Author Question: Which of the following patients will likely experience difficulty in maintaining lipoprotein ... (Read 26 times)

Evvie72

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Which of the following patients will likely experience difficulty in maintaining lipoprotein synthesis resulting in elevated LDL levels?
 
  A)
  A 55-year-old male admitted for exacerbation of chronic obstructive pulmonary disease (COPD)
  B)
  A 44-year-old female admitted for hysterectomy due to cervical cancer with metastasis
  C)
  A 35-year-old patient with a history of hepatitis C and B with end-stage liver disease
  D)
  A 27-year-old patient with pancreatitis related to alcohol abuse

Question 2

As part of the diagnostic workup for a male client with a complex history of cardiovascular disease, the care team has identified the need for a record of the electrical activity of his heart,
 
  insight into the metabolism of his myocardium, and physical measurements and imaging of his heart. Which of the following series of tests is most likely to provide the needed data for his diagnosis and care?
  A)
  Echocardiogram, PET scan, ECG
  B)
  Ambulatory ECG, cardiac MRI, echocardiogram
  C)
  Serum creatinine levels, chest auscultation, myocardial perfusion scintigraphy
  D)
  Cardiac catheterization, cardiac CT, exercise stress testing



javimendoza7

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Answer to Question 1

Ans:
C

Feedback:

There are two sites of lipoprotein synthesisthe small intestine and the liver. The liver synthesizes and releases VLDL and HDL. IDL are taken to the liver and recycled to form VLDL or converted to LDL in the vascular compartment. Liver disease will result in this mechanism not working as expected. COPD, cervical cancer, and pancreatitis are not involved in elevated LDL levels.

Answer to Question 2

Ans:
A

Feedback:

An echocardiogram would provide an image of the client's heart, while a PET scan reveals metabolic activity and an ECG the electrical activity. Answer B would lack data on the client's myocardial metabolism; answer C would lack electrical and physical measurement information; answer D would lack electrical measurement of his heart.



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