Mitral Valve Prolapse Pathophysiology
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Questions and Answers

What is the role of nurses in the care of patients with structural, infectious, and inflammatory cardiac conditions?

  • Monitoring blood pressure
  • Assisting with total artificial heart implantation
  • Administering medication therapy (correct)
  • Performing valve replacement surgeries

Which valves separate the atria from the ventricles in the heart?

  • Mitral valve
  • Aortic valve
  • Tricuspid valve (correct)
  • Pulmonary valve

What anchors valve leaflets to papillary muscles of the ventricles?

  • Atrioventricular nodes
  • Sinoatrial node
  • Bundle of His
  • Chordae tendineae (correct)

What can alter cardiac output in the heart?

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

What do noninvasive treatments for heart disorders often consist of?

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

What is the result of the increased resistance through the narrowed mitral valve orifice?

<p>Decreased blood flow into the left ventricle (A)</p> Signup and view all the answers

What is the consequence of left atrial hypertrophy and dilation over time?

<p>Reduced ventricular filling (A)</p> Signup and view all the answers

What happens when a stenotic mitral valve fails to protect pulmonary veins from backward flow of blood?

<p>Congestion of the pulmonary circulation (A)</p> Signup and view all the answers

How does an increased heart rate affect cardiac output?

<p>Decreases cardiac output (B)</p> Signup and view all the answers

What happens to the right ventricle over time as a result of contracting against high pulmonary arterial pressure?

<p>It enlarges and eventually fails (A)</p> Signup and view all the answers

What is the condition called when valves do not close completely?

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

Which valve disorder may involve stretching of the valve leaflet into the atrium during systole?

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

What is the term for a condition where valves do not open completely?

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

Which valve disorders cause more symptoms, require treatment, and lead to more complications?

<p>Mitral and aortic valve disorders (D)</p> Signup and view all the answers

In what percentage of the general population does mitral valve prolapse occur?

<p>2.5% (B)</p> Signup and view all the answers

What compensatory mechanism does the left ventricle use to overcome the obstruction caused by aortic stenosis?

<p>Contracting more slowly and more forcibly (A)</p> Signup and view all the answers

What is the first symptom that often appears in patients with aortic stenosis?

<p>Dyspnea on exertion (DOE) (A)</p> Signup and view all the answers

What may occur over time in patients with aortic stenosis, causing orthopnea, PND, and pulmonary edema?

<p>Left ventricular failure (D)</p> Signup and view all the answers

What causes angina pectoris in patients with aortic stenosis?

<p>Increased time in diastole (A)</p> Signup and view all the answers

What blood pressure characteristic is usually observed in patients with aortic stenosis?

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

During which phase does a portion of one or both mitral valve leaflets balloon back into the atrium?

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

What can happen if the leaflet stretches to the point that the valve does not remain closed during systole?

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

What is the result of mitral regurgitation caused by mitral valve prolapse?

<p>Left atrial enlargement (A)</p> Signup and view all the answers

What may elongate or rupture in individuals with mitral valve prolapse?

<p>Chordae tendineae and papillary muscles (D)</p> Signup and view all the answers

What is the potential consequence of mitral valve prolapse?

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

What can result in acute mitral regurgitation according to the text?

<p>Infective endocarditis causing leaflet scarring (B)</p> Signup and view all the answers

Which part of the mitral valve may be stretched by heart enlargement, resulting in functional mitral regurgitation?

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

What changes in the left ventricle can result in mitral regurgitation?

<p>All of the above (D)</p> Signup and view all the answers

What is referred to as ischemic mitral regurgitation according to the text?

<p>Papillary muscle contractility impairment (C)</p> Signup and view all the answers

What condition may cause retraction of leaflets or chordae tendineae according to the text?

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

What is the recommended course of action for patients with severe mitral stenosis?

<p>Undergo surgical intervention such as valvuloplasty (B)</p> Signup and view all the answers

What is the main cause of aortic regurgitation?

<p>Congenital valve abnormality or inflammation (A)</p> Signup and view all the answers

How does the left ventricle respond to aortic regurgitation over time?

<p>It dilates to accommodate increased blood volume (C)</p> Signup and view all the answers

What is the effect of aortic regurgitation on systolic blood pressure?

<p>It increases due to hypertrophy of the left ventricle (B)</p> Signup and view all the answers

Which surgical intervention is typically performed for severe mitral stenosis?

<p>Commissurotomy to open the fused commissure of the valve (D)</p> Signup and view all the answers

What increases the heart rate in patients with severe mitral stenosis?

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

What happens to the left ventricle during diastole in aortic regurgitation?

<p>Blood flows back into the left ventricle from the aorta (C)</p> Signup and view all the answers

What can cause chronic or acute aortic regurgitation?

<p>Rheumatic endocarditis or syphilis infections (D)</p> Signup and view all the answers

What is the site where the valve leaflets meet in mitral stenosis?

<p>Fused commissure of the valve (D)</p> Signup and view all the answers

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