NURS 6501 ADVANCED PATHOPHYSIOLOGY
MIDTERM Exam guide Questions and correct
answers
ill was admitted to the hospital with suspected myasthenia gravis. Which finding is
usually associated with a diagnosis of myasthenia gravis?
A. Progressive weakness that is worse at the end of the day
B. Ascending paralysis and loss of motor function
C. Visual disturbances, including diplopia
D. Cogwheel rigidity and loss of coordination
A.
Your patient presents with weakness in his arms and legs that is worse after he has
done any type of physical activity. This weakness is relieved by rest. What specific tests
would you want to order?
TSH, Free T4
CT of the mediastinum
AChR antibodies and MuSK receptor antibodies
Electrocardiogram
C.
What are early signs and symptoms of Rheumatoid Arthritis (RA)?
Joint pain tenderness and swelling
Loss of joint range of motion
Limping
,All of the above
D.
Rheumatoid Arthritis is a disease process that causes abnormalities in which system of
the body?
Cardiovascular
Integumentary
Immune
Digestive
C.
•A 35-year-old female comes into the clinic with complaints of a mole that has changed
over the last several months. What findings would lead the nurse practitioners to think
the patient may have melanoma?
•A) The mole is symmetrical and 4 mm in diameter.
•B) The mole has ragged borders and bleeds frequently.
•C) The mole is uniform in color.
•D) The mole has even borders and does not itch.
B.
•When providing patient education regarding the prevention of melanoma, what
information should the nurse practitioner include?
•A) Apply sunscreen with SPF 15 every 4 hours while outside.
•B) It is okay to use a tanning bed for less than 10 minutes at a time.
•C) Avoid direct sunlight exposure between 1000 and 1600.
,•D) It is unnecessary to perform self-examinations of your skin.
C.
Which of the following would confirm myasthenia gravis?
a. increased levels of anticholinesterases
b. presence of achr antibodies and musk receptor antibodies
c. elevated levels of igG antibodies
D. Increased levels of protein in the CSF with NL blood counts
B.
BRCA-1 Mutation is associated with
A. Breast Cancer
B. Colon Cancer
C. Lung Cancer
D. Pancreatic cancer
A.
treatment of acute prostatitis would include coverage of which organism?
a. Staph aurues
b. Enterobacter cloacae
c. Steptococcus pyognese
, d. E.coli
D.
Very painful HA mostly affecting middle aged white males, associated with periorbital
pain and occurs daily for weeks
a. tension HA
b. Migraine
c. Cluster HA
d. brain tumor
C.
Acute vesicular eruption due to infection with varicella-zoster virus
a. stevens-johnson syndrome
b. molluscum contagiosum
c. herpes zoster
d. rubella
c.
the pneumonic ABCDEE is used to diagnose...
a. malignant melanoma
b. basal cell carcinoma
MIDTERM Exam guide Questions and correct
answers
ill was admitted to the hospital with suspected myasthenia gravis. Which finding is
usually associated with a diagnosis of myasthenia gravis?
A. Progressive weakness that is worse at the end of the day
B. Ascending paralysis and loss of motor function
C. Visual disturbances, including diplopia
D. Cogwheel rigidity and loss of coordination
A.
Your patient presents with weakness in his arms and legs that is worse after he has
done any type of physical activity. This weakness is relieved by rest. What specific tests
would you want to order?
TSH, Free T4
CT of the mediastinum
AChR antibodies and MuSK receptor antibodies
Electrocardiogram
C.
What are early signs and symptoms of Rheumatoid Arthritis (RA)?
Joint pain tenderness and swelling
Loss of joint range of motion
Limping
,All of the above
D.
Rheumatoid Arthritis is a disease process that causes abnormalities in which system of
the body?
Cardiovascular
Integumentary
Immune
Digestive
C.
•A 35-year-old female comes into the clinic with complaints of a mole that has changed
over the last several months. What findings would lead the nurse practitioners to think
the patient may have melanoma?
•A) The mole is symmetrical and 4 mm in diameter.
•B) The mole has ragged borders and bleeds frequently.
•C) The mole is uniform in color.
•D) The mole has even borders and does not itch.
B.
•When providing patient education regarding the prevention of melanoma, what
information should the nurse practitioner include?
•A) Apply sunscreen with SPF 15 every 4 hours while outside.
•B) It is okay to use a tanning bed for less than 10 minutes at a time.
•C) Avoid direct sunlight exposure between 1000 and 1600.
,•D) It is unnecessary to perform self-examinations of your skin.
C.
Which of the following would confirm myasthenia gravis?
a. increased levels of anticholinesterases
b. presence of achr antibodies and musk receptor antibodies
c. elevated levels of igG antibodies
D. Increased levels of protein in the CSF with NL blood counts
B.
BRCA-1 Mutation is associated with
A. Breast Cancer
B. Colon Cancer
C. Lung Cancer
D. Pancreatic cancer
A.
treatment of acute prostatitis would include coverage of which organism?
a. Staph aurues
b. Enterobacter cloacae
c. Steptococcus pyognese
, d. E.coli
D.
Very painful HA mostly affecting middle aged white males, associated with periorbital
pain and occurs daily for weeks
a. tension HA
b. Migraine
c. Cluster HA
d. brain tumor
C.
Acute vesicular eruption due to infection with varicella-zoster virus
a. stevens-johnson syndrome
b. molluscum contagiosum
c. herpes zoster
d. rubella
c.
the pneumonic ABCDEE is used to diagnose...
a. malignant melanoma
b. basal cell carcinoma
