Exam 3 Pathophysiology Galen College
of Nursing Chapin
Defective bone mineralization due to a deficiency of vitamin D in childhood is called
_______, whereas its adult counterpart is called ________ - ✔️✔️Rickets;
osteomalacia
Which of the following is characteristic of closed-angle glaucoma but not of open-angle
glaucoma? - ✔️✔️Acute eye pain
Where does a polar brain injury take place? p 903 - ✔️✔️polar injuries (coup
contrecoup) occur as a consequence of the brain shifting within the skull and meninges
during he course of an acceleration-deceleration movement, resulting in local injury at
two opposite poles of the brain
Explain the difference between primary and secondary injury? Pg. 892 - ✔️✔️primary -
occurs immediately at the onset of brain injury
secondary - development of further neuro damage and changes from a primary injury
can change the brain for years to follow
What happens when there is pressure on cranial nerve III? Pg. 901 - ✔️✔️sluggish
constriction of the pupil can indicate increased ICP
What would the eye do in a pt who has a severe brainstem impairment? p 902 -
✔️✔️Oculovestibular reflex - eyes remain fixed like a doll
Who is most at risk for epidural bleeding? p 903-904 - ✔️✔️fracture of the temporal
bone
history of primary brain injury
concussion
falls
over 60
Who is at greatest risk for ischemic stroke? p 906 - ✔️✔️pts over 50 with a catorid bruit
a-fib pts
Hx of a TIA
Concussion
falls
over 60 yrs old
, What would a nurse expect to find in a pts history of hemorrhagic stroke? p 906 -
✔️✔️record of an extremely high BP
Hx of continuous aspirin use
long standing hypertension
What is an aneurysm? p 909-910 - ✔️✔️weakening of the blood vessel wall
Blood present in the CSF would indicate what type of hemorrhage? p 905 -
✔️✔️subarachnoid hemorrhage
What type of seizure involves both hemispheres of the brain? p 917 - ✔️✔️partial
seizure: secondary generalized
Movement of the tympanic membrane in the ear initiates movement of the malleolus,
whereas movement of the oval window causes movement of the: - ✔️✔️Perilymph
In the eye, the effect of sympathetic nervous system stimulation is: - ✔️✔️Pupillary
edema
Vertigo commonly occurs with the auditory disorder called: - ✔️✔️Meniere disease
Conductive hearing disorders are a result of pathologic lesions of the: - ✔️✔️External
and/or middle ear
Ossification of the bones of the middle ear is an example of: - ✔️✔️A conductive
abnormality
Otitis media commonly occurs in children with: - ✔️✔️Eustachian tube dysfunction
An irregular curvature of the cornea or lens results in: - ✔️✔️Astigmatism
Patients with diabetes mellitus are at particularly high risk and should be routinely
evaluated for: - ✔️✔️Vascular retinopathy
An individual who experiences a change in olfactory sensation in the absence of an
obvious etiologic factor, such as cold, inflammation, or smoke inhalation, should be
evaluated for: - ✔️✔️A brain tumor
An nursing assessment of a patient with otosclerosis is likely to reveal: -
✔️✔️conductive hearing loss.
of Nursing Chapin
Defective bone mineralization due to a deficiency of vitamin D in childhood is called
_______, whereas its adult counterpart is called ________ - ✔️✔️Rickets;
osteomalacia
Which of the following is characteristic of closed-angle glaucoma but not of open-angle
glaucoma? - ✔️✔️Acute eye pain
Where does a polar brain injury take place? p 903 - ✔️✔️polar injuries (coup
contrecoup) occur as a consequence of the brain shifting within the skull and meninges
during he course of an acceleration-deceleration movement, resulting in local injury at
two opposite poles of the brain
Explain the difference between primary and secondary injury? Pg. 892 - ✔️✔️primary -
occurs immediately at the onset of brain injury
secondary - development of further neuro damage and changes from a primary injury
can change the brain for years to follow
What happens when there is pressure on cranial nerve III? Pg. 901 - ✔️✔️sluggish
constriction of the pupil can indicate increased ICP
What would the eye do in a pt who has a severe brainstem impairment? p 902 -
✔️✔️Oculovestibular reflex - eyes remain fixed like a doll
Who is most at risk for epidural bleeding? p 903-904 - ✔️✔️fracture of the temporal
bone
history of primary brain injury
concussion
falls
over 60
Who is at greatest risk for ischemic stroke? p 906 - ✔️✔️pts over 50 with a catorid bruit
a-fib pts
Hx of a TIA
Concussion
falls
over 60 yrs old
, What would a nurse expect to find in a pts history of hemorrhagic stroke? p 906 -
✔️✔️record of an extremely high BP
Hx of continuous aspirin use
long standing hypertension
What is an aneurysm? p 909-910 - ✔️✔️weakening of the blood vessel wall
Blood present in the CSF would indicate what type of hemorrhage? p 905 -
✔️✔️subarachnoid hemorrhage
What type of seizure involves both hemispheres of the brain? p 917 - ✔️✔️partial
seizure: secondary generalized
Movement of the tympanic membrane in the ear initiates movement of the malleolus,
whereas movement of the oval window causes movement of the: - ✔️✔️Perilymph
In the eye, the effect of sympathetic nervous system stimulation is: - ✔️✔️Pupillary
edema
Vertigo commonly occurs with the auditory disorder called: - ✔️✔️Meniere disease
Conductive hearing disorders are a result of pathologic lesions of the: - ✔️✔️External
and/or middle ear
Ossification of the bones of the middle ear is an example of: - ✔️✔️A conductive
abnormality
Otitis media commonly occurs in children with: - ✔️✔️Eustachian tube dysfunction
An irregular curvature of the cornea or lens results in: - ✔️✔️Astigmatism
Patients with diabetes mellitus are at particularly high risk and should be routinely
evaluated for: - ✔️✔️Vascular retinopathy
An individual who experiences a change in olfactory sensation in the absence of an
obvious etiologic factor, such as cold, inflammation, or smoke inhalation, should be
evaluated for: - ✔️✔️A brain tumor
An nursing assessment of a patient with otosclerosis is likely to reveal: -
✔️✔️conductive hearing loss.
