N212 Pathophysiology Exam 1 2026 Actual
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Which of the following is NOT a pathogenic change associated with bronchitis?
a. Inflamed airways
b. Swelling from exudation of fluid
c. Decreased mucous production
d. Loss of ciliary function –
Correct Answer :c. Decreased mucous production
Which of the following is the most common cause of chronic bronchitis?
a. Viral infection
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b. Bacterial infection
c. Air pollution
d. Smoking –
Correct Answer :d. Smoking
A 24 yo male presents with emphysema. He has never smoked and is not exposed to
second hand smoke. What hereditary disease may be responsible for his condition?
a. Intrinsic asthma
b. Alpha-1 antitrypsin deficiency
c. Duchenne muscular dystrophy
d. Pulmonary fibrosis –
Correct Answer :b. Alpha-1 antitrypsin deficiency
Which value is consistent with acute respiratory failure?
a. PaO2 of 100 mm Hg
b. PaCO2 of 40 mm Hg
c. pH < 7.3
d. Hypocapnia –
Correct Answer :c. ph < 7.3
Which of the following abnormality is characteristic of emphysema?
a. Extensive inflammation of the lower airways
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b. Trapping of air in distal air sacs
c. Widespread occurrence of bronchial plugs
d. Collapse of proximal airways –
Correct Answer :b. Trapping of air in distal air sacs
Which triad suggests epiglottitis?
a. Sore throat, difficulty swallowing, drooling
b. Hoarseness, sore throat, productive cough
c. Persistent productive cough, vomiting, fever
d. Fever, sore throat, increased thirst –
Correct Answer :a. Sore throat, difficult swallowing, drooling
Tachycardia, decreased or absent breath sounds on the affected side, hyper-resonance, and
sudden chest pain on the affected side are signs of:
a. Myocardial infarction
b. Pneumothorax
c. Sarcoidosis
d. Adult respiratory distress syndrome (ARDS) –
Correct Answer :b. Pneumothorax
Tubercular bacilli are transmitted by:
a. Blood and body fluids
b. Contaminated food
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c. Contaminated blood
d. Airborne droplet nuclei –
Correct Answer :d. Airborne droplet nuclei
When would release of ADH (antidiuretic hormone) rom the posterior pituitary be
stimulated?
a. When patient is hypervolemic and hypertensive
b. When a patient has a hypo-osmolality of the extracellular fluid and is lethargic
c. When a patient is febrile and restless
d. When a patient is hypovolemic or has hyper-osmolality of the extracellular fluid. –
Correct Answer :d. When a patient is hypovolemic or has hyper-osmolality of the
extracellular fluid
What are clinical signs of hypocalcemia vs hypercalcemia?
a. Hypercalcemia exhibits s/sx of decreased neuromuscular irritability, such as
lethargy, shortened ST segment, and diminished reflexes
b. Hypocalcemia exhibits s/sx of increased neuromuscular irritability such as
headache, renal calculi, and fatigue
c. Hypocalcemia exhibits s/sx of increase neuromuscular irritability such as (+)
Trousseau sign, (+) Chvoskek sign, paresthesia, muscle twitching and cramping
d. Hypercalcemia exhibits s/sx of decreased neuromuscular irritability such as
seizures, lethargy, nausea, vomiting, diarrhea, dizziness, disorientation and
muscle twitching - Correct Answer :c. Hypocalcemia exhibits s/sx of increase neuromuscular
irritability such as (+)
Trousseau sign, (+) Chvoskek sign, paresthesia, muscle twitching and cramping
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