A 44-Year-Old Man Comes to the Office Due to Increasing

question 188

Multiple Choice

A 44-year-old man comes to the office due to increasing shortness of breath.  While climbing the stairs to his second-floor apartment, the patient must now stop halfway to catch his breath.  He has a history of nonischemic cardiomyopathy and chronic heart failure with reduced ejection fraction.  After evaluation, treatment with a new medication is begun that improves his symptoms by increasing urine output and decreasing peripheral vascular resistance.  The medication works by inhibiting a metalloprotease to prolong the action of endogenous polypeptides.  These polypeptides are most likely secreted by which of the following cell types?

• A)Adrenal zona glomerulosa cells
• B)Cardiomyocytes
• C)Hepatic stellate cells
• D)Myocardial Purkinje fibers
• E)Renal juxtaglomerular cells
• F)Vascular endothelial cells

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Definitions:

Attribution Errors

Cognitive biases that occur when an individual incorrectly assigns cause or blame to events based on their perception, often overlooking external factors.

Perceptual Process

The sequence of steps by which individuals select, organize, and interpret sensory information to represent and understand their environment.

Unpleasant Consequent

An adverse result or a negative outcome that follows from a particular action or decision, often used in the context of behavioral consequences.

Discourages Behavior

Refers to factors or actions that decrease the likelihood of a behavior being repeated.