ALU 301 ACTUAL FINAL QUESTIONS AND ANSWERS SET A.pdf 1. Document information

ALU 301 ACTUAL FINAL QUESTIONS AND ANSWERS
SET A+
✔✔All of the following statements regarding Crohn's disease are correct EXCEPT:

1. It involves inflammation of all layers of the bowel wall
2. It can involve nearby lymph nixes
3. The most common presenting symptom is a fistula
4. Skip lesions are often seen on endoscopy - ✔✔3. The most common presenting
symptom is a fistula

✔✔Which of the following statements regarding the cancer risk with ulcerative colitis
is/are correct?

A. The prenalignsnt lesion is usually a polyp
B. The duration of disease is a risk factor
C. A colectomy is recommended when dysplasia is present - ✔✔B and C only are
correct

B. The duration of disease is a risk factor
C. A colectomy is recommended when dysplasia is present

✔✔Deep linear ulceration that are separated by normal mucosa seen on imaging are:

1. skip lessons
2. bowel ischemia
3. celiac sprue
4. diverticulitis - ✔✔1. skip lesions

✔✔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