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Exam (elaborations)

ACI Final Exam | Questions with 100% Correct Answers | Verified comprehensive Questions and Answers with Verified Solutions

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ACI Final Exam | Questions with 100% Correct Answers | Verified comprehensive Questions and Answers with Verified Solutions

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ACI Final Exam | Questions with 100%
Correct Answers | Verified
comprehensive Questions and Answers
with Verified Solutions
Question 1:
Acromegaly - Cause

Answer:
Excess growth hormone (GH) after epiphyses are closed; 90% due to
pituitary tumor


Question 2:
Acromegaly - Signs & Symptoms

Answer:
Wide/thick bones; spade-shaped hands & feet; enlarged tongue;
separated teeth; prominent supraorbital ridges; visual defects;
galactorrhea; cardiomegaly


Question 3:
Acromegaly - Treatment

Answer:
Transphenoidal hypophysectomy; lifelong hormone replacement after
removal

,Question 4:
When hormone levels rise, they signal the gland to stop producing more;
keeps hormone levels in balance (e.g. high T4 ’ inhibits TSH release)
High cortisol ’ inhibits CRH and ACTH ’ adrenal glands reduce cortisol
production

Answer:
Negative Feedback Loop - Definition


Question 5:
Negative Feed-
Answer:
back Loop - Example


Question 6:
Skeletal Traction - Purpose

Answer:
Immobilizes fractures; aligns bone using weights and pulleys through
pins/wires inserted into bone


Question 7:
Skeletal Traction - Nursing Care

Answer:
Never remove weights; keep heels off bed; pin site care; monitor
neurovascular status (5 P's: pain, pallor, pulselessness, paresthesia,
paralysis)

, Question 8:
T1D vs T2D - Type 1

Answer:
Autoimmune destruction of beta cells; no insulin production; requires
lifelong insulin; onset in youth; DKA is major complication


Question 9:
T1D vs T2D - Type 2

Answer:
Insulin resistance + relative insulin deficiency; managed with diet/oral
meds/insulin; associated with obesity; HHS is major complication


Question 10:
DKA vs HHS - Key Difference

Answer:
DKA: pH <7.35; ketones present; T1D. HHS: extremely high glucose
(>600); no ketones; T2D; higher mortality


Question 11:
Pneumonia - Definition
Answer:
Infection causing inflammation and fluid/exudate in alveoli; impairs gas
exchange


Question 12:
Pneumonia - Signs & Symptoms

Answer:
Fever; chills; productive cough; pleuritic chest pain; crackles on
auscultation; decreased O2 sat; consolidation on x-ray

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