NEW
Font size
WorksheetsMedical Knowledge Quiz
Total questions: 40
Worksheet time: 20mins
The term intermittent claudication refers to:
Sensory deficit in the legs due to damage to nerves
Dry, cyanotic skin with superficial ulcers
Chest pain related to ischemia
Ischemic muscle pain in the legs, particularly with exercise
An echocardiogram is used to demonstrate any abnormal:
Movement of the heart valves
Change in central venous pressure
Activity in the conduction system
Blood flow in coronary arteries
The outcome for many aortic aneurysms is:
Pressure on adjacent organs or structures
Early diagnosis and repair
Thrombus formation and pulmonary embolus
Rupture and hemorrhage
The classic early manifestation(s) of left-sided congestive heart failure is/are ____, whereas the early indicator(s) of right-sided failure is/are _______.
Swelling of the ankles and abdomen; chest pain
Shortness of breath on exertion or lying down; swelling of the ankles
Coughing up frothy sputum; hepatomegaly and splenomegaly
Palpitations and periodic chest pain; shortness of breath on exertion
The most common factor predisposing to the development of varicose veins is:
Congenital valve defect in the abdominal veins
Trauma
Infection
Increased venous pressure
The term arteriosclerosis specifically refers to:
Degeneration with loss of elasticity and obstruction in small arteries
Intermittent vasospasm in coronary arteries
Ischemia and necrosis in the brain, kidneys, and heart
Development of atheromas in large arteries
A partial obstruction in a coronary artery will likely cause:
Myocardial infarction
Angina attacks
Hypertension
Pulmonary embolus
Malignant neoplasms involving lymphocyte proliferation in the lymph nodes are called:
Lymphedemas
Lymphomas
Lymphocytomas
Myelomas
The atypical cell that serves as a marker for diagnosing Hodgkin’s lymphoma is the:
Hodgkin’s lymphocyte
Monocyte
Reed-Sternberg cell
Ann Arbor cell
One of the reasons non-Hodgkin’s lymphomas are harder to treat than Hodgkin’s lymphomas is that they:
Involve multiple nodes and widespread metastases
Are asymptomatic until they reach stage IV
Tend to be much larger than Hodgkin’s lymphomas
Are not affected by the newer drug treatments
Multiple myeloma is a neoplastic disease of unknown etiology occurring in older adults and involving:
T cells
Plasma cells
Monocytes
NK cells
Elephantiasis, caused by the obstruction of lymphatic vessels by parasitic worms, is an example of the condition known as:
Plasma cell myeloma
Diverticulitis
Obstructive vessel disorder
Lymphedema
Which elevated serum marker for systemic inflammation is now considered a major risk factor for atherosclerosis and vascular disease?
Homocysteine
Serum lipoprotein
Leukocytosis
C-reactive protein
Atherosclerotic peripheral vascular disease is symptomatic with at least 50% occlusion. The primary peripheral symptom, due to ischemia, is:
Varicosities
Strong pulse
Calf pain
Edema
A health care provider was asked by a client, “Why do my hands turn blue when I drive my car in the winter without gloves?” Which of the following is the best response?
This sounds like an inflammation in the lining of your veins. You need to take some NSAIDs.
Nothing to worry about. We all develop this as we age.
Your arteries in your hands/fingers are going into spasm, which decreases blood flow and circulating oxygen.
We better order a CT scan. It might be due to a blood clot in your radial artery.
Which of the following is a nonmodifiable risk factor for the development of primary hypertension?
Male gender
African American race
High salt intake
Obesity
A client with persistent, primary hypertension remains apathetic about his high blood pressure, stating “I don't feel sick, and it doesn't seem to be causing me any problems that I can tell.” How could the nurse best respond to this client's statement?
Actually, high blood pressure makes you very susceptible to getting diabetes in the future.
You may not sense any problems, but it really increases your risk of heart disease and stroke.
That's true, but it's an indicator that you're not taking very good care of yourself.
You're right, but it's still worthwhile to monitor it in case you do develop problems.
