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NR-283 Pathophysiology - Exam 1 Comprehensive Study Guide

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NR-283 Pathophysiology - Exam 1 Comprehensive Study Guide

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Drone\IT NR−283: Pathophysiology−Exam 1 Study Guide \ \ \ \




NR283 Exam 1 Study Guide \ \ \ \


(Chapters 1, 2, 5, 6, 7, 20, & 21) \ \ \ \ \ \ \ \


*Make sure that you understand all of the terms you are studying, if you don’t know what a term means, l
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ook it up before you continue studying. Take your thinking a step further by asking yourself “why” as y
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ou are reviewing material. This will lead to understanding of the material versus memorization which
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will better help you answer questions. Remember, this study guide does not mirror the exam and you ar
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e responsible for all course content; ensure that you have an understanding of concepts. That being said,
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if you complete and understand this study guide, you will be well prepared for the next exam.
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*Ensure that you understand all highlighted terms in each chapter
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* Answer the question and supplemental questions included with the original question Cha
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pter 1: Introduction to Pathophysiology
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1. What are the 7 steps of health? \ \ \ \ \ \


−Don’t smoke,avoid2ndhand smoke \ \ \ \ \


−Eat5−10servings ofvegetables& Fruitdaily. Highfiber, lower−fatfoods.Limitalcoholicdrinks to
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1 or 2 a day.
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−Be active \


−Protectyourself & family fromthe sun \ \ \ \ \ \


−Follow cancer screening guidelines \ \ \


−Visit doctor or dentist if any change in normal state of health
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−Followhealth& safety instructions athomeandwork whenusing, storingand disposing of hazardous
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materials.

2. Whatis the definition of disease? \ \ \ \ \


Deviationfromnormalstate or homeostasis:structureor functionof any part, organ,system(or combi \ \ \ \ \ \ \ \ \ \ \ \ \ \ \




nation of these) or from a state of wellness. \ \ \ \ \ \ \ \




3. Describewhathomeostasisis:maintenanceofstable internal environmentofthe bodydespite exte
\ \ \ \ \ \ \ \ \ \ \ \ \




rnal changes. \


a. Whichfactorsindicate how well thebodyis maintaining homeostasis?(3 listed) \ \ \ \ \ \ \ \ \ \ \


−Blood pressure \


−Body Temp \


−Fluid Balance \


4. Describethefollowing & list examples: \ \ \ \ \


a. PrimaryPrevention: Prevention of diseaseor experiencingan injury in the first place \ \ \ \ \ \ \ \ \ \ \ \




(doctors, vaccines) \


Ex.) immunizations, screenings controlling potential hazards at home, education
\ \ \ \ \ \ \ \


i. Whenis this implemented?Beforedisease is present \ \ \ \ \ \ \


b. Secondary Prevention: Baby aspirin−hypertension, frequent monitoring, modified work \ \ \ \ \ \ \




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,Drone\IT NR−283: Pathophysiology−Exam 1 Study Guide \ \ \ \




i. Whenis this implemented?After illness orrisk factors have been diagnosed to \ \ \ \ \ \ \ \ \ \ \ \




prevent complications. To slow progress of disease, limit long−term disability and prev
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ent re−injury. \


c. Tertiary Prevention: Pain management, support groups, rehab \ \ \ \ \ \


i. Whenis this implemented?Diagnosedafter complicationtoprevent &preserve qu \ \ \ \ \ \ \ \ \ \ \




ality of life. Helping people manage complicated, long term health problems
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5. What are the 3 major health professional organizations who conduct research, publish findings, trac
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kcertaindiseasesand are responsibleforsignaling warning about predisposingconditionsor
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current treatments? \


−United States Public Health Service
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−Centers forDisease Control and Prevention (CDC)
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−State & Local authorities
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*Findings are gathered by World Health Organization (WHO)
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6. Describe each characteristic of disease: \ \ \ \


−Pathogenesis: development of the disease or events involved in tissue changes related to specific
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disease process \


−Onset:suddenand obvious oracute
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−insidious: gradual progression with vague or mild signs \ \ \ \ \ \ \


−acute:short−term illnesss developingquicklywithmarked signs (fever, severepain) \ \ \ \ \ \ \ \ \ \


