NR507NP Midterm Questions & Answers
Which of the following are considered the "first responders" of the innate immune
system? - ANSWERSNeutrophils
Hives (urticaria) are an example of a: - ANSWERSType I Hypersensitivity Reaction
Allergic contact dermatitis is an example of ______________________ hypersensitivity
reaction. - ANSWERSType IV
Type 2 (Cytotoxic) hypersensitivity reactions are mediated by: - ANSWERSIgG or IgM
Anaphylaxis is a __________________ hypersensitivity reaction. - ANSWERSType I
Which of the following is the underlying pathology for hay fever?
Formation of autoantibodies.
Activation of complement.
Destruction by T-cells.
Mast cell degranulation. - ANSWERSMast Cell Degranulation
Which of the following assessment findings would be expected in a patient who
presents with urticaria?
Eosinophilia.
Decreased thyroid-stimulation hormone level.
Thrombocytopenia.
Leukopenia. - ANSWERSEosinophilia
The diagnosis for an individual who presents to the office with sudden swollen lips and
eyes, shortness of breath and throat tightness after a bee sting is:
Anaphylaxis.
Asthma.
Angioedema.
Reactive airway disease. - ANSWERSAnaphylaxis
,Damage occurs with ABO incompatibility because:
Complement damages RBC membrane causing cell lysis.
Mast cell degranulation.
Autoantibodies specific for thyroid tissue impairs the receptors for TSH.
Antigen/Antibody complexes attack the RBC. - ANSWERSComplement damages RBC
membrane causing cell lysis
Which is true about a primary immunodeficiency?
It is the result of a single gene defect.
It appears primarily in older adults.
It is usually inherited.
It is the result of multiple gene defects. - ANSWERSIt is the result of a single gene
defect.
_____________________________ is a predominant cause of secondary immune
deficiencies worldwide. - ANSWERSMalnutrition
An example of a secondary immunodeficiency is:
Job Syndrome.
Common Variable Immunodeficiency.
Familial Mediterranean Fever.
Pneumocystis Carinii. - ANSWERSPneumocystis Carinii.
An example of a primary immunodeficiency is:
Sinus Infection.
Human Immunodeficiency virus.
Pneumonia.
Chronic Granulomatous Disease. - ANSWERSChronic Granulomatous Disease
True or False: Cancer is a secondary immunodeficiency. - ANSWERSTrue
Sinusitis is considered a primary immunodeficiency.? - ANSWERSFalse
Select the best statement below that describes a primary immunodeficiency:
Are less common and occur due to a defect on the development of the immune system.
Conditions where the immune system becomes compromised because of something
else. - ANSWERSAre less common and occur due to a defect on the development of
the immune system.
, A patient with human immunodeficiency virus (HIV) was admitted to the acute care
facility with difficulty breathing. He is diagnosed with Pneumocytis carinii. Pneumocystis
carinii an example of:
A primary immune disease.
A secondary immune disease. - ANSWERSA secondary immune disease
The major immune system change associated with Sjogren's Syndrome is:
Autoantibodies and auto-reactive T-cells against apoptotic cells.
Autoantibodies and auto-reactive T-cells and B-cells against joint-associated antigens.
Autoantibodies and auto-reactive T-cells against brain antigens.
Autoantibodies and auto-active T-cells against DNA and nucleoprotein antigens -
ANSWERSAutoantibodies and auto-reactive T-cells against apoptotic cells.
Which of the following findings can be used to diagnose Systemic Lupus Erythematosus
(SLE)?
Facial rash confined to the cheeks.
Low back pain.
Fever.
Headache. - ANSWERSFacial rash confined to the cheeks.
The ___________________________ test is positive in 90% of patients diagnosed with
Systemic Lupus Erythematosus (SLE). - ANSWERSAntinuclear Antibody (ANA)
A renal disease most often associated with autoimmunity is:
Cystitis.
Renal lithiasis.
Urinary Tract Infection.
Glomerulonephritis. - ANSWERSGlomerulonephritis.
The presence of a low number of autoantibodies is an indicator that the individual will
develop an autoimmune disease.
True
False - ANSWERSFalse
The following immune components can be involved in autoimmune diseases: T-Cells,
B-cells and autoantibodies.
True
False - ANSWERStrue
Which of the following assessment findings would support a diagnosis of Rheumatoid
Arthritis (RA)?
Muscle weakness and ataxia.
Inflammation in the salivary and lacrimal glands.
