Anatomy and Physiology Quiz

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Questions and Answers

Which among the following is the hereditary material of cells?

  • R.N.A in the nucleus
  • Ribosomes in the cytoplasm
  • Protein in the ribosomes
  • D.N.A in the chromosomes (correct)

Which organelle is considered the 'powerhouse of a cell'?

  • Mitochondria (correct)
  • Ribosome
  • Lysosome
  • Golgi apparatus

Which type of epithelial tissue lines the urinary bladder?

  • Transitional (correct)
  • Columnar
  • Squamous
  • Stratified

Bones are an example of which type of tissue?

<p>Connective tissue (A)</p> Signup and view all the answers

What is the thickest human skin variation?

<p>Sole (C)</p> Signup and view all the answers

Meibomian glands are categorized under which type?

<p>Sebaceous glands (D)</p> Signup and view all the answers

The smallest functional unit of the body is known as what?

<p>Cell (B)</p> Signup and view all the answers

Transformation of one type of cell into another type is called:

<p>Metaplasia (B)</p> Signup and view all the answers

What instrument is used for measuring blood pressure?

<p>Sphygmomanometer (C)</p> Signup and view all the answers

Which dysrhythmia is a permanent pacemaker indicated for?

<p>Asymptomatic bradycardia (A), Third degree heart block (B)</p> Signup and view all the answers

Which heart valve prevents backward flow of blood into the left atrium?

<p>Mitral valve (C)</p> Signup and view all the answers

Where is the cardiac sphincter located?

<p>Stomach (D)</p> Signup and view all the answers

What is the outer covering of the heart called?

<p>Pericardium (B)</p> Signup and view all the answers

What term describes the volume of blood pumped from the left ventricle during each systolic contraction?

<p>Stroke volume (B)</p> Signup and view all the answers

Which of the following best describes the absolute refractory period in the heart?

<p>Corresponds to the duration of relaxation (B)</p> Signup and view all the answers

What is the normal stroke volume of a healthy adult?

<p>$50 - 70$ mL (C)</p> Signup and view all the answers

Which of the following is a common complication of myocardial infarction?

<p>Dysrhythmias (B)</p> Signup and view all the answers

How should the nurse describe angina pain that is severe and prolonged, induced by exercise and relieved by rest?

<p>Stable angina (D)</p> Signup and view all the answers

What is the most characteristic description of chest pain indicative of myocardial infarction?

<p>The pain has remained continuous. (C)</p> Signup and view all the answers

Which interpretation is correct for a heart rhythm with regular P waves and QRS complexes, a PR interval of 0.14 seconds, and QRS complexes measuring 0.08 seconds?

<p>Normal sinus rhythm (A)</p> Signup and view all the answers

What is a common vital sign change the nurse might expect in a client with acute pain in the incisional area?

<p>Pulse rate may become rapid (A)</p> Signup and view all the answers

What distinguishes unstable angina from stable angina?

<p>Unstable angina occurs at rest whereas stable angina occurs with exertion. (D)</p> Signup and view all the answers

Which of the following is not a typical symptom associated with myocardial infarction?

<p>Sharp, localized chest pain (A)</p> Signup and view all the answers

When assessing a patient with dyspnea related to myocardial infarction, which other symptom might commonly be present?

<p>Severe palpitations. (A)</p> Signup and view all the answers

What should be the priority action of a nurse when a cardiac monitor sounds an alarm and shows no electrocardiographic complexes?

<p>Check the patient status and lead placement. (D)</p> Signup and view all the answers

At what rate should a nurse compress the chest of an adult during cardiopulmonary resuscitation?

<p>Average 100 compressions per minute (A)</p> Signup and view all the answers

Which breath sound is commonly anticipated in a patient with myocardial infarction showing signs of pulmonary edema?

<p>Crackles (B)</p> Signup and view all the answers

What is the first action a nurse should take when a patient is found unconscious, pulseless, and unresponsive?

<p>Initiate a code blue or call for help. (A)</p> Signup and view all the answers

What is the correct ratio of compressions to ventilations when two rescuers perform CPR on an adult?

