GCU Pathophysiology 483 Final Exam
Questions With correct Answers
A |patient |presents |with |fatigue |and |difficulty |with |motor |control. |They |live |in |Washington, |and |when |
it |rains |it |is |unsafe |for |the |patient |to |drive |due |to |her |deteriorating |vision. |Her |vision |always |seems |to
|get |worse |after |she |experiences |unexplained |muscle |spasms |in |her |legs, |feet, |and |arms. |After |each |
spasm, |she |gets |extremely |tired |too. |Her |spastic |attacks |have |gone |from |once |a |year |to |once |a |
month |to |almost |weekly. |What |condition |might |this |be? |- |VERIFIED |ANSWER✔✔-Multiple |Sclerosis |
(relapse-remitting)
A |patient |isn't |feeling |too |well |and |has |been |experiencing |quite |a |few |muscle |spasms |over |the |past |
few |days. |The |new |nurse |on |staff |has |been |put |in |charge |of |the |patient. |She, |for |some |reason, |thinks
|that |the |patient |has |bacterial |meningitis |and |performs |a |LP |by |herself. |She |ships |the |CSF |to |the |lab, |
where |they |find |oligoclonal |bands |on |the |IgG |antibodies. |The |nurse |contacts |radiology |and |requests |
to |get |an |MRI. |Why |would |the |presence |of |oligoconal |bands |concern |the |nurse? |What |might |this |
disease |be? |- |VERIFIED |ANSWER✔✔-Multiple |sclerosis, |with |sclerotic |plaques
A |patient |presents |with |muscle |weakness |and |spasms |down |her |legs. |A |nerve |and |muscle |conduction |
test |revealed |that |there |was |a |slight |delay. |An |exam |reveals |that |there |is |excess |glutamate |in |her |
system. |Her |speech |has |also |begun |to |slur |and |she |feels |fatigued. |However, |her |intelligence |has |not |
been |infected. |What |disease |is |this? |- |VERIFIED |ANSWER✔✔-ALS |(Lou |Gehrig's |disease)
Johnny |is |a |24 |y/o |who |is |having |trouble |waking. |On |his |25th |birthday |his |relatives |come |over |and |
notice |a |very |large |change |in |his |mobility. |He |is |constantly |shuffling |his |feet |when |he |walks |or |runs. |
At |26 |he |is |no |longer |able |to |walk |and |his |leg |muscles |have |atrophied, |however |he |can |still |feel |
them. |Tests |revealed |high |levels |of |glutamate |in |his |body. |What |is |this |disease? |How |can |it |be |
treated? |- |VERIFIED |ANSWER✔✔-ALS |(Lou |Gehrig's |disease) |treated |with |rilouzole |to |slow |the |process
a |25 |y/o |female |presents |with |slurred |speech, |weakness, |balance |and |vision |problems. |A |LP |reveals |
that |there |are |elevated |IgGs. |A |MRI |shows |small |white |lesions |scattered |throughout |her |brain. |What |
is |her |diagnosis? |- |VERIFIED |ANSWER✔✔-Multiple |sclerosis
A |45 |y/o |male |presents |with |speech |difficulties, |muscle |weakness, |and |fatigue. |A |LP |reveals |increased
|glutamate |in |the |CSF. |An |intelligence |test |reveals |no |changes |in |intelligence |and |a |nerve |and |muscle |
function |test |show |diminished |conduction. |What |disease |is |this? |- |VERIFIED |ANSWER✔✔-ALS |(Lou |
Gehrig's |disease)
, a |30 |y/o |Arizona |native |female |presents |with |muscle |weakness, |fatigue, |and |eyes |that |appear |droopy.
