MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Define the etiology of cor pulmonale.
A
hypotension, shock, respiratory failure
B
Enlargement of the right ventricle of the heart because of diseases affecting the structure or functions of the lung
C
ARDS
D
Frequent turning, early mobilization, deep breathing maneuvers, assistance with the use of spirome-try, suctioning, postural drainage, aerosol nebulizer treatments, and chest percussion
Explanation: 

Detailed explanation-1: -High blood pressure in the arteries of the lungs is called pulmonary hypertension. It is the most common cause of cor pulmonale. In people who have pulmonary hypertension, changes in the small blood vessels inside the lungs can lead to increased blood pressure in the right side of the heart.

Detailed explanation-2: -Cor pulmonale is defined as an alteration in the structure and function of the right ventricle (RV) of the heart caused by a primary disorder of the respiratory system. Pulmonary hypertension is often the common link between lung dysfunction and the heart in cor pulmonale.

Detailed explanation-3: -This conditions is also know as cor pulmonale. It often occurs when the weakened and/or stiff left ventricle loses the ability to efficiently pump blood to the rest of the body. As a result, fluid is forced back through the lungs, weakening the heart’s right side, causing right-sided heart failure.

Detailed explanation-4: -Cor pulmonale is right ventricular (RV) enlargement secondary to a lung disorder that causes pulmonary artery hypertension. Right ventricular failure follows. Findings include peripheral edema, neck vein distention, hepatomegaly, and a parasternal lift. Diagnosis is clinical and by echocardiography.

There is 1 question to complete.