<p>30 compressions to 2 breaths (D)</p> Signup and view all the answers

Which of the following signs would most likely indicate an absence of P wave configurations on an ECG?

<p>Atrial fibrillation (D)</p> Signup and view all the answers

What is a characteristic finding associated with inverted T waves following each QRS complex?

<p>Ischemia or myocardial infarction (D)</p> Signup and view all the answers

What is a common assessment finding associated with diminished breath sounds?

<p>Pleural effusion (C)</p> Signup and view all the answers

What is the primary change responsible for the pitting edema of a patient with right-sided heart failure?

<p>Increase in plasma hydrostatic pressure (B)</p> Signup and view all the answers

Which position is considered most beneficial for a patient with congestive heart failure?

<p>Semi-Fowler's position (D)</p> Signup and view all the answers

Which emotional response is commonly associated with the development of heart failure?

<p>Depression (A)</p> Signup and view all the answers

What assessment finding indicates effective oxygen therapy in a patient with Congestive Heart Failure?

<p>Patient feels better (C)</p> Signup and view all the answers

What would be a typical clinical finding for a patient who has edema in the lower extremities during the day that resolves at night?

<p>Right ventricular heart failure (C)</p> Signup and view all the answers

Which assessment finding is the best indication of reduced cardiac stroke volume?

<p>The patient faints with activity (B)</p> Signup and view all the answers

Which symptom might be expected in a patient suffering from chronic cardiac diseases?

<p>Clubbed fingertips (D)</p> Signup and view all the answers

What change in plasma colloid osmotic pressure contributes to the development of edema in heart failure?

<p>Decrease due to protein loss (A)</p> Signup and view all the answers

What is the total volume of cerebrospinal fluid (CSF) secreted in 24 hours?

<p>1200 ml (A)</p> Signup and view all the answers

Which part of the brain is crucial in maintaining CSF pressure?

<p>Arachnoid Villi (C)</p> Signup and view all the answers

Where is cerebrospinal fluid (CSF) primarily found in the body?

<p>Subarachnoid space (C)</p> Signup and view all the answers

Which of the following symptoms is NOT commonly associated with meningitis?

<p>Cough (C)</p> Signup and view all the answers

Which clinical manifestation is indicative of meningitis?

<p>Fever (A)</p> Signup and view all the answers

What environmental condition should a patient with multiple sclerosis avoid?

<p>Hot weather (C)</p> Signup and view all the answers

Which action is most appropriate when preparing a patient for an EEG?

<p>Do not give food or drink before the procedure. (D)</p> Signup and view all the answers

Which of the following statements about CSF circulation is correct?

<p>CSF flows through the ventricles of the brain. (D)</p> Signup and view all the answers

Flashcards

Genes

The fundamental unit of heredity, responsible for passing traits from parents to offspring. They are located on chromosomes within the nucleus of a cell.

Nucleus

The control center of the cell, containing the cell's genetic material (DNA) organized into chromosomes.

Mitochondria

The powerhouse of the cell, responsible for producing energy (ATP) through cellular respiration.

Transitional epithelium

The type of epithelial tissue that lines the urinary bladder, allowing it to stretch and expand.

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Thick skin

The thickest layer of skin found on the palms and soles, providing protection and grip.

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Metaplasia

The process by which one type of cell transforms into another type, often due to adaptation or environmental changes.

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Zygote

The first cell formed by the fusion of an egg and sperm, marking the beginning of a new organism.

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Organelles

Specialized structures within a cell that perform specific functions, like mitochondria, nucleus, and ribosomes.

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What measures blood pressure?

The device used to measure blood pressure. It consists of an inflatable cuff and a pressure gauge.

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What is asymptomatic bradycardia?

A condition where the heart beats too slowly. It can be asymptomatic (no symptoms) or require a pacemaker.

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Which valve prevents backflow from the left ventricle to the left atrium?

The mitral valve prevents the backflow of blood from the left ventricle into the left atrium.

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What is the pulmonary valve?

A type of heart valve that allows blood to flow from the right ventricle to the pulmonary artery.

