HSC 3502 Exam Content Overview
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Questions and Answers

What medication can a patient take if they are on tacrolimus for immunosuppression?

  • Tylenol (correct)
  • Ibuprofen
  • Advil
  • Aspirin
  • Which heart valve is associated with the most issues in patients?

  • Aortic valve
  • Bicuspid (mitral) valve (correct)
  • Pulmonary valve
  • Tricuspid valve
  • How frequently does a patient typically return for checkups after treatment?

  • Every month
  • Every three months (correct)
  • Once a year
  • Every six months
  • What is the function of the sinoatrial (SA) node in the heart?

    <p>To maintain heart rhythm and coordinate contractions (C)</p> Signup and view all the answers

    What part of the heart's structure is known as the site of necrosis during a heart attack?

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

    What key symptom indicated that Christina Cinca might have restrictive cardiomyopathy?

    <p>Persistent heart murmur (A)</p> Signup and view all the answers

    At what age was Christina diagnosed with restrictive cardiomyopathy?

    <p>7 years old (B)</p> Signup and view all the answers

    What kind of exercise test was Christina required to perform during her diagnostic evaluation?

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

    What was Christina's emotional response to her medical condition post-transplant?

    <p>Fear and anxiety about being outside (D)</p> Signup and view all the answers

    What was the fate of the heart that was intended for Christina's transplant but could not be used initially?

    <p>It was shown to Christina to assess her condition (A)</p> Signup and view all the answers

    Which team was involved in supporting Christina during her hospital stay post-transplant?

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

    What aspect of Christina's heart function was highlighted in her diagnosis of restrictive cardiomyopathy?

    <p>Heart pumped well but couldn't relax (A)</p> Signup and view all the answers

    What is a significant risk factor associated with restrictive cardiomyopathy?

    <p>Underlying genetic conditions (B)</p> Signup and view all the answers

    What is the primary goal of Vestibular Rehabilitation Therapy (VRT)?

    <p>To reduce vertigo and dizziness (D)</p> Signup and view all the answers

    Which of the following is NOT a criterion for receiving cochlear implants?

    <p>Ability to hear some sounds (C)</p> Signup and view all the answers

    What does the surgical procedure myringotomy involve?

    <p>Incising the eardrum to release pressure (D)</p> Signup and view all the answers

    How do individuals in the Deaf Culture generally view their condition?

    <p>As a unique identity (C)</p> Signup and view all the answers

    Which of the following devices is specifically used for alerting purposes?

    <p>Large-area audio loop (C)</p> Signup and view all the answers

    What factor can limit recovery in Vestibular Rehabilitation Therapy?

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

    What is a common activity mentioned that helps individuals with Parkinson's Disease improve their condition?

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

    What is a major consequence of untreated severe to profound sensorineural deafness?

    <p>Increased risk of social isolation (D)</p> Signup and view all the answers

    Which of the following is part of the prevention strategies for ear health?

    <p>Avoid ototoxic drugs (D)</p> Signup and view all the answers

    Why is it important to hydrating for individuals with Parkinson's Disease?

    <p>To combat stiffness and enhance mobility (B)</p> Signup and view all the answers

    What is a key characteristic of primary parkinsonism?

    <p>Represents 75-80% of Parkinson's disease cases (A)</p> Signup and view all the answers

    Which of the following is a common prodromal symptom of Parkinson's disease?

    <p>Tremors or shaking (A)</p> Signup and view all the answers

    What is the primary cause of secondary parkinsonism?

    <p>Environmental exposure to toxins (D)</p> Signup and view all the answers

    Which symptom is characterized by involuntary, rhythmic shaking in Parkinson's disease?

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

    What is the method used to classify Parkinson's disease severity?

    <p>Hoehn and Yahr Scale (D)</p> Signup and view all the answers

    What is a risk factor for developing Parkinson's disease?

    <p>Exposure to herbicides (C)</p> Signup and view all the answers

    Which complication is NOT typically associated with Parkinson's disease?

    <p>Severe hair loss (D)</p> Signup and view all the answers

    Which treatment strategy is known for improving the quality of life in Parkinson's disease?

    <p>Carbidopa-levodopa therapy (C)</p> Signup and view all the answers

    What type of dementia occurs due to chronic insufficient blood flow to the brain?

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

    In which stage of Parkinson's disease do symptoms typically require assistance to stand?

    <p>Stage 4 (C)</p> Signup and view all the answers

    In adults, which age group is most commonly affected by Young Onset Parkinson's disease?

