Jacquelyn L. Banasik Chapter 1-54-Grades A+-2023-
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2024 y,
Chapter 01: Introduction to y, y, y,
PathophysiologyBanasik: Pathophysiology,
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7th Edition
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MULTIPLE CHOICE y,
1. C.Q. was recently exposed to group A hemolytic Streptococcus and subsequently developed
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apharyngeal infection. His clinic examination reveals an oral temperature of 102.3°F, skin
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rash,dysphagia, and reddened throat mucosa with multiple pustules. He complains of sore
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throat, malaise, and joint stiffness. A throat culture is positive for Streptococcus, and antibiotics
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havebeen prescribed. The etiology of C.Q.’s disease is
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a. a sore throat. y, y,
b. streptococcal infection. y,
c. genetic susceptibility. y,
d. pharyngitis.
ANS: B y ,
Etiology refers to the proposed cause or causes of a particular disease process. A sore throat isthe
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manifestation of the disease process. Genetic susceptibility refers to inherited tendency to
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develop a disease. Pharyngitis refers to inflammation of the throat and is also a clinical
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manifestation of the disease process.
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2. A 17-year-old college-bound student receives a vaccine against an organism that
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causesmeningitis. This is an example of
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a. primary prevention. y,
b. secondary prevention. y,
c. tertiaryprevention. y,
d. disease treatment. y,
ANS: A y ,
Primary prevention is prevention of disease by altering susceptibility or reducing exposure
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forsusceptible individuals, in this case by providing vaccination. Secondary prevention is the
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early detection, screening, and management of the disease. Tertiary prevention includes
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rehabilitative and supportive care and attempts to alleviate disability and restore effective
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functioning. Disease treatment involves management of the disease once it has developed.
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3. An obese but otherwise healthy teen is given a prescription for a low-calorie diet and
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exerciseprogram. This is an example of
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a. primary prevention. y,
b. secondary prevention. y,
c. tertiaryprevention. y,
d. disease treatment. y,
ANS: B y ,
Secondary prevention is the early detection, screening, and management of the disease such
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asprescribing diet and exercise for an individual who has already developed obesity. Primary
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prevention is prevention of disease by altering susceptibility or reducing exposure for
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susceptible individuals. Tertiary prevention includes rehabilitative and supportive care and
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attempts to alleviate disability and restore effective functioning. Disease treatment involves
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management of the disease once it has developed.
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,4. A patient with high blood pressure who is otherwise healthy is counseled to restrict
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sodiumintake. This is an example of
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a. primary prevention. y,
b. secondary prevention. y,
c. tertiaryprevention. y,
d. disease treatment. y,
ANS: B y ,
Secondary prevention is the early detection, screening, and management of the disease, such as
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by prescribing sodium restriction for high blood pressure. Primary prevention is preventionof
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disease by altering susceptibility or reducing exposure for susceptible individuals. Tertiary
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prevention includes rehabilitative and supportive care and attempts to alleviate disability and
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restore effective functioning. Disease treatment involves management of the disease once it has
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developed.
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5. After suffering a heart attack, a middle-aged man is counseled to take a cholesterol-
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loweringmedication. This is an example of ,
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a. primary prevention. y,
b. secondary prevention. y,
c. tertiaryprevention. y,
d. disease treatment. y,
ANS: C y ,
Tertiary prevention includes rehabilitative and supportive care and attempts to alleviate
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disability and restore effective functioning such as prescribing a cholesterol-lowering
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medication following a heart attack. Primary prevention is prevention of disease by
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alteringsusceptibility or reducing exposure for susceptible individuals. Secondary prevention
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is theearly detection, screening, and management of the disease. Disease treatment involves
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management of the disease once it has developed.
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6. A patient has been exposed to meningococcal meningitis, but is not yet demonstrating signs
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y, ofthis disease. This stage of illness is called the
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a. prodromal
b. latent
c. sequela
d. convalescence
ANS: B y ,
Incubation refers to the interval between exposure of a tissue to an injurious agent and the
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firstappearance of signs and symptoms. In infectious diseases, this period is often called the
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incubation (latent) period. Prodromal refers to the appearance of the first signs and symptoms
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indicating the onset of a disease. These are often nonspecific, such as headache, malaise,
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anorexia, and nausea, which are associated with a number of different diseases. Sequela refersto
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subsequent pathologic condition resulting from a disease. Convalescence is the stage of
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recovery after a disease, injury, or surgical operation.
