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NUR 606 MIDTERM EXAM 2024 COMPLETE 200 QUESTIONS WITH DETAILED VERIFIED AND 100% CORRECT ANSWERS ACTUAL BRAND-NEW EXAM ALREADY GRADED A+$10.99
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Mitral stenosis - ....ANSWER...valve is bicuspid
elevated pulmonary venous pressure and elevated right
sided pressure
dilation and reduced systolic function notes in patients
with advanced MS
1
,normal mitral valve area - ....ANSWER...5-6 cm2
-needs replacing when valve is <1 cm2
physical exam findings in mitral stenosis -
....ANSWER...opening snap may be heard in early diastole
rales may be heard on auscultation due to accumulation of
intra-alveolar fluid
mitral regurgitation - ....ANSWER...condition in which the
mitral valve does not close tightly, allowing blood to flow
backward into the left atrium
physical findings of mitral regurgitation -
....ANSWER...holosystolic murmur
S3 present
displaced or hyperdynamic apical impulse
dilated cardiomyopathy key heart changes -
....ANSWER...dilated hypertrophied ventricle but normal
wall thickness
S/S of dilated cardiomyopathy - ....ANSWER...reduced EF
mitral/tricuspid regurgitation
left HF causing dyspnea, orthopnea, paroxysmal nocturnal
dyspnea
2
S/S of hypertrophic cardiomyopathy -
....ANSWER...normal EF
mitral regurgitation
left HF causing dyspnea, orthopnea, paroxysmal nocturnal
dyspnea
restrictive cardiomyopathy key heart changes -
....ANSWER...rigid ventricle walls but normal wall
thickness
diastolic dysfunction
S/S restrictive cardiomyopathy - ....ANSWER...normal or
reduced EF
mitral/tricuspid regurgitation
right HF causing edema, splenomegaly, hepatomegaly,
ascites
complications of cardiomyopathy - ....ANSWER...a fib
ventricular tachyarrhythmias
HF
atrial fibrillation - ....ANSWER...irregular conduction in
3
, the atrium causing disproportionate atria to ventricle
contraction
diagnosis of a fib - ....ANSWER...EKG, holter or event
monitor, smart watches
treatment of a fib - ....ANSWER...rate control
anticoagulation
conversion back to NSR if possible with cardioversion
(after patient has been on anticoags for 4-6 weeks)
gold standard diagnostic test for acute coronary syndrome
- ....ANSWER...cardiac catheterization
Diagnostic tests that should be done for acute coronary
syndrome - ....ANSWER...Troponin I (increase in 4 hrs,
peaks 4-6 hrs, stays elevated 5-7 days)
Troponin T (increase in 4-5 hrs, peaks 10-24 hrs, lasts for
10-21 days)
EKG
Non-ST elevation MI (NSTEMI) - ....ANSWER...elevated
cardiac enzymes
no ST elevation
+/- angina (can be silent)
4
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