Which of the following are considered the "first responders" of the innate immune
system? - ANSWERSNeutrophils
Hives (urticaria) are an example of a: - ANSWERSType I Hypersensitivity Reaction
Allergic contact dermatitis is an example of ______________________ hypersensitivity
reaction. - ANSWERSType IV
Type 2 (Cytotoxic) hypersensitivity reactions are mediated by: - ANSWERSIgG or IgM
Anaphylaxis is a __________________ hypersensitivity reaction. - ANSWERSType I
Which of the following is the underlying pathology for hay fever?
Formation of autoantibodies.
Activation of complement.
Destruction by T-cells.
Mast cell degranulation. - ANSWERSMast Cell Degranulation
Which of the following assessment findings would be expected in a patient who
presents with urticaria?
Eosinophilia.
Decreased thyroid-stimulation hormone level.
Thrombocytopenia.
Leukopenia. - ANSWERSEosinophilia
The diagnosis for an individual who presents to the office with sudden swollen lips and
eyes, shortness of breath and throat tightness after a bee sting is:
Anaphylaxis.
Asthma.
Angioedema.
Reactive airway disease. - ANSWERSAnaphylaxis
,Damage occurs with ABO incompatibility because:
Complement damages RBC membrane causing cell lysis.
Mast cell degranulation.
Autoantibodies specific for thyroid tissue impairs the receptors for TSH.
Antigen/Antibody complexes attack the RBC. - ANSWERSComplement damages RBC
membrane causing cell lysis
Which is true about a primary immunodeficiency?
It is the result of a single gene defect.
It appears primarily in older adults.
It is usually inherited.
It is the result of multiple gene defects. - ANSWERSIt is the result of a single gene
defect.
_____________________________ is a predominant cause of secondary immune
deficiencies worldwide. - ANSWERSMalnutrition
An example of a secondary immunodeficiency is:
Job Syndrome.
Common Variable Immunodeficiency.
Familial Mediterranean Fever.
Pneumocystis Carinii. - ANSWERSPneumocystis Carinii.
An example of a primary immunodeficiency is:
Sinus Infection.
Human Immunodeficiency virus.
Pneumonia.
Chronic Granulomatous Disease. - ANSWERSChronic Granulomatous Disease
True or False: Cancer is a secondary immunodeficiency. - ANSWERSTrue
Sinusitis is considered a primary immunodeficiency.? - ANSWERSFalse
Select the best statement below that describes a primary immunodeficiency:
Are less common and occur due to a defect on the development of the immune system.
Conditions where the immune system becomes compromised because of something
else. - ANSWERSAre less common and occur due to a defect on the development of
the immune system.
, A patient with human immunodeficiency virus (HIV) was admitted to the acute care
facility with difficulty breathing. He is diagnosed with Pneumocytis carinii. Pneumocystis
carinii an example of:
A primary immune disease.
A secondary immune disease. - ANSWERSA secondary immune disease
The major immune system change associated with Sjogren's Syndrome is:
Autoantibodies and auto-reactive T-cells against apoptotic cells.
Autoantibodies and auto-reactive T-cells and B-cells against joint-associated antigens.
Autoantibodies and auto-reactive T-cells against brain antigens.
Autoantibodies and auto-active T-cells against DNA and nucleoprotein antigens -
ANSWERSAutoantibodies and auto-reactive T-cells against apoptotic cells.
Which of the following findings can be used to diagnose Systemic Lupus Erythematosus
(SLE)?
Facial rash confined to the cheeks.
Low back pain.
Fever.
Headache. - ANSWERSFacial rash confined to the cheeks.
The ___________________________ test is positive in 90% of patients diagnosed with
Systemic Lupus Erythematosus (SLE). - ANSWERSAntinuclear Antibody (ANA)
A renal disease most often associated with autoimmunity is:
Cystitis.
Renal lithiasis.
Urinary Tract Infection.
Glomerulonephritis. - ANSWERSGlomerulonephritis.
The presence of a low number of autoantibodies is an indicator that the individual will
develop an autoimmune disease.
True
False - ANSWERSFalse
The following immune components can be involved in autoimmune diseases: T-Cells,
B-cells and autoantibodies.
True
False - ANSWERStrue
Which of the following assessment findings would support a diagnosis of Rheumatoid
Arthritis (RA)?
Muscle weakness and ataxia.
Inflammation in the salivary and lacrimal glands.
