WCU MIDTERM PATH 370 STUDYGUIDE QUESTIONS AND CORRECT ANSWERS
Question:
1. Which acid are the kidneys unable to excrete? Metabolic Carbonic Bicarbonate Ammonia
Answer:
Carbonic
Question:
2. The organism that causes pulmonary tuberculosis is Mycobacterium tuberculosis.
Haemophilus tuberculosis. Tuberculosis tuberculoci. Mycococcidio tuberculosis.
Answer:
Mycobacterium tuberculosis.
Question:
3. Peripheral edema is a result of arterial insufficiency. venous thrombosis. hypertension.
atherosclerosis.
Answer:
venous thrombosis
Question:
4. After surgery to remove a lung tumor, your patient is scheduled for chemotherapy, which
will selectively kill tumor cells. stimulate immune cells to fight the cancer. have minimal side
effects. kill rapidly dividing cells.
Answer:
kill rapidly dividing cells.
Question:
5. A disease that is native to a particular region is called epidemic. endemic. pandemic.
ethnographic.
Answer:
endemic
Question:
6. The electrolyte that has a higher concentration in the extracellular fluid than in the
intracellular fluid is _____ sodium phosphate magnesium potassium
Answer:
sodium
Question:
7. A newborn has melena, bleeding from the umbilicus, and hematuria. The newborn most
likely experiencing vitamin K deficiency bleeding. acquired vitamin K deficiency. von
Willebrand disease. disseminated intravascular coagulation.
Answer:
,vitamin K deficiency bleeding.
Question:
8. Clinical manifestations of hyponatremia include weak pulse, low blood pressure, and
increased heart rate. thirst, dry mucous membranes, and diarrhea. confusion, lethargy,
coma, and perhaps seizures. cardiac dysrhythmias, paresthesias, and muscle weakness.
Answer:
confusion, lethargy, coma, and perhaps seizures.
Question:
9. The progressive stage of hypovolemic shock is characterized by tachycardia.
hypertension. lactic acidosis. cardiac failure.
Answer:
tachycardia
Question:
10. Patients who experience anemic episodes when exposed to certain drugs most likely
have thalassemia. spherocytosis. glucose-6-phosphate dehydrogenase deficiency.
Answer:
glucose-6-phosphate dehydrogenase deficiency.
Question:
11. The cellular response indicative of injury because of faulty metabolism is hydropic
swelling. lactate production. metaplasia. intracellular accumulations.
Answer:
intracellular accumulations.
Question:
12. Which clinical finding is indicative of compartment syndrome? Peripheral edema Absent
peripheral pulses Redness and swelling Atrophy of distal tissues
Answer:
Absent peripheral pulses
Question:
13. A major cause of treatment failure in tuberculosis is resistant organism. allergy to drugs
used. noncompliance. immunosuppression.
Answer:
noncompliance.
Question:
14. A major risk factor for the development of active pulmonary tuberculosis (TB) disease is
contaminated water. immunosuppression. being a male. overuse of antibiotics.
Answer:
immunosuppression.
,Question:
15. A loud pansystolic murmur that radiates to the axilla is most likely a result of aortic
regurgitation. mitral regurgitation. mitral stenosis.
Answer:
mitral regurgitation.
Question:
16. All these cellular responses are potentially reversible except necrosis. metaplasia.
atrophy. hyperplasia.
Answer:
necrosis.
Question:
17. Transfusion reactions involve RBC destruction caused by donor antigens. recipient
antibodies. donor T cells. recipient T cells.
Answer:
recipient antibodies.
Question:
18. What is the most likely explanation for a diagnosis of hypernatremia in an elderly patient
receiving tube feeding? Too much sodium in the feedings Excess of feedings Inadequate
water intake Kidney failure
Answer:
Inadequate water intake
Question:
19. The assessment findings of a 5-year-old with a history of asthma include extreme
shortness of breath, nasal flaring, coughing, pulsus paradoxus, and use of accessory
respiratory muscles. There is no wheezing and the chest is silent in many areas. How should
you interpret your assessment? gen should be started immediately. Since there is not
wheezing, asthma is the problem, but oxygen should be started immediately anyway. The
signs and symptoms are consistent with asthma; start oxygen and then check to see that
your stethoscope is working properly. The child may be having such a severe asthma
episode that the airways are closed, so start oxygen and get the doctor immediately.
