Unit 6 & 7 Patho Exam
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Questions and Answers

What is the recommended dosage and administration method for sublingual Nitroglycerin?

  • 1 tablet ingested orally every 5 minutes, maximum of 3 doses.
  • 1 tablet under the tongue every 5 minutes, call 911 after the first dose. (correct)
  • 1 tablet every 10 minutes until chest pain resolves.
  • 2 tablets under the tongue every 5 minutes as needed.
  • Which medication is indicated for the treatment of unstable angina?

  • Beta blockers. (correct)
  • Calcium channel blockers.
  • Aspirin.
  • Thrombolytics.
  • What is a critical sign of hypovolemic shock that should be monitored?

  • Increased heart rate. (correct)
  • Increased temperature.
  • Increased respiration rates.
  • Increased urine output.
  • Which wave in the PQRST complex represents atrial contraction?

    <p>P wave.</p> Signup and view all the answers

    What is the appropriate response if a fever over one degree is detected post blood transfusion?

    <p>Stop the transfusion and notify the healthcare provider.</p> Signup and view all the answers

    What is the primary effect of diuretics on the body?

    <p>Affect electrolyte balance</p> Signup and view all the answers

    What happens to urine if it becomes too acidic?

    <p>The kidneys retain bicarbonate to neutralize it.</p> Signup and view all the answers

    What is a consequence of kidney failure on red blood cell production?

    <p>Diminished production of erythropoietin</p> Signup and view all the answers

    What is the normal range for glomerular filtration rate (GFR) in healthy individuals?

    <p>Greater than 90</p> Signup and view all the answers

    At which stage of kidney disease do patients typically require transplantation or dialysis?

    <p>Stage 5</p> Signup and view all the answers

    What should not be done around a fistula in a dialysis patient?

    <p>Use the area for intravenous drug administration</p> Signup and view all the answers

    Which of the following terms describes the progression of chronic renal failure?

    <p>Chronic renal failure evolves to end stage renal disease.</p> Signup and view all the answers

    Acute kidney injury can typically be described as:

    <p>Self-limiting and often reversible.</p> Signup and view all the answers

    What can be a consequence of hypokalemia?

    <p>Lethal cardiac arrhythmia</p> Signup and view all the answers

    Which of the following diuretics is potassium-sparing?

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

    What is a common cause of coronary artery disease (CAD)?

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

    What is the significance of cranberry in urinary health?

    <p>Increases acidity of the urine</p> Signup and view all the answers

    What is indicated by the presence of ventricular fibrillation?

    <p>Cardiac quivering instead of pumping</p> Signup and view all the answers

    What is a key side effect of Amiodarone?

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

    What is a primary function of calcium channel blockers such as Verapamil?

    <p>Reduce automaticity in the heart</p> Signup and view all the answers

    In a medical emergency, which condition is classified as shock?

    <p>Inadequate blood flow to tissues</p> Signup and view all the answers

    What is the role of packed red blood cells in treatment?

    <p>Help with severe symptomatic anemia</p> Signup and view all the answers

    What should be avoided while taking Verapamil?

    <p>Grapefruit juice</p> Signup and view all the answers

    Which condition is primarily indicated by low urine output and shrinking kidneys?

    <p>Oliguric phase of acute kidney disease</p> Signup and view all the answers

    What is the primary action of erythropoietin in kidney function?

    <p>Stimulate RBC production</p> Signup and view all the answers

    Which blood type is known as the universal donor?

    <p>O-</p> Signup and view all the answers

    In the context of coronary artery disease, what characterizes myocardial ischemia?

    <p>Inadequate oxygen to meet metabolic demands</p> Signup and view all the answers

    Which diuretic is known to be potassium-sparing?

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

    Which medication is commonly used in the management of unstable angina?

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

    What should be carefully monitored when administering loop diuretics such as furosemide?

    <p>Serum potassium levels</p> Signup and view all the answers

    What is the recommended action before administering blood products?

    <p>Start a wide-bore IV with normal saline</p> Signup and view all the answers

    Which of the following angina types usually subsides with rest?

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

    What is a common cause of hyperkalemia in patients with kidney damage?

    <p>Decreased excretion of potassium</p> Signup and view all the answers

    What is the primary mechanism of action of nitrates in the treatment of angina?

    <p>Dilate both veins and arteries</p> Signup and view all the answers

    Which type of angina is characterized by predictable patterns of chest pain?

