ALU 301 FINAL EXAM 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔Ulcerative colitis disease severity is determined by:
1. age
2. recurrence
3. Endoscopy
4. laboratory findings - ✔✔3. endoscopy
✔✔All of the following statements regarding ulcerative colitis are correct EXCEPT:
1. It involves inflammation of all layers of the colon wall
2. it manifests only in the colon
3. the most common presenting symptom is,a,rectal bleeding
4. physical findings can be nonspecific - ✔✔1. It involves inflammation of all layers of
the colon wall
✔✔Factors that can contribute to the development of inflammatory bowel diseases
include which of the following?
A. history of alcoholism
B. generic susceptibility
C. environmental factors - ✔✔B and C only at correct
B. generic susceptibility
C. environmental factors
✔✔Serologic markers used in the diagnosis of Inflammatory bowl disease include:
A. Aloha-fetoprotein
B perinuclear anti neutrophil cytoplasmic antibodies
C. anti-saccharomyces cere visited Antibodies - ✔✔B and C only are correct
B perinuclear anti neutrophil cytoplasmic antibodies
C. anti-saccharomyces cere visited Antibodies
✔✔The triad of positive rheumatoid factor, enlarged spleen, and neutropenia is:
1. Caplan's syndrome
2. Felty's syndrome
3. Sjogren's syndrome
4. Still's disease - ✔✔2. Felty's syndrome
✔✔All of the following statements regarding laboratory testing on individuals with
rheumatoid arthritis (RA) are correct EXCEPT:
1. Globulins are often elevated
,2. Cholesterol can be low in late-stage disease
3. The inflammatory process can elevate HDL
4. Low albumin is a poor prognostic indicator - ✔✔3. The inflammatory process can
elevate HDL
✔✔The joints commonly affected by RA include all of the following EXCEPT:
1. elbows
2. knees
3. shoulders
4. hips - ✔✔4. hips
✔✔All of the following laboratory tests are commonly used for the diagnosis and
monitoring of rheumatoid arthritis EXCEPT:
1. gamma-glutamyl transferase (GGT)
2. rheumatoid factor (RF)
3. anti-cyclic citrullinated peptide (anti-CCP)
4. C-reactive protein (CRP) - ✔✔1. gamma-glutamyl transferase (GGT)
✔✔The hallmark of current therapy for rheumatoid arthritis is the use of:
1. non-steroidal anti-inflammatory drugs (NSAIDS)
2. cyclooxygenase inhibitors (COX)
3. disease modifying anti-rheumatic drugs (DMARDS)
4. corticosteroids - ✔✔3. disease modifying anti-rheumatic drugs (DMARDS)
✔✔A round calcified mass of scar tissue seen on a chest x-ray can be associated with a
history of:
1. atelectasis
2. pneumothorax
3. histoplasmosis
4. pulmonary embolism - ✔✔3. histoplasmosis
✔✔Bacteria can be classified in all of the following ways EXCEPT:
1. number of cells
2. structural characteristics
3. reaction to staining
4. need for oxygen - ✔✔1. number of cells
✔✔Kawasaki's disease can cause which of the following?
A. coronary aneurysms
B. chronic hepatitis
C. ulcerative colitis - ✔✔A. Coronary aneurysms
✔✔Increased mortality from encephalitis is often associated with:
A. organ failure
,B. herniation of the brain
C. increased intracranial pressure - ✔✔A. organ failure
B. herniation of the brain
C. increased intracranial pressure
✔✔Which of the following statements regarding viruses is/are accurate?
A. They can contain DNA, RNA or both
B. They use the reproductive capacity of the host to replicate
C. They do no have a cellular structure - ✔✔B. They use the reproductive capacity of
the host to replicate
C. They do not have a cellular structure
✔✔Membranes surrounding the brain are the:
1. meninges
2. pleura
3. myelin
4. peritoneum - ✔✔1. meninges
✔✔What is the definition of nosocomial infection? - ✔✔infections acquired during
hospitalization
✔✔Name 2 nosocomial infections - ✔✔urinary tract, infection of surgical wound, blood
stream infection, pneumonia, MRSA, c. difficile
✔✔The most common significant valvular disease in older individuals is:
1. aortic stenosis
2. mitral stenosis
3 mitral insufficiency
4. aortic insufficiency - ✔✔1. aortic stenosis
✔✔All of the following can cause elevations of alkaline phosphatase in the elderly
EXCEPT:
1. osteomalacia
2. osteoarthritis
3. fractures
4. Paget's disease - ✔✔2. osteoarthritis
✔✔Cancer in the elderly is suggested by which of the following?
