1
CMN 577 - Unit 1 Questions with Correct
Answers | Updated (100% Correct Answers)
S/S of acute intermittent porphyria Answer: + Abdominal pain of
varying severity
+ Absence of fever or leukocytosis
+ Peripheral neuropathy (symmetric OR asymmetric)
+ CNS sx (seizures, altered consciousness, psuychosis, abnormalities
of basal ganglia)
+ Hyponatremia
McPhee p 1690
Labs for acute intermittent porphyria Answer: + Hyponatremia
+ Urine which turns dark when exposed to light or air (r/t
porphobilonogen excretion)
McPhee p 1690
Prevention of attacks in pts with acute intermittent porphyria
Answer: + Sulfanoamides and barbituates
+ Starvation or prolonged fasting
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,2
+ Hormone changes during pregnancy
McPhee p 1690
Typical patient with AIP Answer: Young female
McPhee p 1690
Treatment for acute intermittent porphyria (AIP) Answer: + High
carb diet
+ Analgesics and IV glucose in saline and hematin
McPhee p 1691
Cause of acute intermittent porphyria (AIP) Answer: Genetic
condition, inherited as an autosomal dominant condition.
Pts have mutation in HMBS
McPHee p 1690
At what point in pregnancy can Down Syndrome be detected, and
what tests are used? Answer: + Down syndrome can be detected in
the 1st or early 2nd trimester
+ Screen maternal serum for alpha-fetoprotein (should be LOW)
and other biomarkers (multiple marker screening)
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,3
+ Detecting nuchal thickness and underdevelopment of nasal bone
on ultrasonography.
McPhee p 1692
s/s of Down Syndrome Answer: + Typical craniofacial features (flat
occiput, epicanthal folds, large tongue)
+ Hypotonia
+ Single palmar crease
+ Congenital heart defects (50% of pts)
McPhee p 1692
Hematuria --What do proteinuria and casts in urinalysis suggest?
Answer: Renal origin
McPhee p 962
What do irritative voiding sx, bacteruria and a positive urine culture
suggest in the female patient? Answer: Urinary tract infection
McPhee p 962
T/F - Urine cytology is recommended in the evaluation of
asymptomatic microscopic hematuria. Answer: FALSE
McPhee p 962
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, 4
In what type of patient is cystology indicated for evaluation of
hematuria? Answer: Pts with gross hematuria and those > 35 yrs
with asymptomatic microscopic hematuria
McPhee p 962
Common symtpoms of acute cystitis Answer: Irritative voiding sx
(frequency, urgency, dysuria)
Suprapubic discomfort
NOTE: ♀ may also have gross hematuria and sx follow sexual
intercourse.
McPhee p 962
Urinalysis results in acute cystitis Answer: Pyuria
Bacteruria
Varying degrees of hematuria
McPhee p 963
When are ♀ candidates for prophyactic abx tx for prevention of
recurrent UTI? Answer: ♀ who have > 3 episodes of cystitis per
year
McPhee p 963
© 2025 All rights reserved
CMN 577 - Unit 1 Questions with Correct
Answers | Updated (100% Correct Answers)
S/S of acute intermittent porphyria Answer: + Abdominal pain of
varying severity
+ Absence of fever or leukocytosis
+ Peripheral neuropathy (symmetric OR asymmetric)
+ CNS sx (seizures, altered consciousness, psuychosis, abnormalities
of basal ganglia)
+ Hyponatremia
McPhee p 1690
Labs for acute intermittent porphyria Answer: + Hyponatremia
+ Urine which turns dark when exposed to light or air (r/t
porphobilonogen excretion)
McPhee p 1690
Prevention of attacks in pts with acute intermittent porphyria
Answer: + Sulfanoamides and barbituates
+ Starvation or prolonged fasting
© 2025 All rights reserved
,2
+ Hormone changes during pregnancy
McPhee p 1690
Typical patient with AIP Answer: Young female
McPhee p 1690
Treatment for acute intermittent porphyria (AIP) Answer: + High
carb diet
+ Analgesics and IV glucose in saline and hematin
McPhee p 1691
Cause of acute intermittent porphyria (AIP) Answer: Genetic
condition, inherited as an autosomal dominant condition.
Pts have mutation in HMBS
McPHee p 1690
At what point in pregnancy can Down Syndrome be detected, and
what tests are used? Answer: + Down syndrome can be detected in
the 1st or early 2nd trimester
+ Screen maternal serum for alpha-fetoprotein (should be LOW)
and other biomarkers (multiple marker screening)
© 2025 All rights reserved
,3
+ Detecting nuchal thickness and underdevelopment of nasal bone
on ultrasonography.
McPhee p 1692
s/s of Down Syndrome Answer: + Typical craniofacial features (flat
occiput, epicanthal folds, large tongue)
+ Hypotonia
+ Single palmar crease
+ Congenital heart defects (50% of pts)
McPhee p 1692
Hematuria --What do proteinuria and casts in urinalysis suggest?
Answer: Renal origin
McPhee p 962
What do irritative voiding sx, bacteruria and a positive urine culture
suggest in the female patient? Answer: Urinary tract infection
McPhee p 962
T/F - Urine cytology is recommended in the evaluation of
asymptomatic microscopic hematuria. Answer: FALSE
McPhee p 962
© 2025 All rights reserved
, 4
In what type of patient is cystology indicated for evaluation of
hematuria? Answer: Pts with gross hematuria and those > 35 yrs
with asymptomatic microscopic hematuria
McPhee p 962
Common symtpoms of acute cystitis Answer: Irritative voiding sx
(frequency, urgency, dysuria)
Suprapubic discomfort
NOTE: ♀ may also have gross hematuria and sx follow sexual
intercourse.
McPhee p 962
Urinalysis results in acute cystitis Answer: Pyuria
Bacteruria
Varying degrees of hematuria
McPhee p 963
When are ♀ candidates for prophyactic abx tx for prevention of
recurrent UTI? Answer: ♀ who have > 3 episodes of cystitis per
year
McPhee p 963
© 2025 All rights reserved
