What is the trigger for angina pectoris?
Atherosclerotic lesion
Myocardial necrosis
Myocardial ischemia
Hyperlipidemia
The Correct Answer is C
A. Atherosclerotic lesion: An atherosclerotic lesion can lead to reduced blood flow to the myocardium, but it is not the direct trigger for angina pectoris. Rather, it is a contributing factor to the development of conditions that cause angina.
B. Myocardial necrosis: Myocardial necrosis refers to irreversible cell damage due to prolonged ischemia, such as in a myocardial infarction. This is not a trigger for angina pectoris but rather a consequence of severe and prolonged ischemia.
C. Myocardial ischemia: Myocardial ischemia is the primary trigger for angina pectoris. It occurs when there is an imbalance between the oxygen supply and demand in the heart muscle, typically due to narrowed coronary arteries. This insufficient blood flow results in chest pain or discomfort characteristic of angina.
D. Hyperlipidemia: Hyperlipidemia is a risk factor for atherosclerosis and subsequent coronary artery disease but does not directly trigger angina pectoris. It contributes to the underlying processes that lead to myocardial ischemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","F"]
Explanation
A. Fever: Fever is a common sign of pericarditis, often indicating inflammation or infection in the pericardial sac. This symptom is typical in patients with this condition.
B. Mild chest pain: Mild chest pain is a typical symptom of pericarditis. Patients often experience sharp, pleuritic chest pain that may worsen with inspiration or coughing.
C. No evidence of fatigue: Fatigue can be a common symptom in patients with pericarditis due to the body's response to inflammation. Therefore, the absence of fatigue is not typical, making this an appropriate choice.
D. Myalgias: Myalgias or muscle aches can occur in pericarditis as part of the systemic inflammatory response. This symptom is not unusual in patients with this condition.
E. Pericardial friction rub: A pericardial friction rub is a characteristic finding in pericarditis, heard during auscultation. It results from the movement of inflamed pericardial layers against each other.
F. Radiating substernal pain felt in the left shoulder: This type of radiating pain is more characteristic of myocardial ischemia or angina rather than pericarditis. While pericarditis can cause chest pain, it does not typically radiate in the same manner as that seen in cardiac conditions, making this an appropriate choice.
Correct Answer is D
Explanation
A. Shortness of breath and need for oxygen supplementation: These symptoms are more indicative of respiratory or cardiac conditions rather than Peripheral Artery Disease (PAD). While patients with PAD may experience discomfort during exertion, shortness of breath is not a primary symptom associated with PAD.
B. Tachycardia and hypotension: Tachycardia and hypotension are generally signs of acute distress, shock, or severe cardiovascular issues. These symptoms do not specifically indicate PAD, which is characterized by issues related to blood flow in the peripheral arteries.
C. Decreased alertness and slurred speech: These symptoms suggest possible neurological issues, such as a stroke or transient ischemic attack, rather than PAD. PAD primarily affects blood flow to the extremities and does not typically present with neurological symptoms.
D. Diminished pulses and pain with walking or exercise: Diminished pulses in the legs and claudication, or pain with walking or exercise, are classic symptoms of Peripheral Artery Disease. These symptoms occur due to reduced blood flow to the muscles in the legs, particularly during physical activity, and are indicative of arterial blockages.
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