N440 Exam 1 Study Set UPDATED
ACTUAL Exam Questions and CORRECT
Answers
What is the first leukocyte to arrive at the injury site? - CORRECT ANSWER -
Neutrophils
What happens if there is a high demand for neutrophils? - CORRECT ANSWER - Bone
marrow releases immature forms of neutrophils called bands.
What do Eosinophils do? - CORRECT ANSWER - elevate for allergic responses or
parasitic infestations.
What are some systemic manifestations of inflammation? - CORRECT ANSWER - fever,
swollen lymph nodes, fatigue, increase in WBCs, body aches
What are some local manifestations of inflammation? - CORRECT ANSWER - Redness,
swelling, pain, heat, drainage, loss of function
What are some manifestations of acute/chronic bronchitis? - CORRECT ANSWER - dry
hacking cough worse at night time, low fever, SOB, chest tightness, wheezing, fatigue
How is bronchitis treated? - CORRECT ANSWER - Can usually be treated without
antibiotics, unless pt has a significant past medical history. Steam can help to break up Mucus,
sitting up in the recliner to promote a strong air way, drink lots of fluids because that also helps
to loosen secretions, suck on cough drops or hard candy to soothe your throat, QUIT SMOKING
What is Sulfasalzine (azulfidine)? - CORRECT ANSWER - an antibiotic that is poorly
absorbed in the GI tract, it acts typically on the colonic mucosa to inhibit the inflammatory
process.
, What is treatment and diet like for a patient with Ulcerative Colitis? - CORRECT
ANSWER - Diet: may need to be TPN, avoid caffeine, alcohol, tobacco, spicy foods, high
fiber, lactose. Steam or cook vegetables do not eat them raw.
Treatment: Medication Therapy: Aminosalicylates (Sulfasalazine, mesalamine)
Glucocorticoids (Prednisone)
Antidiarrheal drugs (imodium)
Immunosuppressants (Azathioprine, Methotrexate, Cyclosporine)
Immunomodulators ( Remicade, Humira)
Surgical management: Protocolectomy with ileo pouch anal anastomosis. J pouch is made with
the last foot/foot and a half of the intestine temporary ileostomy so the jpouch can heal.
What is treatment and diet like for a patient with Crohn's? - CORRECT ANSWER -
Nutritional therapy: With severe exacerbations: bowel rest and TPN may be needed, ensure that
the patients have nutrients and extra calories, Vivonex Plus, teach them to avoid stimulants.
Medication therapy similar to Ulcerative Colitis
Surgical Management: Not as successful as that of Ulcerative Colitis.
stoma and ileostomy slides - CORRECT ANSWER -
What immunoglobulator is recognized with allergic reaction? - CORRECT ANSWER -
IgE
What is artificial active immunity? Give an example. - CORRECT ANSWER - Memory
lasts years but you need boosters because it is not life-long. Immunizations
ACTUAL Exam Questions and CORRECT
Answers
What is the first leukocyte to arrive at the injury site? - CORRECT ANSWER -
Neutrophils
What happens if there is a high demand for neutrophils? - CORRECT ANSWER - Bone
marrow releases immature forms of neutrophils called bands.
What do Eosinophils do? - CORRECT ANSWER - elevate for allergic responses or
parasitic infestations.
What are some systemic manifestations of inflammation? - CORRECT ANSWER - fever,
swollen lymph nodes, fatigue, increase in WBCs, body aches
What are some local manifestations of inflammation? - CORRECT ANSWER - Redness,
swelling, pain, heat, drainage, loss of function
What are some manifestations of acute/chronic bronchitis? - CORRECT ANSWER - dry
hacking cough worse at night time, low fever, SOB, chest tightness, wheezing, fatigue
How is bronchitis treated? - CORRECT ANSWER - Can usually be treated without
antibiotics, unless pt has a significant past medical history. Steam can help to break up Mucus,
sitting up in the recliner to promote a strong air way, drink lots of fluids because that also helps
to loosen secretions, suck on cough drops or hard candy to soothe your throat, QUIT SMOKING
What is Sulfasalzine (azulfidine)? - CORRECT ANSWER - an antibiotic that is poorly
absorbed in the GI tract, it acts typically on the colonic mucosa to inhibit the inflammatory
process.
, What is treatment and diet like for a patient with Ulcerative Colitis? - CORRECT
ANSWER - Diet: may need to be TPN, avoid caffeine, alcohol, tobacco, spicy foods, high
fiber, lactose. Steam or cook vegetables do not eat them raw.
Treatment: Medication Therapy: Aminosalicylates (Sulfasalazine, mesalamine)
Glucocorticoids (Prednisone)
Antidiarrheal drugs (imodium)
Immunosuppressants (Azathioprine, Methotrexate, Cyclosporine)
Immunomodulators ( Remicade, Humira)
Surgical management: Protocolectomy with ileo pouch anal anastomosis. J pouch is made with
the last foot/foot and a half of the intestine temporary ileostomy so the jpouch can heal.
What is treatment and diet like for a patient with Crohn's? - CORRECT ANSWER -
Nutritional therapy: With severe exacerbations: bowel rest and TPN may be needed, ensure that
the patients have nutrients and extra calories, Vivonex Plus, teach them to avoid stimulants.
Medication therapy similar to Ulcerative Colitis
Surgical Management: Not as successful as that of Ulcerative Colitis.
stoma and ileostomy slides - CORRECT ANSWER -
What immunoglobulator is recognized with allergic reaction? - CORRECT ANSWER -
IgE
What is artificial active immunity? Give an example. - CORRECT ANSWER - Memory
lasts years but you need boosters because it is not life-long. Immunizations
