Study Guide D115 OA
Study online at https://quizlet.com/_gaping
1. Conductive hearing loss involves the middle ear and is usual-
inner ear ly the result of one of the
middle ear following: blockage of the
5th cranial nerve ear canal, a hole in the
8th cranial nerve ear drum, problems with
three small bones in the
ear, or fluid in the space
between the ear drum and
cochlea
2. A 30-day-old infant presents to the emergency room relative deficiency of factor
with decreased oral intake, decreased urine output, B
and a fever of 101.8. The infant is admitted for further
evaluation with a workup to include a blood culture, a
urine culture, a spinal tap, and a chest X-ray.
Which issue of innate immunity, as it relates to
neonates, is of concern?
dysfunctional chemotactic factor response
excess collectin and collectin like protein
relative deficiency of factor b
high levels of mannose
3. 12-year-old African American patient presents with C1 esterase inhibitor
unilateral eye swelling and lower lip swelling. The pa-
tient's parent reports that the swelling is spontaneous
and resolves over several days. The patient does not
have complaints of fever, hives, or vomiting. Serum lab
results show hyperactivation of three plasma protein
systems. The APRN suspects hereditary angioedema.
C1 esterase inhibitor
Plasminogen
, Study Guide D115 OA
Study online at https://quizlet.com/_gaping
Bradykinin
Hageman factor
4. angioedema painless swelling under
the skin, triggered by an
allergy to animal dan-
der, pollen, drugs, venom,
food, or medication.
5. The parent of a child diagnosed with Down syndrome Gastroesophageal reflux
expresses concerns about the child's recurrent respi- disease causes aspiration
ratory tract infections to an advanced practice reg- of thin fluids.
istered nurse (APRN). The infections have occurred
regularly since birth.
What should the APRN tell the parent is the underlying
cause of this illness?
Hyperthyroidism causes an increased risk of infec-
tion.
Gastroesophageal reflux disease causes aspiration of
thin fluids.
Short stature causes poor lung development.
Hypertonia causes airway restriction.
6. A 36-year-old patient is being seen by an advanced It decreases glucose up-
practice registered nurse (APRN) in a primary care take
clinic for the first time. The patient reports feeling de-
pressed due to a major life change. Additional symp-
toms include weight gain, sedentary activity, and in-
somnia. The APRN plans on providing the patient with
several exercises to reduce the physiological effect of
stress.
· It increases protein synthesis.
, Study Guide D115 OA
Study online at https://quizlet.com/_gaping
· It increases smooth muscle contraction.
· It decreases glucose uptake
7. Turner syndrome Single X chromosome.
Short stature, wide spaced
nipples, sparse body hair,
normal IQ. All females.
8. Klinefelter syndrome Individuals w at least two
X chromosomes and a Y
chromosome in each cell.
XXY chromosome. Have
male appearance, Usual-
ly sterile, and half de-
velop female like breasts.
Testes are small, body hair
sparse, voice is somewhat
high pitched, stature ele-
vated, and moderate met-
al impairment may be
present.
9. Prader-Willi syndrome Chromosome 15 long
arm deletion. INHERITED
FROM THE FATHER with
features that include short
stature, hypotonia, small
hands and feet, obesity,
mild to moderate intellec-
tual disability, and hypog-
onadism
10. Angelman syndrome
, Study Guide D115 OA
Study online at https://quizlet.com/_gaping
Chromosome 15 long arm
deletion.
INHERITED FROM MOTH-
ER which is characterized
by severe intellectual dis-
ability, seizures, and an
ataxic gait
11. A patient presents to the hospital complaining of A loss of myelin sheaths,
blurred vision, muscle weaknesses, impaired gait, and causing a disruption of
fatigue lasting more than 24 hours. The patient has a nerve conduction
history of smoking and vitamin D deficiency. Extensive
diagnostic testing and a comprehensive neurological Multiple Sclerosis- is a po-
assessment reveals a diagnosis of multiple sclerosis. tentially disabling disease
Which pathological mechanism will support this diag- of the brain and spinal
nosis? cord (central nervous sys-
A loss of myelin sheaths, causing a disruption of nerve tem). In MS, the im-
conduction mune system attacks the
Demyelination caused by antibody and cell-mediated protective sheath (myelin)
immunologic reaction of the peripheral nerves that covers nerve fibers
A defect in nerve impulse transmission at the neuro- and causes communica-
muscular junction tion problems between
Degeneration of the neuromuscular junction and the your brain and the rest of
upper and lower motor neurons your body.
12. A child presents to a clinic with a white pupillary reflex Mutations of a gene on
noted in the right eye. The child is constantly crying chromosome 13q14 lead
and rubbing her eyes. An advanced practice regis- to neoplastic proliferation
tered nurse (APRN) performs a complete ophthalmo- of cells
logic examination and orders several diagnostic tests.
Based on the findings, a diagnosis of retinoblastoma
is confirmed.