    <p>21-50 years (B)</p> Signup and view all the answers

    What does the acronym SPECT stand for in the context of diagnosing Parkinson’s disease?

    <p>Single-photon emission computerized tomography (C)</p> Signup and view all the answers

    Which of the following is NOT a recommended treatment strategy for managing Parkinson's disease?

    <p>Excessive alcohol consumption (C)</p> Signup and view all the answers

    What was a significant finding of the Parkinson’s Outcomes Project?

    <p>Regular care by neurologists can significantly improve outcomes (C)</p> Signup and view all the answers

    What is the primary characteristic of atherosclerosis?

    <p>Chronic inflammatory response leading to plaque buildup (D)</p> Signup and view all the answers

    Which symptom is most indicative of myocardial infarction?

    <p>Chest pain radiating to the left arm (B)</p> Signup and view all the answers

    How is stable angina different from unstable angina?

    <p>Stable angina is predictable and triggered by activity, while unstable angina is not (B)</p> Signup and view all the answers

    Which of the following is a common trigger for cardiac arrhythmias?

    <p>Poor sleep and high caffeine intake (D)</p> Signup and view all the answers

    What distinguishes cardiac arrest from heart failure?

    <p>Heart failure involves gradual deterioration, while cardiac arrest is sudden cessation of heart function (B)</p> Signup and view all the answers

    What is the main risk factor associated with hypertension?

    <p>Uncontrolled high blood pressure (A)</p> Signup and view all the answers

    Which description best fits endocarditis?

    <p>Inflammation caused by bacterial infection in heart chambers/valves (A)</p> Signup and view all the answers

    What treatment is often used for managing heart failure?

    <p>Cardiac resynchronization therapy using pacemakers (D)</p> Signup and view all the answers

    What is a key feature of valvular conditions like mitral prolapse?

    <p>Blood flows backward into the atria (B)</p> Signup and view all the answers

    What are tachycardia and bradycardia defined as?

    <p>Heart rate exceeding 100 bpm and below 60 bpm respectively (C)</p> Signup and view all the answers

    Which is a common symptom of left-sided heart failure?

    <p>Cognitive deficits and unexpected weight gain (B)</p> Signup and view all the answers

    How does arrhythmia typically affect stroke risk?

    <p>Increases risk fivefold (D)</p> Signup and view all the answers

    What is the first step in managing cardiac arrhythmias?

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

    What is the normal blood pressure reading considered healthy?

    <p>120/80 (A)</p> Signup and view all the answers

    What is primarily associated with the abnormal clumps found in the brains of Alzheimer's patients?

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

    Which brain region is most affected in terms of memory loss due to Alzheimer's disease?

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

    What does the Mini-Cog Test primarily assess?

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

    Which type of specialists focuses on assessing memory in older adults?

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

    Which medication is commonly used to help maintain mental functions in Alzheimer's patients?

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

    What represents the first stage of Alzheimer's disease, where symptoms are not yet evident?

    <p>Preclinical Alzheimer’s Disease (C)</p> Signup and view all the answers

    Which behavior might be seen in moderate dementia due to Alzheimer's?

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

    What is one of the goals of the National Alzheimer’s Project Act (NAPA)?

    <p>Prevent and effectively treat Alzheimer’s Disease by 2025 (D)</p> Signup and view all the answers

    Which of the following is NOT considered a risk factor for Alzheimer's disease?

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

    What is the role of the tau protein in Alzheimer's pathology?

    <p>Disruption of neuron transport (D)</p> Signup and view all the answers

    What statement about the etiology of Alzheimer's is true?

    <p>There are both genetic and environmental factors at play. (C)</p> Signup and view all the answers

    Which of the following is a common symptom of severe dementia due to Alzheimer's?

    <p>Total assistance with activities of daily living (C)</p> Signup and view all the answers

    Which of the following is a recommended strategy to reduce the risk of Alzheimer's disease?

    <p>Regular physical and mental exercise (A)</p> Signup and view all the answers

    What is a common feature of behavioral management for Alzheimer's patients?

    <p>Ensuring safety from wandering and aggression (C)</p> Signup and view all the answers

    Flashcards

    Restrictive Cardiomyopathy

    A rare heart condition where the heart's ability to expand and fill with blood is limited.

    Diagnosis Process (Nina)

    Diagnosis started with a heart murmur leading to echo and EKG tests, culminating in a treadmill stress test.

    Symptoms of Restrictive Cardiomyopathy

    Extreme tiredness, difficulty with physical activity, and limitations in participating in daily activities like recess or sleepovers.

