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NR 507 ADVANCED PATHOPHYSIOLOGY MIDTERM EXAM V2 2025/2026. COMPLETE QUESTIONS AND ANSWERS EXAME. A+ SCORE.

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NR 507 ADVANCED PATHOPHYSIOLOGY MIDTERM EXAM V2 2025/2026. COMPLETE QUESTIONS AND ANSWERS EXAME. A+ SCORE. Score for this quiz: 118 out of 120 The lung is innervated by the parasympathetic nervous system via which nerve? Vagus Phrenic Brachial Pectoral Fibers of the parasympathetic division of the autonomic nervous system (ANS) travel only in the vagus nerve to the lung. What is the action of urodilatin? Urodilatin causes vasoconstriction of afferent arterioles. It causes vasodilation of the efferent arterioles. Urodilatin inhibits antidiuretic hormone secretion. It inhibits salt and water reabsorption. Urodilatin (a natriuretic peptide) inhibits sodium and water reabsorption from the medullary part of collecting duct, thereby producing diuresis. It is not involved in the actions described by the other options. What is the direct action of atrial natriuretic hormone? Sodium retention Sodium excretion Water retention Water excretion Atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) inhibit the secretion of renin, inhibit angiotensin-induced secretion of aldosterone, vasodilate the afferent and constrict the efferent glomerular arterioles, and inhibit sodium and water absorption by kidney tubules. The other actions are not a result of the atrial natriuretic hormone. Which statement best describes a Schilling test? 3 Administration of radioactive cobalamin and the measurement of its excretion in the urine to test for vitamin B12 deficiency Measurement of antigen-antibody immune complexes in the blood to test for hemolytic anemia Measurement of serum ferritin and total iron-binding capacity in the blood to test for iron deficiency anemia Administration of folate and measurement in 2 hours of its level in a blood sample to test for folic acid deficiency anemia. The Schilling test indirectly evaluates vitamin B12 absorption by administering radioactive B12 and measuring excretion in the urine. This selection is the only option that accurately describes a Schilling test. Hemolytic disease of the newborn (HDN) can occur if the mother: Is Rh-positive and the fetus is Rh-negative Is Rh-negative and the fetus is Rh-positive Has type Ablood and the fetus has type O Has type AB blood and the fetus has type B HDN can occur only if antigens on fetal erythrocytes differ from antigens on maternal erythrocytes. Maternal-fetal incompatibility exists only if the mother and fetus differ in ABO blood type or if the fetus is Rh-positive and the mother is Rh-negative. This erythrocyte incompatibility does not exist in any of the other options. Which T-lymphocyte phenotype is the key determinant of childhood asthma? Cluster of differentiation (CD) 4 T-helper Th1 lymphocytes CD4 T-helper Th2 lymphocytes CD8 cytotoxic T lymphocytes Memory T lymphocytes Asthma develops because the Th2 response (in which CD4 T-helper cells produce specific cytokines, such as interleukin [IL]–4, IL-5, and IL-13) promotes an atopic and allergic response in the airways. This selection is the only option that accurately identifies the appropriate T-lymphocyte phenotype. Perceived stress elicits an emotional, anticipatory response that begins where? Prefrontal cortex Anterior pituitary Limbic system Hypothalamus Perceived stressors elicit an anticipatory response that begins in the limbic system of the brain, the only option responsible for emotions and cognition. Hypersensitivity is best defined as a(an): Disturbance in the immunologic tolerance of self-antigens Immunologic reaction of one person to the tissue of another person Altered immunologic response to an antigen that results in disease Undetectable immune response in the presence of antigens Hypersensitivity is an altered immunologic response to an antigen that results in disease or damage to the host. The other options are not accurate definitions of hypersensitivity. It has been determined that a tumor is in stage 2. What is the meaning of this finding? Cancer is confined to the organ of origin. Cancer has spread to regional structures.

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1




NR 507 ADVANCED PATHOPHYSIOLOGY MIDTERM EXAM V2 2025/2026.
COMPLETE QUESTIONS AND ANSWERS EXAME. A+ SCORE.

Score for this quiz: 118 out of 120

Question 1
pts
The lung is innervated by the parasympathetic nervous system via which nerve?



Vagus



Phrenic



Brachial



Pectoral

Fibers of the parasympathetic division of the autonomic nervous system (ANS) travel
only in the vagus nerve to the lung.


Question 2
pts
What is the action of urodilatin?


Urodilatin causes vasoconstriction of afferent arterioles.



It causes vasodilation of the efferent arterioles.



Urodilatin inhibits antidiuretic hormone secretion.

Page 1 of 36

,2




It inhibits salt and water reabsorption.

Urodilatin (a natriuretic peptide) inhibits sodium and water reabsorption from the
medullary part of collecting duct, thereby producing diuresis. It is not involved in the
actions described by the other options.


Question 3
pts
What is the direct action of atrial natriuretic hormone?


Sodium retention




Sodium excretion



Water retention



Water excretion

Atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) inhibit the secretion
of renin, inhibit angiotensin-induced secretion of aldosterone, vasodilate the afferent
and constrict the efferent glomerular arterioles, and inhibit sodium and water absorption
by kidney tubules. The other actions are not a result of the atrial natriuretic hormone.


Question 4
pts
Which statement best describes a Schilling test?




Page 2 of 36

,3


Administration of radioactive cobalamin and the measurement of its excretion in the
urine to test for vitamin B deficiency
12




Measurement of antigen-antibody immune complexes in the blood to test for hemolytic
anemia


Measurement of serum ferritin and total iron-binding capacity in the blood to test for iron
deficiency anemia


Administration of folate and measurement in 2 hours of its level in a blood sample to
test for folic acid deficiency anemia.
The Schilling test indirectly evaluates vitamin B12 absorption by administering radioactive
B12 and measuring excretion in the urine. This selection is the only option that accurately
describes a Schilling test.


Question 5
pts
Hemolytic disease of the newborn (HDN) can occur if the mother:


Is Rh-positive and the fetus is Rh-negative




Is Rh-negative and the fetus is Rh-positive



Has type Ablood and the fetus has type O



Has type AB blood and the fetus has type B

HDN can occur only if antigens on fetal erythrocytes differ from antigens on maternal
erythrocytes. Maternal-fetal incompatibility exists only if the mother and fetus differ in
ABO blood type or if the fetus is Rh-positive and the mother is Rh-negative. This
erythrocyte incompatibility does not exist in any of the other options.




Page 3 of 36

, Question 6
pts
Which T-lymphocyte phenotype is the key determinant of childhood asthma?


Cluster of differentiation (CD) 4 T-helper Th lymphocytes
1




CD4 T-helper Th lymphocytes
2




CD8 cytotoxic T lymphocytes



Memory T lymphocytes

Asthma develops because the Th2 response (in which CD4 T-helper cells produce
specific cytokines, such as interleukin [IL]–4, IL-5, and IL-13) promotes an atopic and
allergic response in the airways. This selection is the only option that accurately
identifies the appropriate T-lymphocyte phenotype.


Question 7
pts
Perceived stress elicits an emotional, anticipatory response that begins where?


Prefrontal cortex



Anterior pituitary




Limbic system




Page 4 of 36

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