BIOD 331 PATHOPHYSIOLOGY EXAM 1
SCRIPT COMPLETE ANSWERS GRADED
A+
◉ The family of a 68-year-old man who is in the end stages of
small cell lung cancer are distraught at his visible body wasting
that has worsened in recent weeks. Which of the following
phenomena best accounts for the client's anorexia and cachexia?
A. Inadequate cellular metabolism of glucose results from tumor
factors.
B. High fat losses coupled with preservation of muscle mass
exaggerate the appearance of wasting.
C. Products of the tumor itself as well as a hypermetabolic state
cause cachexia.
D. Inadequate food intake due to symptoms and treatment results
in loss of both muscle and fat.
Answer: C
◉ Which is characteristic of benign neoplasms?
A. Tend to grow and spread rapidly
B. Rob normal tissues of essential nutrients
C. Compress and erode blood vessels
,D. Inability to metastasize to distant sites
Answer: D
◉ The mother of an 18-month-old child is concerned that her
child is lethargic and is not eating foods that he normally enjoys.
She takes him to the pediatrician for a check-up. Which of the
following clinical manifestations would lead the health care
provider to suspect the child may have a neuroblastoma?
A. Large protruding abdomen
B. Excessive burping
C. Weight loss
D. Large amount of pale urine
E. Crying when position is changed
Answer: A, C, D
◉ Which is a malignant tumor of glandular epithelial cells?
A. Osteoma
B. Adenocarcinoma
C. Sarcoma
D. Adenoma
Answer: B
, ◉ A community health care nurse is teaching a group of female
high school students about the importance of regular
Papanicolaou (Pap) smears. The nurse recognizes that what fact
underlies the rationale for this teaching?
A.The active substitution of normal cells in the cervix correlates to
cancer risk.
B. Undifferentiated stem cells are an early indicator of cervical
cancer.
C. Cancer of the uterine cervix develops incrementally at a cellular
level.
D. Dysplasia in the connective tissue of the cervix is a strong
precursor to cancer.
Answer: C
◉ A patient arrives at the ED complaining of numbness in the left
lower leg. Upon assessment, the nurse finds the lower left leg to
be cold to touch, pedal and posterior tibial pulses nonpalpable,
and a sharp line of paralysis/paresthesia. The nurse's next action
is based on the fact that
A.acute arterial occlusion is a medical emergency requiring
immediate intervention to restore blood flow.
B.submersion in a whirlpool with warm water will improve the
venous blood flow and restore pulses.
SCRIPT COMPLETE ANSWERS GRADED
A+
◉ The family of a 68-year-old man who is in the end stages of
small cell lung cancer are distraught at his visible body wasting
that has worsened in recent weeks. Which of the following
phenomena best accounts for the client's anorexia and cachexia?
A. Inadequate cellular metabolism of glucose results from tumor
factors.
B. High fat losses coupled with preservation of muscle mass
exaggerate the appearance of wasting.
C. Products of the tumor itself as well as a hypermetabolic state
cause cachexia.
D. Inadequate food intake due to symptoms and treatment results
in loss of both muscle and fat.
Answer: C
◉ Which is characteristic of benign neoplasms?
A. Tend to grow and spread rapidly
B. Rob normal tissues of essential nutrients
C. Compress and erode blood vessels
,D. Inability to metastasize to distant sites
Answer: D
◉ The mother of an 18-month-old child is concerned that her
child is lethargic and is not eating foods that he normally enjoys.
She takes him to the pediatrician for a check-up. Which of the
following clinical manifestations would lead the health care
provider to suspect the child may have a neuroblastoma?
A. Large protruding abdomen
B. Excessive burping
C. Weight loss
D. Large amount of pale urine
E. Crying when position is changed
Answer: A, C, D
◉ Which is a malignant tumor of glandular epithelial cells?
A. Osteoma
B. Adenocarcinoma
C. Sarcoma
D. Adenoma
Answer: B
, ◉ A community health care nurse is teaching a group of female
high school students about the importance of regular
Papanicolaou (Pap) smears. The nurse recognizes that what fact
underlies the rationale for this teaching?
A.The active substitution of normal cells in the cervix correlates to
cancer risk.
B. Undifferentiated stem cells are an early indicator of cervical
cancer.
C. Cancer of the uterine cervix develops incrementally at a cellular
level.
D. Dysplasia in the connective tissue of the cervix is a strong
precursor to cancer.
Answer: C
◉ A patient arrives at the ED complaining of numbness in the left
lower leg. Upon assessment, the nurse finds the lower left leg to
be cold to touch, pedal and posterior tibial pulses nonpalpable,
and a sharp line of paralysis/paresthesia. The nurse's next action
is based on the fact that
A.acute arterial occlusion is a medical emergency requiring
immediate intervention to restore blood flow.
B.submersion in a whirlpool with warm water will improve the
venous blood flow and restore pulses.
