Which type of lipoprotein has been associated with decreasing the risk of atherosclerosis?
Very-low-density lipoprotein (VLDL).
Low-density lipoprotein (LDL).
High-density lipoprotein (HDL).
Intermediate-density lipoprotein (IDL).
The Correct Answer is C
Choice A reason: VLDL transports triglycerides to tissues but does not reduce atherosclerosis risk. Elevated VLDL contributes to plaque formation by increasing lipid deposition in arteries. HDL’s cholesterol-removing function is protective, making VLDL incorrect, as it lacks the anti-atherogenic properties associated with decreased cardiovascular disease risk.
Choice B reason: LDL, or “bad cholesterol,” promotes atherosclerosis by depositing cholesterol in arterial walls, forming plaques. High LDL levels increase cardiovascular risk, unlike HDL, which removes cholesterol. LDL is a primary driver of atherosclerosis, making it incorrect for a lipoprotein that decreases the risk of this condition.
Choice C reason: HDL, or “good cholesterol,” reduces atherosclerosis risk by transporting cholesterol from arteries to the liver for excretion, a process called reverse cholesterol transport. High HDL levels are protective, decreasing plaque formation. This aligns with evidence-based lipid management, making HDL the correct choice for lowering cardiovascular risk.
Choice D reason: IDL, a transitional lipoprotein between VLDL and LDL, contributes to atherosclerosis by delivering cholesterol to arteries. Unlike HDL, IDL does not have protective, cholesterol-removing properties. IDL’s role in lipid metabolism increases cardiovascular risk, making it incorrect for reducing atherosclerosis risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Cholinergic responses involve acetylcholine-mediated parasympathetic effects, like salivation, not burn injury reactions. Severe burns trigger a massive inflammatory response, releasing cytokines and histamine to combat tissue damage. This choice is incorrect, as cholinergic activity is unrelated to the systemic response to burns.
Choice B reason: Severe burn injuries initiate a profound inflammatory response, with cytokine release, histamine, and vasodilation to repair damaged tissue and fight infection. This systemic reaction causes edema, pain, and immune activation, aligning with burn pathophysiology. Inflammation is the primary initial response, per burn care evidence.
Choice C reason: Anaphylactic responses involve IgE-mediated allergic reactions, not burn injuries. Burns cause inflammation from tissue trauma, not allergen-driven mast cell degranulation. This choice is incorrect, as anaphylaxis is unrelated to the pathophysiological cascade triggered by severe thermal injury to the skin and tissues.
Choice D reason: Noncompensatory responses imply unrecoverable shock, not the initial burn reaction. Burns trigger compensatory inflammation to stabilize tissue damage. Noncompensatory states may occur later in severe cases, but the initial response is inflammatory, making this incorrect for describing the body’s immediate reaction to burns.
Correct Answer is A
Explanation
Choice A reason: Acute asthma exacerbations involve bronchospasms, airway edema, and excessive mucus production, narrowing airways and causing wheezing and dyspnea. These reversible inflammatory responses are triggered by allergens or irritants, aligning with asthma’s pathophysiology. This accurately describes the acute obstructive process, per respiratory medicine evidence.
Choice B reason: Thick exudates blocking airways are characteristic of conditions like pneumonia, not asthma. Asthma involves bronchospasms, edema, and mucus, not dense exudate. This choice misrepresents asthma’s acute inflammatory process, which is reversible and driven by smooth muscle contraction and mucosal swelling, making it incorrect.
Choice C reason: Chronic inflammation of the bronchi/trachea from infection suggests chronic bronchitis or tracheitis, not asthma. Asthma exacerbations are acute, triggered by non-infectious stimuli, causing spasms and edema. This chronic infectious process does not align with asthma’s reversible, allergic pathophysiology, making it an incorrect description.
Choice D reason: Reduced lung surface area from alveolar damage occurs in emphysema, not asthma. Asthma affects airways via spasms and inflammation, not alveoli. This choice describes a different obstructive disease, unrelated to asthma’s acute, reversible airway pathology, making it incorrect for an exacerbation’s pathophysiological mechanism.
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