Pulmonary Sleep Disorders

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Questions and Answers

What is the consequence of chronic right heart strain in the context of Cor Pulmonale?

  • Right ventricular hypertrophy (correct)
  • Left ventricular hypertrophy
  • Decreased pulmonary blood pressure
  • Increased systemic blood pressure

What is a common presentation of left heart failure as described in the text?

  • Dyspnea (correct)
  • Ascites
  • Hepatomegaly
  • Lower extremity edema

Which factor contributes to the inability of the left heart to generate adequate cardiac output in the context of left heart failure?

  • Decreased pulmonary blood pressure
  • Increased systemic blood pressure
  • Right ventricular hypertrophy
  • Sympathetic surges (correct)

What clinical manifestation is more likely to be seen in right heart failure (Cor Pulmonale) than in left heart failure?

<p>Jugular venous distention (JVD) (C)</p> Signup and view all the answers

How does nocturnal hypoxia affect the pulmonary circulation in Cor Pulmonale?

<p>Increases hypoxic pulmonary vasoconstriction (C)</p> Signup and view all the answers

What is the consequence of excessive weight on respiratory mechanics?

<p>Impaired lung expansion (A)</p> Signup and view all the answers

Which condition is characterized by shallow breathing in a patient with obesity?

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

What can chronic hypoxia from hypoventilation lead to?

<p>Right ventricular hypertrophy (D)</p> Signup and view all the answers

What is the consequence of persistent hypoxia from hypoventilation?

<p>Increased erythropoietin levels (C)</p> Signup and view all the answers

Which presentation is characteristic of Polycythemia?

<p>Jugular vein distention (C)</p> Signup and view all the answers

What is a common risk associated with Pulmonary Hypertension?

<p>Increased Risk of Right Ventricular Hypertrophy (D)</p> Signup and view all the answers

What is the pathophysiological mechanism leading to increased systemic blood pressure in systemic hypertension?

<p>Increased nocturnal hypoxia (A)</p> Signup and view all the answers

Which condition is characterized by dyspnea on exertion and an increased risk of right heart failure?

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

What triggers the generation of irregular atrial depolarization and ineffective contractions in atrial fibrillation?

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

Which phenomenon in atrial fibrillation can cause emboli to break from a thrombus formed in the left atrium?

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

What can nocturnal hypoxia lead to, contributing to acute heart failure in the presence of atrial fibrillation with rapid ventricular response?

<p>Increased irregular heartbeat (A)</p> Signup and view all the answers

What feature distinguishes right heart failure in heart failure pathophysiology?

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

What is the primary consequence of the abnormal anatomy or relaxed pharyngeal muscles in individuals with Obstructive Sleep Apnea (OSA)?

<p>Nocturnal Hypoxia and Hypercapnia (A)</p> Signup and view all the answers

Which of the following is NOT listed as a cause of Obstructive Sleep Apnea (OSA) due to abnormal anatomy?

<p>Central Sleep Apnea (A)</p> Signup and view all the answers

What effect does Alcohol and Benzodiazepine Use have on individuals predisposed to Obstructive Sleep Apnea (OSA)?

<p>Relaxes the pharyngeal muscles (C)</p> Signup and view all the answers

What is the most common cause of Obstructive Sleep Apnea (OSA) related to abnormal anatomy?

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

Why does obesity contribute to the development of Obstructive Sleep Apnea (OSA)?

<p>Causes compression of the oropharynx and laryngopharynx (C)</p> Signup and view all the answers

Which of the following structures is NOT mentioned as being enlarged and contributing to airway narrowing in individuals with Obstructive Sleep Apnea (OSA)?

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

What is the primary pathophysiological mechanism behind Obesity Hypoventilation Syndrome?

<p>Impaired chest expansion (A)</p> Signup and view all the answers

How do Obesity Hypoventilation Syndrome (OHS) and Obstructive Sleep Apnea (OSA) differ in terms of Hypoxia and Hypercapnia?

<p>OHS experiences them only during the night, while OSA experiences them both day and night. (B)</p> Signup and view all the answers

What symptom differentiates Obstructive Sleep Apnea (OSA) from Obesity Hypoventilation Syndrome (OHS)?

<p>Witnessed Snoring and Apnea by Partner (A)</p> Signup and view all the answers

Why does Day Time Somnolence occur in Obesity Hypoventilation Syndrome (OHS)?

<p>Transient hypoxia and fewer times in REM sleep (A)</p> Signup and view all the answers

Which parameter is NOT associated with Alveolar Hypoventilation in Obesity Hypoventilation Syndrome (OHS)?

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

What is a classic finding that is common between Obstructive Sleep Apnea (OSA) and Obesity Hypoventilation Syndrome (OHS)?

<p>Witnessed Snoring and Apnea by Partner (D)</p> Signup and view all the answers

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