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Advanced Pathophysiology NURS 5350 Exam 3 with precise detailed answers

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Advanced Pathophysiology NURS 5350 Exam 3 with precise detailed answers











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Uploaded on
October 10, 2025
Number of pages
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Written in
2025/2026
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Exam (elaborations)
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Advanced Pathophysiology NURS 5350 Exam 3 with ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




precise detailed answers ||\\//|| ||\\//||




Terms in this set (152) ||\\//|| ||\\//|| ||\\//|| ||\\//||




Original

What is a cough? ||\\//|| ||\\//|| ||\\//||




Protective reflex that helps clear the airways by an explosive expiration. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Acute cough: 2-3 weeks ||\\//|| ||\\//|| ||\\//||




Chronic cough: longer than 3 weeks. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Causes: Post nasal drip, GERD, medications (ACE). ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Hypoventilation vs. Hyperventilation? ||\\//|| ||\\//||




Hypo: Alveolar ventilation is INADEQUATE: leads to RESPIRATORY ACIDOSIS.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Hyper: Alveolar ventilation EXCEEDS metabolic demands: Leads to RESPIRATORY ALKALOSIS.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is clubbing? ||\\//|| ||\\//||




A painless enlargement of the terminal phalanges of the fingers and toes that develops over
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




time due to chronic hypoxia (COPD, CF, Pulmonary fibrosis, CHD).
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is Hypoxemia vs. Hypoxia? ||\\//|| ||\\//|| ||\\//|| ||\\//||




Hypoxemia is low arterial blood oxygen content. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Hypoxia is inadequate oxygen level in the tissues/cells. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is pneomothorax? ||\\//|| ||\\//||




Presence of air or gas in pleural space. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Open vs tension pneumothorax? ||\\//|| ||\\//|| ||\\//||




Open: Air pressure in pleural space equals barometric pressure .
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Tension: Site of pleural rupture acts as one way valve permitting air to enter on inspiration
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




but prevents its escape by closing during expiration.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is pleural effusion? ||\\//|| ||\\//|| ||\\//||

,Accumulation of fluid in the pleural space. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Empyema: Pus ||\\//||




What is Empyema? ||\\//|| ||\\//||




Pus in the pleural space.
||\\//|| ||\\//|| ||\\//|| ||\\//||




Treatment: Antimicrobial medications and DRAINAGE of pleural space with chest tube. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is bronchiectasis?
||\\//|| ||\\//||




Persistent abnormal dilation of the bronchi by DESTRUCTION OF THE ELASTIC OR ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




MUSCULAR COMPONENTS OF THE BRONCHIAL WALL OR LUMEN OBSTRUCTION. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is Bronchitis?||\\//|| ||\\//||




Inflammation of the bronchial tubes - usually caused by viruses. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is bronchiolitis?
||\\//|| ||\\//||




Diffuse inflammation of smallest airways or bronchioles (which are located on the most
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




distal end of bronchi before the alveoli.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is asthma? How does genetics and environment play a role in childhood asthma?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




WHa

Chronic inflammatory disorder of the bronchial mucosa.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Causes bronchial hyper responsiveness, constriction of the airways and variable airflow
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




obstruction that is reversible. ||\\//|| ||\\//|| ||\\//||




Allergies are a key component as many attacks are due to allergic response.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Childhood asthma: Genetics: genes that code for increased levels of immune and ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




inflammatory mediators (IL-4, IL-5, IL-6, IL-13, IgE, and leukotrienes). ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is COPD? ||\\//|| ||\\//||




Airflow limitation that is not fully reversible.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Usually progressive and associated with chronic bronchitis and emphysema.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Risk factors for COPD?
||\\//|| ||\\//|| ||\\//||




Smoking, dusts, chemicals, indoor pollution, outdoor air pollution. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is Emphysema? ||\\//|| ||\\//||

, Abnormal permanent enlargement of the gas-exchange airways accompanied by ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




destruction of alveolar walls without obvious fibrosis. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What are the two types of emphysema? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Centriacinar: Septal destruction occurs in bronchioles and alveolar ducts. Occurs in ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




smokers with chronic bronchitis. ||\\//|| ||\\//|| ||\\//||




Panacinar: Involbves the entire acinus. Involves lower lobes of the lung. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What causes chronic bronchitis? ||\\//|| ||\\//|| ||\\//||




Caused by viruses 90% of the time. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is a pulmonary embolism? Types or Origins? Risk factors?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Occlusion of a portion of the pulmonary vascular bed by a thrombus, embolus, tissue ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




fragments, lipids (fats), foreign body, air bubble, or amniotic fluid. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Commonly (90%) arise from the deep veins in legs. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Virchow Triad: Venous stasis, hyper coagulability, and injuries to the endothelial cells that
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




line the vessels. ||\\//|| ||\\//|| ||\\//||




Risk factors: Conditions that promote blood clotting (venous stasis: immobilization, heart
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




failure), hypercoagulability (oral contreceptives, hormone replacement, pregnancy), genetic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




clotting disorders (factor V leiden mutation, etc).
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Cor Pulmonale? ||\\//||




Secondary to PAH. ||\\//|| ||\\//||




Right ventricular enlargement. ||\\//|| ||\\//||




Pulmonary hypertension, creating chronic pressure overload in the right ventricle. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Clinical manifestations: heart appears normal at rest. With exercise: decreased cardiac
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




output and chest pain. ||\\//|| ||\\//|| ||\\//||




What is pulmonary edema? ||\\//|| ||\\//|| ||\\//||




Fluid in the lungs most commonly caused by left sides heart failure, or high altitudes.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




SS: Dyspnea, hypoxia, dullness to percussion over bases, inspiratory crackles, pink frothy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




sputum. ||\\//||




Laryngeal Cancer? Risk factors? SS? ||\\//|| ||\\//|| ||\\//|| ||\\//||




Risk factors: tobacco smaoke, HPV, alcohol consumption with smoking.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||

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