−Chronic: milder condition developing gradually. Persisting for a long time (rheumatoid arthriti \ \ \ \ \ \ \ \ \ \ \


s)
−Subclinical state: pathologic changes occur, noobvious manifestations show by patient
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−Latent stage: no clinical signs. Also referred to incubation period, time between exposure to microor
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ganismandonsetof signs orsymptoms.Diseasemaybe communicableorcontagious.
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−Prodromal period: early development of disease when aware of a change in the body, but signs
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aren’t specific. Ex.) fatigue, headache.
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−Manifestations: clinical evidence or signs and symptoms. Ex.) redness, swelling. May also be systemic= \ \ \ \ \ \ \ \ \ \ \ \ \


general indicators of illness like a fever
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−Signs: objective or observed by someone other than affected individual. Ex.) fever, rash
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−Symptoms: subjective feelings felt and said by patient. Ex.) pain, lethargy etc.
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−Lesion: specific local change in a tissue . Ex.) blister or pimple
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−Syndrome: collection of signs and symptoms, affecting more than one organ and occur together due to
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certain condition
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−Diagnostic Tests \


−Remissions & exacerbations: course or progress of disease. \ \ \ \ \ \ \


−Precipitating factor: condition that triggers an acute episode. Ex.) seizure in individual with a seizure di
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sorder.
Predisposed factor: at higher risk for disease because of life style habits/genetics. Ex.) coronary
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artery disease b/c high cholesterol diet
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Sequelae:potentialunwantedoutcomesofprimarycondition.Ex.) paralysisfollowing astroke Con
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valescence or Rehab: period of recovery, returning to normal state
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, Drone\IT NR−283: Pathophysiology−Exam 1 Study Guide \ \ \ \




7. Whatis prophylaxis andwhy isit important? Whatare some examplesofprophylacticmeasures in he
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alth care? Measures designed to preserve health and prevent the incidence or spread of disease. Pr
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ovides information that benefit patients’ needs and allows them to make better decisions about t
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heir health. Ex.) Treatment for myocardial infarction for high risk patient= 1 baby aspirin daily.
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8. Describethedifference betweenacuteand chronicdisease:
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Acuteis the sudden onsetof short term illnesswith marked signs suchas fever, severe painetc. Chronic i
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s more mild gradually developing that persists for a long time.
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9. Describe the difference between morbidity and mortality:
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Morbidityis the disease rates withina group suchas stroke causewithin a population. Mortality
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is the number of deaths resultingfrom a particular disease.
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10. Describeeachtermof cellularadaptation and list examples:
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a. Atrophy: “shrink” decrease in size of cells=reduced tissue mass \ \ \ \ \ \ \ \


i. Ex:limb in cast forseveral weeks \ \ \ \ \ \


b. Hypertrophy: “grow in size” increase in size of cells=enlarged tissue mass \ \ \ \ \ \ \ \ \ \


i. Ex: exercise on skeletal muscle or weight lifting \ \ \ \ \ \ \


c. Hyperplasia: “grow in numbers” increased number of cells=enlarged tissue mass \ \ \ \ \ \ \ \ \


i. Ex: Uterine enlargement during pregnancy \ \ \ \


d. Metaplasia: “replace w/diff. mature cell” maturecell typeis replaced bydiff mature cell \ \ \ \ \ \ \ \ \ \ \ \ \ \




type.
i. Ex:Insmokersliningof lungs (ciliatedcolumnarepithelium)gets replaced with mor
\ \ \ \ \ \ \ \ \ \ \ \




e resistant tissue (stratified squamous epithelium). Decreases defense for
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lungs.
e. Dysplasia:“dysfunctional” cellsvaryin sizeand shapew/in a tissue \ \ \ \ \ \ \ \ \ \


i. Ex:Papsmear \ \


f. Anaplasia: “undifferentiated cells” un.diff. cells with variable nuclear and cell structures \ \ \ \ \ \ \ \ \ \


i. Ex: Characteristic of cancer, basis for grading aggressiveness of tumors \ \ \ \ \ \ \ \ \


g. Neoplasia: “new growth” new growth of a tumor, these are differentiated cells \ \ \ \ \ \ \ \ \ \ \


i. Ex: malignant orbenign tumors \ \ \ \


11. Describeeachterm related to cell damage and list examples:
\ \ \ \ \ \ \ \ \


a. Apoptosis: Programmed cell death \ \ \


b. Ischemia/Hypoxia
Ischemia: reduced blood flow to tissue or organ due to circulatory obstruction blocked \ \ \ \ \ \ \ \ \ \ \ \




artery, resp. impairment (chest pain) (Oxygen, nutrients, WBC/RBC)
\ \ \ \ \ \ \


Hypoxia: reduced oxygen in the tissue. Interferes with ATP production. Sodium pump
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stops as well as other cell functions. \ \ \ \ \ \


i. Whatis the differencebetween ischemiaand hypoxia? \ \ \ \ \ \ \


Ischemiareduced bloodflow& hypoxiareduced oxygen \ \ \ \ \ \ \


c. Physicalinjury: relatedto heator mechanicalpressures. Impairblood supply to cellsor met
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abolic processes. \




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