Banasik: Pathophysiology, 7th Edition
MULTIPLE CHOICE
1. C.Q. was recently exposed to group A hemolytic Streptococcus and subsequently developed a
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pharyngeal infection. His clinic examination reveals an oral temperature of 102.3°F, skin rash,
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dysphagia, and reddened throat mucosa with multiple pustules. He complains of sore throat,
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malaise, and joint stiffness. A throat culture is positive for Streptococcus, and antibiotics have
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been prescribed. The etiology of C.Q.’s disease is
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a. a sore throat.
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b. streptococcal infection. T
c. genetic susceptibility. T
d. pharyngitis.
ANS: B T
Etiology refers to the proposed cause or causes of a particular disease process. A sore throat is
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the 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. T T T T
2. A 17-year-old college-bound student receives a vaccine against an organism that causes
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meningitis. This is an example of T T T T T
a. primary prevention. T
b. secondary prevention. T
c. tertiary prevention. T
d. disease treatment. T
ANS: A T
Primary prevention is prevention of disease by altering susceptibility or reducing exposure for
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susceptible 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 exercise
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program. This is an example of
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a. primary prevention. T
b. secondary prevention. T
c. tertiary prevention. T
d. disease treatment. T
ANS: B T
Secondary prevention is the early detection, screening, and management of the disease such as
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prescribing 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. T T T T T T T
,4. A patient with high blood pressure who is otherwise healthy is counseled to restrict sodium
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intake. This is an example of
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a. primary prevention. T
b. secondary prevention. T
c. tertiary prevention. T
d. disease treatment. T
ANS: B T
Secondary prevention is the early detection, screening, and management of the disease, such
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as by prescribing sodium restriction for high blood pressure. Primary prevention is prevention
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of 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
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has developed.
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5. After suffering a heart attack, a middle-aged man is counseled to take a cholesterol-lowering
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medication. This is an example of T T T T T
a. primary prevention. T
b. secondary prevention. T
c. tertiary prevention. T
d. disease treatment. T
ANS: C T
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 altering
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susceptibility or reducing exposure for susceptible individuals. Secondary prevention is the
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early 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 of
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this disease. This stage of illness is called the
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a. prodromal
b. latent
c. sequela
d. convalescence
ANS: B T
Incubation refers to the interval between exposure of a tissue to an injurious agent and the first
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appearance 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 refers
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to 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 T
A disease that is native to a particular region is called endemic. An epidemic is a disease that
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spreads 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. T
8. In general, with aging, organ size and function
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a. increase.
b. decrease.
c. remain the same. T T
d. are unknown. T
ANS: B T
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 well
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established, is referred to as T T T T
a. latent.
b. subclinical.
c. prodromal.
d. convalescence.
ANS: B T
The stage during which the patient functions normally, although the disease processes are well
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established, 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
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or, 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 T
1. Your patient’s red blood cell count is slightly elevated today. This might be explained by
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(Select all that apply.) T T T
a. gender difference. T
b. situational factors. T
c. normal variation. T
d. cultural variation. T
e. illness.
ANS: A, B, C, E
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Gender, situations (e.g., altitude), normal variations, and illness may all determine red blood cell
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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.)
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a. genetics.
b. environmental toxins. T
c. overcrowding.
d. nutrition.
e. hygiene.
, ANS: B, C, D, E T T T T
Socioeconomic factors influence disease development via exposure to environmental toxins
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(occupational) and overcrowding, nutrition (over- or undernutrition), and hygiene (e.g., in
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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 to
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be considered? (Select all that apply.)
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a. Reliability
b. Expense
c. Validity
d. Generalizability
e. Repetition
ANS: A, C T T
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. Expense,
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generalizability, and repetition are not characteristics that are typically considered. T T T T T T T T T
4. Which of the following statements are accurate when considering diagnostic testing for an
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individual 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 is
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present.
c. Testing is generally not accurate during the prodromal stage to make a diagnosis.
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d. Specificity shows that a test will be negative if the person does not have the
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disease.
e. Reliability demonstrates a test is accurate under a number of different conditions.
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ANS: B, D T T
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 usually not aggregated and averaged. A
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disease process is well established during the prodromal phase of illness, so some diagnostic
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testing would indicate its presence. Reliability, or precision, is the ability of a test to give the
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same result in repeated measurements.
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Chapter 02: Homeostasis, Allostasis, and Adaptive Responses to Stressors
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Banasik: Pathophysiology, 7th Edition
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MULTIPLE CHOICE T
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. T T
d. pupil constriction. T
ANS: D T