GCU Pathophysiology exam 3 questions with
correct answers
Jethro |presents |with |a |cough |that |produces |purulent |sputum. |Jethro |smokes |1 |packs |week |for |the
|past |10 |years. |He |is |running |a |fever |and |has |night |sweats. |chest |x-rays |reveal |multiple |granulomas.
|He |also |tested |positive |for |mycobacterium |infection. |What |does |he |have? |- |VERIFIED |ANSWER✔✔-TB
What |is |tertiary |syphilis? |- |VERIFIED |ANSWER✔✔-It |is |systemic |- |
seen |with |cardiac |problems |and |CNS |gummas |(soft, |non-cancerous |growth |resulting |from |this |stage)
37 |year |old |female |presents |with |c/o |chest |pain, |joint |pain, |and |a |sore |throat. |She |says |that |every
|time |she |attempts |to |write |a |love |letter |to |her |honey |on |E-harmony |her |muscles |twitch. |She |had |a
|temp |of |101.4 |and |on |physical |exam |she |has |a |rash |on |left |arm. |Rapid |strep |came |back |positive |and
|CBC |showed |elevated |WBC. |What |does |she |have? |- |VERIFIED |ANSWER✔✔-Rheumatic |fever
A |60 |year |old |chemistry |teacher |working |at |Purdue |with |previous |prostate |cancer |complains |of |night
|sweats, |excessive |tiredness, |and |severe |bone |pain. |He |comes |into |the |ER |and |complains |of
|headaches |and |fever |along |with |other |symptoms |mentioned. |What |tests |would |you |perform |and
|what |might |the |results |be? |- |VERIFIED |ANSWER✔✔-Biopsy |- |look |for |auer |rods. |
(this |could |be |AML)
What |is |the |triad |for |mono? |- |VERIFIED |ANSWER✔✔-Fever, |pharyngitis, |lymphadenopathy |strep
Patient |presents |with |recurring, |episodic |headaches, |increased |heart |rate, |and |states |that |they |get
|really |sweaty! |This |classic |triad |is |an |indication |of |what |disease |process? |This |is |and |increase |in
|production |of |what? |- |VERIFIED |ANSWER✔✔-Pheochromocytoma |- |increase |in |catecholamine
|production
A |patient |comes |in |complaining |of |shortness |of |breath, |swelling, |and |pain |in |the |joints. |You |do |a |full
|exam |and |find |that |he |has |a |heart |murmur |that |he |claims |was |not |present |before. |You |gather |his
|medical |history |and |find |that |he |recently |went |to |Mexico |and |had |a |sketchy |dental |procedure. |What
|is |the |most |likely |diagnosis |and |how |would |this |affect |the |heart |valves? |- |VERIFIED |ANSWER✔✔-
infective |endocarditis |- |heart |valves |would |have |vegetation
,A |patient |comes |in |complaining |of |weight |loss, |diarrhea, |a |persistent |cough, |and |night |sweats. |They
|have |been |experiencing |these |symptoms |for |awhile |and |have |admitted |to |a |past |as |a |prostitute.
