve. Tricuspid regurgitation (choice C) is a condition where the tricuspid valve leaks, causing blood to flow backward in the heart. Pulmonary hypertension (choice D) is high blood pressure in the arteries of the lungs.
2. Which heart chamber receives oxygenated blood from the four pulmonary veins and serves as a reservoir during ventricular systole?
- A. Right atrium
- B. Left atrium
- C. Right ventricle
- D. Left ventricle
Correct answer: B
Rationale: The correct answer is B, Left atrium. The left atrium receives oxygenated blood from the lungs via the four pulmonary veins and acts as a holding chamber before the blood is pumped into the left ventricle. Choice A, Right atrium, is incorrect as it receives deoxygenated blood from the body via the vena cava. Choices C and D, Right ventricle and Left ventricle, are incorrect as they receive blood from the atria, not the pulmonary veins.
3. 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: A transient ischemic attack (TIA) is the correct answer. A TIA is often referred to as a mini-stroke because it is caused by a temporary blockage of blood flow to the brain. This blockage resolves on its own, typically within minutes to hours, leading to temporary symptoms similar to a stroke. Option B, 'Stroke,' is incorrect because a stroke involves a more prolonged interruption of blood flow to the brain. Option C, 'Aneurysm,' is incorrect as it is a bulge in a blood vessel that can rupture and cause bleeding, not a temporary blockage of blood flow. Option D, 'Myocardial infarction,' is also incorrect as it refers to a heart attack, not a condition involving the brain's blood flow.
4. What is a chronic condition where the heart muscle becomes weakened and enlarged, reducing its ability to pump blood effectively?
- A. Dilated cardiomyopathy
- B. Hypertrophic cardiomyopathy
- C. Myocarditis
- D. Pericarditis
Correct answer: A
Rationale: Dilated cardiomyopathy is characterized by the weakening and enlargement of the heart muscle, leading to its reduced ability to pump blood effectively. This condition is different from hypertrophic cardiomyopathy, which involves abnormal thickening of the heart muscle, myocarditis, which is inflammation of the heart muscle, and pericarditis, which is inflammation of the pericardium. Therefore, the correct answer is Dilated cardiomyopathy.
5. What is the procedure where a small mesh tube is inserted into an artery to keep it open after angioplasty?
- A. Stent placement
- B. Bypass surgery
- C. Angioplasty
- D. Valve replacement
Correct answer: A
Rationale: The correct answer is A, stent placement. Stent placement involves inserting a small mesh tube into an artery to maintain its openness after angioplasty. This choice is correct because it directly describes the procedure mentioned in the question. Choices B, C, and D are incorrect. Bypass surgery involves rerouting blood flow around a blocked artery using a vessel from another part of the body. Angioplasty is the procedure of widening a narrowed or blocked blood vessel, often followed by stent placement. Valve replacement is a surgical procedure to replace a damaged or diseased heart valve with an artificial or biological valve.
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