MN 551 Final Exam Revised Questions And
Answers Verified 100% Correct
A 51-year-old woman has been experiencing signs and symptoms of perimenopause
and has sought help from her nurse practitioner. Doctors have confirmed a deficiency
in estrogen levels as a contributing factor. Which of the following phenomena could
potentially underlie the woman's health problem?
Question options:
A lack of prohormone precursors needed for estrogen synthesis and release
Insufficient estrogen production within the smooth endoplasmic reticulum of the relevant
cells
Inadequate synthesis in the rough endoplasmic reticulum of her ovarian cells
Sufficient synthesis of estrogen but inadequate vesicle-mediated release - ANSWER
Insufficient estrogen production within the smooth endoplasmic reticulum of the
relevant cells
A patient with a history of an endocrine disorder exhibits signs and symptoms of
hormone deficiency. Which of the following processes would the patient's care
team most likely rule out first as a contributing factor? Question options:
Up-regulation has increased the sensitivity of the body to particular hormone levels.
The process of down-regulation has resulted in decreased hormone sensitivity.
Hormone production is sufficient, but affinity on the part of the target cells is lacking.
The patient's target cells lack sufficient receptors for the hormone in question. -
ANSWER Up-regulation has increased the sensitivity of the body to particular
hormone levels.
A 30-year-old woman has sought care because of her recurrent photophobia, tearing,
and eye irritation. During assessment, her care provider asks about any history of cold
sores or genital herpes. What is the rationale for the care provider's line of
questioning? Question options:
,A history of HSV with eye irritation is suggestive of glaucoma.
Chronic viral infection of the eyes can result in HSV autoinoculation of the mouth and
labia.
HSV infection of the cornea is a common cause of corneal ulceration and blindness.
Herpes simplex virus (HSV) conjunctivitis indicates a need for antiviral rather than
antibacterial treatment. - ANSWER HSV infection of the cornea is a commo
cause of corneal ulceration and blindness.
n
As part of the diagnostic workup for a patient's long-standing vertigo, a clinician wants to
gauge the patient's eye movements. Which of the following tests is the clinician most
likely to utilize?
Question options:
Caloric stimulation
Electronystagmography (ENG)
Rotational tests
Romberg test - ANSWER Electronystagmography (ENG)
A 21-year-old female is suspected of having inadequate function of her hypothalamic-
pituitary-thyroid system. Her care provider is planning to inject thyrotropin-releasing
hormone (TRH) and then measure her levels of TSH. Which of the following
diagnostic tests is being performed? Question options:
Metabolite excretion test
Stimulation test
Radioimmunoassay (RIA) test
,Suppression test - ANSWER Stimulation test
Which of the following questions is most likely to be clinically useful in the differential
diagnosis of sensorineural versus conductive hearing loss?
Question options:
"Do you ever hear a persistent ringing in your ears?"
"Has your hearing loss developed quickly or more slowly?"
"What effect is this hearing loss having on your quality of life?"
"What medications do you currently take?" - ANSWER "What medications do you
currently take?"
A stroke affecting which of the following areas of the brain would be most likely to leave
an individual's vestibular system intact and posture and balance maintained?
Question options:
The limbic system of the cerebrum
The temporal and parietal cortex
The thalamus
The brain stem - ANSWER The limbic system of the cerebrum
A 46-year-old male has presented to the emergency department because of the eye
pain, severe headache, and blurred vision that have followed an eye exam at an
optometrist's office earlier in the day. The patient tells the triage nurse that he
received eyedrops during the exam "to keep my pupils wide open." What differential
diagnosis will the care team first suspect? Question options:
Angle-closure glaucoma
Corneal trauma
Keratitis
, Infectious conjunctivitis - ANSWER Angle-closure glaucoma
A 60-year-old man has long managed his type 1 diabetes effectively with a
combination of vigilant blood sugar monitoring, subcutaneous insulin administration,
and conscientious eating habits. This morning, however, his wife has noted that he
appears pale and clammy and to be in a stupor, though he is responsive. She
suspects that he has made an error in his insulin administration and that he is
experiencing a hypoglycemic episode. Which of the following actions should be the
wife's first choice?
Careful monitoring for level of consciousness and resolution of hypoglycemia
IV infusion of 50% dextrose and water solution
Administration of subcutaneous glucagon
Administration of 15 to 20 g of glucose in a concentrated carbohydrate source -
ANSWER Administration of 15 to 20 g of glucose in a concentrated carbohydrate
source
A 29-year-old woman has been diagnosed with otosclerosis after several years of
progressive hearing loss. What pathophysiologic process has characterized her
diagnosis?
Her tympanic cavity is becoming filled with bone due to inappropriate osteogenesis.
Her temporal bone is experiencing unusually rapid resorption.
Her incus, malleus, and stapes have become disconnected from her normal neural
pathways.
New, sclerotic bone has been formed around her stapes and oval window - ANSWER
New, sclerotic bone has been formed around her stapes and oval window
Large amounts of glucagon were recently released into an individual's circulation, but
glucagon circulation has now ceased. Which of the following situations could have led
to this inhibition of glucagon release?