|Her |symptoms |get |worse |in |the |summer |and |during |times |of |extreme |stress |at |her |job. |An |exam |of |
her |neck |showed |that |she |has |a |tumor |on |her |thymus. |A |tensilon |test |seemed |to |help |with |most |of |
her |symptoms |for |a |short |period |of |time. |What |is |her |condition? |- |VERIFIED |ANSWER✔✔-Myasthenia |
gravis
A |patient |presents |with |unilateral |muscle |weakness. |One |day |he |wakes |up |and |notices |he |cannot |
completely |close |his |right |eye |or |move |it. |It |feels |like |the |numbing |shots |he |got |at |the |dentist |a |few |
months |ago. |When |he |looked |in |the |mirror, |he |realized |that |the |right |side |of |his |face |is |paralyzed. |
Freaking |out, |he |goes |to |the |ER. |A |medical |history |showed |that |he |was |diagnosed |with |mono |a |few |
months |ago, |and |a |CT |showed |nothing |abnormal. |What |is |his |likely |condition? |- |VERIFIED |
ANSWER✔✔-Bell's |palsy
A |patient |presents |with |unilateral |facial |paralysis |and |cannon |wrinkle |their |eyebrow |or |close |their |
eyes |tightly. |Their |eyelid |is |droopy |and |the |corner |of |their |mouth |is |unresponsive. |What |is |this |
condition? |- |VERIFIED |ANSWER✔✔-Bell's |palsy
A |33 |y/o |male |presents |with |massive |inflammation |near |the |elbow. |He |explains |that |this |has |been |
there |for |quite |some |time, |but |his |job |as |a |construction |worker |is |very |demanding |and |he |has |not |
been |able |to |get |days |off |for |recovery. |He |says |that |he |feels |most |of |his |pain |when |he |is |using |a |
hammer. |What |does |he |have? |- |VERIFIED |ANSWER✔✔-Lateral |epicondylitis |(tennis |elbow)
A |patient |presents |with |aches, |pains, |and |tenderness |around |his |elbow. |He |plays |tennis |and |he |said |
that |it |is |the |most |painful |after |he |serves. |Blood |shows |increased |levels |of |CRP. |What |does |he |have?
|- |VERIFIED |ANSWER✔✔-Lateral |epicondylitis
A |patient |presents |with |rheumatoid |arthritis |and |is |having |pain |on |his |right |knee. |His |knee |is |swollen |
and |NSAIDS |and |ice |seem |to |help |with |he |symptoms. |What |is |the |diagnosis? |- |VERIFIED |ANSWER✔✔-
Bursitis
A |patient |presents |with |pain |in |her |wrist, |numbness, |and |tingling |in |her |hand. |She |also |has |a |loss |of |
grip |strength. |What |syndrome |is |this? |- |VERIFIED |ANSWER✔✔-Carpal |tunnel |syndrome
Questions With correct Answers
A |patient |presents |with |fatigue |and |difficulty |with |motor |control. |They |live |in |Washington, |and |when |
it |rains |it |is |unsafe |for |the |patient |to |drive |due |to |her |deteriorating |vision. |Her |vision |always |seems |to
|get |worse |after |she |experiences |unexplained |muscle |spasms |in |her |legs, |feet, |and |arms. |After |each |
spasm, |she |gets |extremely |tired |too. |Her |spastic |attacks |have |gone |from |once |a |year |to |once |a |
month |to |almost |weekly. |What |condition |might |this |be? |- |VERIFIED |ANSWER✔✔-Multiple |Sclerosis |
(relapse-remitting)
A |patient |isn't |feeling |too |well |and |has |been |experiencing |quite |a |few |muscle |spasms |over |the |past |
few |days. |The |new |nurse |on |staff |has |been |put |in |charge |of |the |patient. |She, |for |some |reason, |thinks
|that |the |patient |has |bacterial |meningitis |and |performs |a |LP |by |herself. |She |ships |the |CSF |to |the |lab, |
where |they |find |oligoclonal |bands |on |the |IgG |antibodies. |The |nurse |contacts |radiology |and |requests |
to |get |an |MRI. |Why |would |the |presence |of |oligoconal |bands |concern |the |nurse? |What |might |this |
disease |be? |- |VERIFIED |ANSWER✔✔-Multiple |sclerosis, |with |sclerotic |plaques
A |patient |presents |with |muscle |weakness |and |spasms |down |her |legs. |A |nerve |and |muscle |conduction |
test |revealed |that |there |was |a |slight |delay. |An |exam |reveals |that |there |is |excess |glutamate |in |her |