    Cardiomyopathy Impact on Activities

    This condition often impacts one's ability to pursue sports or strenuous activities.

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    Vocational Implications

    The condition impacts Nina's participation in sports but allows her to choose acting and singing instead.

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    Heart Transplant Procedure (Nina)

    Nina faced a transplant delay due to complications (pneumonia) and was ultimately successful in receiving a heart transplant.

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    Caregiver Considerations (Nina's case)

    In Nina's case, the importance of support staff (music therapist, child life specialists, etc.) and additional support for both the child and the family is highlighted.

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    Health Professional Advice

    Health professionals should be mindful of creating a nurturing and supportive environment for their young patients.

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    Myocardium

    The heart muscle; the site of a heart attack.

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    Deoxygenated blood

    Blood that has given up its oxygen to the body's tissues.

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    Bicuspid (mitral) valve

    A heart valve that has issues sometimes; ensuring one-way blood flow.

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    Sinoatrial (SA) node

    The heart's natural pacemaker, initiating electrical activity.

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    Arteries

    Blood vessels that carry blood away from the heart.

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    Arrhythmia

    Irregular heart rate

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    Atherosclerosis

    A type of arteriosclerosis where plaque builds up in arteries

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    Arteriosclerosis

    Hardening and loss of elasticity in arteries due to aging

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    Angina Pectoris

    Chest pain due to reduced blood flow to the heart, often from blockage.

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    Cardiac Arrest

    Sudden cessation of heart function.

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    Myocardial Infarction

    Heart attack; death of heart muscle tissue due to lack of oxygen.

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    Blood Pressure (normal)

    120/80 mmHg

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    Hypertension

    High blood pressure.

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    Heart Failure (Left-Sided)

    Ineffective left side of the heart

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    Heart Failure (Right-Sided)

    Ineffective right side of the heart

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    Coronary Artery Disease (CAD)

    Inadequate blood supply to the heart

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    Atrial Fibrillation

    Irregular, rapid beating of the atria of the heart

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    Mitral Prolapse

    Valve doesn't close completely, often creating backward blood flow

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    Endocarditis

    Inflammation of the heart chambers or valves caused by bacteria

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    Pericarditis

    Inflammation of the sac-like membrane surrounding the heart

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    Binaural Hearing Aids

    Hearing aids that amplify sound in both ears, enhancing sound localization and understanding speech in noisy environments.

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    Telecoil Circuitry

    A feature in hearing aids that allows them to pick up magnetic signals from devices like loops, improving sound quality in specific settings.

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    Cochlear Implants

    Electronic devices surgically implanted to directly stimulate the auditory nerve, providing sound perception for individuals with severe hearing loss.

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    Auditory Rehabilitation

    Training and therapy programs that help individuals with hearing loss learn to use their residual hearing effectively, maximize communication skills, and adapt to their hearing loss.

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    Deaf Culture

    A distinct culture shared by individuals who are deaf, emphasizing visual communication (ASL), unique customs, and community identity.

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    Audism

    Discrimination against Deaf individuals based on their hearing status, often leading to prejudice and exclusion.

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    Vestibular Rehabilitation Therapy (VRT)

    Specialized therapy that uses exercises to improve balance, reduce dizziness, and manage symptoms associated with inner ear disorders.

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    Habituation (VRT)

    The process of gradually reducing dizziness by repeated exposure to stimuli that trigger the symptoms, making the brain less sensitive to them.

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    Parkinson's Disease (PD)

    A progressive neurological disorder that affects movement, causing tremors, rigidity, slowness, and difficulty with coordination.

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    Rhythmic Movement (PD)

    Activities that involve repetitive and coordinated motions, such as cycling, swimming, or dancing, which can be beneficial for individuals with Parkinson's Disease.

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    Alzheimer's Disease

    A progressive brain disorder that causes memory loss, thinking and behavioral problems. It is the most common cause of dementia.

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    Amyloid Plaques

    Clumps of a protein called amyloid-beta that accumulate in the brain, disrupting cell function.

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    Neurofibrillary Tangles

    Twisted fibers of another protein called tau that build up inside brain cells, interfering with communication.

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    Entorhinal Cortex

    A brain region important for memory and learning, significantly affected in Alzheimer's.

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    Hippocampus

    A seahorse-shaped brain structure crucial for forming new memories.

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    Cerebral Cortex

    The outer layer of the brain responsible for higher-level functions like language, reasoning, and social behavior.

