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PATHOPHYSIOLOGY FINAL LATEST EXAM
Which cellular change is seen with chronic bronchitis?
a. Increased eosinophils
b. Decreased CD8 T lymphocytes
c. Decreased interleukin-8 levels
d. Atrophy of bronchial glands - ANSWER-a. Increased eosinophils
A patient exposed to herpes simplex virus has been exhibiting symptoms that
suggest an inflammation of the brain. This type of infection is referred to as
a. Brain abscess
b. Encephalitis
c. Bacteremia
d. Meningitis - ANSWER-b. Encephalitis
Encephalitis is inflammation of the brain and is most commonly caused by viral
infection.
Brain abscesses act like space-occupying lesions and are often caused by pus-
forming bacteria.
Bacteremia is bacteria in the blood.
,Meningitis is an infection of the cerebrospinal fluid and can be either bacterial
or viral.
Clinical manifestations of hypocalcemia include which of the following? (Select
all that apply.)
a. Positive Trousseau sign
b. Positive Chvostek sign
c. Hyperactive reflexes.
d. Muscle twitching
e. Constipation
f. Paresthesias - ANSWER-a. Positive Trousseau sign
b. Positive Chvostek sign
c. Hyperactive reflexes.
d. Muscle twitching
f. Paresthesias
What are the early signs of Parkinson disease? (Select all that apply.)
a. Drooling
b. Small writing
c. Monotone speech
d. Minimal blinking
e. Loss of facial expression - ANSWER-d. Minimal blinking
e. Loss of facial expression
The early signs of Parkinson disease include infrequent eye blinking and loss of
facial expression. As the disease progresses, additional functional changes
occur; these include drooling and micrographia (small handwriting). Advanced
findings include low-volume, monotonous, and dysarthric speech.
,What is a common site for bone metastases to occur?
a. Vertebral bodies
b. Midshaft femur
c. Carpal bones
d. Radius - ANSWER-a. Vertebral bodies
Which are types of dialysis? (Select all that apply.)
a. Diffusion
b. Hemodialysis
c. Continuous renal replacement
d. Continuous cycling peritoneal dialysis
e. Continuous ambulatory peritoneal dialysis - ANSWER-b. Hemodialysis
c. Continuous renal replacement
d. Continuous cycling peritoneal dialysis
e. Continuous ambulatory peritoneal dialysis
Tachycardia, decreased or absent breath sounds on the affected side,
hyperresonance, and sudden chest pain on the affected side are clinical
manifestations of
a. Sarcoidosis
b. Pneumothorax
c. Hypersensitivity pneumonitis
d. adult respiratory distress syndrome - ANSWER-b. Pneumothorax
Narcotic administration should be administered carefully in patients with acute
pancreatitis related to potential for
a. respiratory depression.
b. narcotic dependency.
, c. sphincter of Oddi dysfunction.
d. allergic reaction. - ANSWER-c. sphincter of Oddi dysfunction
A patient is admitted to the hospital with left-sided heart failure. Which clinical
manifestation would the nurse expect the client to exhibit? (Select all that
apply.)
a. Cough
b. Dyspnea
c. Bradypnea
d. Crackles in lungs
e. Peripheral edema - ANSWER-a. Cough
b. Dyspnea
d. Crackles in lungs
Which offers the best prognosis for the cure of cancer?
a. Surgery
b. Radiation
c. Early detection
d. Chemotherapeutic agents - ANSWER-c. Early detection
Early detection of cancer, while it remains localized, is associated with the best
prognosis for a cure. The majority of patients with solid tumors are treated
surgically, which can be curative in some localized cancers. Ionizing radiation
is used for two principal reasons: to kill tumor cells that are not resectable
because they are located in a vital or inaccessible area, and to kill tumor cells
that may have escaped the surgeon's knife and remain undetected in the local
area. Chemotherapeutic agents are not selective for tumor cells, and a certain
amount of normal cell death also occurs.
A heart that has to pump harder in order to effectively circulate blood is likely
to undergo which type of cellular adaptation?