|What |is |the |virus |they |have |and |how |can |it |be |classified? |- |VERIFIED |ANSWER✔✔-Chronic |HIV |- |AIDS
47 |y/o |female |presents |to |the |clinic |with |a |severe |headache, |double |vision, |and |N/V. |Patient |does |not
|have |a |history |of |headaches |and |has |never |experienced |anything |like |this |before. |During
|consultation, |patient |states |that |she |was |in |a |car |accident |a |few |weeks |ago, |she |does |not |remember
|the |exact |day. |She |also |states |that |she |had |a |little |problem |finding |her |car |at |the |mall, |but |nothing
|major. |What |might |her |diagnosis |be? |- |VERIFIED |ANSWER✔✔-Chronic |subdural |hematoma
Ammon |was |excited |to |be |on |Christmas |vacation |and |to |be |done |with |his |5th |grade |finals. |On |his
|second |day |off |he |developed |a |fever |of |104 |and |was |taken |to |the |ER |where |he |showed |a |positive
|Brudzinski |sign |with |nuchal |rigidity. |A |spinal |tap |of |his |CSF |showed |cloudy |with |17,000mm |leukocytes
|with |75% |neutrophils. |Glucose |levels |were |decreased. |What |is |his |diagnosis? |- |VERIFIED |ANSWER✔✔-
Bacterial |meningitis
A |patient |in |the |hospital |who |recently |had |surgery |by |the |new |guy |begins |experiencing |tachycardia,
|tachypnea, |fever, |diarrhea, |and |hypotension |and |cannot |remember |where |he |is. |What |is |the |patient
|most |likely |experiencing? |What |are |some |of |the |risks |of |this |condition? |- |VERIFIED |ANSWER✔✔-
Sepsis |- |he |is |at |risk |for |DIC |and |acute |respiratory |distress |syndrome
Ethan |really |likes |spicy |food |even |though |they |give |him |heartburn. |In |fact, |he |likes |spicy |food |almost
|as |much |as |he |likes |to |drink |alcohol |and |smoke |cigarettes, |which |he |does |as |much |as |possible. |For
|the |last |year, |he |has |had |acid |reflux |pretty |much |constantly. |Now |his |throat |is |really |sore |and |his
|doctor |is |concerned |that |he |is |causing |damage |to |his |esophagus |that |could |lead |to |cancer. |What |is
|this |esophageal |condition |called? |What |can |this |progress |to? |- |VERIFIED |ANSWER✔✔-GERD |- |can
|progress |to |Barrett's |esophagus |adenocarcinoma
A |patient |presents |with |severe |GERD. |What |is |the |best |way |to |reduce |symptoms |and |treat |this
|condition |before |it |progresses |to |Barrett's |esophagus? |- |VERIFIED |ANSWER✔✔-Stop |smoking |and
|drinking, |stop |eating |spicy |foods, |take |antacids
A |45 |y/o |female |patient |is |having |a |hard |time |sleeping |lately. |She |also |states |that |she |has |been
|eating |way |more |food |than |usual, |but |is |losing |weight |without |even |trying. |She |also |states |that
|because |she |cannot |sleep |she |seems |to |lay |awake |at |night |and |worry |about |the |craziest |little |things.
, |She |has |also |noticed |that |even |though |it |has |been |cold |out, |her |body |seems |hot |and |sweaty |all |the
|time. |In |order |to |be |diagnosed |with |Grave's |disease, |what |two |symptoms |must |be |present? |What
|else |might |you |find? |What |would |be |found |in |her |blood? |- |VERIFIED |ANSWER✔✔-Must |see
|exophthalamos |and |pre-tibial |myxedema, |could |also |find |goiter |- |anti-TSH |antibodies |in |the |blood
A |6 |y/o |first |grade |student |comes |home |from |school |with |a |fever |and |lethargy. |As |he |tries |to |get |out
|of |bed |the |next |morning |he |screams |in |pain |as |he |lifts |his |head |off |the |pillow. |He |explains |to |his
|mom |that |his |head |is |killing |him |and |it |hurts |to |move. |His |mom |dresses |him |anyway |and |as |she
|removes |his |pj |top |she |notices |red |blotches |on |his |back |and |stomach. |What |is |the |name |of |the |red
|blotches? |What |might |his |diagnosis |be? |- |VERIFIED |ANSWER✔✔-Red |blotches |are |petechiae |- |he |has
|meningitis
How |can |you |tell |if |meningitis |is |viral |or |bacterial? |- |VERIFIED |ANSWER✔✔-Perform |a |spinal |tap |- |if |is
|it |bacterial |the |CSF |will |be |cloudy |with |increased |neutrophils |and |decreased |glucose
A |patient |comes |in |complaining |of |fever, |sore |throat, |swollen |lymph |nodes, |and |a |rash |for |about |3
|weeks. |They |confess |to |sharing |needles |while |shooting |up. |A |rapid |HIV |test |comes |back |positive.
