MN 551 Quiz 6 Patho With Complete Solutions
Of the options listed below, which would most likely be excluded as part of first line
weight loss plan for a patient with the following profile: BMI=30.2; type 2 diabetes;
hypertension? - Answer 30 minutes or more of moderate-intensity activity at least 3 days
per week
Calorie reduction by 500 to 1,000 kcal/day
***Gastric bypass
Prescription drug therapy
A nurse practitioner is caring for a male client who has been diagnosed with a hiatal
hernia of several years' duration. Which of the following statements best describes an
aspect of the pathophysiology related to hiatal hernias? - Answer An incompetent pyloric
sphincter and high fat diet are commonly implicated in the development of hiatal hernias.
*****If esophageal acid clearance is impaired, esophagitis can result.
The underlying causes of hiatal hernias can usually be medically managed.
Paraesophageal hiatal hernias are relatively common and are usually not treated if the
patient is asymptomatic.
Which of the following patients is most clearly exhibiting the signs and symptoms of
IBD? - Answer A 24-year-old man who has a stressful job but whose diarrhea and
cramping do not worsen during periods of high stress.
A 44-year-old male who is under a great deal of financial stress and who reports his lower
abdominal pain is significantly worse at night than in the daytime .
*****A 51-year-old male who describes his abdominal pain as being located in his lower
abdomen, "comes and goes," and "feels more like a cramp than a dull ache."
A 32-year-old female who complains of crampy abdominal pain which persists beyond
defecation.
, A 32-year-old male musician was admitted to the emergency department of a hospital
after a concert, complaining of abrupt and sever abdominal pain. He admits to copious
alcohol use over recent years; his vital signs include a temperature of 38.8°C (101.8°F),
blood pressure of 89/48 mm Hg, and a heart rate of 116 beats per minute. Blood work
reveals that his serum levels of C-reactive protein, amylase, and lipase are all elevated.
Which of the following diagnoses would the care team first suspect? - Answer *****Acute
pancreatitis
Liver cirrhosis
Cholecystitis
Hepatitis C
A 55-year-old male is diagnosed with a hiatal hernia, which compromises the function of
the lower esophageal sphincter. Which of the following is the most likely consequence of
this condition? - Answer Inappropriate release of gastric enzymes
******Protrusion of the stomach or regurgitation of stomach contents into the esophagus
Impaired control of the gastric emptying rate
Decreased absorption of ingested foods and fluids
The mother brings her 19-week-old infant to the nurse practitioner for her continued
failure to gain weight due to chronic diarrhea. The diagnosis of celiac disease has been
confirmed through an intestinal biopsy, and the child's mother asks her about the
etiology of the disease. Which of the following aspects of the etiology of celiac disease
would underlie the explanation that the nurse practitioner provides in response? -Answer
Malabsorption of the fat content of breast milk results in starvation and deficiency of the
fat-soluble vitamins.
Neurogenic or muscular inhibition of peristalsis causes inappropriate motility of ingested
food into lower small intestine and the colon.
****An inappropriate T-cell mediated response manifests as increased amount of
antibodies along with the inflammatory response.
Nutrient absorption and transport are impaired when there is an infection of the
peritoneum either by bacteria or by chemicals.
A newborn female has experienced respiratory distress since birth and has not improved
Of the options listed below, which would most likely be excluded as part of first line
weight loss plan for a patient with the following profile: BMI=30.2; type 2 diabetes;
hypertension? - Answer 30 minutes or more of moderate-intensity activity at least 3 days
per week
Calorie reduction by 500 to 1,000 kcal/day
***Gastric bypass
Prescription drug therapy
A nurse practitioner is caring for a male client who has been diagnosed with a hiatal
hernia of several years' duration. Which of the following statements best describes an
aspect of the pathophysiology related to hiatal hernias? - Answer An incompetent pyloric
sphincter and high fat diet are commonly implicated in the development of hiatal hernias.
*****If esophageal acid clearance is impaired, esophagitis can result.
The underlying causes of hiatal hernias can usually be medically managed.
Paraesophageal hiatal hernias are relatively common and are usually not treated if the
patient is asymptomatic.
Which of the following patients is most clearly exhibiting the signs and symptoms of
IBD? - Answer A 24-year-old man who has a stressful job but whose diarrhea and
cramping do not worsen during periods of high stress.
A 44-year-old male who is under a great deal of financial stress and who reports his lower
abdominal pain is significantly worse at night than in the daytime .
*****A 51-year-old male who describes his abdominal pain as being located in his lower
abdomen, "comes and goes," and "feels more like a cramp than a dull ache."
A 32-year-old female who complains of crampy abdominal pain which persists beyond
defecation.
, A 32-year-old male musician was admitted to the emergency department of a hospital
after a concert, complaining of abrupt and sever abdominal pain. He admits to copious
alcohol use over recent years; his vital signs include a temperature of 38.8°C (101.8°F),
blood pressure of 89/48 mm Hg, and a heart rate of 116 beats per minute. Blood work
reveals that his serum levels of C-reactive protein, amylase, and lipase are all elevated.
Which of the following diagnoses would the care team first suspect? - Answer *****Acute
pancreatitis
Liver cirrhosis
Cholecystitis
Hepatitis C
A 55-year-old male is diagnosed with a hiatal hernia, which compromises the function of
the lower esophageal sphincter. Which of the following is the most likely consequence of
this condition? - Answer Inappropriate release of gastric enzymes
******Protrusion of the stomach or regurgitation of stomach contents into the esophagus
Impaired control of the gastric emptying rate
Decreased absorption of ingested foods and fluids
The mother brings her 19-week-old infant to the nurse practitioner for her continued
failure to gain weight due to chronic diarrhea. The diagnosis of celiac disease has been
confirmed through an intestinal biopsy, and the child's mother asks her about the
etiology of the disease. Which of the following aspects of the etiology of celiac disease
would underlie the explanation that the nurse practitioner provides in response? -Answer
Malabsorption of the fat content of breast milk results in starvation and deficiency of the
fat-soluble vitamins.
Neurogenic or muscular inhibition of peristalsis causes inappropriate motility of ingested
food into lower small intestine and the colon.
****An inappropriate T-cell mediated response manifests as increased amount of
antibodies along with the inflammatory response.
Nutrient absorption and transport are impaired when there is an infection of the
peritoneum either by bacteria or by chemicals.
A newborn female has experienced respiratory distress since birth and has not improved
