GCU PATHOPHYSIOLOGY FINAL EXAM-
CUMULATIVE QUESTIONS AND
ANSWERS
Pancreatitis ltreatment l- lcorrect lanswers l--No loral lintake: lIV lfluids
-opioid lanalgesics: lmorphine lsulfate
-cholecystectomy
Myocardial lInfarction- lSTEMI l- lcorrect lanswers l--ST lelevation lin lEKG
-MI lhas ltraveled lthrough lall lthree llayers lof lheart lwall
Myocardial lInfarction- lNon lSTEMI l- lcorrect lanswers l-Depressed lST
Costochrondritis l- lcorrect lanswers l--inflammation lof lrib lcartilage
- llasts lonly la lshort lwhile lafter lexercise
Peritonitis l- lcorrect lanswers l-Inflammation lof lserous lmembrane
Cause: linfection lby lperforation l(bowel, lappendix, letc)
, S/S: lWidespread labdominal lpain, lrebound ltenderness, lrigid labdomen, ldehydration
"Left lshift" land lhigh lWBC l- lcorrect lanswers l-Peritonitis
Appendicitis l- lcorrect lanswers l-Pain, ltenderness lupon lpressure lof llower lleft
lquadrant, lfever
S/S: lEpigastric lPain, lJaundice, lGall lstones
Fair, lFat, lFemale, lFertile land lover lForty l- lcorrect lanswers l-Cholelithiasis
Cholecystits l- lcorrect lanswers l-gallstone lstuck lin lthe lcystic lduct
RUQ lpain, l+ lMurphy's lsign, lRadiating lpain lto lthe lright llower lshoulder, lTest lfor
lpancreatic lenzymes lin lorder lto lrule lout lpancreatitis l- lcorrect lanswers l-Cholecystits
Pancreatitis l- lcorrect lanswers l-bile lduct lobstruction, ldigestive lenzymes leating lat
lpancreas
Angina lPectoris l- lcorrect lanswers l-Chest lpain lcaused lby lreversible lmyocardial
lischemia
Stable langina l- lcorrect lanswers l-Coronary lartery lluminal lnarrowing, lsymptom
loccurrence lduring lexertion, lST lsegment ldepression lon lECG?
Unstable lAngina l- lcorrect lanswers l-chest lpain lat lrest lor lchest lpain lof lincreasing
lfrequency
variant langina l- lcorrect lanswers l-vasospasm loccurs lat lrest
Angina lPectoris ltreatment l- lcorrect lanswers l-Nitrates, lcalcium lchannel lblockers land
lbeta lblockers, lanti-platelet lmedications llike laspirin l81 lmg land/or lclopidrogrel l75 lmg.
lPossible lpercutaneous linterventions.
Myocardial linfarction ltreatment l- lcorrect lanswers l-During: lNitroglycerine, laspirin,
langioplasty
After: lACE linhibitors, l-benzapril
Beta lblockers, l- lpropanolol
Cholecystis ltreatment l- lcorrect lanswers l-intravenous lhydration, lcorrection lof
lelectrolyte labnormalities, lanalgesia, land lintravenous lantibiotics.
Cholelithiasis ltreatment l- lcorrect lanswers l--if lasymptomatic, ltreatment lis lnon-surgical
-cholecystectomy lif lproblem lis lsymptomatic
-sonic lshock lwaves
CUMULATIVE QUESTIONS AND
ANSWERS
Pancreatitis ltreatment l- lcorrect lanswers l--No loral lintake: lIV lfluids
-opioid lanalgesics: lmorphine lsulfate
-cholecystectomy
Myocardial lInfarction- lSTEMI l- lcorrect lanswers l--ST lelevation lin lEKG
-MI lhas ltraveled lthrough lall lthree llayers lof lheart lwall
Myocardial lInfarction- lNon lSTEMI l- lcorrect lanswers l-Depressed lST
Costochrondritis l- lcorrect lanswers l--inflammation lof lrib lcartilage
- llasts lonly la lshort lwhile lafter lexercise
Peritonitis l- lcorrect lanswers l-Inflammation lof lserous lmembrane
Cause: linfection lby lperforation l(bowel, lappendix, letc)
, S/S: lWidespread labdominal lpain, lrebound ltenderness, lrigid labdomen, ldehydration
"Left lshift" land lhigh lWBC l- lcorrect lanswers l-Peritonitis
Appendicitis l- lcorrect lanswers l-Pain, ltenderness lupon lpressure lof llower lleft
lquadrant, lfever
S/S: lEpigastric lPain, lJaundice, lGall lstones
Fair, lFat, lFemale, lFertile land lover lForty l- lcorrect lanswers l-Cholelithiasis
Cholecystits l- lcorrect lanswers l-gallstone lstuck lin lthe lcystic lduct
RUQ lpain, l+ lMurphy's lsign, lRadiating lpain lto lthe lright llower lshoulder, lTest lfor
lpancreatic lenzymes lin lorder lto lrule lout lpancreatitis l- lcorrect lanswers l-Cholecystits
Pancreatitis l- lcorrect lanswers l-bile lduct lobstruction, ldigestive lenzymes leating lat
lpancreas
Angina lPectoris l- lcorrect lanswers l-Chest lpain lcaused lby lreversible lmyocardial
lischemia
Stable langina l- lcorrect lanswers l-Coronary lartery lluminal lnarrowing, lsymptom
loccurrence lduring lexertion, lST lsegment ldepression lon lECG?
Unstable lAngina l- lcorrect lanswers l-chest lpain lat lrest lor lchest lpain lof lincreasing
lfrequency
variant langina l- lcorrect lanswers l-vasospasm loccurs lat lrest
Angina lPectoris ltreatment l- lcorrect lanswers l-Nitrates, lcalcium lchannel lblockers land
lbeta lblockers, lanti-platelet lmedications llike laspirin l81 lmg land/or lclopidrogrel l75 lmg.
lPossible lpercutaneous linterventions.
Myocardial linfarction ltreatment l- lcorrect lanswers l-During: lNitroglycerine, laspirin,
langioplasty
After: lACE linhibitors, l-benzapril
Beta lblockers, l- lpropanolol
Cholecystis ltreatment l- lcorrect lanswers l-intravenous lhydration, lcorrection lof
lelectrolyte labnormalities, lanalgesia, land lintravenous lantibiotics.
Cholelithiasis ltreatment l- lcorrect lanswers l--if lasymptomatic, ltreatment lis lnon-surgical
-cholecystectomy lif lproblem lis lsymptomatic
-sonic lshock lwaves