Answer:
The child may be having such a severe asthma episode that the airways are closed, so start
oxygen and get the doctor immediately.
Question:
20. Which finding is indicative of orthostatic hypotension in a person with a supine blood
pressure (BP) of 110/70 and a heart rate (HR) of 100? Sitting BP 88/60, HR 118 Sitting BP
108/68, HR 102 Sitting BP 110/78, HR 98 Sitting BP 120/80, HR 100
Answer:
, Sitting BP 88/60, HR 118
Question:
21. The arterial blood gas pH = 7.52, PaCO2 = 30 mm Hg, HCO3- = 24 mEq/L demonstrates
metabolic acidosis. respiratory acidosis. respiratory alkalosis. mixed alkalosis.
Answer:
respiratory alkalosis.
Question:
22. A patient has been exposed to meningococcal meningitis, but is not yet demonstrating
signs of this disease. This stage of illness is called the _____ stage. prodromal latent
convalescence
Answer:
latent
Question:
23. When exposed to inhaled allergens, a patient with asthma produces large quantities of
IgG. IgE. IgA. IgM.
Answer:
IgE.
Question:
24. A patient is exhibiting severe dyspnea and anxiety. The patient also has bubbly crackles
in all lung fields with pink, frothy sputum. This patient is most likely experiencing right-sided
heart failure. cardiomyopathy. a medication reaction. acute cardiogenic pulmonary edema.
Answer:
acute cardiogenic pulmonary edema.
Question:
25. First-degree heart block is characterized by prolonged PR interval. absent P waves.
widened QRS complex. variable PR interval.
Answer:
prolonged PR interval.
Question:
26. A patient with high blood pressure who is otherwise healthy is counseled to restrict
sodium intake. This is an example of primary prevention. secondary prevention. tertiary
prevention. disease treatment. production of substances by multiple means. A common
substance found in excessive amounts resulting from cancer paraneoplastic syndromes is
insulin. tumor necrosis factor. potassium. calcium.
Answer:
secondary prevention.
Question:
Question:
1. Which acid are the kidneys unable to excrete? Metabolic Carbonic Bicarbonate Ammonia
Answer:
Carbonic
Question:
2. The organism that causes pulmonary tuberculosis is Mycobacterium tuberculosis.
Haemophilus tuberculosis. Tuberculosis tuberculoci. Mycococcidio tuberculosis.
Answer:
Mycobacterium tuberculosis.
Question:
3. Peripheral edema is a result of arterial insufficiency. venous thrombosis. hypertension.
atherosclerosis.
Answer:
venous thrombosis
Question:
4. After surgery to remove a lung tumor, your patient is scheduled for chemotherapy, which
will selectively kill tumor cells. stimulate immune cells to fight the cancer. have minimal side
effects. kill rapidly dividing cells.
Answer:
kill rapidly dividing cells.
Question:
5. A disease that is native to a particular region is called epidemic. endemic. pandemic.
ethnographic.
Answer:
endemic
Question:
6. The electrolyte that has a higher concentration in the extracellular fluid than in the
intracellular fluid is _____ sodium phosphate magnesium potassium
Answer:
sodium
Question:
7. A newborn has melena, bleeding from the umbilicus, and hematuria. The newborn most
likely experiencing vitamin K deficiency bleeding. acquired vitamin K deficiency. von
Willebrand disease. disseminated intravascular coagulation.
Answer:
,vitamin K deficiency bleeding.
Question:
8. Clinical manifestations of hyponatremia include weak pulse, low blood pressure, and
increased heart rate. thirst, dry mucous membranes, and diarrhea. confusion, lethargy,
coma, and perhaps seizures. cardiac dysrhythmias, paresthesias, and muscle weakness.
Answer:
confusion, lethargy, coma, and perhaps seizures.
Question:
9. The progressive stage of hypovolemic shock is characterized by tachycardia.
hypertension. lactic acidosis. cardiac failure.
Answer:
tachycardia
Question:
10. Patients who experience anemic episodes when exposed to certain drugs most likely
have thalassemia. spherocytosis. glucose-6-phosphate dehydrogenase deficiency.
