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A patient was diagnosed with Emphysema, which of the following is not an expected sign or symptom in
that patient?
A. Barrel chest
B. Air trapping in the lungs
C. Pursed lips
D. Hypoventilation
E. Hemoptysis - CORRECT ANSWERS D. Hemoptysis
A patient with a history of smoking for the past 20 years came into the clinic complaining of a yellowish
productive cough, temp of 102 F, pain behind the sternum that is aggravated by the cough. His chest X-
ray was inconclusive. His bronchoscopy showed mucus plug in multiple small airways. His most likely
diagnoses will be:
A. Acute bronchitis
B. Emphysema
C. Chronic bronchitis
D. Pneumoconiosis
E. Pneumonia - CORRECT ANSWERS C. Chronic bronchitis
,A patient started feeling generalized bone ache for the past 2 weeks, his lab results showed low levels of
his CBC components and elevated plasma cells, decrease bone density, and hypercalcemia. He was later
diagnosed with Multiple Myeloma. Which of the following would the pathologist expect to find?
A. Auer bodies
B. Bence Jones proteins
C. Reed-Sternberg cells
D. Macrocytic RBCs
E. Philadelphia chromosome - CORRECT ANSWERS B. Bence Jones proteins
Which of the following is not a pathophysiological change within the lung in a patient that was
diagnosed with Emphysema?
A. Elevated protease
B. Increase in the diameter of the chest
C. Loss of elasticity of the alveoli
D. Destruction of the alveolar septa
E. Elevated alpha-1 antitrypsin protein - CORRECT ANSWERS E. Elevated alpha-1 antitrypsin
protein
Which of the following is a match when it comes to COPD?
A. Pink puffers patients are usually obese
B. Patients with emphysema are referred to as "blue bloaters"
C. Patients with chronic bronchitis and emphysema suffer from prolonged expiration
D. Patients with emphysema have cyanosis early
,E. Blue bloaters usually use their accessory muscles to help them breathe better - CORRECT ANSWERS
C. Patients with chronic bronchitis and emphysema suffer from prolonged expiration
A woman was in an automobile accident. She had no airbags and struck her chest on the steering wheel,
causing double fractures of 4 ribs causing paradoxical movement of the chest wall breathing. She has:
A. ARDs
B. Flail chest
C. Atelectasis
D. Emphysema
E. Pneumothorax - CORRECT ANSWERS B. Flail chest
EAQ: Which condition would be occurring when an individual with disseminated intravascular
coagulation (DIC) becomes confused, demonstrates seizure activity, and develops Oliguria?
A. Multisystem organ failure
B. Epilepsy development
C. Erythrocyte damage
D. Macrovascular disease - CORRECT ANSWERS A. Multisystem organ failure
EAQ: Which information indicates the correct understanding of the Pathophysiology that caused an
individual's chronic productive cough from chronic bronchitis?
a. Permanent enlargement of gas - exchange airways (Acini)
b. Large air spaces (Bullae) with air trapping
c. Increased size and number of mucous glands and goblet cells.
, d. Destruction of alveolar walls without obvious fibrosis - CORRECT ANSWERS c. Increased size
and number of mucous glands and goblet cells
A nurse was reading the morphology lab report on a 64 y/o patient that was admitted to the hospital
with high fever, malaise, and cyanotic sclera. The histology report showed cytoplasmic inclusion bodies
(Auer Bodies). The nurse should recognize that is a characteristic of which of the following blood
disorders?
a. Thrombocytopenia Vera
b. Von Willebrand's Disease
c. Acute Myeloid Leukemia
d. Idiopathic Thrombocytopenia
e. Disseminated Intravascular Coagulation - CORRECT ANSWERS c. Acute Myeloid Leukemia
The nurse has just admitted a 35-year-old female client who has a low serum B12 concentration. Which
of the following laboratory findings would cue the nurse to focus on if the client history had a history of
drug and alcohol abuse?
a. Total bilirubin
b. WBCs
c. Hemoglobin
d. Folate levels
e. Serum creatinine - CORRECT ANSWERS d. Folate levels
The condition associated with hypoxemia as a result of lung disease or living at high altitudes is referred
to as:
a. Relative polycythemia