NR50733/33NR33507:33Advanced33Pathophysiology33Midterm33Exa
m33(2022/2023)33Chamberlain33College33Of33Nursing
,133
33
NR3350733Advanced33Pathophysiology33Midterm33Exam
3333
Score33for33this33quiz:3311833out33of33120333333
Question331
233/33233pts
The33lung33is33innervated33by33the33parasympathetic33nervous33system33via33which33nerve?3
333
Vagus3333
Phrenic3333
Brachial3333
Pectoral3333
Fibers33of33the33parasympathetic33division33of33the33autonomic33nervous33system33(ANS)
33travel33only33in33the33vagus33nerve33to33the33lung.3333
Question332
233/33233pts
What33is33the33action33of33urodilatin?3333
Urodilatin33causes33vasoconstriction33of33afferent33arterioles.3333
It33causes33vasodilation33of33the33efferent33arterioles.3333
Urodilatin33inhibits33antidiuretic33hormone33secretion.3333
Page33133of33
3 3633
3
,2 3
33 3
3
3
3
3
3 3333
3 It33inhibits33salt33and33water33reabsorption.3333
3
3
Urodilatin33(a33natriuretic33peptide)33inhibits33sodium33and33water33reabsorption33from3
3the33medullary33part33of33collecting33duct,33thereby33producing33diuresis.33It33is33not33inv
olved33in33the33actions33described33by33the33other33options.3333
Question333
233/33233pts
What33is33the33direct33action33of33atrial33natriuretic33hormone?3333
Sodium33retention3333
Sodium33excretion3333
Water33retention3333
Water33excretion3333
Atrial33natriuretic33peptide33(ANP)33and33brain33natriuretic33peptide33(BNP)33inhibit33the
33secretion33of33renin,33inhibit33angiotensin-
induced33secretion33of33aldosterone,33vasodilate33the33afferent33and33constrict33the33eff
erent33glomerular33arterioles,33and33inhibit33sodium33and33water33absorption33by33kidney3
3tubules.33The33other33actions33are33not33a33result33of33the33atrial33natriuretic33hormone.33
33
Question334
233/33233pts
Which33statement33best33describes33a33Schilling33test?3333
Page33233of33
3 3633
3
, 3 3
33 3
Administration33of33radioactive33cobalamin33and33the33measurement33of33its33excreti
on33in33the33urine33to33test33for33vitamin33B 33333333333333deficiency3333
12
3
3
3
3 Measurement33of33antigen-
antibody33immune33complexes33in33the33blood33to33test33for33hemolytic33anemia3333
Measurement33of33serum33ferritin33and33total33iron-
binding33capacity33in33the33blood33to33test33for33iron33deficiency33anemia3333
Administration33of33folate33and33measurement33in33233hours33of33its33level33in33a33bl
ood33sample33to33test33for33folic33acid33deficiency33anemia.3333
The3333 Schilling33 test33 indirectly33 evaluates33 vitamin33 B 123333333333absorption33 by33admini
stering33 radioactive33B12333333333333and3 3 measuring33 excretion33 in33 the33urine.33 This33 sele
ction33 is33 the33only33option33 that3333accurately33describes33a33Schilling33test.3333
Question335
233/33233pts
Hemolytic33disease33of33the33newborn33(HDN)33can33occur33if33the33mother:3333
Is33Rh-positive33and33the33fetus33is33Rh-negative3333
Is33Rh-negative33and33the33fetus33is33Rh-positive3333
Has33type33A33blood33and33the33fetus33has33type33O3333
Has33type33AB33blood33and33the33fetus33has33type33B3333
HDN33can33occur33only33if33antigens33on33fetal33erythrocytes33differ33from33antigens33on33
maternal33erythrocytes.33Maternal-
fetal33incompatibility33exists33only33if33the33mother33and33fetus33differ33in33ABO33blood33ty
pe33or33if33the33fetus33is33Rh-positive33and33the33mother33is33Rh-
negative.33This33erythrocyte33incompatibility33does33not33exist33in33any33of33the33other33o
ptions.3333
Page33333of33
3 3633