A. unexplained weight loss
B. low total cholesterol
C. vitamin B12 deficiency - ✔✔A. unexplained weight loss
B. low total cholesterol
, ✔✔Describe the three categories of activities of daily living (ADLs, IADLs, AADLs) and
their significance in underwriting. - ✔✔ADLs- most basic, cognitively siple tasks -
bathing, dressing, toileting, transferring from the bed or chair, eating, urinary and bowel
continence
IADLs -require higher level of functional ability-telephoning, handling personal finances,
using transportation services, shopping, mean prep, housework, taking medications
AADLs -higher-level activities that are voluntary and add meaning and richness-working
attending church, going out to dinner, the theater, a movie or concert, participating in
recreational activities, driving, playing cards
✔✔What function is not considered an instrumental activity of daily living (IADL)?
1. housework
2. handling personal finances
3. driving
4. meal preparation - ✔✔3. driving
✔✔Which of the following best predicts both cardiovascular and all cause mortality in
the elderly?
1. nutrition
2. blood pressure
3. exercise capacity
4. build - ✔✔3. exercise capacity
✔✔Describe the mnemonic tool ASCENT. - ✔✔A-activities of daily living (ADLs, IADLs,
AADLs)
S-social involvement
C-cognition
E-exercise capacity
N-nutrition
T-trips/falls
It is a tool used to differentiate the robust individual from the frail in areas that are
unique and/or predictive of moratality in elderly
✔✔Describe the two forms of irreversible dementia. - ✔✔DAT-dementia of alzheimer's
type
VaD-vascular dementia resulting from repeated strokes
✔✔Individuals at risk of having multiple cerebral infarctions have a medical history that
can include one or more of the following conditions: - ✔✔hyptertension, diabetes,
coronary artery disease, hypercholesterolemia, cerebrovascular disease
SOLUTIONS RATED A+
✔✔Ulcerative colitis disease severity is determined by:
1. age
2. recurrence
3. Endoscopy
4. laboratory findings - ✔✔3. endoscopy
✔✔All of the following statements regarding ulcerative colitis are correct EXCEPT:
1. It involves inflammation of all layers of the colon wall
2. it manifests only in the colon
3. the most common presenting symptom is,a,rectal bleeding
4. physical findings can be nonspecific - ✔✔1. It involves inflammation of all layers of
the colon wall
✔✔Factors that can contribute to the development of inflammatory bowel diseases
include which of the following?
A. history of alcoholism
B. generic susceptibility
C. environmental factors - ✔✔B and C only at correct
B. generic susceptibility
C. environmental factors
✔✔Serologic markers used in the diagnosis of Inflammatory bowl disease include:
A. Aloha-fetoprotein
B perinuclear anti neutrophil cytoplasmic antibodies
C. anti-saccharomyces cere visited Antibodies - ✔✔B and C only are correct
B perinuclear anti neutrophil cytoplasmic antibodies
C. anti-saccharomyces cere visited Antibodies
✔✔The triad of positive rheumatoid factor, enlarged spleen, and neutropenia is:
1. Caplan's syndrome
2. Felty's syndrome
3. Sjogren's syndrome
4. Still's disease - ✔✔2. Felty's syndrome
✔✔All of the following statements regarding laboratory testing on individuals with
rheumatoid arthritis (RA) are correct EXCEPT:
1. Globulins are often elevated
,2. Cholesterol can be low in late-stage disease
3. The inflammatory process can elevate HDL
4. Low albumin is a poor prognostic indicator - ✔✔3. The inflammatory process can
elevate HDL
✔✔The joints commonly affected by RA include all of the following EXCEPT:
1. elbows
2. knees
3. shoulders
4. hips - ✔✔4. hips
✔✔All of the following laboratory tests are commonly used for the diagnosis and
monitoring of rheumatoid arthritis EXCEPT:
1. gamma-glutamyl transferase (GGT)
2. rheumatoid factor (RF)
3. anti-cyclic citrullinated peptide (anti-CCP)
4. C-reactive protein (CRP) - ✔✔1. gamma-glutamyl transferase (GGT)
✔✔The hallmark of current therapy for rheumatoid arthritis is the use of:
1. non-steroidal anti-inflammatory drugs (NSAIDS)
2. cyclooxygenase inhibitors (COX)
3. disease modifying anti-rheumatic drugs (DMARDS)
4. corticosteroids - ✔✔3. disease modifying anti-rheumatic drugs (DMARDS)
✔✔A round calcified mass of scar tissue seen on a chest x-ray can be associated with a
history of:
1. atelectasis
2. pneumothorax
3. histoplasmosis
4. pulmonary embolism - ✔✔3. histoplasmosis
✔✔Bacteria can be classified in all of the following ways EXCEPT:
1. number of cells
2. structural characteristics
3. reaction to staining
4. need for oxygen - ✔✔1. number of cells
✔✔Kawasaki's disease can cause which of the following?
