Left Heart Failure: Effects on the Lungs Quiz
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Questions and Answers

What is the most common manifestation of extracardiac effects in left heart failure on the lungs?

  • Pulmonary edema and hemorrhage (correct)
  • Pulmonary embolism and atelectasis
  • Pulmonary hypertension and bronchospasm
  • Pulmonary fibrosis and pleural effusion
  • Which condition arises due to the rise in left atrial pressure leading to pulmonary venous congestion in left heart failure?

  • Pulmonary edema (correct)
  • Pleural effusion
  • Pulmonary embolism
  • Pulmonary fibrosis
  • What is a common clinical presentation of pulmonary edema in left heart failure?

  • Dry cough with wheezing
  • Clear sputum without blood
  • Frothy sputum with blood (correct)
  • Productive cough with pus
  • What is the end-stage manifestation of chronic heart failure in lungs known as?

    <p>Brown induration</p> Signup and view all the answers

    Which sound is typically heard on auscultation of the lungs in a patient with pulmonary edema?

    <p>Crackles or crepitations</p> Signup and view all the answers

    What symptom worsens in patients when they lie down due to increased venous return?

    <p><strong>Orthopnoea</strong></p> Signup and view all the answers

    What is responsible for Kerley's B lines on x-ray in paroxysmal nocturnal dyspnoea?

    <p>Interstitial transudate in the interlobular septa</p> Signup and view all the answers

    Which symptom is a hallmark of right-sided heart failure?

    <p>Ankle edema</p> Signup and view all the answers

    What happens to iron-containing proteins in edema fluid in paroxysmal nocturnal dyspnoea?

    <p>Converted to hemosiderin by macrophages</p> Signup and view all the answers

    In patients with chronic cardiac decompensation, what clinical syndrome may they present with?

    <p>Biventricular CHF</p> Signup and view all the answers

    In left heart failure, what compensatory reaction contributes to pulmonary edema?

    <p>Activation of the renin-angiotensin-aldosterone system (RAAS)</p> Signup and view all the answers

    What can pleural effusions ranging from 100 ml to over 1 liter cause?

    <p>Partial atelectasis of the corresponding lung</p> Signup and view all the answers

    What effect does decreased cardiac output have on the kidneys in left heart failure?

    <p>Expansion of interstitial fluid and blood volumes</p> Signup and view all the answers

    In right-sided heart failure, what is the effect on the spleen?

    <p>Enlarged spleen with marked sinusoidal dilation</p> Signup and view all the answers

    In far-advanced congestive heart failure, what symptoms may occur due to cerebral hypoxia?

    <p>Irritability and loss of attention span</p> Signup and view all the answers

    What is the term for generalized massive edema in right-sided heart failure?

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

    What denotes previous episodes of pulmonary edema in the alveoli?

    <p>&quot;Siderophages&quot; or heart failure cells</p> Signup and view all the answers

    Which symptom is largely due to pulmonary congestion and edema in left-sided heart failure?

    <p>Respiratory symptoms</p> Signup and view all the answers

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