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Questions

Question 1

What is the critical cardiac output level required in the average adult to enable the kidneys to reestablish normal fluid balance?

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Question 2

In the progression of decompensated heart failure from point B to point C as described in the text, what is the approximate right atrial pressure?

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Question 3

What is the primary mechanism of action for cardiotonic drugs like digitalis?

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Question 4

In unilateral left heart failure, what is the primary cause of pulmonary vascular congestion and pulmonary edema?

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Question 5

At what pressure does pulmonary capillary pressure typically need to rise above to cause fluid to filter into the lung interstitial spaces, resulting in pulmonary edema?

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Question 6

What is the typical survival rate for a person who develops cardiogenic shock, even with appropriate medical care?

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Question 7

In a heart with an already blocked major coronary vessel, cardiac deterioration can begin when the coronary arterial pressure falls below what range?

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Question 8

For procedures like surgically removing a coronary clot or infusing streptokinase to be most effective in treating cardiogenic shock, within what timeframe should they be instituted?

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Question 9

What is the immediate effect of severe acute cardiac failure on peripheral capillary pressure?

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Question 10

Which of the following is NOT listed as a cause for reduced renal output of urine during cardiac failure?

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Question 11

What is the primary role of natriuretic peptides, such as ANP and BNP, during cardiac failure?

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Question 12

A lethal vicious cycle of acute pulmonary edema in late-stage heart failure can lead to death within what timeframe if not treated immediately?

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Question 13

What is the definition of cardiac reserve?

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Question 14

In a healthy, athletically trained person, what is the typical cardiac reserve?

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Question 15

In the graphic analysis of an acute heart attack, what happens to the mean systemic filling pressure within 30 seconds due to sympathetic reflexes?

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Question 16

According to the graphic analysis of decompensated heart failure, what is the primary reason the condition accelerates downhill from point D to F?

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Question 17

Following the administration of digitalis to a patient in decompensated heart failure at point E, what is the immediate effect on cardiac output at point G?

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Question 18

What is the ejection fraction (EF) threshold below which is considered to be indicative of heart failure with reduced ejection fraction (HFrEF)?

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Question 19

Which of the following describes heart failure with preserved ejection fraction (HFpEF)?

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Question 20

In the case of an arteriovenous fistula causing high-output failure, what is the approximate cardiac output achieved at point B in Figure 22-8?

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Question 21

What is the primary cause of beriberi heart disease?

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Question 22

In the circulatory condition of beriberi shown in Figure 22-8, what is the approximate right atrial pressure at point C?

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Question 23

Which of the following is NOT a therapeutic measure mentioned for reversing the vicious cycle of acute pulmonary edema?

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Question 24

In the graphic analysis of chronic compensation after a heart attack, what is the mean systemic filling pressure after several days of renal salt and water retention (Point D)?

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Question 25

When a fall in cardiac output to about half-normal occurs, what is the potential impact on urine output?

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Question 26

Which natriuretic peptide is often used to diagnose heart failure or monitor volume status due to its significantly longer half-life?

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Question 27

What is the primary characteristic of high-output cardiac failure?

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Question 28

In the quantitative analysis of an acute heart attack, what is the initial cardiac output (at point B) before any compensation occurs?

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Question 29

In the treatment of decompensated heart failure with digitalis, what is the final, stabilized right atrial pressure after several days of diuresis (point H)?

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Question 30

Which condition is characterized by a heart that is unable to pump even the minimal amount of blood flow required to keep the body alive, often leading to death within hours to days?

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Question 31

How does digitalis increase the concentration of calcium ions in cardiac muscle fibers?

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Question 32

In severe, acute left heart failure, within what timeframe can pulmonary edema cause death by suffocation?

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Question 33

According to Figure 22-3, what is the approximate equilibrium value that the aortic pressure and right atrial pressure approach as cardiac output falls to zero?

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Question 34

Inappropriately high levels of which hormone are predictors for worsening outcomes in patients with heart failure?

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Question 35

What is the primary symptom that results from an exercise test in a person with low cardiac reserve?

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Question 36

What is the term for heart failure associated with impaired cardiac contractility and a reduced ejection fraction?

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Question 37

What is the normal range for ejection fraction (EF) in a healthy individual?

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Question 38

In the graphic analysis of chronic compensation following a heart attack, the cardiac output at point D has returned to normal (5 L/min). What is the right atrial pressure at this point?

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Question 39

Which of the following conditions is a constellation of disorders often called the cardiometabolic syndrome, which is commonly associated with HFpEF?

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Question 40

In the vicious cycle of cardiac deterioration during cardiogenic shock, what is the effect of a low arterial pressure?

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Question 41

What are the two primary methods mentioned for stopping the decompensation process in heart failure?

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Question 42

In a person with a healthy heart, what effect do cardiotonic drugs like digitalis have on contractile strength?