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    National Alzheimer's Project Act (NAPA)

    A US law aimed at accelerating Alzheimer's research, improving care, and supporting affected individuals and families.

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    Mini-Cog Test

    A brief screening tool for cognitive impairment, involving remembering three words and drawing a clock.

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    MMSE (Mini-Mental State Examination)

    A widely used dementia screening test that assesses mental abilities like orientation, memory, and language.

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    Preclinical Alzheimer's Disease

    The early stage before symptoms appear, when brain changes are already occurring.

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    Mild Cognitive Impairment (MCI)

    A stage with mild cognitive changes that do not significantly affect daily life.

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    Mild Dementia due to Alzheimer's

    A stage with noticeable memory loss, difficulty with problem-solving, and changes in personality.

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    Moderate Dementia due to Alzheimer's

    A stage with increasing confusion, poor judgment, and the need for help with daily activities.

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    Severe Dementia due to Alzheimer's

    The final stage with significant cognitive decline, loss of communication abilities, and dependence on others for all care.

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    Geriatrician

    A doctor specializing in the care of older adults.

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    Neuropsychologist

    A psychologist who specializes in assessing cognitive function and brain disorders.

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    What is Parkinson's Disease?

    A neurodegenerative disease where the brain's dopamine-producing cells die, leading to progressive deterioration of movement, speech, and other bodily functions.

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    Lewy Bodies

    Abnormal aggregates of protein found in the substantia nigra of people with Parkinson's Disease. These clumps disrupt dopamine production, leading to the disease's symptoms.

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    Cardinal Symptom: Tremors

    Involuntary, rhythmic shaking, often seen as a pill-rolling motion. Typically affects one side of the body, often starting in one hand.

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    Cardinal Symptom: Bradykinesia

    Slowness of movement, affecting both initiation and execution. This can manifest as difficulty with blinking, walking, swallowing, and other automatic movements.

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    Cardinal Symptom: Dyskinesia

    Involuntary, erratic, writhing movements, usually a side effect of levodopa treatment. Seen in the face, arms, legs, and trunk.

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    Cardinal Symptom: Postural Instability

    Difficulty maintaining balance, leading to shuffling gait, stooped posture, and lack of arm swing while walking.

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    Cardinal Symptom: Rigidity

    Stiffness in muscles, causing a mask-like face and difficulty with movement. Can interfere with sleep and lead to freezing episodes.

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    Cardinal Symptom: Speech & Swallowing

    Dysphagia (difficulty swallowing) leading to aspiration, pneumonia, and drooling; hypophonia (soft speech) causing decreased volume and sometimes hoarseness.

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    Primary Parkinsonism

    The most common type of Parkinson's, accounting for 75-80% of cases. It can be either sporadic (caused by environmental factors) or familial (inherited).

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    Secondary Parkinsonism

    Parkinson's Disease caused by factors other than the typical death of dopamine-producing cells, such as drug ingestion, toxic exposure, or other neurological conditions.

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    Young-Onset PD

    Parkinson's Disease diagnosed between the ages of 21-50. It shares many similarities with the classic form but often shows a slower progression, more frequent dystonia, and greater side effects from medications.

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    Prodromal Symptoms

    Early warning signs of Parkinson's Disease before a diagnosis is officially made. These include tremors, changes in walking, handwriting difficulties, and fatigue.

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    What is the role of Dopamine in PD?

    Dopamine is a neurotransmitter vital for regulating movement, mood, and other functions. In Parkinson's, the death of dopamine-producing cells leads to a lack of dopamine, causing the characteristic movement problems.

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    Hoehn and Yahr Scale

    A simple rating scale used to classify the severity of Parkinson's Disease from Stage 0 (no symptoms) to Stage 5 (most advanced).

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    Unified Parkinson's Disease Rating Scale

    A more comprehensive tool for assessing both motor and non-motor symptoms of Parkinson's Disease. It includes sections on behavior, mood, activities of daily living, motor abilities, and complications of therapy.

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    Study Notes

    HSC 3502 #2 - 2024 Exam Content

    • Exam covers chapters, videos, and in-class assignments from weeks 9-14.
    • Key themes include risk factors, symptoms, diagnosis, treatment, vocational implications, medical terminology.
    • Students need to compare and contrast diseases, giving recommendations for exercise and secondary prevention techniques.
    • Understanding relevant historical perspectives is essential.
    • Expect two questions from each "On Location" video focusing on causes, diagnosis, complications, and treatment advice for health professionals.

