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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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Drone4IT NR−283: Pathophysiology−Exam 1 Study Guide 4 4 4 4




NR283 Exam 1 Study Guide 4 4 4 4


(Chapters 1, 2, 5, 6, 7, 20, & 21) 4 4 4 4 4 4 4 4


*Make sure that you understand all of the terms you are studying, if you don’t know what a term mea
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ns, look it up before you continue studying. Take your thinking a step further by asking yourself “wh
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y” as you are reviewing material. This will lead to understanding of the material versus memorizatio
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n which will better help you answer questions. Remember, this study guide does not mirror the exam
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4 and you are responsible for all course content; ensure that you have an understanding of concepts. T
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hat being said, if you complete and understand this study guide, you will be well prepared for the nex
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t 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 C
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hapter 1: Introduction to Pathophysiology
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1. What are the 7 steps of health? 4 4 4 4 4 4


−Don’t smoke, avoid 2nd hand smoke 4 4 4 4 4


−Eat 5−10 servings of vegetables & Fruit daily. High fiber, lower−fat foods. Limit alcoholic drinks to
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1 or 2 a day.
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−Be active 4


−Protect yourself & family from the sun 4 4 4 4 4 4


−Follow cancer screening guidelines 4 4 4


−Visit doctor or dentist if any change in normal state of health
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−Follow health & safety instructions at home and work when using, storing and disposing of hazardo
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us materials.
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2. What is the definition of disease? 4 4 4 4 4


Deviation from normal state or homeostasis: structure or function of any part, organ, system (or co
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mbination of these) or from a state of wellness. 4 4 4 4 4 4 4 4




3. Describe what homeostasis is: maintenance of stable internal environment of the body despite e
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xternal changes. 4


a. Which factors indicate how well the body is maintaining homeostasis? (3 listed) 4 4 4 4 4 4 4 4 4 4 4


−Blood pressure 4


−Body Temp 4


−Fluid Balance 4


4. Describe the following & list examples: 4 4 4 4 4


a. Primary Prevention: Prevention of disease or experiencing an injury in the first place 4 4 4 4 4 4 4 4 4 4 4 4




(doctors, vaccines) 4


Ex.) immunizations, screenings controlling potential hazards at home, education
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i. When is this implemented? Before disease is present 4 4 4 4 4 4 4


b. Secondary Prevention: Baby aspirin−hypertension, frequent monitoring, modified work 4 4 4 4 4 4 4




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,Drone4IT NR−283: Pathophysiology−Exam 1 Study Guide 4 4 4 4




i. When is this implemented? After illness or risk factors have been diagnosed to
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prevent complications. To slow progress of disease, limit long−term disability and pr
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event re−injury. 4


c. Tertiary Prevention: Pain management, support groups, rehab 4 4 4 4 4 4


i. When is this implemented? Diagnosed after complication to prevent & preserve q 4 4 4 4 4 4 4 4 4 4 4




uality 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, tr
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ack certain diseases and are responsible for signaling warning about predisposing conditions or
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current treatments? 4


−United States Public Health Service
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−Centers for Disease 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:
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−Pathogenesis: development of the disease or events involved in tissue changes related to specif
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ic disease process
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−Onset: sudden and obvious or acute
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−insidious: gradual progression with vague or mild signs 4 4 4 4 4 4 4


−acute: short−term illnesss developing quickly with marked signs (fever, severe pain)
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−Chronic: milder condition developing gradually. Persisting for a long time (rheumatoid arthr
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itis)
−Subclinical state: pathologic changes occur, no obvious manifestations show by patient
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−Latent stage: no clinical signs. Also referred to incubation period, time between exposure to micro
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organism and onset of signs or symptoms. Disease may be communicable or contagious.
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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 system
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ic=general indicators of illness like a fever 4 4 4 4 4 4


−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 du
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e to certain condition
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−Diagnostic Tests 4


−Remissions & exacerbations: course or progress of disease. 4 4 4 4 4 4 4


−Precipitating factor: condition that triggers an acute episode. Ex.) seizure in individual with a seizure
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disorder.
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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: potential unwanted outcomes of primary condition. Ex.) paralysis following a stroke C
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onvalescence or Rehab: period of recovery, returning to normal state4 4 4 4 4 4 4 4 4




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, Drone4IT NR−283: Pathophysiology−Exam 1 Study Guide 4 4 4 4




7. What is prophylaxis and why is it important? What are some examples of prophylactic measures in
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health care? Measures designed to preserve health and prevent the incidence or spread of disea
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se. Provides information that benefit patients’ needs and allows them to make better decisions
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about their health. Ex.) Treatment for myocardial infarction for high risk patient= 1 baby aspirin
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daily.

8. Describe the difference between acute and chronic disease:
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Acute is the sudden onset of short term illness with marked signs such as fever, severe pain etc. Chro
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nic is 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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Morbidity is the disease rates within a group such as stroke cause within a population. Mortality
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is the number of deaths resulting from a particular disease.
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10. Describe each term of cellular adaptation and list examples:
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a. Atrophy: “shrink” decrease in size of cells=reduced tissue mass 4 4 4 4 4 4 4 4


i. Ex: limb in cast for several weeks 4 4 4 4 4 4


b. Hypertrophy: “grow in size” increase in size of cells=enlarged tissue mass 4 4 4 4 4 4 4 4 4 4


i. Ex: exercise on skeletal muscle or weight lifting 4 4 4 4 4 4 4


c. Hyperplasia: “grow in numbers” increased number of cells=enlarged tissue mass 4 4 4 4 4 4 4 4 4


i. Ex: Uterine enlargement during pregnancy 4 4 4 4


d. Metaplasia: “replace w/ diff. mature cell” mature cell type is replaced by diff mature cell
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type.
i. Ex: In smokers lining of lungs (ciliated columnar epithelium) gets replaced with
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more resistant tissue (stratified squamous epithelium). Decreases defense for
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lungs.
e. Dysplasia: “dysfunctional” cells vary in size and shape w/in a tissue 4 4 4 4 4 4 4 4 4 4


i. Ex: Pap smear 4 4


f. Anaplasia: “undifferentiated cells” un.diff. cells with variable nuclear and cell structures
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i. Ex: Characteristic of cancer, basis for grading aggressiveness of tumors 4 4 4 4 4 4 4 4 4


g. Neoplasia: “new growth” new growth of a tumor, these are differentiated cells 4 4 4 4 4 4 4 4 4 4 4


i. Ex: malignant or benign tumors 4 4 4 4


11. Describe each term related to cell damage and list examples:
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a. Apoptosis: Programmed cell death 4 4 4


b. Ischemia/Hypoxia
Ischemia: reduced blood flow to tissue or organ due to circulatory obstruction blocked
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artery, resp. impairment (chest pain) (Oxygen, nutrients, WBC/RBC)
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Hypoxia: reduced oxygen in the tissue. Interferes with ATP production. Sodium pump
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stops as well as other cell functions.4 4 4 4 4 4


i. What is the difference between ischemia and hypoxia? 4 4 4 4 4 4 4


Ischemia reduced blood flow & hypoxia reduced oxygen 4 4 4 4 4 4 4


c. Physical injury: related to heat or mechanical pressures. Impair blood supply to cells or m
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etabolic processes. 4




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