A decrease in cellular metabolic needs and an increase in glucose levels
Answers Verified 100% Correct
A 51-year-old woman has been experiencing signs and symptoms of perimenopause
and has sought help from her nurse practitioner. Doctors have confirmed a deficiency
in estrogen levels as a contributing factor. Which of the following phenomena could
potentially underlie the woman's health problem?
Question options:
A lack of prohormone precursors needed for estrogen synthesis and release
Insufficient estrogen production within the smooth endoplasmic reticulum of the relevant
cells
Inadequate synthesis in the rough endoplasmic reticulum of her ovarian cells
Sufficient synthesis of estrogen but inadequate vesicle-mediated release - ANSWER
Insufficient estrogen production within the smooth endoplasmic reticulum of the
relevant cells
A patient with a history of an endocrine disorder exhibits signs and symptoms of
hormone deficiency. Which of the following processes would the patient's care
team most likely rule out first as a contributing factor? Question options:
Up-regulation has increased the sensitivity of the body to particular hormone levels.
The process of down-regulation has resulted in decreased hormone sensitivity.
Hormone production is sufficient, but affinity on the part of the target cells is lacking.
The patient's target cells lack sufficient receptors for the hormone in question. -
ANSWER Up-regulation has increased the sensitivity of the body to particular
hormone levels.
A 30-year-old woman has sought care because of her recurrent photophobia, tearing,
and eye irritation. During assessment, her care provider asks about any history of cold
sores or genital herpes. What is the rationale for the care provider's line of
questioning? Question options:
,A history of HSV with eye irritation is suggestive of glaucoma.
Chronic viral infection of the eyes can result in HSV autoinoculation of the mouth and
labia.
HSV infection of the cornea is a common cause of corneal ulceration and blindness.
Herpes simplex virus (HSV) conjunctivitis indicates a need for antiviral rather than
antibacterial treatment. - ANSWER HSV infection of the cornea is a commo
cause of corneal ulceration and blindness.
n
As part of the diagnostic workup for a patient's long-standing vertigo, a clinician wants to
gauge the patient's eye movements. Which of the following tests is the clinician most
likely to utilize?
Question options:
Caloric stimulation
Electronystagmography (ENG)
Rotational tests
Romberg test - ANSWER Electronystagmography (ENG)
A 21-year-old female is suspected of having inadequate function of her hypothalamic-
pituitary-thyroid system. Her care provider is planning to inject thyrotropin-releasing
hormone (TRH) and then measure her levels of TSH. Which of the following
diagnostic tests is being performed? Question options:
Metabolite excretion test
Stimulation test
Radioimmunoassay (RIA) test
,Suppression test - ANSWER Stimulation test
Which of the following questions is most likely to be clinically useful in the differential
diagnosis of sensorineural versus conductive hearing loss?
Question options:
"Do you ever hear a persistent ringing in your ears?"
"Has your hearing loss developed quickly or more slowly?"
"What effect is this hearing loss having on your quality of life?"
"What medications do you currently take?" - ANSWER "What medications do you
currently take?"
A stroke affecting which of the following areas of the brain would be most likely to leave
an individual's vestibular system intact and posture and balance maintained?
Question options:
The limbic system of the cerebrum
The temporal and parietal cortex
The thalamus
The brain stem - ANSWER The limbic system of the cerebrum
A 46-year-old male has presented to the emergency department because of the eye
pain, severe headache, and blurred vision that have followed an eye exam at an
optometrist's office earlier in the day. The patient tells the triage nurse that he
received eyedrops during the exam "to keep my pupils wide open." What differential
diagnosis will the care team first suspect? Question options:
Angle-closure glaucoma
Corneal trauma
Keratitis
, Infectious conjunctivitis - ANSWER Angle-closure glaucoma
A 60-year-old man has long managed his type 1 diabetes effectively with a
combination of vigilant blood sugar monitoring, subcutaneous insulin administration,
and conscientious eating habits. This morning, however, his wife has noted that he
appears pale and clammy and to be in a stupor, though he is responsive. She
suspects that he has made an error in his insulin administration and that he is
experiencing a hypoglycemic episode. Which of the following actions should be the
wife's first choice?
Careful monitoring for level of consciousness and resolution of hypoglycemia
IV infusion of 50% dextrose and water solution
Administration of subcutaneous glucagon
Administration of 15 to 20 g of glucose in a concentrated carbohydrate source -
ANSWER Administration of 15 to 20 g of glucose in a concentrated carbohydrate
source
A 29-year-old woman has been diagnosed with otosclerosis after several years of
progressive hearing loss. What pathophysiologic process has characterized her
diagnosis?
Her tympanic cavity is becoming filled with bone due to inappropriate osteogenesis.
Her temporal bone is experiencing unusually rapid resorption.
Her incus, malleus, and stapes have become disconnected from her normal neural
pathways.
New, sclerotic bone has been formed around her stapes and oval window - ANSWER
New, sclerotic bone has been formed around her stapes and oval window
Large amounts of glucagon were recently released into an individual's circulation, but
glucagon circulation has now ceased. Which of the following situations could have led
to this inhibition of glucagon release?
A decrease in cellular metabolic needs and an increase in glucose levels
