GCU NUR 631 FINAL EXAM QUESTIONS
AND ANSWERS 100% PASS
Why does cancer come back - ANS small areas of metastases can lie dormant only to explode
in growth later
Complete remission of leukemia is when less then 5% blasts in marrow and normal CBC values
malignant neoplasm of epithelial origin are known as - ANS carcinomas
Burkitt lymphoma is most closely associated with - ANS Epstein-Barr virus
major cause of death from leukemic disease - ANS infection
myeloma - ANS bence jones proteins in the urine
Renal insufficiency is common
elevated Ca levels, bone fractures common
CML chronic lymphoid leukemia - ANS -bcr-abl translocation
-Philadelphia chromosome
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,-Fatigue, weight loss, abdominal discomfort, sweats
ALL Acute lymphoid leukemia - ANS -best prognosis for long term disease free survival
-Primarily affects children
-activity restriction with thrombocytopenia
-Common complication is infection
-anemia, leukocytosis, thrombocytopenia, pain in long bones, fever, painless enlarged cervical
lymph nodes
non-Hodgkin lymphoma - ANS there may be gastrointestinal tract involvement
CLL Chronic lymphoid leukemia - ANS
AML Acute myeloid leukemia - ANS
Hemophilia A - ANS treatment includes Factory VIII replacement
Hemophilia B - ANS deficiency in factor IX
Final step in clot formation - ANS clot retraction
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,cause for bleeding with normal platelet cound, increased PT and INR - ANS Vitamin K
deficiency
clotting factor deficiency from the liver
Vitamin K deficiency a newborn will present with melena, hematuria and bleeding from
umbilucs
activation of extrinsic pathway for coagulation is initiated by - ANS Tissue thromboplastin
PT and INR - ANS measure integrity of extrinsic pathway
PTT - ANS assesses the intrinsic pathway of coagulation
Von Willebrand Factor impairs - ANS platelet adhesion to injured tissue
electrolyte imbalance causing clotting disorders - ANS hypocalcemia
oxytocin - ANS produced in the hypothalamic region
hormone that causes uterine and milk duct contraction, release during sexual activity
How are steroid hormones transported - ANS diffused through cell membranes to activate
intracellular receptors
lipid soluble hormones - ANS thyroid hormones
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, secondary endocrine disorder ex - ANS pituitary hyposecretion of TSH
upregulation of target cell receptors results in - ANS increased target cell responsiveness to
hormone
Downregulation - ANS decreased target cell sensitivity
Growth hormone - ANS increases lean body mass
Stimulates liver to release IGF-1
Somatostatin supresses normal secretion of growth hormone
-infants would have normal birth length and weight
-Excess leads to acromegaly
Most endocrine hormones are water soluble and exert their effects on target cells by -
ANS generating secondary messengers
Prolactin is inhibited by - ANS dopamine produced by the hypothalamus
Cortisol is responsible for - ANS regulation of immune and inflammatory reactions
After thyroidectomy pt has numbness and tingling around the mouth, what lab are we
concerned about? - ANS low serum calcium
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS 100% PASS
Why does cancer come back - ANS small areas of metastases can lie dormant only to explode
in growth later
Complete remission of leukemia is when less then 5% blasts in marrow and normal CBC values
malignant neoplasm of epithelial origin are known as - ANS carcinomas
Burkitt lymphoma is most closely associated with - ANS Epstein-Barr virus
major cause of death from leukemic disease - ANS infection
myeloma - ANS bence jones proteins in the urine
Renal insufficiency is common
elevated Ca levels, bone fractures common
CML chronic lymphoid leukemia - ANS -bcr-abl translocation
-Philadelphia chromosome
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,-Fatigue, weight loss, abdominal discomfort, sweats
ALL Acute lymphoid leukemia - ANS -best prognosis for long term disease free survival
-Primarily affects children
-activity restriction with thrombocytopenia
-Common complication is infection
-anemia, leukocytosis, thrombocytopenia, pain in long bones, fever, painless enlarged cervical
lymph nodes
non-Hodgkin lymphoma - ANS there may be gastrointestinal tract involvement
CLL Chronic lymphoid leukemia - ANS
AML Acute myeloid leukemia - ANS
Hemophilia A - ANS treatment includes Factory VIII replacement
Hemophilia B - ANS deficiency in factor IX
Final step in clot formation - ANS clot retraction
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,cause for bleeding with normal platelet cound, increased PT and INR - ANS Vitamin K
deficiency
clotting factor deficiency from the liver
Vitamin K deficiency a newborn will present with melena, hematuria and bleeding from
umbilucs
activation of extrinsic pathway for coagulation is initiated by - ANS Tissue thromboplastin
PT and INR - ANS measure integrity of extrinsic pathway
PTT - ANS assesses the intrinsic pathway of coagulation
Von Willebrand Factor impairs - ANS platelet adhesion to injured tissue
electrolyte imbalance causing clotting disorders - ANS hypocalcemia
oxytocin - ANS produced in the hypothalamic region
hormone that causes uterine and milk duct contraction, release during sexual activity
How are steroid hormones transported - ANS diffused through cell membranes to activate
intracellular receptors
lipid soluble hormones - ANS thyroid hormones
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, secondary endocrine disorder ex - ANS pituitary hyposecretion of TSH
upregulation of target cell receptors results in - ANS increased target cell responsiveness to
hormone
Downregulation - ANS decreased target cell sensitivity
Growth hormone - ANS increases lean body mass
Stimulates liver to release IGF-1
Somatostatin supresses normal secretion of growth hormone
-infants would have normal birth length and weight
-Excess leads to acromegaly
Most endocrine hormones are water soluble and exert their effects on target cells by -
ANS generating secondary messengers
Prolactin is inhibited by - ANS dopamine produced by the hypothalamus
Cortisol is responsible for - ANS regulation of immune and inflammatory reactions
After thyroidectomy pt has numbness and tingling around the mouth, what lab are we
concerned about? - ANS low serum calcium
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