system. |Her |speech |has |also |begun |to |slur |and |she |feels |fatigued. |However, |her |intelligence |has |not |
been |infected. |What |disease |is |this? |- |VERIFIED |ANSWER✔✔-ALS |(Lou |Gehrig's |disease)
Johnny |is |a |24 |y/o |who |is |having |trouble |waking. |On |his |25th |birthday |his |relatives |come |over |and |
notice |a |very |large |change |in |his |mobility. |He |is |constantly |shuffling |his |feet |when |he |walks |or |runs. |
At |26 |he |is |no |longer |able |to |walk |and |his |leg |muscles |have |atrophied, |however |he |can |still |feel |
them. |Tests |revealed |high |levels |of |glutamate |in |his |body. |What |is |this |disease? |How |can |it |be |
treated? |- |VERIFIED |ANSWER✔✔-ALS |(Lou |Gehrig's |disease) |treated |with |rilouzole |to |slow |the |process
a |25 |y/o |female |presents |with |slurred |speech, |weakness, |balance |and |vision |problems. |A |LP |reveals |
that |there |are |elevated |IgGs. |A |MRI |shows |small |white |lesions |scattered |throughout |her |brain. |What |
is |her |diagnosis? |- |VERIFIED |ANSWER✔✔-Multiple |sclerosis
A |45 |y/o |male |presents |with |speech |difficulties, |muscle |weakness, |and |fatigue. |A |LP |reveals |increased
|glutamate |in |the |CSF. |An |intelligence |test |reveals |no |changes |in |intelligence |and |a |nerve |and |muscle |
function |test |show |diminished |conduction. |What |disease |is |this? |- |VERIFIED |ANSWER✔✔-ALS |(Lou |
Gehrig's |disease)
, a |30 |y/o |Arizona |native |female |presents |with |muscle |weakness, |fatigue, |and |eyes |that |appear |droopy.
|Her |symptoms |get |worse |in |the |summer |and |during |times |of |extreme |stress |at |her |job. |An |exam |of |
her |neck |showed |that |she |has |a |tumor |on |her |thymus. |A |tensilon |test |seemed |to |help |with |most |of |
her |symptoms |for |a |short |period |of |time. |What |is |her |condition? |- |VERIFIED |ANSWER✔✔-Myasthenia |
gravis
A |patient |presents |with |unilateral |muscle |weakness. |One |day |he |wakes |up |and |notices |he |cannot |
completely |close |his |right |eye |or |move |it. |It |feels |like |the |numbing |shots |he |got |at |the |dentist |a |few |
months |ago. |When |he |looked |in |the |mirror, |he |realized |that |the |right |side |of |his |face |is |paralyzed. |
Freaking |out, |he |goes |to |the |ER. |A |medical |history |showed |that |he |was |diagnosed |with |mono |a |few |
months |ago, |and |a |CT |showed |nothing |abnormal. |What |is |his |likely |condition? |- |VERIFIED |
ANSWER✔✔-Bell's |palsy
A |patient |presents |with |unilateral |facial |paralysis |and |cannon |wrinkle |their |eyebrow |or |close |their |
eyes |tightly. |Their |eyelid |is |droopy |and |the |corner |of |their |mouth |is |unresponsive. |What |is |this |
condition? |- |VERIFIED |ANSWER✔✔-Bell's |palsy
A |33 |y/o |male |presents |with |massive |inflammation |near |the |elbow. |He |explains |that |this |has |been |
there |for |quite |some |time, |but |his |job |as |a |construction |worker |is |very |demanding |and |he |has |not |
been |able |to |get |days |off |for |recovery. |He |says |that |he |feels |most |of |his |pain |when |he |is |using |a |
hammer. |What |does |he |have? |- |VERIFIED |ANSWER✔✔-Lateral |epicondylitis |(tennis |elbow)
A |patient |presents |with |aches, |pains, |and |tenderness |around |his |elbow. |He |plays |tennis |and |he |said |
that |it |is |the |most |painful |after |he |serves. |Blood |shows |increased |levels |of |CRP. |What |does |he |have?
|- |VERIFIED |ANSWER✔✔-Lateral |epicondylitis
A |patient |presents |with |rheumatoid |arthritis |and |is |having |pain |on |his |right |knee. |His |knee |is |swollen |
and |NSAIDS |and |ice |seem |to |help |with |he |symptoms. |What |is |the |diagnosis? |- |VERIFIED |ANSWER✔✔-
Bursitis
A |patient |presents |with |pain |in |her |wrist, |numbness, |and |tingling |in |her |hand. |She |also |has |a |loss |of |
grip |strength. |What |syndrome |is |this? |- |VERIFIED |ANSWER✔✔-Carpal |tunnel |syndrome
