EXAM TEST BANK| NURS5315 ADVANCED
PATHOPHYSIOLOGY EXAM 4 REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
A deficiency of which chemical may result in hypothyroidism? –
ANSWER - Iodine
What are clinical manifestations of hypothyroidism? – ANSWER -
Constipation, decreased heart rate, and lethargy
Renal failure is the most common cause of which type of
hyperparathyroidism? – ANSWER - Secondary
The most common cause of hypoparathyroidism is: – ANSWER -
Parathyroid gland damage
A patient diagnosed with diabetic ketoacidosis (DKA) has the following
laboratory values: arterial pH 7.20; serum glucose 500 mg/dl; positive
urine glucose and ketones; serum potassium (K+) 2 mEq/L; serum
sodium (Na+) 130 mEq/L. The patient reports that he has been sick with
the "flu" for 1 week. What relationship do these values have to his
insulin deficiency? – ANSWER - Decreased glucose use causes fatty
acid use, ketogenesis, metabolic, acidosis, and osmotic diuresis
pg. 1
,Polyuria occurs with diabetes mellitus becouse of the: – ANSWER -
Elevation in serum glucose
Type 2 diabetes mellitus is best described as a: – ANSWER - Resistance
to insulin by insulin-sensitive tissues
A person diagnosed with type 1 diabetes experiences hunger,
lightheadedness, tachycardia, pallor, headache, and confusion. The most
probable cause of these symptoms is: – ANSWER - Hypoglycemia
caused by increased exercise
Which serum glucose level would indicate hypoglycemia in a newborn?
– ANSWER - 28 mg/dl
When comparing the clinical manifestations of both diabetic
ketoacidosis (DKA) and hyperglycemic hyperosmoler nonketotic
syndrome (HHNKS), which condition is associated with only DKA? –
ANSWER - Kussmaul respirations
Hypoglycemia, followed by rebound hyperglycemia is observed in those
with: – ANSWER - The Somogyi effect
The first laboratory test that indicates type 1 diabetes is causing the
development of diabetic nephropathy is: – ANSWER - Protein on
urinalysis
Which classification of oral hypoglycemic drugs decreases hepatic
glucose production and increases insulin sensitivity and peripheral
glucose uptake? – ANSWER - Biguanide (metformin)
pg. 2
,What causes the microvascular complications in patients with diabetes
mellitus? – ANSWER - The capillary basement membranes thicken, and
cell hyperplasia develops.
Retinopathy develops in patients with diabetes mellitus because: –
ANSWER - Retinal ischemia and red blood cell aggregation occur.
A person had acne, easy bruising, thin extremities, and truncal obesity.
These clinical manifestations are indicative of which endocrine
disorder? – ANSWER - Cushing disease
If a patient with multiple sclerosis starts coughing frequently during
meals and starts to eat significantly less food than normal, the patient
may have: – ANSWER - dysphagia
For a patient with dysphagia, the food that would be most difficult to
swallow is: – ANSWER - Chicken noodle soup
The most acute risk for patients with dysphagia is: – ANSWER -
dehydration
What type of fracture occurs at a site of a preexisting bone abnormality
as is a result of a force that would not normally cause a fracture? –
ANSWER - Pathologic
By the time osteoporosis is visible on an x-ray examination, up to what
percent of bone has been lost? – ANSWER - 30%
pg. 3
, A bone density of 645 mg/cm2 would support which diagnosis? –
ANSWER - Osteoporosis
Which type of osteoporosis would a person develop after having the left
leg in a cast for 8 weeks to treat a compount displaced fracture of the
tibia and fibula? – ANSWER - Regional
Considering the pathophysiologic process of osteoporosis, after being
activated by receptor activator of nuclear factor KB ligand (RANKL),
receptor activator of nuclear factor KB (RANK) activates which of the
following? – ANSWER - Osteoclast survival
Considering the pathophysiologic process of postmenopausal
osteoporosis, which changes are believed to play a significant role in the
development of age-related bone loss? – ANSWER - Increased oxidative
stress and increased intracellular reactive oxygen species
What type of cerebral edema occurs when permeability of the capillary
endothelium increases after injury to the vascular structure? – ANSWER
- Vasogenic
Which edema is most often observed with noncommunicating
hydrocephalus? – ANSWER - Interstitial
Which dyskinesia involves involuntary movements of the face, trunk,
and extremities? – ANSWER - Tardive
Antipsychotic drugs cause tardive dyskinesia by mimicking the effects
of increased: – ANSWER - Dopamine
pg. 4