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HSC203 Pathophysiology- Jersey College Midterm Exam 2026/2027 | Complete Nursing Study Guide & Practice Questions

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Prepare for the Jersey College HSC203 Pathophysiology Midterm with focused review of cellular injury, inflammation, fluid and electrolytes, immunity, pain, infection, respiratory, nervous, and musculoskeletal disorders.

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Jersey College Pathophysiology Midterm Exam

Primary level of prevention Protect healthy people from developing a disease or experiencing an injury in
the first place


Secondary level of prevention Happens after an illness or serious risk factors have already been diagnosed.


Tertiary level of protection Focuses on helping people manage complicated, long-term health problems


Biopsy Examination of living tissue


Prognosis The probability of specific outcomes


Etiology study of the cause of disease


Epidemiology The science of tracking the pattern or occurrence of disease


Latent Stage "silent stage" No clinical signs are evident, characterizes some diseases


Acute Stage Short-term that develops quickly with marked signs




Chronic Stage Often milder developing gradually


Morbidity The disease rates within a group


Mortality Indicate the relative number of deaths resulting from a particular disease


Symptoms Subjective feelings, such as pain or nausea


Precipitating Factor condition that triggers an acute episode (seizure)


Remission mark the course or progress of a disease; manifestations subside


Complication new, secondary or additional problems that arise after the original disease
begin


Apoptosis Cell death


Atrophy Decrease in the size of cells

, Jersey College Pathophysiology Midterm Exam



Anaplasia cells that are undifferentiated with variable nuclear and cell structures


What is gangrene? An area of necrotic tissue that has been invaded by bacteria.


Why does gangrene smell? May cause a buildup of gases with tissue and further reduce blood supply


Hypertrophy Increase in the size of individual cells


Dysplasia cells vary in size and shape, large nuclei are frequently present


Signs & Symptoms of dehydration Dry mucous membranes, decreased skin turgor, Low BP, Low pulse, fatigue,
Increased HCT, decreased mental function, confusion, and loss of
consciousness


Serum Sodium Level: 135-145 mEq/L


Hyponatremia (low Na+ <1345 mEq/L ) -s/s:Anorexia, nausea, cramps, fatigue, lethargy, muscle weakness, headache,
confusion, seizures, decreased BP


Hypernatremia (high Na+ >145 mEq/L ) -an excessive Na+ level in the blood & extracellular fluids
-s/s:Thirst, tongue/mucosa are dry & sticky, weakness, lethargy, agitation,
edema, elevated BP




potassium level (K+) 3.5-5.5


Hypokalemia (low K+ <3.5 mEq/L) Cardiac arrhythmias, cardiac arrest, anorexia, nausea, constipation, fatigue,
muscle twitch, weakness, leg cramps, shallow respirations, paresthesias,
postural hypotension, polyuria, nocturia, Serum pH elevated (alkalosis)


Hyperkalemia (high K+ >5 mEq/L) Arrhythmias, cardiac arrest, nausea, diarrhea, muscle weakness, paralysis
beginning in legs, parathesias (finger, toes, face, tongue) oliguria, Serum pH
decreased (acidosis)


Hypocalcemia (low Ca++ <2.2 mmol/L) Tetany (involuntary skeletal muscle spasm, carpopedal spasm, laryngospasm),
tingling fingers, mental confusion, irritability, arrhythmias, weak hear
contractions


Normal Serum pH 7.35-7.45


COPD: Acidosis or Alkalosis? Respiratory Acidosis

, Jersey College Pathophysiology Midterm Exam
Therapeutic desired action by stimulating or inhibiting cell function


Idiosyncratic Paradoxic; Unexpected or unusual responses to drugs


Pain is what? Subjective, unpleasant sensation, feeling of discomfort resulting from
stimulation of pain receptors




Referred pain with common examples Pain is perceived at a site distant from the source; pain in the left neck and arm
for heart attack or ischemia of the heart; Pain in the shoulder due to stretching
of the diaphragm


Phantom pain Pain or another sensation such as itching or tingling after amputation


Central Pain pain that is caused by dysfunction or damage to the brain or spinal cord. Ex:
abscess, infarction, hemorrhage, tumor, or damage


Ischemic Pain profound, sudden loss of blood flow to an organ or tissues in a specific area of
the body. Ex: aching, burning or prickling to a shooting pain


What causes inflammation Direct physical damage, caustic chemicals, ischemia or infarction, allergic
reactions, extremes of heat or cold, foreign bodies


What does Erythrosedimentation (ESR) tell us? The rate at which RBC's settle out of a blood specimen (containing
anticoagulant); an elevation in ESR is a general characteristic of inflammation.


Serous Drainage WATERY exudates consist primarily of fluid w/small amounts of protein & WBCs




Purulent Drainage exudates are thick, YELLOW-GREEN in color, and contain more leukocytes and
cell debris as well as microorganisms.


Signs & symptoms of inflammation mild fever, malaise (feeling unwell), fatigue, headache, and anorexia


What cells respond to inflammation? Neutrophils


Adverse effects of steriods Atrophy of lymphoid tissue and reduced numbers of WBCs, Catabolic effects
(increased tissue breakdown with decreased protein synthesis) osteoporosis,
muscle wasting, and tendency of thinning and breakdown of skin and mucosa,
delayed healing, delayed growth in children, retention of sodium and water
often leading to high BP and edema

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