|What |is |the |diagnosis |and |what |is |this |virus? |- |VERIFIED |ANSWER✔✔-Acute |HIV |- |retrovirus
Jo |Bob |presents |with |difficult |breathing |and |cough. |He |is |able |to |breath |better |when |he |is |bent
|forward. |He |doesn't |smoke |but |both |of |his |parents |smoked |when |he |was |growing |up. |His |respiratory
|rate |is |36. |He |is |barrel |chested |and |has |mild |clubbing |of |his |nails. |He |has |increased |total |lung
|capacity |and |decreased |vital |capacity. |Sputum |culture |is |negative |and |his |skin |is |pink. |What |is |the
|diagnosis? |- |VERIFIED |ANSWER✔✔-Emphysema
A |patient |comes |in |complaining |of |fever, |weight |loss, |and |night |sweats. |They |are |diagnosed |with |Non-
Hodgkin's |lymphoma. |What |would |be |a |treatment |plan |for |this |patient? |- |VERIFIED |ANSWER✔✔-
Rituixmab |- |Ab |that |attacks |B |cell |antigens
19 |y/o |female |GCU |student |has |suffered |from |a |severe |case |of |strep |throat. |Her |throat |is |feeling
|better |now, |but |she |has |started |feeling |arthralgia, |fatigue, |and |has |noticed |a |rash |on |her |left |arm
|that |looks |round |with |a |defined |border. |What |does |she |have |and |what |heart |condition |might |she
|suffer |from? |- |VERIFIED |ANSWER✔✔-She |has |rheumatic |fever |- |might |suffer |from |endocarditis
Patient |states |that |they |seem |to |get |really |bad |headaches |every |month |with |her |menstrual |cycle. |The
|headache |is |usually |only |not |he |right |side |of |her |face, |but |she |states |that |she |also |gets |nauseous |and
correct answers
Jethro |presents |with |a |cough |that |produces |purulent |sputum. |Jethro |smokes |1 |packs |week |for |the
|past |10 |years. |He |is |running |a |fever |and |has |night |sweats. |chest |x-rays |reveal |multiple |granulomas.
|He |also |tested |positive |for |mycobacterium |infection. |What |does |he |have? |- |VERIFIED |ANSWER✔✔-TB
What |is |tertiary |syphilis? |- |VERIFIED |ANSWER✔✔-It |is |systemic |- |
seen |with |cardiac |problems |and |CNS |gummas |(soft, |non-cancerous |growth |resulting |from |this |stage)
37 |year |old |female |presents |with |c/o |chest |pain, |joint |pain, |and |a |sore |throat. |She |says |that |every
|time |she |attempts |to |write |a |love |letter |to |her |honey |on |E-harmony |her |muscles |twitch. |She |had |a
|temp |of |101.4 |and |on |physical |exam |she |has |a |rash |on |left |arm. |Rapid |strep |came |back |positive |and
|CBC |showed |elevated |WBC. |What |does |she |have? |- |VERIFIED |ANSWER✔✔-Rheumatic |fever
A |60 |year |old |chemistry |teacher |working |at |Purdue |with |previous |prostate |cancer |complains |of |night
|sweats, |excessive |tiredness, |and |severe |bone |pain. |He |comes |into |the |ER |and |complains |of
|headaches |and |fever |along |with |other |symptoms |mentioned. |What |tests |would |you |perform |and
|what |might |the |results |be? |- |VERIFIED |ANSWER✔✔-Biopsy |- |look |for |auer |rods. |
(this |could |be |AML)
What |is |the |triad |for |mono? |- |VERIFIED |ANSWER✔✔-Fever, |pharyngitis, |lymphadenopathy |strep
Patient |presents |with |recurring, |episodic |headaches, |increased |heart |rate, |and |states |that |they |get
|really |sweaty! |This |classic |triad |is |an |indication |of |what |disease |process? |This |is |and |increase |in
|production |of |what? |- |VERIFIED |ANSWER✔✔-Pheochromocytoma |- |increase |in |catecholamine
|production
A |patient |comes |in |complaining |of |shortness |of |breath, |swelling, |and |pain |in |the |joints. |You |do |a |full
|exam |and |find |that |he |has |a |heart |murmur |that |he |claims |was |not |present |before. |You |gather |his
|medical |history |and |find |that |he |recently |went |to |Mexico |and |had |a |sketchy |dental |procedure. |What
|is |the |most |likely |diagnosis |and |how |would |this |affect |the |heart |valves? |- |VERIFIED |ANSWER✔✔-
infective |endocarditis |- |heart |valves |would |have |vegetation
,A |patient |comes |in |complaining |of |weight |loss, |diarrhea, |a |persistent |cough, |and |night |sweats. |They
|have |been |experiencing |these |symptoms |for |awhile |and |have |admitted |to |a |past |as |a |prostitute.