Study online at https://quizlet.com/_gaping
1. Conductive hearing loss involves the middle ear and is usual-
inner ear ly the result of one of the
middle ear following: blockage of the
5th cranial nerve ear canal, a hole in the
8th cranial nerve ear drum, problems with
three small bones in the
ear, or fluid in the space
between the ear drum and
cochlea
2. A 30-day-old infant presents to the emergency room relative deficiency of factor
with decreased oral intake, decreased urine output, B
and a fever of 101.8. The infant is admitted for further
evaluation with a workup to include a blood culture, a
urine culture, a spinal tap, and a chest X-ray.
Which issue of innate immunity, as it relates to
neonates, is of concern?
dysfunctional chemotactic factor response
excess collectin and collectin like protein
relative deficiency of factor b
high levels of mannose
3. 12-year-old African American patient presents with C1 esterase inhibitor
unilateral eye swelling and lower lip swelling. The pa-
tient's parent reports that the swelling is spontaneous
and resolves over several days. The patient does not
have complaints of fever, hives, or vomiting. Serum lab
results show hyperactivation of three plasma protein
systems. The APRN suspects hereditary angioedema.
C1 esterase inhibitor
Plasminogen
, Study Guide D115 OA
Study online at https://quizlet.com/_gaping
Bradykinin
Hageman factor
4. angioedema painless swelling under
the skin, triggered by an
allergy to animal dan-
der, pollen, drugs, venom,
food, or medication.
5. The parent of a child diagnosed with Down syndrome Gastroesophageal reflux
expresses concerns about the child's recurrent respi- disease causes aspiration
ratory tract infections to an advanced practice reg- of thin fluids.
istered nurse (APRN). The infections have occurred
regularly since birth.
What should the APRN tell the parent is the underlying
cause of this illness?
Hyperthyroidism causes an increased risk of infec-
tion.
Gastroesophageal reflux disease causes aspiration of
thin fluids.
Short stature causes poor lung development.
Hypertonia causes airway restriction.
6. A 36-year-old patient is being seen by an advanced It decreases glucose up-
practice registered nurse (APRN) in a primary care take
clinic for the first time. The patient reports feeling de-
pressed due to a major life change. Additional symp-
toms include weight gain, sedentary activity, and in-
somnia. The APRN plans on providing the patient with
several exercises to reduce the physiological effect of
stress.
· It increases protein synthesis.
, Study Guide D115 OA
Study online at https://quizlet.com/_gaping
· It increases smooth muscle contraction.
· It decreases glucose uptake
7. Turner syndrome Single X chromosome.
Short stature, wide spaced
nipples, sparse body hair,
normal IQ. All females.
8. Klinefelter syndrome Individuals w at least two
X chromosomes and a Y
chromosome in each cell.
XXY chromosome. Have
male appearance, Usual-
ly sterile, and half de-
velop female like breasts.
Testes are small, body hair
sparse, voice is somewhat
high pitched, stature ele-
vated, and moderate met-
al impairment may be
present.
9. Prader-Willi syndrome Chromosome 15 long
arm deletion. INHERITED
FROM THE FATHER with
features that include short
stature, hypotonia, small
hands and feet, obesity,
mild to moderate intellec-
tual disability, and hypog-
onadism
10. Angelman syndrome
, Study Guide D115 OA
Study online at https://quizlet.com/_gaping
Chromosome 15 long arm
deletion.
INHERITED FROM MOTH-
ER which is characterized
by severe intellectual dis-
ability, seizures, and an
ataxic gait
11. A patient presents to the hospital complaining of A loss of myelin sheaths,
blurred vision, muscle weaknesses, impaired gait, and causing a disruption of
fatigue lasting more than 24 hours. The patient has a nerve conduction
history of smoking and vitamin D deficiency. Extensive
diagnostic testing and a comprehensive neurological Multiple Sclerosis- is a po-
assessment reveals a diagnosis of multiple sclerosis. tentially disabling disease
Which pathological mechanism will support this diag- of the brain and spinal
nosis? cord (central nervous sys-
A loss of myelin sheaths, causing a disruption of nerve tem). In MS, the im-
conduction mune system attacks the
Demyelination caused by antibody and cell-mediated protective sheath (myelin)
immunologic reaction of the peripheral nerves that covers nerve fibers
A defect in nerve impulse transmission at the neuro- and causes communica-
muscular junction tion problems between
Degeneration of the neuromuscular junction and the your brain and the rest of
upper and lower motor neurons your body.
12. A child presents to a clinic with a white pupillary reflex Mutations of a gene on
noted in the right eye. The child is constantly crying chromosome 13q14 lead
and rubbing her eyes. An advanced practice regis- to neoplastic proliferation
tered nurse (APRN) performs a complete ophthalmo- of cells
logic examination and orders several diagnostic tests.
Based on the findings, a diagnosis of retinoblastoma
is confirmed.