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7. A disease that is native to a particular region is called
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a. epidemic.
b. endemic.
c. pandemic.
d. ethnographic.
, ANS: B y ,
A disease that is native to a particular region is called endemic. An epidemic is a disease
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thatspreads to many individuals at the same time. Pandemics are epidemics that affect large
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geographic regions, perhaps spreading worldwide. Ethnographic does not describe a disease
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distribution pattern.
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8. In general, with aging, organ size and function
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a. increase.
b. decrease.
c. remain the same. y, y,
d. are unknown. y,
ANS: B y ,
In general, with aging, organ size and function decrease.
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9. The stage during which the patient functions normally, although the disease processes are
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wellestablished, is referred to as
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a. latent.
b. subclinical.
c. prodromal.
d. convalescence.
ANS: B y ,
The stage during which the patient functions normally, although the disease processes are
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wellestablished, is called the subclinical stage. The interval between exposure of a tissue to an
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injurious agent and the first appearance of signs and symptoms may be called a latent period or,
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in the case of infectious diseases, an incubation period. The prodromal period, or prodrome,
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refers to the appearance of the first signs and symptoms indicating the onset of a disease.
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Convalescence is the stage of recovery after a disease, injury, or surgical operation.
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MULTIPLE RESPONSE y,
1. Your patient’s red blood cell count is slightly elevated today. This might be explained
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by(Select all that apply.)
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a. gender difference. y,
b. situationalfactors. y,
c. normal variation. y,
d. cultural variation. y,
e. illness.
ANS: A, B, C, E y , y, y, y,
Gender, situations (e.g., altitude), normal variations, and illness may all determine red bloodcell
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count. Culture affects how manifestations are perceived (normal versus abnormal).
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2. Socioeconomic factors influence disease development because of (Select all that apply.) y, y, y, y, y, y, y, y, y, y,
a. genetics.
b. environmental toxins. y,
c. overcrowding.
d. nutrition.
e. hygiene.
, ANS: B, C, D, E y , y, y, y,
Socioeconomic factors influence disease development via exposure to environmental y, y, y, y, y, y, y, y,
toxins(occupational) and overcrowding, nutrition (over- or undernutrition), and hygiene (e.g.,
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in developing countries). Genetics is not influenced by socioeconomic factors.
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3. When determining additional data to gather before making a diagnosis, what factors need tobe
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considered? (Select all that apply.)
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a. Reliability
b. Expense
c. Validity
d. Generalizability
e. Repetition
ANS: A, C y , y,
Two considerations one must use when choosing additional data to gather include the
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reliability and validity of the tests being weighed. Reliability, or precision, is the ability of a
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test to give the same result in repeated measurements. Validity, or accuracy, is the degree to
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which a measurement reflects the true value of the object it is intended to measure.
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Expense,generalizability, and repetition are not characteristics that are typically considered.
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4. Which of the following statements are accurate when considering diagnostic testing for
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anindividual with a possible medical condition? (Select all that apply.)
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a. The more often a patient has a test, the more accurate the average result is.
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b. Sensitivity is the chance the test will be positive if the hypothesized disease y, y, y, y, y, y, y, y, y, y, y, y,
ispresent. y, ,
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c. Testing is generally not accurate during the prodromal stage to make a diagnosis. y, y, y, y, y, y, y, y, y, y, y, y,
d. Specificity shows that a test will be negative if the person does not have y, y, y, y, y, y, y, y, y, y, y, y, y,
thedisease. y, ,
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e. Reliabilitydemonstrates a test is accurate under a number of different conditions. y, y, y, y, y, y, y, y, y, y, y,
ANS: B, D y , y,
Sensitivity is the probability that the test will be positive when applied to a person with the
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condition. Specificity is the probability that a test will be negative when applied to a person
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who does not have a given condition. Test results are usuallynot aggregated and averaged.
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Adisease process is well established during the prodromal phase of illness, so some
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diagnostictesting would indicate its presence. Reliability, or precision, is the ability of a test to
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give thesame result in repeated measurements.
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Chapter 02: Homeostasis, Allostasis, and Adaptive Responses to
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StressorsBanasik: Pathophysiology, 7th Edition
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MULTIPLE CHOICE y,
1. Indicators that an individual is experiencing high stress include all the following except
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a. tachycardia.
b. diaphoresis.
c. increased peripheral resistance. y, y,
d. pupil constriction. y,
ANS: D y ,