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What is the pericardium?

The pericardium is the tough outer membrane surrounding the heart, protecting it and holding it in place.

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What is stroke volume?

The amount of blood that the left ventricle pumps out with each heartbeat. It is a measure of the heart's efficiency.

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What are baroreceptors?

Baroreceptors are specialized sensory cells located in blood vessel walls, detecting changes in blood pressure and sending signals to the brain to regulate it.

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Where is the highest blood pressure found?

The aorta is the largest artery in the body, carrying oxygenated blood from the heart to the rest of the body. It has the highest blood pressure.

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No ECG Complexes

The absence of electrical activity on an electrocardiogram (ECG), indicating that the heart is not beating.

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Stridor

A continuous high-pitched whistling sound heard during inspiration, often indicating airway obstruction.

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Crackles

Rapid, shallow breaths that are often associated with discomfort or shortness of breath. They can be a symptom of heart failure as the lungs fill with fluid.

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Cardiopulmonary Resuscitation (CPR)

A rhythmic squeezing of the chest that helps circulate blood when the heart stops beating. It's a vital first aid measure for a cardiac arrest.

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Compression Rate in CPR

The rate at which chest compressions are performed during CPR. The optimal rate for adults is 100-120 compressions per minute.

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ST Segment Changes

A specific rhythm on the electrocardiogram (ECG) that signifies a heart attack. It shows changes in the ST segment, which represents the electrical activity during the relaxation phase of the heart.

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Pulmonary Edema

Signs of fluid build-up in the lungs, often indicated by crackling sounds heard during inhalation.

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CPR: Compression-Ventilation Ratio

The ratio of compressions to ventilations performed by two rescuers during CPR for an adult patient is 30 compressions to 2 breaths.

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Angina

A type of chest pain associated with a reduced blood supply to the heart muscle, often caused by a blockage in a coronary artery. It is usually described as a crushing, squeezing, or tight feeling in the chest.

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Myocardial Infarction (MI)

A potentially life-threatening condition in which the coronary arteries are completely blocked, leading to tissue death in the heart muscle. This is the medical term for a heart attack.

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Stable Angina

A type of angina that is triggered by physical activity or emotional stress and is relieved by rest. It typically occurs in a predictable pattern.

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Unstable Angina

A sudden and severe type of angina that occurs at rest or with minimal exertion. It is unpredictable and often a warning sign of an impending heart attack.

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Variant Angina

A type of angina that is caused by coronary artery spasms. It is often triggered by cold temperatures or emotional stress, and typically occurs at rest.

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Dysrhythmias

Irregular heartbeats, which can occur due to a variety of reasons including damage to the heart muscle, electrolyte imbalances, or problems with the heart's electrical system.

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Sinus Bradycardia

A condition characterized by a slow heart rate (less than 60 beats per minute). It can be normal in some people, but may also be a sign of underlying medical conditions.

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First-Degree AV Block

A condition characterized by a long PR interval on an electrocardiogram (ECG), indicating a delay in the electrical conduction between the atria and ventricles of the heart.

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What causes pitting edema in right-sided heart failure?

Pitting edema in a patient with right-sided heart failure is caused by an increase in hydrostatic pressure in the capillaries of the lower extremities.

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What is the most beneficial position for a patient with congestive heart failure?

The semi-Fowler's position, with the head of the bed elevated to 30-45 degrees, helps reduce fluid buildup in the lungs and improves breathing.

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What emotional response is linked to heart failure?

Depression is a common emotional response to heart failure due to the chronic nature of the condition and its impact on daily life.

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What indicates effective oxygen therapy in a patient with congestive heart failure?

Improved oxygen saturation levels and decreased shortness of breath are indicators of effective oxygen therapy in patients with congestive heart failure.

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What assessment finding is related to reduced cardiac stroke volume?

A bounding pulse indicates increased cardiac output, not a reduced stroke volume.

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What medical problem is indicated by lower extremity edema disappearing at night?

Edema in the lower extremities that disappears at night is consistent with right ventricular heart failure, where fluid accumulates in the legs during the day but is reabsorbed when lying down.

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What characteristic is present in a patient with chronic cardiac disease?

Clubbed fingernails are a common manifestation of chronic cardiac diseases, indicating long-term low oxygen levels.

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What clinical finding is present when cardiac output is reduced?

Cyanosis, a bluish discoloration of the skin, occurs when there is insufficient oxygen in the blood due to reduced cardiac output.

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What is Cerebrospinal Fluid (CSF)?

Cerebrospinal fluid (CSF) is a clear, colorless fluid that surrounds the brain and spinal cord. It acts as a cushion, protects the central nervous system from injuries, and helps regulate the intracranial pressure.

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How much CSF is produced daily?

The normal total volume of CSF produced in a 24-hour period is approximately 1200 ml.

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What helps regulate CSF pressure?

Arachnoid villi are small, finger-like projections of the arachnoid membrane that extend into the dural sinuses. They play a crucial role in regulating CSF pressure by allowing excess CSF to drain back into the venous circulation.

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Where is CSF found?

CSF circulates within the subarachnoid space, a fluid-filled space between the arachnoid membrane and the pia mater.

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What is Meningitis?

Meningitis is an inflammation of the meninges, the membranes that surround the brain and spinal cord. It can be caused by bacterial or viral infections.

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What are the symptoms of Meningitis?

Common symptoms of meningitis include fever, headache, stiff neck (nuchal rigidity), photophobia (sensitivity to light), and altered mental status.

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What should be avoided in patients with Multiple Sclerosis?

For patients with multiple sclerosis, cold temperatures should generally be avoided as they can exacerbate symptoms and trigger relapses.

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What preparation is needed for an EEG?

Before an electroencephalogram (EEG), the patient should have their hair clean and free of any products or hairspray. This ensures optimal signal transmission and recording.

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Study Notes

Medical Surgical Nursing Topics

  • The document is an index of topics for a medical surgical nursing course.
  • The course covers various body systems and oncology.

Cell & Tissue

  • Antibodies are produced by plasma cells.
  • Involuntary muscle is found in visceral organs and blood vessels.
  • Smooth muscle is found in the stomach, urinary bladder, and intestines.
  • Keratinized stratified epithelium is found in the conjunctiva of the eyes, airways, and skin.
  • Hereditary determinants are received from genes.
  • The hereditary material of cells is DNA in the chromosomes.
  • The 'powerhouse' of a cell is the mitochondria.
  • The urinary bladder is lined with transitional epithelium.
  • Bones are connective tissue.
  • The thickest human skin is found on the soles of the feet.
  • A system is a group of organs that function together.
  • The largest cell in the body is the ovum.
  • Anatomy studies the structure of the body.
  • Mitosis is a type of cell division without reduction.
  • Proteins for use outside the cell are synthesized at free ribosomes.
  • The large organelle in a cell is the nucleus.
  • Cell transformation is called metaplasia.
  • The first cell of a human is a zygote.
  • Inclusions and organelles are intracellular areas with specific functions.
  • The smallest functional unit in the human body is a cell.
  • The brain and liver are organs of the human body.
  • The palm of the hand has thicker skin compared to other locations on the body.

Blood

  • Prothrombin is produced by the liver.
  • The thymus is a primary organ of the lymphatic system.
  • Immunoglobulins involved in allergic reactions are IgEs .
  • Blood clotting requires calcium and vitamin K.
  • Lymphatic system insufficiency causes swelling.
  • Blood plasma is a component of blood.
  • Carbonic anhydrase is present in blood plasma.
  • Arteries that supply blood to the stomach include the gastric artery.
  • The tunic adventitia is a layer of blood vessels.
  • The largest organ in the abdominal cavity that filters blood is the spleen.
  • Blood vessel dilation is called aneurysm.
  • Normal Hb levels in females are 12-14 gm%.
  • Precursor cells to red blood cells are reticulocytes and myelocytes.
  • Polymerase Chain Reaction (PCR) is a technique use in molecular biology.

Other Topics

  • The index includes topics for the nervous system, endocrine system, sensory organs/integumentary system, respiratory system and oncology.

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