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A series of multiple-choice questions and answers related to advanced pathophysiology. The questions cover a range of topics, including bone matrix maintenance, prenatal exposure to diethylstilbestrol, acute respiratory distress syndrome, cerebrovascular accident, polycystic ovary syndrome, iron deficiency anemia, cystic fibrosis, immune thrombocytopenic purpura, and congenital heart disorders. The document also includes questions related to the lower pons and medulla, hypothermia, lymphadenopathy, and IgG nephropathies.
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User Geraldine Vughosu Nkwain
Course NURS-6501N-34,Advanced Pathophysiology.2020 Spring Qtr 02/24-05/17-PT
Status Completed
Attempt Score
99 out of 100 points
● 1 out of 1 points
Which cells function to maintain bone matrix?
Selected Answer: Osteocytes
● 1 out of 1 points
Prenatal exposure to diethylstilbestrol (DES) can result in which type of cancer?
Selected Answer: Vaginal cancer
● 1 out of 1 points
Which statement by the professor best describes acute respiratory distress syndrome (ARDS)?
Selected Answ er:
A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging
● 1 out of 1 points
● 1 out of 1 points
A healthcare professional is teaching a community group about inherited disorders. What pattern of inheritance does the professional describe for sickle cell disease?
Selected Answer:
Inherited autosomal recessive disorder
● 1 out of 1 points
What is the link between major depression and cortisol secretion?
Selected Answ er:
Individuals with depression show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression.
● 1 out of 1 points
A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority?
Selected Answer: Hypertension
● 1 out of 1 points
A woman has been diagnosed with polycystic ovary syndrome but is confused because her pelvic ultrasound (US) was read as normal and did not show cysts. What response by the health care professional is most appropriate?
Selected Answer :
You do not need to have cysts on your ovaries to have this condition.
● 1 out of 1 points
A child has iron deficiency anemia. In addition to iron supplements, what else does the healthcare professional educate the parents on giving the child?
A patient has primary immune thrombocytopenic purpura (ITP) and is hospitalized after a bleeding episode. What treatment does the healthcare provider anticipate being ordered for this patient?
Selected Answer: Infusion of IVIG
● 1 out of 1 points
A hospitalized patient's lab work is as follows: WBC 2000, bands 14.8%, and segmented neutrophils 5. The healthcare professional calculates the patient's absolute neutrophil count (ANC). What action does the professional take next?
Selected Answer:
Implements protocols to prevent life- threatening infections
● 1 out of 1 points
A patient has been diagnosed with acute lymphocytic leukemia (ALL) and asks the healthcare professional to describe it. What description by the professional is most accurate?
Selected Answ
ALL is a progressive neoplasm defined by the presence of greater than 30%
er: lymphoblasts in the bone marrow or blood.
● 1 out of 1 points
A healthcare professional is discussing breast feeding with a pregnant woman. Which beneficial substance does the professional tell the mother is found in breast milk?
Selected Answer: IgA
● 1 out of 1 points
Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?
Selected Answer: Abnormal uterine bleeding
● 1 out of 1 points
● 1 out of 1 points
A student is learning about pelvic inflammatory disease (PID). What information does the student clarify with a study partner as being correct?
Selected Answ er:
Such an inflammation may result in permanent changes to the ciliated epithelium of the fallopian tubes.
● 1 out of 1 points
A newborn baby displays jaundice 20 hours after birth. What action by the healthcare professional is most appropriate?
Selected Answer: Draw blood to measure total bilirubin.
● 1 out of 1 points
A patient reports joint stiffness with movement and joint pain in
weightbearing joints that is usually relieved by rest. What treatment option does the health care professional discuss with the patient?
Selected Answer:
Exercise and weight reduction
● 1 out of 1 points
How does the epididymis become infected?
Selected Answ er:
The pathogenic microorganisms ascend the vasa deferentia from an already infected urethra or bladder.
● 1 out of 1 points
An infant has a continuous machine-type murmur best heard at the left upper sternal border throughout systole and diastole. The healthcare professional suspects a congenital heart disorder. What other assessment finding is inconsistent with the professional's knowledge about this disorder?
Selected Answer: Thrill on palpation
A healthcare professional is caring for a patient diagnosed with aphasia. What action by the professional would be best in working with this patient?
Selected Answer: Provide speech therapy.
● 1 out of 1 points
In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis?
Selected Answer: Tertiary
● 1 out of 1 points
A patient is 8 hours postoperative after a long orthopedic procedure. The student asks why this patient is at particular risk of developing a thromboembolism. What response by the healthcare professional is best?
Selected Answer:
Patients tend to have venous stasis from orthopedic operations.
● 1 out of 1 points
The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?
Selected Answer: Staphylococcus aureus
● 1 out of 1 points
A healthcare professional is reviewing a patient's laboratory results and sees that the patient has a low reticulocyte count and a high iron level. Which type of anemia does the professional associate these findings with?
Selected Answer: Folate deficiency anemia
● 1 out of 1 points
● 1 out of 1 points
In immunoglobulin G (IgG) nephropathies such as glomerulonephritis, IgG is deposited in which location?
Selected Answer:
Glomerulus basement membranes
● 1 out of 1 points
A man has balanitis. What action by the healthcare professional is most appropriate?
Selected Answer:
Perform a finger stick for a blood glucose reading.
● 1 out of 1 points
A person has a vascular anomaly associated with a congenital malformation of dermal capillaries and has been told this lesion
does not fade with age. What treatment options can the healthcare professional discuss with this person?
Selected Answer: Pulsed dye laser
● 1 out of 1 points
A person comes to the healthcare clinic and reports night sweats and fever. The healthcare professional obtains a chest x-ray which shows a mediastinal mass. What other assessment or diagnostic test does the professional provide as a priority?
Selected Answer: Listen to heart sounds.
● 1 out of 1 points
A patient had a seizure that consisted of impaired consciousness and the appearance of a dreamlike state. How does the healthcare professional chart this episode?
Selected Answer: Complex focal seizure
A healthcare professional works with recent refugees. A mother brings in her children who have been diagnosed with iron deficiency anemia. What action by the professional is most appropriate?
Selected Answer:
Arrange to test for parasitic infections.
● 1 out of 1 points
A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition?
Selected Answer: Hyponatremia
● 1 out of 1 points
A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate?
.
Selected Answer:
Assist the man in obtaining a urine sample.
● 1 out of 1 points
A health care professional is caring for a patient admitted to the hospital with severe anorexia. What action by the health care professional would be most important?
Selected Answer:
Ensuring the patient is on a cardiac monitor
● 1 out of 1 points
A patient in the hospital has been receiving heparin injections. The platelet count on admission was 222,000/mm^3 and four days (^3) l ater i s 113,000/mm What acti on by the heal thcare professi onal is best?
Selected Answer:
Switch the heparin to lepirudin