BSC 2347 Module 2 Case Study
BSC 2347 Module 2 Case Study
Rashidah is a 55-year-old female who is experiencing acute
chest pain and shortness of breath. She describes the pain as “pressure and
squeezing.” When she becomes nauseous and light-headed, her son insists that he
take her to the emergency room.
Health History: She started smoking when she was 18,
attempted to quit several times in her 40s, and had her last cigarette on her
50th birthday. She has been overweight for most of her adult life, but has
gained 20 pounds in the last few years, which increased her BMI to 34. The last
time she had a physical exam was when she turned 50. Her vital signs and blood
test results from that exam are listed below.
HDL: 62 mg/dl
LDL: 190 mg/dl
Triglycerides: 174 mg/dl
Total cholesterol: 252 mg/dl
Fasting blood glucose: 128 mg/dl
Which of these statements is most likely correct?
is experiencing a stroke.
Rashidah’s symptoms persist even when she rests, she is experiencing angina.
is likely experiencing a myocardial infarction.
Rashidah’s symptoms are acute, she is likely suffering from a respiratory
In the emergency room, multiple tests are performed. Which
of these results would confirm myocardial damage?
troponin and creatine kinase
blood glucose levels
in WBC count
Which of Rashidah’s physical exam lab test results was
within normal limits for her age and sex?
Given her last physical exam results, Rashidah’s physician
believes she has likely had undiagnosed atherosclerosis for years. Briefly
describe the pathophysiology of atherosclerosis.
Rashidah’s most recent Body Mass Index indicates that she
Which of the following statements is true?
lab results and history tell us that she has Metabolic Syndrome.
heart attack was likely caused by a pulmonary embolism.
heart attack was likely unrelated to her history of smoking.
risk of a repeat heart attack is very low.
A coronary angiography is performed and shows a complete
blockage of the LAD. Briefly describe what this means.
Which of the following treatments would help correct
placement of a stent in the left descending artery
repair of her aorta
Rashidah quit smoking 5 years ago, but still suffered a
myocardial infarction. She is tempted to start smoking again since quitting
“obviously didn’t make me healthier.” What does research tell us about her
future health risks if she resumes smoking?
Before Rashidah is discharged from the hospital, her care
team informs her that she may experience stable angina, a form of chest pain,
in the future. Briefly explain how angina is different from the pain associated
with a myocardial infarction.
Roberto is a 78-year-old male who has recently been
diagnosed with Class III Congestive Heart Failure (CHF). His physician told him
that his left ventricle has become stiff and cannot relax. Although there is no
current treatment that can “fix” Roberto’s condition, he is prescribed two
medications- an ACE inhibitor and beta blockers.
There are multiple types of CHF. Which of these types does
of these choices is correct.
Which of these statements is most likely true of Roberto’s
doesn’t experience any symptoms at all at rest or during exercise.
has no symptoms at all during rest, but experiences palpitations, fatigues, and
shortness of breath during mild exercise.
experiences fatigue, shortness of breath, and palpitations at rest and is not
able to participate in any physical activity.
Because of the dysfunction of Roberto’s left ventricle,
which of these findings is most likely?
volume is increased significantly
diastolic pressure in the left ventricle
in stroke volume
Briefly describe how beta-blockers will influence Roberto’s
heart function, specifically the physiology of the ventricles.
Briefly describe how ACE-inhibitors will influence Roberto’s
Roberto’s doctor orders several tests of his heart function,
including “ejection fraction.” Briefly explain what an ejection fraction
measures. (Include what a normal measurement would be.)
Which of the following conditions may have led to Roberto’s
of these choices are correct.
Which of the following choices is NOT a risk factor for
Which heart valve opens to allow blood to leave the left
Further testing reveals that Roberto has hypertrophy of the
left ventricle. How does this finding relate to his diagnosis