A 68-year-old obese woman (BMI=32 kg/m2) presents with substernal chest pain. Results of laboratory studies include an elevated WBC count (13,000/µL), CK-MB of 6.6 ng/mL, and troponin-I of 2.5 ng/mL. ECG confirms a myocardial infarction of the left ventricular wall. Which of the following mechanisms is most likely responsible for the myocardial infarction in this patient?

Questions 44

ATI LPN

ATI LPN Test Bank

Cardiovascular Med Surg Questions Questions

Question 1 of 5

A 68-year-old obese woman (BMI=32 kg/m2) presents with substernal chest pain. Results of laboratory studies include an elevated WBC count (13,000/µL), CK-MB of 6.6 ng/mL, and troponin-I of 2.5 ng/mL. ECG confirms a myocardial infarction of the left ventricular wall. Which of the following mechanisms is most likely responsible for the myocardial infarction in this patient?

Correct Answer: A

Rationale: Coronary artery thrombosis is the most common cause of myocardial infarction, obstructing blood flow.

Question 2 of 5

A 62-year-old female with a history of hyperlipidemia and hypothyroidism. Her current medication includes cholestyramine and levothyroxine. What advice would you tell her to do to prevent drug-drug interactions between them?

Correct Answer: B

Rationale: Levothyroxine should be taken 1-2 hours before cholestyramine to avoid binding interference.

Question 3 of 5

A medical student is doing a summer research project that involves administering beta2-receptor agonists to rats to determine the physiologic changes. Which of the following would be expected following steady state intravenous dosing of agent X, a beta2 agonist?

Correct Answer: B

Rationale: Beta2 agonists cause glycogenolysis, leading to hyperglycemia.

Question 4 of 5

During what phase does stroke volume decrease in the ventricles?

Correct Answer: D

Rationale: Stroke volume decreases during isovolumetric contraction because no blood is ejected during this phase.

Question 5 of 5

A 23-year-old woman develops the sudden onset of congestive heart failure. Her condition rapidly deteriorates and she dies in heart failure. At autopsy, patchy interstitial infiltrates composed mainly of lymphocytes are found, some of which surround individual myocytes. What is the most likely cause of this patient's heart failure?

Correct Answer: D

Rationale: Viral myocarditis (e.g., coxsackievirus) causes lymphocytic infiltrates and acute heart failure, a common cause in young adults with rapid deterioration.

Access More Questions!

ATI LPN Basic


$89/ 30 days

ATI LPN Premium


$150/ 90 days

Similar Questions