Pathophysiology For Adv. Prac.
NSG 530 Advanced Pathophysiology Exam 2
Practice Examination Wilkes University
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI
assistance.
2 When finished, scan the QR code on the last page to submit and see the
correct answers with detailed explanations.
3 Review your mistakes carefully and note down areas that need
improvement. Use Studocu AI to create targeted study materials like
quizzes, summaries, and study guides.
,Section 30 total
marks
A
Multiple Choice
Select the single best answer. Each question is worth 1 mark.
Question 1 1 mark
patient presents with sudden severe chest pain radiating to the arm, diaphoresis,
and dyspnea. Which diagnostic finding most specifically supports acute
myocardial infarction in the supplied course materials?
A A reduced serum sodium concentration
B A widened pulse pressure with a bounding pulse
C Elevated cardiac troponin I on serial testing D A mildly elevated
eosinophil count
Question 2 1 mark
A patient with reduced circulating volume develops increased blood pressure after
activation of the RAAS. Which mechanism from the supplied materials best
explains the rise?
A Renin directly relaxes arterioles and lowers systemic vascular resistance
B Angiotensin II causes arteriolar vasoconstriction and aldosterone-mediated
sodium retention
C Angiotensin II inhibits aldosterone and increases urinary sodium loss
D Aldosterone increases potassium retention and decreases intravascular volume
Question 3 1 mark
An infant has cyanosis and recurrent episodes of hypoxia. Echocardiography
identifies a ventricular septal defect, overriding aorta, pulmonic stenosis, and
right ventricular hypertrophy. Which diagnosis fits these findings?
A Patent
ductus
arteriosus
B Atrial
septal defect
C Coarctation of the aorta
D Tetralogy of Fallot
, Question 4
A patient has dyspnea, pulmonary congestion, and an echocardiogram showing a preserved
ejection fraction with a stiff left ventricle. Which pathophysiologic pattern is most consistent
with these findings?
A Diastolic failure from impaired ventricular relaxation
B High-output failure from reduced systemic resistance
C Systolic failure from impaired ventricular pumping
D Right-sided failure from isolated venous insufficiency
Question 5 1 mark
A child develops cough, expiratory wheezing, dyspnea, and reversible airflow obstruction
after exposure to animal dander. Which disorder is most consistent with the supplied
description?
A Empyema
B Pulmonary fibrosis
C Chronic bronchitis
D Asthma
Question 6 1 mark
A patient with severe lung injury remains hypoxemic despite supplemental oxygen and
develops tachypnea, hypotension, and diffuse alveolar fluid. Which disorder is most likely?
A Stable chronic venous insufficiency
B Acute respiratory distress syndrome
C Uncomplicated acute bronchitis
D Isolated upper respiratory infection
Question 7
A patient develops wheezing and bronchoconstriction immediately after exposure to an
allergen. Which immune mechanism from the supplied materials best explains the rapid
response?
A Delayed T-cell contact
dermatitis B IgE-associated
mediator release
C C3-mediated bacterial opsonization
alone D Loss of CD4 T-helper cells
NSG 530 Advanced Pathophysiology Exam 2
Practice Examination Wilkes University
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI
assistance.
2 When finished, scan the QR code on the last page to submit and see the
correct answers with detailed explanations.
3 Review your mistakes carefully and note down areas that need
improvement. Use Studocu AI to create targeted study materials like
quizzes, summaries, and study guides.
,Section 30 total
marks
A
Multiple Choice
Select the single best answer. Each question is worth 1 mark.
Question 1 1 mark
patient presents with sudden severe chest pain radiating to the arm, diaphoresis,
and dyspnea. Which diagnostic finding most specifically supports acute
myocardial infarction in the supplied course materials?
A A reduced serum sodium concentration
B A widened pulse pressure with a bounding pulse
C Elevated cardiac troponin I on serial testing D A mildly elevated
eosinophil count
Question 2 1 mark
A patient with reduced circulating volume develops increased blood pressure after
activation of the RAAS. Which mechanism from the supplied materials best
explains the rise?
A Renin directly relaxes arterioles and lowers systemic vascular resistance
B Angiotensin II causes arteriolar vasoconstriction and aldosterone-mediated
sodium retention
C Angiotensin II inhibits aldosterone and increases urinary sodium loss
D Aldosterone increases potassium retention and decreases intravascular volume
Question 3 1 mark
An infant has cyanosis and recurrent episodes of hypoxia. Echocardiography
identifies a ventricular septal defect, overriding aorta, pulmonic stenosis, and
right ventricular hypertrophy. Which diagnosis fits these findings?
A Patent
ductus
arteriosus
B Atrial
septal defect
C Coarctation of the aorta
D Tetralogy of Fallot
, Question 4
A patient has dyspnea, pulmonary congestion, and an echocardiogram showing a preserved
ejection fraction with a stiff left ventricle. Which pathophysiologic pattern is most consistent
with these findings?
A Diastolic failure from impaired ventricular relaxation
B High-output failure from reduced systemic resistance
C Systolic failure from impaired ventricular pumping
D Right-sided failure from isolated venous insufficiency
Question 5 1 mark
A child develops cough, expiratory wheezing, dyspnea, and reversible airflow obstruction
after exposure to animal dander. Which disorder is most consistent with the supplied
description?
A Empyema
B Pulmonary fibrosis
C Chronic bronchitis
D Asthma
Question 6 1 mark
A patient with severe lung injury remains hypoxemic despite supplemental oxygen and
develops tachypnea, hypotension, and diffuse alveolar fluid. Which disorder is most likely?
A Stable chronic venous insufficiency
B Acute respiratory distress syndrome
C Uncomplicated acute bronchitis
D Isolated upper respiratory infection
Question 7
A patient develops wheezing and bronchoconstriction immediately after exposure to an
allergen. Which immune mechanism from the supplied materials best explains the rapid
response?
A Delayed T-cell contact
dermatitis B IgE-associated
mediator release
C C3-mediated bacterial opsonization
alone D Loss of CD4 T-helper cells