3
m33(2022/2023)33Chamberlain33College33Of33Nursing
,133
33
NR3350733Advanced33Pathophysiology33Midterm33Exam
3333
Score33for33this33quiz:3311833out33of33120333333
Question331
233/33233pts
The33lung33is33innervated33by33the33parasympathetic33nervous33system33via33which33nerve?3
333
Vagus3333
Phrenic3333
Brachial3333
Pectoral3333
Fibers33of33the33parasympathetic33division33of33the33autonomic33nervous33system33(ANS)
33travel33only33in33the33vagus33nerve33to33the33lung.3333
Question332
233/33233pts
What33is33the33action33of33urodilatin?3333
Urodilatin33causes33vasoconstriction33of33afferent33arterioles.3333
It33causes33vasodilation33of33the33efferent33arterioles.3333
Urodilatin33inhibits33antidiuretic33hormone33secretion.3333
Page33133of33
3 3633
3
,2 3
33 3
3
3
3
3
3 3333
3 It33inhibits33salt33and33water33reabsorption.3333
3
3
Urodilatin33(a33natriuretic33peptide)33inhibits33sodium33and33water33reabsorption33from3
3the33medullary33part33of33collecting33duct,33thereby33producing33diuresis.33It33is33not33inv
olved33in33the33actions33described33by33the33other33options.3333
Question333
233/33233pts
What33is33the33direct33action33of33atrial33natriuretic33hormone?3333
Sodium33retention3333
Sodium33excretion3333
Water33retention3333
Water33excretion3333
Atrial33natriuretic33peptide33(ANP)33and33brain33natriuretic33peptide33(BNP)33inhibit33the
33secretion33of33renin,33inhibit33angiotensin-
induced33secretion33of33aldosterone,33vasodilate33the33afferent33and33constrict33the33eff
erent33glomerular33arterioles,33and33inhibit33sodium33and33water33absorption33by33kidney3
3tubules.33The33other33actions33are33not33a33result33of33the33atrial33natriuretic33hormone.33
33
Question334
233/33233pts
Which33statement33best33describes33a33Schilling33test?3333
Page33233of33
3 3633
3
, 3 3
33 3
Administration33of33radioactive33cobalamin33and33the33measurement33of33its33excreti
on33in33the33urine33to33test33for33vitamin33B 33333333333333deficiency3333
12
3
3
3
3 Measurement33of33antigen-
antibody33immune33complexes33in33the33blood33to33test33for33hemolytic33anemia3333
Measurement33of33serum33ferritin33and33total33iron-
binding33capacity33in33the33blood33to33test33for33iron33deficiency33anemia3333
Administration33of33folate33and33measurement33in33233hours33of33its33level33in33a33bl
ood33sample33to33test33for33folic33acid33deficiency33anemia.3333
The3333 Schilling33 test33 indirectly33 evaluates33 vitamin33 B 123333333333absorption33 by33admini
stering33 radioactive33B12333333333333and3 3 measuring33 excretion33 in33 the33urine.33 This33 sele
ction33 is33 the33only33option33 that3333accurately33describes33a33Schilling33test.3333
Question335
233/33233pts
Hemolytic33disease33of33the33newborn33(HDN)33can33occur33if33the33mother:3333
Is33Rh-positive33and33the33fetus33is33Rh-negative3333
Is33Rh-negative33and33the33fetus33is33Rh-positive3333
Has33type33A33blood33and33the33fetus33has33type33O3333
Has33type33AB33blood33and33the33fetus33has33type33B3333
HDN33can33occur33only33if33antigens33on33fetal33erythrocytes33differ33from33antigens33on33
maternal33erythrocytes.33Maternal-
fetal33incompatibility33exists33only33if33the33mother33and33fetus33differ33in33ABO33blood33ty
pe33or33if33the33fetus33is33Rh-positive33and33the33mother33is33Rh-
negative.33This33erythrocyte33incompatibility33does33not33exist33in33any33of33the33other33o
ptions.3333
Page33333of33
3 3633
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