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Exam (elaborations) pathophysiology

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Wgu d115 oa and pre-oa review test bank (units 2, 3, 4, 5, 6 & 7) - 400 authentic exam questions with guaranteed correct answers

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WGU D115 OA Study Guide Unit 6

1. What type of fibers stimulate the salivary glands?: Cholinergic fibers
2. What part of the esophagus is innervated by nerve fibers?: The lower third
3. What artery provides blood to the stomach?: Celiac artery
4. What hormone is responsible for the inhibition of stomach contraction?:
Secretin

Gastrin increases stomach contraction (aids in motility) and produces acid in the
antrum, duodenum, and pancreas by G-cells
5. Which cells of the stomach secrete hydrochloric acid and intrinsic
factor?: Parietal cells

Pernicious anemia* (Vitamin B12 deficiency)
6. Which enzyme is responsible for cleaving fatty acids from
phospholipids?: Phospholipase
7. Which enzyme is responsible for breaking the end amino acids away
from the ingested protein?: Carboxypeptidase
8. What is true of unconjugated bilirubin?: Unconjugated bilirubin is bilirubin
bound to albumin.

Also called "free bilirubin"
9. Define pepsin: Produced in the stomach and breaks down proteins

Think P and P
10. Define Lipase: Produced by the pancreas and breaks down triglycerides
11. Define amylase: Produced in the mouth and breaks down starch

"Amy eats a starchy meal"
12. What are 3 characteristics of celiac disease?:

Anemia

Diminished growth

Deficiences in fat-soluble vitamins
13. Is pyloric stenosis more common in male or female infants ?: Males




, WGU D115 OA Study Guide Unit 6

14. A 74-year-old male complains of rectal bleeding for the past year. He has
not change in bowel habits and denies abdominal pain, weight loss, and
rectal pain. He has seen blood in the toilet water and when wiping
approximately once every few weeks, but lately the bleeding has
increased. He had colonoscopy 5 year ago. The FNP should:: Schedule a
colonoscopy to look for colon polyps and/or cancer
15. An overweigh, middle-aged woman has right upper quadrant pain that
radiates to her right subscapular area and is severe and persistent. She
is also experiencing anorexia, nausea, and a fever. Her most recent meal
was a double quarter-pound cheeseburger, French fries, and a
milkshake. The FNP examines the abdomen and percusses for CVA
tenderness. the abdomen is tender in the RUQ. Which of the following
signs corresponds with the correct diagnosis?: Murphy's sign: the patient
has cholecystitis McBurney's sign is related to appendicitis CVA tenderness is
related to UTIs

16. A sudden onset of diarrhea that consists of five to six loose stools a day
and awakens the pt at night with cramping, but without blood in the
stools, would most likely be caused by what?: Infection

Clues for infection are awakening at night, cramping without blood, sudden onset

Those S/S are either infection or inflammation
17. The FNP is discussion Clostridium difficile infection with the family of a
68-year-old female who lives with them and who was recently diagnosed
with the infection. Which of the following statements would be the most
important for the family to understand?: Pt needs to use a different
bathroom than the rest of the family

Contact isolation
18. An older woman is noted to have iron-deficiency anemia. She has no
pain or rectal bleeding. What hx would raise suspicion of a gastric
ulcer?: An ankle sprain requiring 800mg of ibuprofen 3 times a day for the last
6 weeks

NSAIDs have a high risk of causing ulcers and erosion - there may be no s/s until
anemia develops

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