Myocardium is rigid and noncompliant, impeding ventricular filling and raising pressures during diastole is which form of cardiomyopathy?
Septal
Restrictive
Infiltrative
Hypertrophic
The Correct Answer is B
A. Septal: Septal cardiomyopathy typically refers to abnormalities in the interventricular septum and does not specifically address the rigidity and noncompliance of the myocardium that affects diastolic filling.
B. Restrictive: Restrictive cardiomyopathy is characterized by a rigid and noncompliant myocardium that impedes ventricular filling during diastole. This results in elevated pressures in the ventricles and may lead to heart failure symptoms due to poor filling capacity.
C. Infiltrative: Infiltrative cardiomyopathy involves the deposition of abnormal substances (such as amyloid or sarcoid) within the myocardial tissue, which can lead to stiffness. While this may contribute to restrictive physiology, "restrictive" is the more precise term for the condition described.
D. Hypertrophic: Hypertrophic cardiomyopathy is characterized by an abnormal thickening of the heart muscle, particularly the left ventricle. While this condition can affect diastolic filling, it is primarily due to muscle hypertrophy rather than rigidity and noncompliance of the myocardium.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Vernelli's triad; Venous stasis; Hypercoagulable states; Venous intimal damage: Vernelli's triad is not a recognized term in thrombus formation. Venous stasis, hypercoagulable states, and venous intimal damage are relevant factors, but the correct terminology is Virchow's triad.
B. Vernelli's triad: Hyperlipidemia; hypercoagulable states, venous stasis: This option inaccurately references Vernelli's triad and includes hyperlipidemia, which is not one of the classic factors associated with thrombus formation. The correct factors should be named according to Virchow's triad.
C. Virchow's triad; Hyperlipidemia, Hypercoagulable states, positive D-dimer: Although Virchow's triad is correctly identified, hyperlipidemia and positive D-dimer are not part of the classic factors involved in thrombus formation. The classic factors are venous stasis, hypercoagulable states, and venous intimal damage.
D. Virchow triad; Venous stasis; Venous intimal damage; Hypercoagulable states: This option accurately identifies Virchow's triad and lists the three key factors involved in thrombus formation: venous stasis, venous intimal damage, and hypercoagulable states.
Correct Answer is D
Explanation
A. Veins that are most susceptible to a deep vein thrombosis are the peroneal, posterior tibial, popliteal and superficial femoral: This statement is correct. These veins are indeed among the most common sites for the development of DVT.
B. DVTs tend to mostly occur in the lower extremities but can occur in the upper extremities too: This statement is also correct. While DVTs primarily occur in the lower extremities, they can occur in the upper extremities as well, particularly in individuals with risk factors such as central venous catheters or certain medical conditions.
C. A DVT is a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein: This statement is correct. DVTs are indeed classified as venous thromboembolism, which refers to blood clots that form in the venous system.
D. A deep vein thrombosis in the lower extremity has a low probability of becoming a pulmonary embolism: This statement is incorrect. A deep vein thrombosis in the lower extremity has a significant risk of becoming a pulmonary embolism if a thrombus dislodges and travels to the pulmonary circulation. It is essential to monitor and treat DVTs to reduce the risk of complications like pulmonary embolism.
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