    Cardiovascular Disease - On Location Video - Nina

    • Christina Cinca, diagnosed with restrictive cardiomyopathy at age 7.
    • Diagnosed with restrictive cardiomyopathy at age 7, heart murmur detected later in pediatric appointment.
    • Diagnosis included ECHOs and EKGs.
    • At age 10-11, required a treadmill for fitness tests.
    • Her heart pumped well but couldn't relax, limiting her ability to participate in athletics.
    • Listed on transplant list, due to rarity of the condition.
    • Experienced pneumonia and postponed transplant surgery (practice run).
    • Received a heart transplant in September 2014.
    • Spent 10-11 days in hospital post-transplant.

    Specific Objectives for Understanding Cardiovascular Diseases

    • Students should be able to identify factors that increase risk of heart disease.
    • Students should be able to identify and describe the symptoms of cardiovascular diseases.
    • Students should describe the common causes of cardiovascular disease for comprehensive comprehension.
    • Students should understand the diagnosis of common cardiovascular diseases to identify risks and complications.
    • Advice provided to health professionals for preventing and managing cardiovascular disease should be readily accessible for appropriate application.

    Objectives - Heart Structures

    • Heart Layers:
      • Pericardium: Outer sac of the heart.
      • Myocardium: Heart muscle, site of a heart attack.
      • Endocardium: Inner part of the heart, where all the valves are.
    • Circulatory System
      • Deoxygenated blood travels through the right side of the heart, then to the lungs.
      • Oxygenated blood enters the left side for distribution through the body.
      • Arteries carry blood away from the heart.
      • Veins carry blood toward the heart.
    • Heart Valves:
      • Bicuspid (mitral) valve plays a significant role in heart function, abnormalities can lead to the backflow of blood.

    Electrical System of the Heart

    • The sinoatrial (SA) node initiates the heart's electrical activity, regulating its rhythm.
    • Coordination of the heart contraction and relaxation occurs through the coordinated electrical impulses.

    Risk Factors of Heart Disease

    • Arrhythmia: Includes irregular rate, general fatigue, chest pain, and shortness of breath. Diagnosis includes triggers like caffeine or alcohol, sleep issues, and stress. Treatments include medication like antiarrhythmics, antihypertensives, and anticoagulants.

    • Atherosclerosis: Characterized by chronic inflammatory responses, often associated with hyperlipidemia. Symptoms vary but may include dizziness, vertigo, palpitations, and blurry vision.

    • Arteriosclerosis: Hardening of the arteries. Often occurs in conjunction with atherosclerosis.

    • Angina Pectoris: Symptoms consist of chest pain, triggered by activity, and resolved with rest. This condition is linked to a narrowing of arteries, restricting blood flow.

    • Cardiac Arrest: Sudden cessation of heart function. Requires immediate CPR and potentially defibrillation to avoid fatality.

    Cardiac Arrest vs. Myocardial Infarction

    • Myocardial Infarction: Damage to heart muscle due to lack of oxygen; symptoms can include chest pain, radiating to neck and arm, nausea, dyspnea, and disorientation.
    • Cardiac Arrest: Sudden, complete cessation of heart function; a life-threatening emergency that requires immediate CPR and defibrillation.

    Description of Blood Pressure and Heart Rate

    • Diastole: The resting phase, where the heart is relaxed and chambers are filling.
    • Systole: The contracting phase, where blood is pumped from chambers to the body.
    • Blood Pressure (120/80): Normal blood pressure readings.

    Understanding the Role of Medication and Interventions

    • Tacrolimus: Suppresses rejection.

    • Ibuprofen and Advil: Avoid due to interaction.

    • Medical Advice: Health professionals should consider listening, showing empathy, establishing trust, and providing time for questions.

    Surgical and Minimally Invasive Interventions (for Heart Conditions):

    • Angioplasty: Opening obstructed arteries with a balloon; often with a stent to ensure long-term patency.
    • CABG (Coronary Artery Bypass Graft): Creates new routes for blood flow around blocked coronary arteries.
    • Heart Transplant: A replacement procedure for those with severe heart conditions.
    • Mitral Valve Repair/Ablation: Addressing issues with the mitral valve.

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    Description

    This quiz covers essential content from HSC 3502 for the 2024 exam, including key themes such as risk factors, symptoms, and treatment of cardiovascular diseases. Students will engage with chapters, videos, and in-class assignments from weeks 9-14, enhancing their understanding of medical terminology and historical perspectives in health education.

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