The client is immobilized following a hip injury and has begun demonstrating lower leg discoloration with edema, pain, tenderness, and increased warmth in the midcalf area. He has many of the manifestations of:
Stasis ulcerations
Deep vein thrombosis
Primary varicose veins
Arterial insufficiency
A client was in car accident while not wearing a seatbelt and has sustained multiple rib fractures. During assessment, the nurse is having a hard time hearing heart sounds, and the client reports chest pain/pressure repeatedly. This client may be experiencing:
Pericarditis
Pericardial effusion
Cardiomyopathy
Pulmonary hypertension
The most common causes of left-sided heart failure include:
Chronic pulmonary disease
Acute myocardial infarction
Impaired renal blood flow
Tricuspid valve regurgitation
Assessment of an elderly female client reveals the presence of bilateral pitting edema of the client's feet and ankles and pedal pulses that are difficult to palpate. Auscultation of the client's lungs reveals clear air entry to bases, and the client's oxygen saturation level is 93%, and vital signs are within reference ranges. What is this client's most likely health problem?
Cor pulmonale
Cardiogenic shock
Pericarditis
Right-sided heart failure
A client who developed a deep vein thrombosis during a prolonged period of bed rest has deteriorated as the clot has dislodged and resulted in a pulmonary embolism. Which of the following types of shock is this client at risk of experiencing?
Distributive shock
Hypovolemic shock
Cardiogenic shock
Obstructive shock
For which of the following types of shock might intravenous antibiotic therapy be indicated?
Hypovolemic shock
Distributive shock
Cardiogenic shock
Obstructive shock
What is the correct explanation for how cardiac tamponade can affect the heart?
It is a delayed inflammatory response to streptococcal infection that results in stenosis or other deformities of the valves, chordae tendineae, or myocardium.
It is a compression of the heart that impairs its pumping action and makes immediate pericardial drainage necessary.
It causes a prolapsed mitral valve, one whose flaps extend back into the left atrium, causing incompetence (leaking) of the valve.
It causes blood to not only eject forward into the aorta but also regurgitate back into the left ventricle because of a leaky aortic semilunar valve.
A cause of a heart murmur may be:
Incomplete closing of a valve
Narrowing of a valve (stenosis)
Incomplete contraction of the atria
Both A and C
Circulatory shock caused by an acute allergic reaction is called _____ shock.
Anaphylactic
Cardiogenic
Hypovolemic
Septic
Circulatory shock caused by the effects of infectious agents is called _____ shock.
Septic
Anaphylactic
Cardiogenic
Hypovolemic
Circulatory shock caused by a drop in the amount of blood in the circulatory system is called _____ shock.
Anaphylactic
Septic
Hypovolemic
Cardiogenic
Adenitis is:
An infected lymph node
An infected adenoid
Tissue swelling
None of the above
What is the most common cause of abdominal aortic aneurysms?
Atherosclerosis
Diabetes
High blood pressure
Heart disease
What is the typical symptom of an unruptured abdominal aortic aneurysm (AAA)?
Pulsating feeling in the abdomen
Blurred vision
Headache
Joint pain
Which of the following is a sign or symptom that an aortic aneurysm has burst?
Sudden, intense and persistent chest or back pain
Loss of appetite
Muscle weakness
Persistent cough
What is arteriosclerosis?
Hardening of arteries and a loss of elasticity in arterial walls
Enlargement of the aorta
Inflammation of the aorta
Hardening of veins
In segmental occlusive disease of the superficial femoral artery, which pulses are reduced?
Superficial femoral and popliteal pulses
Popliteal and pedal pulses
Common femoral and popliteal pulses
Common femoral and pedal pulses
What is the peripheral artery most commonly occluded by atherosclerosis in occlusive disease?
Popliteal artery
Profunda femoris artery
Superficial femoral artery
Common femoral artery
How does pulmonary hypertension affect the right side of the heart over time?
It causes enlargement of the left side of the heart
It weakens the right side of the heart
It has no impact on the right side of the heart
It strengthens the right side of the heart
How does rheumatic fever lead to rheumatic heart disease?
By affecting the kidneys
By causing damage to the liver
By causing inflammation in the joints
By triggering an autoimmune response that damages the heart valves
Rheumatic heart disease is characterized by:
Damage to the heart valves
Weakening of the bones
Inflammation of the pancreas
Enlargement of the spleen
What is the main complication of mitral stenosis?
Coronary artery disease
Heart attack
Bradycardia
Atrial fibrillation
What is the primary symptom associated with aortic stenosis?
Shortness of breath
Swollen ankles and feet
Fatigue
Chest pain
