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WGU D236- Pathophysiology PA Exam
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What happens to the various anion levels in the bloodstream during diabetic ketoacidosis? The anion gap level increases, whereas the HCO3- level decreases. How do the kidneys compensate for alkalosis! By retaining more H+ and excreting more HCO3- What is one cause of edema? Diminished osmotic force created by low numbers of solutes in the bloodstream. What are two causes of metabolic acidosis due to increased noncarbonic acids? 2 answers. Diabetic ketoacidosis Lactic acidosis A health informatics professional is conducting a documentation review of records at the request of the Infection Control Department. The professional is tasked with flagging records of patients with diseases spread by respiratory secretions. What are two diseases that this HIM professional should flag? 2 answers. Varicella Influenza What should a healthcare provider recognize as part of a patient's adaptive immune response to an influenza virus? Generation of immunoglobulin M (IgM) Which apparent electrolyte imbalance may result from untreated acidosis? Hyperkalemia What describes an antimicrobial peptide? A chain of amino acids produced by cells in response to pathogenic exposure. A patient with chronic hypertension developed enlargement of the left ventricle of the heart. What is the maladaptive cellular change that occurred in this patient? Pathological hypertrophy Two parents take genetic tests for sickle cell disease. Both parents are heterozygous. What are all the possible outcomes for their children? Heterozygous, homozygous normal, or homozygous sickle A six month old baby is diagnosed with Tay Sachs disease. Which developmental disruptions are associated with this disorder? Lethargy, muscle flaccidity, motor coordination impairment, and increasing cognitive impairment. Which fracture type is it when there is more than one fracture line, and more than two bone fragments are shattered or crushed? Comminuted What are two characteristics of osteoarthritis as opposed to rheumatoid arthritis? 2 answers
The pathophysiology includes joint swelling and osteophyte formation. The most commonly affected joints are the knee, hip, hand, and proximal interphalangeal and distal interphalangeal joints. A healthcare professional examines a patient with a slow growing, small, dome shaped bump on the nose. The lesion is shiny, translucent, and pearly in appearance. Which type of lesion should this healthcare professional be concerned about? Basal cell carcinoma The record of a 35 year old woman contains the following information: Presentation: Sudden, transient motor and sensory disturbances, impaired vision, muscle weakness, and balance problems. Diagnostic work up including neurological exam, CT, MRI, and CSF analysis. The patient's diagnosis is a chronic, autoimmune, progressive, and irreversible disease characterized by the destruction of the myelin sheath. Which condition does this patient have? Multiple sclerosis A patient presents with ringing in the ears, vomiting, and a severe headache after playing football and taking a hard tackle. A CT scan shows that blood had accumulated in the surrounding brain tissue. Which diagnosis is described? Cerebral contusion What is the pathogenesis of multiple sclerosis? Damage to the myelin of the peripheral nervous system. What are two characteristics of a transient ischemic attack? 2 answers Focal deficits resolve in less than 24 hours. Symptoms last for minutes to hours. What is a cerebrovascular accident marked by a blockage of blood flow due to a rupture in a cerebral vessel? Hemorrhagic stroke Which two risk factors are associated with hypertension? 2 answers Obesity and Diabetes Mellitus What are two predisposing factors to deep venous thromboembolism? 2 answers Hyper-coagulability Vascular damage What are two parts of the pathophysiology of DVT? 2 answers A thrombus forms at an area of inflammation. A thrombus develops in a lower extremity. A patient presents with racing of the heart, palpitations, and shortness of breath. The patient's heart rate was 130. Which diagnosis is indicated by this description? Atrial fibrillation
On physical examination, a patient is noted to have pallor, ascites, cachexia, and hepatomegaly. On history, the patient complained of alternating diarrhea and constipation and blood in the stool. A barium X-ray was done, followed by a biopsy that confirmed the diagnosis. Based on this information, which diagnosis is indicated? Colon cancer Which two symptoms are associated with Crohn's disease? 2 answers Chronic diarrhea Abdominal pain A 49 year old patient with diabetes complained of right upper quadrant (RUQ) abdominal pain that appears to radiate to her back. The patient also complains of nausea and vomiting with loss of appetite. A CT scan and abdominal and pelvic ultrasound rule out gallstones, but obstruction of the bile duct is noted. Based on this information, which condition is this patient being treated for? Cholecystitis What is a distinctive characteristic of nephrolithiasis? Calculi from in the kidney and potentially travel into the ureter. What is a treatment for end stage renal disease that involves drawing blood outside the patient's body, filtering the blood, and returning the blood to the patient via tubes? Hemodialysis A 44 year old patient is admitted for radiation therapy. A pathology report confirms a malignant mass in the left kidney. The patient also has a long term history of nicotine dependence and hypertension. What diagnosis does this indicate? Renal cell carcinoma Which phase of acute kidney injury is characterized by a significant decrease in GFR? Oligura What are two components of the typical clinical presentation of bladder cancer? 2 answers Frequency of urination Painless gross hematuria A patient has a urinary system infection characterized by a blockage of the kidney's nephron, causing a reduction in the rate of filtration. Which condition does this describe? Glomerulonephritis What are two manifestations of HSV? 2 answers Burning Tenderness What is luminal A breast cancer characterized by? Slow growth with a high cure rate. A 26 year old male patient who is sexually active presents at the clinic with discharge from the penis. The patient is also uncomfortable when he walks. A penile swab detects chlamydia infection. The patient is treated with an antibiotic, and bed rest is recommended. Which condition is described?
Epididymitis A patient's record indicates treatment via cryotherapy. For which type of cancer is this patient being treated? Prostate cancer What are two symptoms of pelvic inflammatory disease (PID)? 2 answers Lower abdominal pain Pelvic tenderness