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

    What is a common adverse effect of calcium channel blockers?

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

    Which medication is contraindicated due to its interaction with nitrates?

    <p>Phosphodiesterase-5 inhibitors</p> Signup and view all the answers

    Which statement about beta-adrenergic blockers is correct?

    <p>They do not lead to tolerance buildup.</p> Signup and view all the answers

    What symptom is commonly associated with iron deficiency anemia?

    <p>Pale skin</p> Signup and view all the answers

    In treating chronic kidney disease (CKD), what is a significant goal for GFR?

    <p>GFR should be above 60 mL/min</p> Signup and view all the answers

    What is the primary role of ferrous sulfate in treatment?

    <p>Treat iron deficiency anemia</p> Signup and view all the answers

    Which medication is most likely to cause bradycardia as a side effect?

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

    What should be monitored in patients receiving treatment with spiralactone?

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

    What is the primary electrolyte that diuretics primarily affect in the body?

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

    In case of urine becoming too acidic, which substance do the kidneys retain to help neutralize it?

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

    What is a significant consequence of kidney failure related to blood cell production?

    <p>Decreased platelet count</p> Signup and view all the answers

    What GFR value indicates kidney impairment that requires close monitoring?

    <p>Below 60</p> Signup and view all the answers

    What is the final stage of chronic renal failure progression before transplantation or dialysis is necessary?

    <p>End stage renal disease</p> Signup and view all the answers

    What should be avoided around a fistula in a dialysis patient to prevent complications?

    <p>Drawing blood</p> Signup and view all the answers

    Which of the following correctly describes the mechanism of action of beta-adrenergic blockers?

    <p>They slow heart rate and reduce contractility by blocking beta1-adrenergic receptors.</p> Signup and view all the answers

    What is a common adverse effect associated with the use of nitrates for angina management?

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

    Which condition is least likely to be effectively treated with calcium channel blockers?

    <p>Unstable angina</p> Signup and view all the answers

    Which of the following interventions should be monitored carefully in patients receiving furosemide?

    <p>Serum potassium levels</p> Signup and view all the answers

    Which adverse effect is specifically associated with nitrates through administration of topical or patch forms?

    <p>Tolerance buildup</p> Signup and view all the answers

    What is a key characteristic of Prinzmetal's angina?

    <p>It results from spasms of the coronary arteries.</p> Signup and view all the answers

    What is a common side effect of furosemide that healthcare providers should monitor?

    <p>Electrolyte imbalance</p> Signup and view all the answers

    Which of the following characteristics is NOT associated with hypokalemia?

    <p>Increased heart rate</p> Signup and view all the answers

    Which medication can lead to pulmonary toxicity as an adverse effect?

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

    What is a significant consequence of untreated chronic pyelonephritis?

    <p>Renal scarring</p> Signup and view all the answers

    In the management of angina pectoris, which of the following statements is true?

    <p>Angina typically resolves with rest.</p> Signup and view all the answers

    What should be monitored in patients receiving treatment with beta-blockers?

    <p>Heart rate and blood pressure</p> Signup and view all the answers

    Which electrolyte must be corrected before starting Amiodarone therapy?

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

    What physiological change occurs during depolarization in cardiac action potentials?

    <p>Calcium ions influx into the cell</p> Signup and view all the answers

    Which of the following medications is primarily used to treat stable angina by decreasing heart rate?

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

    Which condition is most likely to lead to increased levels of potassium in a patient with chronic kidney disease?

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

    What is the primary rationale for using thrombolytics in acute coronary syndrome?

    <p>Break apart clots</p> Signup and view all the answers

    Which one of the following is a critical intervention for managing severe kidney damage due to hypovolemia?

    <p>Reestablishing fluid volume</p> Signup and view all the answers

    Which is a primary effect of administering furosemide to patients?

    <p>Block sodium and chloride reabsorption</p> Signup and view all the answers

    What is a common adverse effect associated with long-term use of procainamide?

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

    Which dietary modification should patients on spironolactone adhere to in order to prevent significant adverse effects?

    <p>Limit potassium-rich foods</p> Signup and view all the answers

    In assessing a patient with acute coronary syndrome, which medication is critical for pain management?

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

    Which blood product is typically administered to patients experiencing massive hemorrhage?

    <p>Whole blood</p> Signup and view all the answers

    What is the recommended action regarding potassium levels before administering any form of diuretics?

    <p>Check serum potassium levels before administration</p> Signup and view all the answers

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