All of the following are nontraditional risk factors of coronary artery disease except:
Carotid wall thinness
Chronic kidney disease
Coronary artery calcification
Markers of inflammation, ischemia, and thrombosis
The Correct Answer is A
A. Carotid wall thinness: Carotid wall thinness is not considered a nontraditional risk factor for coronary artery disease (CAD). Traditional risk factors for CAD include age, gender, hypertension, hyperlipidemia, and smoking, while carotid wall thickness (rather than thinness) is often used as a marker for atherosclerosis and cardiovascular risk.
B. Chronic kidney disease: Chronic kidney disease (CKD) is recognized as a nontraditional risk factor for coronary artery disease. It is associated with increased cardiovascular risk due to factors like inflammation, mineral metabolism disorders, and increased vascular stiffness.
C. Coronary artery calcification: Coronary artery calcification is considered a nontraditional risk factor for CAD. It reflects the presence of atherosclerosis and is associated with an increased risk of cardiovascular events.
D. Markers of inflammation, ischemia, and thrombosis: Markers of inflammation (such as C-reactive protein), ischemia, and thrombosis (such as fibrinogen and D-dimer) are nontraditional risk factors for coronary artery disease. Elevated levels of these markers indicate increased cardiovascular risk and are used in risk stratification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Inflammation: Inflammation refers to the body's immune response to injury or infection and does not specifically denote a temporary deprivation of blood supply to a cell. It is characterized by redness, swelling, heat, and pain in the affected area.
B. Necrosis: Necrosis is the process of cell death that occurs when cells are irreversibly damaged, often due to a lack of blood supply or other injury. It is a consequence of prolonged ischemia rather than the temporary condition itself.
C. Infarction: Infarction refers to the death of tissue due to prolonged ischemia, resulting from an irreversible loss of blood supply. It indicates permanent damage and is not synonymous with a temporary deprivation of blood supply.
D. Ischemia: Ischemia is the term used to describe a temporary reduction in blood flow to a tissue or organ, resulting in a deficiency of oxygen and nutrients. This condition can lead to symptoms and may cause damage if prolonged, making it the correct answer for this scenario.
Correct Answer is D
Explanation
A. Deep vein thrombosis: Deep vein thrombosis (DVT) typically presents with swelling, pain, and tenderness in a specific area of the leg. It does not specifically cause pain that resolves with rest after walking, making it less likely in Mr. Jones's case.
B. Valvular regurgitation: Valvular regurgitation refers to the backward flow of blood due to improper closure of heart valves. This condition primarily affects cardiac function and is not associated with pain in the legs that resolves with rest, which does not correlate with Mr. Jones's symptoms.
C. Varicose veins: Varicose veins can cause discomfort, swelling, and aching in the legs but are not typically characterized by pain that is specifically triggered by walking and resolves with rest. The symptoms of varicose veins usually occur with prolonged standing or sitting rather than exertion.
D. Intermittent claudication: Intermittent claudication is a common symptom of peripheral artery disease (PAD), characterized by muscle pain or cramping in the legs during physical activity, such as walking, that resolves with rest. Mr. Jones's description of pain that occurs while walking and subsides upon stopping aligns with this condition, making it the most appropriate explanation for his symptoms.
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