A. coronary aneurysms
B. chronic hepatitis
C. ulcerative colitis - ✔✔A. Coronary aneurysms
✔✔Increased mortality from encephalitis is often associated with:
A. organ failure
,B. herniation of the brain
C. increased intracranial pressure - ✔✔A. organ failure
B. herniation of the brain
C. increased intracranial pressure
✔✔Which of the following statements regarding viruses is/are accurate?
A. They can contain DNA, RNA or both
B. They use the reproductive capacity of the host to replicate
C. They do no have a cellular structure - ✔✔B. They use the reproductive capacity of
the host to replicate
C. They do not have a cellular structure
✔✔Membranes surrounding the brain are the:
1. meninges
2. pleura
3. myelin
4. peritoneum - ✔✔1. meninges
✔✔What is the definition of nosocomial infection? - ✔✔infections acquired during
hospitalization
✔✔Name 2 nosocomial infections - ✔✔urinary tract, infection of surgical wound, blood
stream infection, pneumonia, MRSA, c. difficile
✔✔The most common significant valvular disease in older individuals is:
1. aortic stenosis
2. mitral stenosis
3 mitral insufficiency
4. aortic insufficiency - ✔✔1. aortic stenosis
✔✔All of the following can cause elevations of alkaline phosphatase in the elderly
EXCEPT:
1. osteomalacia
2. osteoarthritis
3. fractures
4. Paget's disease - ✔✔2. osteoarthritis
✔✔Cancer in the elderly is suggested by which of the following?
A. unexplained weight loss
B. low total cholesterol
C. vitamin B12 deficiency - ✔✔A. unexplained weight loss
B. low total cholesterol
, ✔✔Describe the three categories of activities of daily living (ADLs, IADLs, AADLs) and
their significance in underwriting. - ✔✔ADLs- most basic, cognitively siple tasks -
bathing, dressing, toileting, transferring from the bed or chair, eating, urinary and bowel
continence
IADLs -require higher level of functional ability-telephoning, handling personal finances,
using transportation services, shopping, mean prep, housework, taking medications
AADLs -higher-level activities that are voluntary and add meaning and richness-working
attending church, going out to dinner, the theater, a movie or concert, participating in
recreational activities, driving, playing cards
✔✔What function is not considered an instrumental activity of daily living (IADL)?
1. housework
2. handling personal finances
3. driving
4. meal preparation - ✔✔3. driving
✔✔Which of the following best predicts both cardiovascular and all cause mortality in
the elderly?
1. nutrition
2. blood pressure
3. exercise capacity
4. build - ✔✔3. exercise capacity
✔✔Describe the mnemonic tool ASCENT. - ✔✔A-activities of daily living (ADLs, IADLs,
AADLs)
S-social involvement
C-cognition
E-exercise capacity
N-nutrition
T-trips/falls
It is a tool used to differentiate the robust individual from the frail in areas that are
unique and/or predictive of moratality in elderly
✔✔Describe the two forms of irreversible dementia. - ✔✔DAT-dementia of alzheimer's
type
VaD-vascular dementia resulting from repeated strokes
✔✔Individuals at risk of having multiple cerebral infarctions have a medical history that
can include one or more of the following conditions: - ✔✔hyptertension, diabetes,
coronary artery disease, hypercholesterolemia, cerebrovascular disease
