Heart failure

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Questions and Answers

What is the net filtration pressure at the arteriolar end of the capillary?

  • +35 mm Hg
  • -7 mm Hg
  • 0 mm Hg
  • +10 mm Hg (correct)

What is the relationship between hydrostatic pressure and protein osmotic pressure at the arteriole end of the capillary?

  • Hydrostatic pressure is equal to protein osmotic pressure of blood
  • Hydrostatic pressure is less than protein osmotic pressure of blood
  • Hydrostatic pressure is not related to protein osmotic pressure of blood
  • Hydrostatic pressure is greater than protein osmotic pressure of blood (correct)

Which of the following is the primary reason for the development of edema in congestive heart failure (CHF)?

  • Increased oncotic pressure
  • Decreased hydrostatic pressure
  • Increased hydrostatic pressure (correct)
  • Decreased capillary permeability

Which of the following conditions can lead to oedema by causing venous obstruction?

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

Which of the following is primarily responsible for edema formation due to hypoalbuminemia?

<p>Increase loss of protein or albumin (B)</p> Signup and view all the answers

Which of the following conditions can lead to oedema by causing lymphatic obstruction?

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

Which of the following is a reason for the increase in hydrostatic pressure in the vessels?

<p>Pooling of blood due to inefficient pump (C)</p> Signup and view all the answers

Which of the following conditions can lead to edema by causing venous outflow obstruction?

<p>Increased hydrostatic pressure (B)</p> Signup and view all the answers

Which of the following is a compensatory response in chronic heart failure?

<p>Increase in kidney function (C)</p> Signup and view all the answers

Which of the following is a cause of cardiac heart failure?

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

Which type of heart failure is characterized by the inability of the ventricle to contract normally and expel sufficient blood?

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

Which type of heart failure is characterized by the inability of the ventricle to relax and fill normally?

<p>Diastolic heart failure (C)</p> Signup and view all the answers

Which type of heart failure is characterized by increased demand by the body and normal to high ejection fraction?

<p>High Output heart failure (A)</p> Signup and view all the answers

Which type of heart failure is characterized by the heart's inability to produce adequate output and low ejection fraction?

<p>Low Output heart failure (B)</p> Signup and view all the answers

Which of the following is NOT a common cause of left-sided cardiac failure?

<p>Right-sided heart failure (D)</p> Signup and view all the answers

What are the morphologic and clinical effects of left-sided heart failure primarily due to?

<p>Elevated back-pressures within the pulmonary circulation (B)</p> Signup and view all the answers

Which of the following is the earliest and most significant symptom of left-sided heart failure?

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

Which position typically relieves orthopnea in patients with left-sided heart failure?

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

Which of the following is a consequence of progressive ventricular dilation in left-sided heart failure?

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

What is the primary reason for the development of orthopnea in left-sided heart failure?

<p>Increased venous return (A)</p> Signup and view all the answers

What is the primary reason for the development of edema in left heart failure?

<p>Increased hydrostatic pressure in the vessels (B)</p> Signup and view all the answers

What is the relationship between stroke volume and end-diastolic volume?

<p>Stroke volume is directly proportional to end-diastolic volume (B)</p> Signup and view all the answers

Which of the following is a symptom of left-sided heart failure?

<p>Paroxysmal Nocturnal Dyspnea (A)</p> Signup and view all the answers

What is the consequence of blood and alveolar fluid settling along the posterior wall of the lung when supine?

<p>Decreased gas exchange (C)</p> Signup and view all the answers

Which position typically relieves orthopnea in patients with left-sided heart failure?

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

What is the primary cause of right-heart failure?

<p>Left-heart failure (C)</p> Signup and view all the answers

Which of the following is a symptom of low cardiac output in left ventricular failure?

<p>Peripheral tissue hypoxia (C)</p> Signup and view all the answers

What is the primary cause of pulmonary congestion in left ventricular failure?

<p>High pulmonary venous blood pressure (B)</p> Signup and view all the answers

What is the effect of fluid compression on airways in left ventricular failure?

<p>Increased resistance to airflow (B)</p> Signup and view all the answers

Which of the following is a symptom of sympathetic activation which try and increase cardiac output in left ventricular failure?

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

What is the term for isolated right ventricular failure not due to left heart failure?

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

What is the effect of chronic exposure to high afterload on the right ventricle?

<p>Increased RV wall tension (D)</p> Signup and view all the answers

What is the consequence of right ventricular myocardium being stretched to longer than its optimal contraction length?

<p>Harder to eject blood out of RV (D)</p> Signup and view all the answers

What happens to right ventricular stroke volume in right-sided heart failure?

<p>Decreased right ventricular stroke volume (A)</p> Signup and view all the answers

Which of the following is a symptom of right-sided heart failure?

<p>Peripheral pitting edema (C)</p> Signup and view all the answers

What is the consequence of blood backing up into the systemic venous vasculature in right-sided heart failure?

<p>High jugular venous pressure (JVP) (D)</p> Signup and view all the answers

Which of the following is a clinical manifestation of right-sided heart failure?

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

What can right-sided heart failure lead to in the kidneys and brain?

<p>Hypo-perfusion (B)</p> Signup and view all the answers

What is the consequence of cardiac decompensation in right-sided heart failure?

<p>Appearance of biventricular CHF (B)</p> Signup and view all the answers

What is the primary cause of ascites in right-sided heart failure?

<p>Portal venous congestion (A)</p> Signup and view all the answers

What are the morphologic and clinical effects of right-sided heart failure primarily due to?

<p>Congested systemic circulation (C)</p> Signup and view all the answers

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