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PTS 676 Midterm exam with correct answers

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PTS 676 Midterm exam with correct answers

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Portage Learning Pathophysiology
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Portage Learning Pathophysiology











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Institution
Portage Learning Pathophysiology
Course
Portage Learning Pathophysiology

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Uploaded on
September 25, 2025
Number of pages
37
Written in
2025/2026
Type
Exam (elaborations)
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PTS 676 Midterm exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answers

five levels of consciousness - correct answer✔✔alertness, lethargy, obtunded, stupor, coma
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What describes this: Speak to patient in a normal tone of voice. Patient opens the eyes, looks
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at you, and responds fully and appropriately to stimuli. - correct answer✔✔alertness
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What describes this: Speak to patient in a loud voice, call the patient's name and say
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something like, "How are you?". Patients are drowsy, but open their eyes and look at you, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




respond to questions, and then fall asleep. - correct answer✔✔lethargy
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What describes this: Shake the patient gently as if awakening a sleeper. Patients open their
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eyes and look at you, but respond slowly and are somewhat confused. - correct
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answer✔✔obtunded



What describes this: Apply a painful stimulus (pinch, rub sternum, pencil across nail bed).
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Patients respond to this pain. - correct answer✔✔stupor |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




What describes this: Apply repeated painful stimuli. No response. - correct answer✔✔coma
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What should you do if a patient is in stage 1 (early) shock? - correct answer✔✔get the patient
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help (not an emergency yet) |||\\\ |||\\\ |||\\\ |||\\\




What describes this? |||\\\ |||\\\




- restlessness/hyperalert
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,|||\\\




- listless/lack of interest
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- tachycardia
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- increased RR, shallow breathing, frequent sighs
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- rapid bounding pulse
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- distended neck veins
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- skin warm and flushed
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- thirst, nausea/vomiting - correct answer✔✔stage 1 shock
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What should you do if a patient is in stage 2 shock? - correct answer✔✔call 911
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What describes this? |||\\\ |||\\\




- confusion/poor eye contact
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- changes in affect or behavior
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- silence or excessive crying
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- cold, clammy skin, profuse sweating, chills
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- weak pulse
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- hypotension, dizziness, syncope
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- collapsed neck veins
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- weak/absent peripheral pulses
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- muscle tension - correct answer✔✔stage 2 shock
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What should you do if a patient is in stage 3 shock? - correct answer✔✔call 911 and prepare
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to do CPR |||\\\ |||\\\




What describes this? |||\\\ |||\\\

,|||\\\




- cyanosis
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- dull eyes, dilated pupils
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- loss of bowel/bladder control
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- change in level of consciousness - correct answer✔✔stage 3 shock
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What describes this? |||\\\ |||\\\




- muscle wasting
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- alopecia
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- dermatitis
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- chapped lips
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- brittle nails
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- abdominal distention
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- fatigue/lethargy
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- peripheral edema
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- bruising - correct answer✔✔malnutrition/starvation
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What should you do if you suspect malnutrition? - correct answer✔✔refer patient to PCP, a
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nutritionist, or possibly social services |||\\\ |||\\\ |||\\\ |||\\\




BMI units - correct answer✔✔kg/m^2
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underweight BMI - correct answer✔✔<20 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




normal BMI - correct answer✔✔20-25 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

, |||\\\




overweight BMI - correct answer✔✔25-30 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




obese BMI - correct answer✔✔30-40 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




morbidly obese BMI - correct answer✔✔>40 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




normal BP - correct answer✔✔100-120/60-80 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




normal body temperature (in Fahrenheit) - correct answer✔✔98.4
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high body temperature (in Fahrenheit) - correct answer✔✔>100.4
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low body temperature (in Fahrenheit) - correct answer✔✔<95
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walking speed for patient to be likely to be independent in ADLs - correct answer✔✔>1 m/s
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walking speed for patient to be likely to be able to cross the street at a normal speed - correct
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answer✔✔>1.3 m/s |||\\\




Paradoxic pulse increases with (inspiration, expiration) and decreases with (inspiration,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




expiration). - correct answer✔✔expiration and inspiration |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Pulse oximetry can be low in _____ and those with _____. - correct answer✔✔smokers; COPD
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