,Chapter01:IntroductiontoPathophysiology
Banasik:Pathophysiology,7thEdition
MULTIPLECHOICE
1. C.Q.wasrecentlyexposedtogroupAhemolyticStreptococcusandsubsequentlydevelopeda
pharyngealinfection.Hisclinicexaminationrevealsanoraltemperatureof102.3F, skinrash,dysphagia,and
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reddenedthroatmucosawithmultiplepustules.Hecomplainsofsorethroat,malaise,andjointstiffness.
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AthroatcultureispositiveforStreptococcus,andantibioticshavebeenprescribed.
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TheetiologyofC.Q.’sdisease is J
a. asorethroat.
b. streptococcalinfection.
c. geneticsusceptibility.
d. pharyngitis.
ANS:B
J
Etiologyreferstotheproposedcauseorcausesofaparticulardiseaseprocess.Asorethroatisthe
manifestationofthediseaseprocess.Geneticsusceptibilityreferstoinheritedtendencytodevelopadisease.
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Pharyngitisreferstoinflammationofthethroatandisalsoaclinicalmanifestationofthediseaseprocess.
J
2. Anobesebutotherwisehealthyteenisgivenaprescriptionforalow-caloriedietandexercise
program.Thisisanexampleof
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a. primaryprevention.
b. secondaryprevention.
c. tertiaryprevention.
d. diseasetreatment.
J ANS:B
Secondarypreventionistheearlydetection,screening,andmanagementofthediseasesuchasprescribingdiet
andexerciseforanindividualwhohasalreadydevelopedobesity.
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Primarypreventionispreventionofdiseasebyalteringsusceptibilityorreducingexposureforsusceptible
individuals.Tertiarypreventionincludesrehabilitativeandsupportivecareandattemptstoalleviatedisability
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andrestoreeffectivefunctioning.Diseasetreatmentinvolvesmanagementofthediseaseonceithas
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Jdeveloped.
,3. A17-year-oldcollege-boundstudentreceivesavaccineagainstanorganismthatcauses
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meningitis.Thisisanexampleof
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a. primaryprevention.
b. secondaryprevention.
c. tertiaryprevention.
d. diseasetreatment.
ANS:A
J
Primarypreventionispreventionofdiseasebyalteringsusceptibilityorreducingexposureforsusceptible
individualsbyprovidingvaccination.Secondarypreventionistheearlydetection,screening,and
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managementofthedisease.Tertiarypreventionincludesrehabilitativeandsupportivecareand
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attemptstoalleviatedisabilityandrestoreeffectivefunctioning.Diseasetreatmentinvolvesmanagementof
thediseaseonceithasdeveloped.
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4. Apatientwithhighbloodpressurewhoisotherwisehealthyiscounseledtorestrictsodium
intake.Thisisanexampleof
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a. primaryprevention.
b. secondaryprevention.
c. tertiaryprevention.
d. diseasetreatment.
ANS:B
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Secondarypreventionistheearlydetection,screening,andmanagementofthedisease,suchasbyprescribing
sodiumrestrictionforhighbloodpressure.Primarypreventionispreventionofdiseasebyalteringsusceptibilityor
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reducingexposureforsusceptibleindividuals.Tertiarypreventionincludesrehabilitativeandsupportivecareand
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attemptstoalleviatedisabilityandrestoreeffectivefunctioning.Diseasetreatmentinvolvesmanagementofthe
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diseaseonceithasdeveloped.
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, 5. Aftersuffering aheartattack,amiddle-agedmaniscounseledtotakeacholesterol-lowering
b
medication.Thisisanexampleof
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a. primaryprevention.
b. secondaryprevention.
c. tertiaryprevention.
d. diseasetreatment.
J ANS:C
Tertiarypreventionincludesrehabilitativeandsupportivecareandattemptstoalleviatedisabilityand
restoreeffectivefunctioningsuchasprescribingacholesterol-lowering
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medicationfollowingaheartattack.Primarypreventionispreventionofdiseasebyalteringsusceptibility
orreducingexpUosuSrefNorsTusceptibOleindividuals.Secondarypreventionisthe
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earlydetection,screening,andmanagementofthedisease.Diseasetreatmentinvolvesmanagementofthe
diseaseonceithasdeveloped.
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6. Apatienthasbeenexposedtomeningococcalmeningitis,butisnotyetdemonstratingsignsofthis
disease.Thisstageofillnessiscalledthe
J stage.
a. prodromal
b. latent
c. sequela
d. convalescence
J ANS:B
Incubationreferstotheintervalbetweenexposureofatissuetoaninjuriousagentandthefirstappearanceof
Jsignsandsymptoms.Ininfectiousdiseases,thisperiodisoftencalledtheincubation(latent)period.Prodromal
Jreferstotheappearanceofthefirstsignsandsymptomsindicatingtheonsetofadisease.Theseareoften
J nonspecific,suchasheadache,malaise,anorexia,andnausea,whichareassociatedwithanumberofdifferent
Jdiseases.
Sequelareferstosubsequentpathologicconditionresultingfromadisease.Convalescenceisthestageof
recoveryafteradisease,injury,orsurgicaloperation.
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7. Adiseasethatisnativetoaparticularregioniscalled
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a. epidemic.
b. endemic.