Answer:
glucose-6-phosphate dehydrogenase deficiency.
Question:
11. The cellular response indicative of injury because of faulty metabolism is hydropic
swelling. lactate production. metaplasia. intracellular accumulations.
Answer:
intracellular accumulations.
Question:
12. Which clinical finding is indicative of compartment syndrome? Peripheral edema Absent
peripheral pulses Redness and swelling Atrophy of distal tissues
Answer:
Absent peripheral pulses
Question:
13. A major cause of treatment failure in tuberculosis is resistant organism. allergy to drugs
used. noncompliance. immunosuppression.
Answer:
noncompliance.
Question:
14. A major risk factor for the development of active pulmonary tuberculosis (TB) disease is
contaminated water. immunosuppression. being a male. overuse of antibiotics.
Answer:
immunosuppression.
,Question:
15. A loud pansystolic murmur that radiates to the axilla is most likely a result of aortic
regurgitation. mitral regurgitation. mitral stenosis.
Answer:
mitral regurgitation.
Question:
16. All these cellular responses are potentially reversible except necrosis. metaplasia.
atrophy. hyperplasia.
Answer:
necrosis.
Question:
17. Transfusion reactions involve RBC destruction caused by donor antigens. recipient
antibodies. donor T cells. recipient T cells.
Answer:
recipient antibodies.
Question:
18. What is the most likely explanation for a diagnosis of hypernatremia in an elderly patient
receiving tube feeding? Too much sodium in the feedings Excess of feedings Inadequate
water intake Kidney failure
Answer:
Inadequate water intake
Question:
19. The assessment findings of a 5-year-old with a history of asthma include extreme
shortness of breath, nasal flaring, coughing, pulsus paradoxus, and use of accessory
respiratory muscles. There is no wheezing and the chest is silent in many areas. How should
you interpret your assessment? gen should be started immediately. Since there is not
wheezing, asthma is the problem, but oxygen should be started immediately anyway. The
signs and symptoms are consistent with asthma; start oxygen and then check to see that
your stethoscope is working properly. The child may be having such a severe asthma
episode that the airways are closed, so start oxygen and get the doctor immediately.
Answer:
The child may be having such a severe asthma episode that the airways are closed, so start
oxygen and get the doctor immediately.
Question:
20. Which finding is indicative of orthostatic hypotension in a person with a supine blood
pressure (BP) of 110/70 and a heart rate (HR) of 100? Sitting BP 88/60, HR 118 Sitting BP
108/68, HR 102 Sitting BP 110/78, HR 98 Sitting BP 120/80, HR 100
Answer:
, Sitting BP 88/60, HR 118
Question:
21. The arterial blood gas pH = 7.52, PaCO2 = 30 mm Hg, HCO3- = 24 mEq/L demonstrates
metabolic acidosis. respiratory acidosis. respiratory alkalosis. mixed alkalosis.
Answer:
respiratory alkalosis.
Question:
22. A patient has been exposed to meningococcal meningitis, but is not yet demonstrating
signs of this disease. This stage of illness is called the _____ stage. prodromal latent
convalescence
Answer:
latent
Question:
23. When exposed to inhaled allergens, a patient with asthma produces large quantities of
IgG. IgE. IgA. IgM.
Answer:
IgE.
Question:
24. A patient is exhibiting severe dyspnea and anxiety. The patient also has bubbly crackles
in all lung fields with pink, frothy sputum. This patient is most likely experiencing right-sided
heart failure. cardiomyopathy. a medication reaction. acute cardiogenic pulmonary edema.
Answer:
acute cardiogenic pulmonary edema.
Question:
25. First-degree heart block is characterized by prolonged PR interval. absent P waves.
widened QRS complex. variable PR interval.
Answer:
prolonged PR interval.
Question:
26. A patient with high blood pressure who is otherwise healthy is counseled to restrict
sodium intake. This is an example of primary prevention. secondary prevention. tertiary
prevention. disease treatment. production of substances by multiple means. A common
substance found in excessive amounts resulting from cancer paraneoplastic syndromes is
insulin. tumor necrosis factor. potassium. calcium.
Answer:
secondary prevention.
Question: