Heart Failure: Chapter 19 Quiz
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Questions and Answers

What is the most common reason for hospitalization in individuals over 65 years of age?

  • Heart failure (correct)
  • Myocardial ischemia
  • Dilated cardiomyopathy
  • Hypertension
  • Which condition is characterized by impaired myocardial fibers' ability to contract or relax?

  • Myocardial ischemia
  • Hypertension
  • Systolic dysfunction (correct)
  • Diastolic dysfunction
  • What is the potential consequence of most cardiac disorders?

  • Myocardial ischemia
  • Dilated cardiomyopathy
  • Heart failure (correct)
  • Hypertension
  • Which characteristic is associated with diastolic dysfunction?

    <p>Excessive noncompliance of the ventricle</p> Signup and view all the answers

    What does hypertrophy mean in the context of myocardial fibers?

    <p>Proliferation of myocytes</p> Signup and view all the answers

    Which is a common cause of diastolic dysfunction?

    <p>Hypertension</p> Signup and view all the answers

    What is the primary consequence of systolic dysfunction?

    <p>Low ejection fraction</p> Signup and view all the answers

    What is the long-term effect of compensatory mechanisms and remodeling on the heart?

    <p>Detrimental to the heart</p> Signup and view all the answers

    What is the most common cause of heart failure?

    <p>Systolic Dysfunction</p> Signup and view all the answers

    Which condition leads to congestion of blood flow in the systemic or pulmonary venous circulation?

    <p>Heart Failure</p> Signup and view all the answers

    Which physiological response primarily results in venoconstriction, thereby increasing venous return and cardiac output?

    <p>Sympathetic nervous system activation</p> Signup and view all the answers

    Which condition is primarily a consequence of reduced ejection fraction with resultant increase in residual end-systolic volume?

    <p>Increased preload</p> Signup and view all the answers

    What primarily leads to hypertrophy of the myocardium?

    <p>High systolic pressure in the ventricle needed to overcome a high afterload</p> Signup and view all the answers

    Which type of heart failure is most often associated with backward effects resulting in accumulation of blood within the pulmonary circulation, pulmonary congestion, and edema?

    <p>Left-sided heart failure</p> Signup and view all the answers

    What causes low output to the left ventricle in right-sided heart failure?

    <p>Pulmonary disorders</p> Signup and view all the answers

    Which physiological response results in increased sodium and water retention through the RAAS cascade activation?

    <p>Juxtaglomerular cell activation</p> Signup and view all the answers

    Which mechanism primarily causes a shift along the curve indicating preload change and a shift to another curve indicating change in afterload or contractility?

    <p>Frank-Starling mechanism</p> Signup and view all the answers

    Which clinical manifestation is most common in left ventricular failure?

    <p>Forward failure with insufficient cardiac pumping and poor cardiac output</p> Signup and view all the answers

    Which physiological response involves detection of fall in pressure, resulting in increasing activity in sympathetic nerves to the heart?

    <p>Baroreceptor reflex stimulation</p> Signup and view all the answers

    What is primarily involved in myocardial remodeling as a result of chronic elevation of myocardial wall tension?

    <p>Angiotensin II</p> Signup and view all the answers

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