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Exam (elaborations)

NR 507- Advanced Patho Midterm

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  • NR 507- Advanced Patho

Afterload - answer-The amount of resistance the ventricle must overcome to pump blood Increased by hypertension, pulmonary disease, and damage to aortic valve Alloimmunity - answer-When an individuals immune system reacts against antigens on tissues of other members of same species i.e. transp...

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  • November 21, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
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  • NR 507- Advanced Patho
  • NR 507- Advanced Patho
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TOPDOCTOR
NR 507- ADVANCED PATHO MIDTERM
Afterload - answer-The amount of resistance the ventricle must overcome to
pump blood
Increased by hypertension, pulmonary disease, and damage to aortic valve

Alloimmunity - answer-When an individuals immune system reacts against
antigens on tissues of other members of same species
i.e. transplant rejection, transfusion reaction, neonatal disease where maternal
immune system becomes sensitized against antigens expressed by fetus

Alpha-1 antitrypsin - answer-Protects the lungs against proteolysis
If deficient--> lung disease such as COPD

Anemia of chronic disease/inflammation - answer-Initially normocytic-
normochromic but changes to microcytic-hypochromic
caused by decreased erythropoiesis and impaired iron utilization in those with
chronic disease/inflammation
i.e. CHF, CKD, infections

Aortic regurgitation murmur - answer-High-pitched early diastolic murmur heard
loudest at left lower sternal border
Diastolic rumbling at heart's apex and systolic crescendo-decrescendo murmur
at left upper sternal border

Aortic regurgitation x-ray - answer-signs of pulmonary edema and cardiomegaly

Aortic stenosis murmur - answer-S4 gallop
Mid-systolic crescendo-decrescendo murmur heard loudest at base and radiating
to neck

Aplastic anemia - answer-normal MCHC
Suspect if levels of circulating erythrocytes, leukocytes, and platelets are also
diminished

Cardiac output - answer-volume of blood pumped from each ventricle per minute

The stroke volume x heart rate

Causes of folic acid deficiency - answer-decreased dietary intake, increased
requirement, impaired utilization

Causes of hemolytic anemia - answer-Acquired (transfusion reaction, hemolytic
disease of newborns, drug, infectious, etc.)
Genetic (structural defects, plasma protein mutation, enzyme deficiencies)

causes of iron deficiency anemia - answer-dietary deficiency, impaired
absorption, increased requirement, chronic blood loss

Causes of vitamin B12 deficiency - answer-Decreased nutritional intake, impaired
absorption

COPD Stage 1- Mild - answer-FEV1/FVC ratio <70%

, FEV1 >80-100%

COPD Stage 2- Moderate - answer-FEV1/FVC ratio <70%
FEV1 50-80%

COPD Stage 3- Severe - answer-FEV1/FVC ratio <70%
FEV1 30-50%

COPD Stage 4: Very severe - answer-FEV1/FVC ratio <70%
FEV1 <30%

Extrinsic asthma - answer-Triggered by chronic allergic reaction
elevated IgE
More common in children and males
i.e. mold, pollen, dust, dander

Genetics of Autoimmune disease - answer-Often familial but appear as different
autoimmune conditions in different family members

Heart failure Stage A - answer-Has risk factors but no symptoms

Heart failure stage B - answer-Structural heart damage but no symptoms

Heart failure stage C - answer-Symptomatic with alteration in daily function d/t
dyspnea and swelling

Heart failure stage D - answer-end-stage heart failure
Maximized all pharmacologic therapies
Consider transplant/LVAD/pacemaker

Hematocrit - answer-Volume of cells as a percentage of the total volume of cells
and plasma in whole blood

Normal for men: 42-45%
Normal for women: 37-48%

Hemoglobin - answer-Oxygen-carrying pigment of red cells

Normal for men: 13.5-17.5
Normal for women: 12-15.5

Hemolytic anemia - answer-premature accelerated destruction of erythrocytes

Hyperchromic - answer-increased hemoglobin
high MCHC
dark color

Hypochromic - answer-decreased hemoglobin
low MCHC
RBCs pale color

Intermittent Stage Asthma - answer-Day sx: <2 days/week
Night sx: <2 days/month
Activity level: normal

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