|What |is |the |virus |they |have |and |how |can |it |be |classified? |- |VERIFIED |ANSWER✔✔-Chronic |HIV |- |AIDS
47 |y/o |female |presents |to |the |clinic |with |a |severe |headache, |double |vision, |and |N/V. |Patient |does |not
|have |a |history |of |headaches |and |has |never |experienced |anything |like |this |before. |During
|consultation, |patient |states |that |she |was |in |a |car |accident |a |few |weeks |ago, |she |does |not |remember
|the |exact |day. |She |also |states |that |she |had |a |little |problem |finding |her |car |at |the |mall, |but |nothing
|major. |What |might |her |diagnosis |be? |- |VERIFIED |ANSWER✔✔-Chronic |subdural |hematoma
Ammon |was |excited |to |be |on |Christmas |vacation |and |to |be |done |with |his |5th |grade |finals. |On |his
|second |day |off |he |developed |a |fever |of |104 |and |was |taken |to |the |ER |where |he |showed |a |positive
|Brudzinski |sign |with |nuchal |rigidity. |A |spinal |tap |of |his |CSF |showed |cloudy |with |17,000mm |leukocytes
|with |75% |neutrophils. |Glucose |levels |were |decreased. |What |is |his |diagnosis? |- |VERIFIED |ANSWER✔✔-
Bacterial |meningitis
A |patient |in |the |hospital |who |recently |had |surgery |by |the |new |guy |begins |experiencing |tachycardia,
|tachypnea, |fever, |diarrhea, |and |hypotension |and |cannot |remember |where |he |is. |What |is |the |patient
|most |likely |experiencing? |What |are |some |of |the |risks |of |this |condition? |- |VERIFIED |ANSWER✔✔-
Sepsis |- |he |is |at |risk |for |DIC |and |acute |respiratory |distress |syndrome
Ethan |really |likes |spicy |food |even |though |they |give |him |heartburn. |In |fact, |he |likes |spicy |food |almost
|as |much |as |he |likes |to |drink |alcohol |and |smoke |cigarettes, |which |he |does |as |much |as |possible. |For
|the |last |year, |he |has |had |acid |reflux |pretty |much |constantly. |Now |his |throat |is |really |sore |and |his
|doctor |is |concerned |that |he |is |causing |damage |to |his |esophagus |that |could |lead |to |cancer. |What |is
|this |esophageal |condition |called? |What |can |this |progress |to? |- |VERIFIED |ANSWER✔✔-GERD |- |can
|progress |to |Barrett's |esophagus |adenocarcinoma
A |patient |presents |with |severe |GERD. |What |is |the |best |way |to |reduce |symptoms |and |treat |this
|condition |before |it |progresses |to |Barrett's |esophagus? |- |VERIFIED |ANSWER✔✔-Stop |smoking |and
|drinking, |stop |eating |spicy |foods, |take |antacids
A |45 |y/o |female |patient |is |having |a |hard |time |sleeping |lately. |She |also |states |that |she |has |been
|eating |way |more |food |than |usual, |but |is |losing |weight |without |even |trying. |She |also |states |that
|because |she |cannot |sleep |she |seems |to |lay |awake |at |night |and |worry |about |the |craziest |little |things.
