Advanced Physiology and Pathophysiology Essentials for
Clinical Practice 1st Edition Tkacs Test Bank
Advanced Physiology and Pathophysiology Essentials for
Clinical Practice 1st Edition Tkacs Test Bank
Chapter 1. THE FOUNDATIONAL CONCEPTS OF CLINICAL
S
PRACTICE I
1.
A)
C
The characteristic, localized cardinal signs of acute inflammation include:
fever.
B)
C)
fatigue.
redness.
A N
D) granuloma.
2. The vascular, hemodynamic stage of acute inflammation is initiated by
R
momentary vasoconstriction followed by vasodilation that causes localized:
A) bleeding. F
B) congestion.
C) pale skin.
D) coolness.
3. The cellular stage of acute inflammation is marked by the movement of
leukocytes into the area. Which of the following cells arrives early in great
numbers?
A) Basophils
B) Lymphocytes
C) Neutrophils
,Advanced Physiology and Pathophysiology Essentials for
Clinical Practice 1st Edition Tkacs Test Bank
D) Platelets
4. The phagocytosis process involves three distinct steps. What is the initial
step in the process?
A) Engulfment
B) Intracellular killing
C) Antigen margination
D)
S
Recognition and adherence
I
5. Which of the following mediators of inflammation causes increased capillary
A) Serotonin
C
permeability and pain?
B)
C)
Histamine
Bradykinin
A N
D) Nitric oxide
6. Inflammatory exudates are a combination of several types. Which of the
R
following exudates is composed of enmeshed necrotic cells?
A) Serous F
B) Fibrinous
C) Suppurative
D) Membranous
7. The acute-phase systemic response usually begins within hours of the onset
of inflammation and includes:
A) fever and lethargy.
B) decreased C-reactive protein.
C) positive nitrogen balance.
D) low erythrocyte sedimentation rate.
,Advanced Physiology and Pathophysiology Essentials for
Clinical Practice 1st Edition Tkacs Test Bank
8. In contrast to acute inflammation, chronic inflammation is characterized by
which of the following phenomena?
A) Profuse fibrinous exudation
B) A shift to the left of granulocytes
C) Metabolic and respiratory alkalosis
D) Lymphocytosis and activated macrophages
S
9. Exogenous pyrogens (interleukin-1) and the presence of bacteria in the blood
I
lead to the release of endogenous pyrogens that:
A)
B)
C
stabilize thermal control in the brain.
produce leukocytosis and anorexia.
C)
D) inhibit prostaglandin release.
A N
block viral replication in cells.
10 An older adult patient has just sheared the skin on her elbow while attempted
.
R
to boost herself up in bed, an event that has precipitated acute inflammation
in the region surrounding the wound. Which of the following events will
occur during the vascular stage of the patients inflammation?
F
A) Outpouring of exudate into interstitial spaces
B) Chemotaxis
C) Accumulation of leukocytes along the epithelium
D) Phagocytosis of cellular debris
11 Which of the following individuals most likely has the highest risk of
. experiencing chronic inflammation?
A) A patient who has recently been diagnosed with type 2 diabetes
B) A patient who is a carrier of an antibiotic-resistant organism
C) A patient who is taking oral antibiotics for an upper respiratory infection
, Advanced Physiology and Pathophysiology Essentials for
Clinical Practice 1st Edition Tkacs Test Bank
D) A patient who is morbidly obese and who has a sedentary lifestyle
12 Which of the following core body temperatures is within normal range?
.
A) 35.9C (96.6F)
B) 38.0C (100.4F)
C) 35.5C (95.9F)
D)
S
37.3C (99.1F)
I
13
.
C
A postsurgical patient who is recovering in the postanesthetic recovery unit
states that she is freezing cold. Which of the following measures is likely to
be initiated in the patients hypothalamus in an effort to reduce heat loss?
A)
B)
N
Opening of arteriovenous (AV) shunts
Reduced exhalation of warmed air
A
C) Contraction of pilomotor muscles
D) Decreased urine production R
14 An elderly patient is dressed only in a hospital gown and complains of a
. draft in her room. Consequently, she has requested a warm blanket while she
F
sits in her wheelchair. Which of the following mechanisms of heat loss is
most likely the primary cause of her request?
A) Evaporation and conduction
B) Radiation and convection
C) Conduction and convection
D) Convection and evaporation
15 Which of the following pathophysiologic processes are capable of inducing
. the production of pyrogens? Select all that apply.
