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NR 507 ADVANCED PATHOPHYSIOLOGY MIDTERM
EXAM NEWEST VERSION 2026/2027 WITH COMPLETE
QUESTIONS AND SOLUTION 100% VERIFIED
ANSWERS| ALREADY GRADED A+
Mr. Mann, age 50, presents to the Emergency Department
with his wife for complaints of palpitations, feeling of panic
with shakiness, headache, nausea for the past two hours.
Upon arrival BP is 210/105. His medical history is
significant for GERD and HTN. He takes Prilosec OTC
daily and lisinopril 10mg daily. He has no known
medication allergies. His family history includes HTN and
cardiovascular disease in father, osteoporosis, anxiety,
and HTN in mother, and breast cancer in only sister. His
wife states the patient did this a couple of weeks ago on
two different occasions, but the symptoms went away in
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just one or two minutes. His physical exam reveals mild
diaphoresis, epigastric tenderness, and generalized
trembling. What diagnosis does this patient's presentation
most closely represent?
A. Myxedema Coma
B. Addison's Disease
C. Thyrotoxicosis
D. Pheochromocytoma - ANSWER-D. pheochromocytoma
A 72-year-old male is brought to the ED in a coma. He
was delivered to the ED from a nursing home and was
reported by the nursing home staff to have had a seizure
that lasted less than 1 minute. He was subsequently
confused and soon thereafter entered a comatose state.
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His medical history is significant for Type II DM requiring
insulin, HTN, and mild CHF. In the ED, the patient is very
lethargic and responds only to painful stimuli. His vital
signs are stable. The list of differential diagnoses that can
cause seizure and coma. What is the most important
diagnostic study to do immediately?
A. Serum toxicology
B. CT head without contrast
C. CT head with contrast
D. Serum glucose - ANSWER-D. serum glucose
A 70-year-old male has undergone an open
cholecystectomy. Aggressive pulmonary toileting is
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necessary in the post-operative period because older
adults have:
A. Decreased residual capacity
B. Increased vital capacity
C. Increased alveolar surface area
D. Decreased chest wall compliance - ANSWER-
Decreased chest wall compliance
Which of the following elevated lab values on a CBC
would indicate Macrocytosis?
A. Mean corpuscular volume
B. Mean corpuscular hemoglobin concentration
NR 507 ADVANCED PATHOPHYSIOLOGY MIDTERM
EXAM NEWEST VERSION 2026/2027 WITH COMPLETE
QUESTIONS AND SOLUTION 100% VERIFIED
ANSWERS| ALREADY GRADED A+
Mr. Mann, age 50, presents to the Emergency Department
with his wife for complaints of palpitations, feeling of panic
with shakiness, headache, nausea for the past two hours.
Upon arrival BP is 210/105. His medical history is
significant for GERD and HTN. He takes Prilosec OTC
daily and lisinopril 10mg daily. He has no known
medication allergies. His family history includes HTN and
cardiovascular disease in father, osteoporosis, anxiety,
and HTN in mother, and breast cancer in only sister. His
wife states the patient did this a couple of weeks ago on
two different occasions, but the symptoms went away in
,2|Page
just one or two minutes. His physical exam reveals mild
diaphoresis, epigastric tenderness, and generalized
trembling. What diagnosis does this patient's presentation
most closely represent?
A. Myxedema Coma
B. Addison's Disease
C. Thyrotoxicosis
D. Pheochromocytoma - ANSWER-D. pheochromocytoma
A 72-year-old male is brought to the ED in a coma. He
was delivered to the ED from a nursing home and was
reported by the nursing home staff to have had a seizure
that lasted less than 1 minute. He was subsequently
confused and soon thereafter entered a comatose state.
,3|Page
His medical history is significant for Type II DM requiring
insulin, HTN, and mild CHF. In the ED, the patient is very
lethargic and responds only to painful stimuli. His vital
signs are stable. The list of differential diagnoses that can
cause seizure and coma. What is the most important
diagnostic study to do immediately?
A. Serum toxicology
B. CT head without contrast
C. CT head with contrast
D. Serum glucose - ANSWER-D. serum glucose
A 70-year-old male has undergone an open
cholecystectomy. Aggressive pulmonary toileting is
, 4|Page
necessary in the post-operative period because older
adults have:
A. Decreased residual capacity
B. Increased vital capacity
C. Increased alveolar surface area
D. Decreased chest wall compliance - ANSWER-
Decreased chest wall compliance
Which of the following elevated lab values on a CBC
would indicate Macrocytosis?
A. Mean corpuscular volume
B. Mean corpuscular hemoglobin concentration
