Which factor is responsible for the hypertrophy of the myocardium associated with hypertension
Acetylcholine
Adducin
Angiotensin II
Insulin resistance
The Correct Answer is C
Hypertension, or high blood pressure, is a major risk factor for the development of left ventricular hypertrophy (LVH), which is characterized by thickening of the myocardium (heart muscle). LVH occurs in response to increased afterload (the resistance the heart has to pump against), which is a common feature of hypertension.
Angiotensin II, a hormone that is activated in response to hypertension, is a major mediator of LVH in this setting. Angiotensin II causes vasoconstriction (narrowing of blood vessels) and promotes the retention of salt and water, which increases blood volume and pressure. Additionally, angiotensin II stimulates the proliferation of cardiac myocytes (heart muscle cells) and the synthesis of extracellular matrix proteins, leading to hypertrophy and fibrosis of the myocardium.
Other factors that may contribute to LVH in hypertension include increased sympathetic nervous system activity, oxidative stress, and inflammation. However, angiotensin II is considered a key mediator of this process, and drugs that block the renin-angiotensin-aldosterone system (RAAS), such as angiotensinconverting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs), are often used to treat hypertension and reduce the risk of LVH and other cardiovascular complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Varicose veins occur when the valves within the veins, which normally prevent the backflow of blood, become damaged or weakened, allowing blood to pool and the veins to become enlarged and twisted. This can occur due to a variety of factors, including age, pregnancy, obesity, genetics, and prolonged periods of standing or sitting. An increase in hydrostatic pressure can contribute to the development of varicose veins, but it is not the primary cause.
Correct Answer is {"dropdown-group-1":"A"}
Explanation
Clubbing is a medical condition characterized by bulbous enlargement of the distal portion of a digit (usually a finger, but sometimes a toe) due to soft tissue proliferation and increased bone deposition. The affected digit takes on a rounded or "club-like" appearance, and the angle between the nail and nail bed (known as the Lovibond angle) increases to greater than 180 degrees.
Clubbing is commonly associated with a variety of medical conditions that interfere with oxygenation of the blood, including lung diseases such as chronic obstructive pulmonary disease (COPD), interstitial lung disease, and bronchiectasis; heart diseases such as congenital heart defects and cyanotic heart disease; and gastrointestinal diseases such as inflammatory bowel disease and cirrhosis.
The exact mechanism underlying clubbing is not fully understood, but it is thought to involve a combination of vascular, inflammatory, and neurogenic factors. Hypoxia (low oxygen levels) is believed to play a central role in the development
of clubbing, leading to the release of growth factors and cytokines that promote soft tissue and bone proliferation.
Clubbing is typically diagnosed based on physical examination findings, including the Lovibond angle and the presence of nail bed fluctuation (when the nail bed feels spongy or compressible). It is important to identify and treat any underlying medical conditions that may be contributing to clubbing, as these can have significant implications for the patient's health and quality of life.
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