A) Acute inflammation
B) Obesity
Clinical Practice 1st Edition Tkacs Test Bank
Advanced Physiology and Pathophysiology Essentials for
Clinical Practice 1st Edition Tkacs Test Bank
Chapter 1. THE FOUNDATIONAL CONCEPTS OF CLINICAL
S
PRACTICE I
1.
A)
C
The characteristic, localized cardinal signs of acute inflammation include:
fever.
B)
C)
fatigue.
redness.
A N
D) granuloma.
2. The vascular, hemodynamic stage of acute inflammation is initiated by
R
momentary vasoconstriction followed by vasodilation that causes localized:
A) bleeding. F
B) congestion.
C) pale skin.
D) coolness.
3. The cellular stage of acute inflammation is marked by the movement of
leukocytes into the area. Which of the following cells arrives early in great
numbers?
A) Basophils
B) Lymphocytes
C) Neutrophils
,Advanced Physiology and Pathophysiology Essentials for
Clinical Practice 1st Edition Tkacs Test Bank
D) Platelets
4. The phagocytosis process involves three distinct steps. What is the initial
step in the process?
A) Engulfment
B) Intracellular killing
C) Antigen margination
D)
S
Recognition and adherence
I
5. Which of the following mediators of inflammation causes increased capillary
A) Serotonin
C
permeability and pain?
B)
C)
Histamine
Bradykinin
A N
D) Nitric oxide
6. Inflammatory exudates are a combination of several types. Which of the
R
following exudates is composed of enmeshed necrotic cells?
A) Serous F
B) Fibrinous
C) Suppurative
D) Membranous
7. The acute-phase systemic response usually begins within hours of the onset
of inflammation and includes:
A) fever and lethargy.
B) decreased C-reactive protein.
C) positive nitrogen balance.
D) low erythrocyte sedimentation rate.
,Advanced Physiology and Pathophysiology Essentials for
Clinical Practice 1st Edition Tkacs Test Bank
8. In contrast to acute inflammation, chronic inflammation is characterized by
which of the following phenomena?
A) Profuse fibrinous exudation
B) A shift to the left of granulocytes
C) Metabolic and respiratory alkalosis
D) Lymphocytosis and activated macrophages
S
9. Exogenous pyrogens (interleukin-1) and the presence of bacteria in the blood
I
lead to the release of endogenous pyrogens that:
A)
B)
C
stabilize thermal control in the brain.
produce leukocytosis and anorexia.
C)
D) inhibit prostaglandin release.
A N
block viral replication in cells.
10 An older adult patient has just sheared the skin on her elbow while attempted
.
R
to boost herself up in bed, an event that has precipitated acute inflammation
in the region surrounding the wound. Which of the following events will
occur during the vascular stage of the patients inflammation?
F
A) Outpouring of exudate into interstitial spaces
B) Chemotaxis
C) Accumulation of leukocytes along the epithelium
D) Phagocytosis of cellular debris
11 Which of the following individuals most likely has the highest risk of
. experiencing chronic inflammation?
A) A patient who has recently been diagnosed with type 2 diabetes
B) A patient who is a carrier of an antibiotic-resistant organism
C) A patient who is taking oral antibiotics for an upper respiratory infection
, Advanced Physiology and Pathophysiology Essentials for
Clinical Practice 1st Edition Tkacs Test Bank
D) A patient who is morbidly obese and who has a sedentary lifestyle
12 Which of the following core body temperatures is within normal range?
.
A) 35.9C (96.6F)
B) 38.0C (100.4F)
C) 35.5C (95.9F)
D)
S
37.3C (99.1F)
I
13
.
C
A postsurgical patient who is recovering in the postanesthetic recovery unit
states that she is freezing cold. Which of the following measures is likely to
be initiated in the patients hypothalamus in an effort to reduce heat loss?
A)
B)
N
Opening of arteriovenous (AV) shunts
Reduced exhalation of warmed air
A
C) Contraction of pilomotor muscles
D) Decreased urine production R
14 An elderly patient is dressed only in a hospital gown and complains of a
. draft in her room. Consequently, she has requested a warm blanket while she
F
sits in her wheelchair. Which of the following mechanisms of heat loss is
most likely the primary cause of her request?
A) Evaporation and conduction
B) Radiation and convection
C) Conduction and convection
D) Convection and evaporation
15 Which of the following pathophysiologic processes are capable of inducing
. the production of pyrogens? Select all that apply.
A) Acute inflammation
B) Obesity
