WESTERN PATHOPHYS 1 FINAL EXAM
QUESTIONS AND ANSWERS 2022
1. Which of the following teaching points would be most appropriate for a group of
older adults who are concerned about their cardiac health?
A) "People wi
...
WESTERN PATHOPHYS 1 FINAL EXAM
QUESTIONS AND ANSWERS 2022
1. Which of the following teaching points would be most appropriate for a group of
older adults who are concerned about their cardiac health?
A) "People with plaque in their arteries experience attacks of blood flow disruption at
seemingly random times."
B) "The plaque that builds up in your heart vessels obstructs the normal flow of blood
and can even break loose and lodge itself in a vessel."
C) "Infections of any sort are often a signal that plaque disruption is in danger of
occurring."
D) "The impaired function of the lungs that accompanies pneumonia or chronic
obstructive pulmonary disease is a precursor to plaque disruption." - ANS-B) "The
plaque that builds up in your heart vessels obstructs the normal flow of blood and
can even break loose and lodge itself in a vessel."
2. A 34-year-old man who is an intravenous drug user has presented to the
emergency department with malaise, abdominal pain, and lethargy. The health care
team wants to rule out endocarditis as a diagnosis. Staff of the department would
most realistically anticipate which of the following sets of diagnostics?
A) CT of the heart, chest X-ray, ECG
B) Echocardiogram, blood cultures, temperature
C) ECG, blood pressure, stress test
D) Cardiac catheterization, chest X-ray, electrolyte measurement, and white cell
count - ANS-B) Echocardiogram, blood cultures, temperature
3. A patient has been diagnosed with mitral valve stenosis following his recovery
from rheumatic fever. Which of the following teaching points would be most accurate
to convey to the patient?
A) "The normal tissue that makes up the valve between the right sides of your heart
has stiffened."
B) "Your mitral valve isn't opening up enough for blood to flow into the part of your
heart that sends blood into circulation."
C) "Your heart's mitral valve isn't closing properly so blood is flowing backward in
your heart and eventually into your lungs."
D) "The valve between your left ventricle and left atria is infected and isn't allowing
enough blood through." - ANS-B) "Your mitral valve isn't opening up enough for
blood to flow into the part of your heart that sends blood into circulation."
4. Four patients were admitted to the emergency department with severe chest pain.
All were given preliminary treatment with aspirin, morphine, oxygen, and nitrates and
were monitored by ECG. Which patient most likely experienced myocardial
infarction?
A) A 33-year-old male whose pain started at 7 a.m. during moderate exercise and
was relieved by nitrates; ECG was normal; cardiac markers remained stable
B) A 67-year-old female whose pain started at 2 a.m. while she was asleep and
responded to nitrates; the ECG showed arrhythmias and ST-segment elevation;
cardiac markers remained stable
C) An 80-year-old woman whose pain started at 6 a.m. shortly after awakening and
was not relieved by nitrates or rest; the ECG showed ST-segment elevation with
inverted T waves and abnormal Q waves; levels of cardiac markers subsequently
rose
D) A 61-year-old man whose pain started at 9 a.m. during a short walk and
responded to nitrates, but not to rest; ECG and cardiac markers remained stable, but
the anginal pattern worsened - ANS-C) An 80-year-old woman whose pain started at
6 a.m. shortly after awakening and was not relieved by nitrates or rest; the ECG
showed ST-segment elevation with inverted T waves and abnormal Q waves; levels
of cardiac markers subsequently rose
5. A 13-year-old boy has had a sore throat for at least a week and has been vomiting
for 2 days. His glands are swollen, and he moves stiffly because his joints hurt. His
parents, who believe in "natural remedies," have been treating him with various
herbal preparations without success and are now seeking antibiotic treatment.
Throat cultures show infection with group A streptococci. This child is at high risk for:
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