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Stimulation of alpha receptors results in:


A) vasoconstriction (alpha 1) and vasodilation (alpha 2) .
B) vasodilation (alpha 1) and vasoconstriction (alpha 2) .
C) bronchodilation and increased heart rate.
D) increased heart rate (alpha 1) and increased contractility (alpha 2) .

E) B) and D)
F) All of the above

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The most likely place for a thrombosis to form postoperatively is:


A) the lungs.
B) the left side of the heart.
C) the legs.
D) anywhere in the body.

E) C) and D)
F) B) and C)

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An infant is diagnosed with a small patent ductus arteriosus (PDA) . Which of the following is accurate pertaining to this case?


A) The infant has an opening between the right and left atria.
B) The infant will likely have difficulty breathing and difficulty with feeding and gaining weight.
C) The infant has an opening between the pulmonary artery and aorta.
D) The infant will be cyanotic.

E) B) and D)
F) None of the above

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Which of the following clinical manifestations is a compensatory mechanism to the initial stage of shock?


A) Decreased mean arterial pressure
B) Elevated body temperature
C) Vascular vasodilation
D) Increased heart rate

E) A) and D)
F) A) and B)

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A patient with a history of myocardial infarction is told he has stage C heart failure, and he wants to know what this means. The description provided will include:


A) stage C means you are at risk for heart failure.
B) stage C means your heart failure was due to coronary disease.
C) staging is used to determine the severity of heart failure, and stage C means you are showing clinical signs of heart failure.
D) stage C refers to your functional capacity and ability to do things with activity.

E) A) and C)
F) A) and B)

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A 55-year-old man has been complaining of feeling short of breath, which he feels has been worsening over the past 4-5 months. He smokes one pack of cigarettes per day for the last 30 years, and he is a recovering alcoholic. He reports being sober for the past 6 months. A transthoracic doppler reveals systolic dysfunction. Which type of cardiomyopathy is most likely present?


A) Restrictive cardiomyopathy
B) Hypertrophic cardiomyopathy with obstruction
C) Hypertrophic cardiomyopathy without obstruction
D) Dilated cardiomyopathy

E) All of the above
F) A) and D)

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A 12-lead EKG is conducted on a 65-year-old woman with a history of type 2 diabetes mellitus. Which of the following findings represent an area that is electrically dead?


A) ST segment depression
B) ST segment elevation
C) Pathologic Q waves
D) Prolonged ST segment

E) C) and D)
F) A) and C)

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A 62-year-old woman is complaining of palpitations and feeling dizzy. She said this happened yesterday, and she sat down and it went away. She has a history of hypertension and is taking irbesartan (an angiotensin receptor blocker) . Her vital signs are as follows: temperature, 98.8 ΒΊF; pulse irregular, 110 beats per minute; respiratory rate, 20 per minute; and blood pressure, 110/70 mm/Hg. An electrocardiogram will likely reveal:


A) ventricular tachycardia.
B) sinus tachycardia.
C) atrial fibrillation.
D) second-degree atrioventricular block.

E) None of the above
F) C) and D)

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Preeclampsia develops as a result of:


A) placental vascular alterations stimulating the maternal inflammatory response.
B) increased placental perfusion as a result of shunting from the mother.
C) development of antibodies against the placenta.
D) fluid overload from physiological volume increases in pregnancy.

E) A) and D)
F) All of the above

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Patients with atrial fibrillation are commonly prescribed anticoagulation to:


A) decrease the heart rate.
B) prevent myocardial infarction.
C) prevent heart failure.
D) prevent ischemic stroke.

E) C) and D)
F) B) and D)

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Which of the following is a characteristic of ventricular remodeling in heart failure?


A) Results in left ventricle dilation and hypertrophy
B) Causes beta adrenergic desensitization with decrease in heart rate
C) Causes preload reduction and subsequent fluid retention
D) Results in improved contractility due to decreased myocyte loss

E) None of the above
F) B) and D)

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A 40-year-old man has a family history of one brother who died of heart disease at the age of 30 and a cousin who had a heart attack at the age of 40. He doesn't know his history on his father's side, and his mother is 75 years old and is healthy other than hypertension. He had a transthoracic echocardiogram that reveals thick, stiff ventricular walls particularly in the interventricular septum. There is reduced relaxation during ventricular filling and diastolic dysfunction. These findings are consistent with:


A) dilated cardiomyopathy.
B) hypertrophic cardiomyopathy.
C) restrictive cardiomyopathy.
D) dystrophic cardiomyopathy.

E) C) and D)
F) A) and B)

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A fever; dry, cracked lips; a reddish tongue; and a rash on the extremities is characteristic of which vascular disorder in children?


A) Raynaud disease
B) Kawasaki disease
C) Eisenmenger syndrome
D) Buerger disease

E) B) and C)
F) C) and D)

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What is the mechanism of death following cardiac tamponade?


A) Impaired cardiac contraction due to inflammation surrounding a myocardial infarction
B) Compression of the heart by the blood on the pericardial sac, which impairs filling in diastole
C) Overdistension of the ventricles due to heart failure
D) Venous pressure rises and pulse pressure widens

E) A) and B)
F) C) and D)

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A 70-year-old woman comes in after a syncopal episode. She said she fainted while she was gardening. She said she's been feeling a bit fatigued and short of breath but attributes this to not sleeping well. On examination, a systolic murmur is heard. Based on these findings, a common valvular disorder, and the most likely, is:


A) mitral regurgitation.
B) mitral stenosis.
C) aortic regurgitation.
D) aortic stenosis.

E) B) and C)
F) None of the above

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