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NURP 533- Week 5 Test With Complete Solution
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NURP 533- Week 5 Test WithComplete Solution
Complaints of _________ and a finding of _____________ on funduscopic examination are
associated with significant stenosis at the carotid bifurcation and stroke risk
comparable to transient cerebral ischemia - Answer amaurosis fugax (transient
ipsilateral blindness)
hollenhorst plaque
What is the Levine sign? - Answer pt puts their hand over their sternal area or make a
fist to indicate chest pain
Bruce Protocol - Answer -pt starts off at a slower speed, lower incline, every 3 mins
speed is gradually increased
-goal is to get heart working at 85% of its maximal capacity
-it test is stopped early before maximal capacity, test is considered inconclusive
-50% sensitive, high specificity
What is considered ischemia on an exercise stress test - Answer -horizontal or
downsloping of the ST segment
-ST depression >1mm 60-80 milliseconds after the J point
Duke treadmill score - Answer >5 = low risk, 5 year survival rate of 97%
-10 - 4 = intermediate risk, 5 year survival of 90%
<-11 = high risk, 5 year survival of 65%
Inferior wall MI - Answer II, III, aVF
Systolic HF - Answer EF <40%
Heart doesn't squeeze right
Diastolic HF - Answer Ventricles can't relax and fill properly
Most common cause of left sided heart failure - Answer right sided heart failure
Enlarged ventricles able to fill with blood but not able to pump it to the body, thinning
ventricular walls - Answer systolic dysfunction
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