, |She |has |also |noticed |that |even |though |it |has |been |cold |out, |her |body |seems |hot |and |sweaty |all |the
|time. |In |order |to |be |diagnosed |with |Grave's |disease, |what |two |symptoms |must |be |present? |What
|else |might |you |find? |What |would |be |found |in |her |blood? |- |VERIFIED |ANSWER✔✔-Must |see
|exophthalamos |and |pre-tibial |myxedema, |could |also |find |goiter |- |anti-TSH |antibodies |in |the |blood
A |6 |y/o |first |grade |student |comes |home |from |school |with |a |fever |and |lethargy. |As |he |tries |to |get |out
|of |bed |the |next |morning |he |screams |in |pain |as |he |lifts |his |head |off |the |pillow. |He |explains |to |his
|mom |that |his |head |is |killing |him |and |it |hurts |to |move. |His |mom |dresses |him |anyway |and |as |she
|removes |his |pj |top |she |notices |red |blotches |on |his |back |and |stomach. |What |is |the |name |of |the |red
|blotches? |What |might |his |diagnosis |be? |- |VERIFIED |ANSWER✔✔-Red |blotches |are |petechiae |- |he |has
|meningitis
How |can |you |tell |if |meningitis |is |viral |or |bacterial? |- |VERIFIED |ANSWER✔✔-Perform |a |spinal |tap |- |if |is
|it |bacterial |the |CSF |will |be |cloudy |with |increased |neutrophils |and |decreased |glucose
A |patient |comes |in |complaining |of |fever, |sore |throat, |swollen |lymph |nodes, |and |a |rash |for |about |3
|weeks. |They |confess |to |sharing |needles |while |shooting |up. |A |rapid |HIV |test |comes |back |positive.
|What |is |the |diagnosis |and |what |is |this |virus? |- |VERIFIED |ANSWER✔✔-Acute |HIV |- |retrovirus
Jo |Bob |presents |with |difficult |breathing |and |cough. |He |is |able |to |breath |better |when |he |is |bent
|forward. |He |doesn't |smoke |but |both |of |his |parents |smoked |when |he |was |growing |up. |His |respiratory
|rate |is |36. |He |is |barrel |chested |and |has |mild |clubbing |of |his |nails. |He |has |increased |total |lung
|capacity |and |decreased |vital |capacity. |Sputum |culture |is |negative |and |his |skin |is |pink. |What |is |the
|diagnosis? |- |VERIFIED |ANSWER✔✔-Emphysema
A |patient |comes |in |complaining |of |fever, |weight |loss, |and |night |sweats. |They |are |diagnosed |with |Non-
Hodgkin's |lymphoma. |What |would |be |a |treatment |plan |for |this |patient? |- |VERIFIED |ANSWER✔✔-
Rituixmab |- |Ab |that |attacks |B |cell |antigens
19 |y/o |female |GCU |student |has |suffered |from |a |severe |case |of |strep |throat. |Her |throat |is |feeling
|better |now, |but |she |has |started |feeling |arthralgia, |fatigue, |and |has |noticed |a |rash |on |her |left |arm
|that |looks |round |with |a |defined |border. |What |does |she |have |and |what |heart |condition |might |she
|suffer |from? |- |VERIFIED |ANSWER✔✔-She |has |rheumatic |fever |- |might |suffer |from |endocarditis
Patient |states |that |they |seem |to |get |really |bad |headaches |every |month |with |her |menstrual |cycle. |The
|headache |is |usually |only |not |he |right |side |of |her |face, |but |she |states |that |she |also |gets |nauseous |and