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Question 43

What is the term for the state of heart failure in which the failure continues to worsen?

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Question 44

Following an acute heart attack, what is the cardiac output after a few minutes of sympathetic stimulation but before fluid retention begins (point B)?

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Question 45

What effect does increased angiotensin II have on renal tubular reabsorption of sodium and water?

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Question 46

Why do patients with low cardiac reserve typically not experience major symptoms of heart disease while at rest?

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Question 47

What is the effect of an arteriovenous fistula on a person's cardiac reserve?

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Question 48

In the graphic analysis of a severe, decompensated heart, what is the right atrial pressure on the '2nd day' (point C)?

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Question 49

What type of heart failure does beriberi cause?

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Question 50

What is the final outcome if the chain of events in decompensated heart failure, as described from point A to point F, is not reversed?

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Other chapters

Functional Organization of the Human Body and Control of the “Internal Environment”The Cell and Its FunctionsGenetic Control of Protein Synthesis, Cell Function, and Cell ReproductionTransport of Substances Through Cell MembranesMembrane Potentials and Action PotentialsContraction of Skeletal MuscleExcitation of Skeletal Muscle: Neuromuscular Transmission and Excitation-Contraction CouplingExcitation and Contraction of Smooth MuscleCardiac Muscle; The Heart as a Pump and Function of the Heart ValvesRhythmical Excitation of the HeartThe Normal ElectrocardiogramCardiac Arrhythmias and Their Electrocardiographic InterpretationThe Circulation: Overview of the Circulation; Medical Physics of Pressure, Flow, and ResistanceVascular Distensibility and Functions of the Arterial and Venous SystemsThe Microcirculation and the Lymphatic System: Capillary Fluid Exchange, Interstitial Fluid, and Lymph FlowLocal and Humoral Control of Tissue Blood FlowNervous Regulation of the Circulation and Rapid Control of Arterial PressureCardiac Output, Venous Return, and Their RegulationMuscle Blood Flow and Cardiac Output During Exercise; the Coronary Circulation and Ischemic Heart DiseaseCirculatory Shock and Its TreatmentThe Body Fluid Compartments: Extracellular and Intracellular Fluids; Interstitial Fluid and EdemaUrine Formation by the Kidneys: I. Glomerular Filtration, Renal Blood Flow, and Their ControlUrine Formation by the Kidneys: II. Tubular Reabsorption and SecretionRenal Regulation of Potassium, Calcium, Phosphate, and Magnesium; Integration of Renal Mechanisms for Control of Blood Volume and Extracellular Fluid VolumeRegulation of Acid-Base BalanceKidney Diseases and DiureticsRed Blood Cells, Anemia, and PolycythemiaResistance of the Body to Infection: I. Leukocytes, Granulocytes, the Monocyte-Macrophage System, and InflammationResistance of the Body to Infection: II. Immunity and AllergyBlood Types; Transfusion; Tissue and Organ TransplantationHemostasis and Blood CoagulationPulmonary VentilationPrinciples of Gas Exchange; Diffusion of Oxygen and Carbon Dioxide Through the Respiratory MembraneTransport of Oxygen and Carbon Dioxide in Blood and Tissue FluidsRespiratory Insufficiency—Pathophysiology, Diagnosis, Oxygen TherapyPhysiology of Deep-Sea Diving and Other Hyperbaric ConditionsOrganization of the Nervous System, Basic Functions of Synapses, and NeurotransmittersSensory Receptors, Neuronal Circuits for Processing InformationThe Eye: I. Optics of VisionThe Eye: II. Receptor and Neural Function of the RetinaCortical and Brain Stem Control of Motor FunctionContributions of the Cerebellum and Basal Ganglia to Overall Motor ControlCerebral Cortex, Intellectual Functions of the Brain, Learning, and MemoryBehavioral and Motivational Mechanisms of the Brain—The Limbic System and the HypothalamusStates of Brain Activity—Sleep, Brain Waves, Epilepsy, PsychosesThe Autonomic Nervous System and the Adrenal MedullaCerebral Blood Flow, Cerebrospinal Fluid, and Brain MetabolismGeneral Principles of Gastrointestinal Function—Motility, Nervous Control, and Blood CirculationPropulsion and Mixing of Food in the Alimentary TractSecretory Functions of the Alimentary TractMetabolism of Carbohydrates and Formation of Adenosine TriphosphateLipid MetabolismProtein MetabolismThe Liver as an OrganDietary Balances; Regulation of Feeding; Obesity and Starvation; Vitamins and MineralsEnergetics and Metabolic RateBody Temperature Regulation and FeverIntroduction to EndocrinologyPituitary Hormones and Their Control by the HypothalamusThyroid Metabolic HormonesAdrenocortical HormonesInsulin, Glucagon, and Diabetes MellitusParathyroid Hormone, Calcitonin, Calcium and Phosphate Metabolism, Vitamin D, Bone, and Teeth