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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Percutaneous coronary intervention: Percutaneous coronary intervention (PCI) is a treatment used to open blocked coronary arteries during a myocardial infarction but is not a complication of the event itself. It is a therapeutic procedure aimed at restoring blood flow and is not a direct consequence of myocardial infarction.
B. Sudden death: Sudden death can occur as a complication of myocardial infarction due to severe dysrhythmias or cardiac arrest resulting from electrical instability in the heart. This complication is critical and can occur shortly after the onset of an MI or during recovery.
C. Dysrhythmias: Dysrhythmias are common complications following myocardial infarction, often arising from ischemic damage to the heart muscle, which disrupts the normal electrical conduction pathways. These irregular heartbeats can range from benign to life-threatening.
D. Congestive heart failure: Congestive heart failure can develop as a complication of myocardial infarction due to the loss of functional cardiac muscle, resulting in decreased cardiac output and the heart's inability to pump effectively. This complication can develop acutely or progressively over time following an MI.
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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