HESI General Chairside Assisting Practice Exam

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What condition is characterized by a patient losing consciousness due to a sudden change in position?

  1. Orthostatic hypotension

  2. Postural hypotension

  3. Cerebral palsy

  4. Vasovagal syncope

The correct answer is: Postural hypotension

The condition characterized by a patient losing consciousness due to a sudden change in position is best represented by postural hypotension. This condition occurs when there is a significant drop in blood pressure upon standing up or changing positions, leading to symptoms such as dizziness, lightheadedness, and potentially fainting. The underlying mechanism involves a failure of the body's cardiovascular system to quickly adjust blood flow when the position is changed, which can result in insufficient blood supply to the brain and consequently, loss of consciousness. Orthostatic hypotension is a closely related term that often describes the same condition. It implies a drop in blood pressure when standing up, but the term "postural hypotension" is sometimes preferred in specific contexts. Both terms can describe the same phenomenon, but it's important to recognize that they essentially refer to a similar process. Conditions like cerebral palsy and vasovagal syncope are not primarily related to changes in position. Cerebral palsy is a neurological condition that affects movement and coordination and does not directly cause loss of consciousness from positional changes. Vasovagal syncope, while it can involve loss of consciousness, typically occurs due to triggers such as stress or pain rather than a change in position. Thus, recognizing postural hypotension as the condition