CMN 577 - Unit 1 Exam Questions With
Correct Answers
S/S |of |acute |intermittent |porphyria |- |CORRECT |ANSWER✔✔-+ |Abdominal |pain |of |varying |
severity
+ |Absence |of |fever |or |leukocytosis
+ |Peripheral |neuropathy |(symmetric |OR |asymmetric)
+ |CNS |sx |(seizures, |altered |consciousness, |psuychosis, |abnormalities |of |basal |ganglia)
+ |Hyponatremia
McPhee |p |1690
Labs |for |acute |intermittent |porphyria |- |CORRECT |ANSWER✔✔-+ |Hyponatremia
+ |Urine |which |turns |dark |when |exposed |to |light |or |air |(r/t |porphobilonogen |excretion)
McPhee |p |1690
Prevention |of |attacks |in |pts |with |acute |intermittent |porphyria |- |CORRECT |ANSWER✔✔-+ |
Sulfanoamides |and |barbituates
+ |Starvation |or |prolonged |fasting
+ |Hormone |changes |during |pregnancy
McPhee |p |1690
,Typical |patient |with |AIP |- |CORRECT |ANSWER✔✔-Young |female |
McPhee |p |1690
Treatment |for |acute |intermittent |porphyria |(AIP) |- |CORRECT |ANSWER✔✔-+ |High |carb |diet
+ |Analgesics |and |IV |glucose |in |saline |and |hematin
McPhee |p |1691
Cause |of |acute |intermittent |porphyria |(AIP) |- |CORRECT |ANSWER✔✔-Genetic |condition, |
inherited |as |an |autosomal |dominant |condition.
Pts |have |mutation |in |HMBS
McPHee |p |1690
At |what |point |in |pregnancy |can |Down |Syndrome |be |detected, |and |what |tests |are |used? |- |
CORRECT |ANSWER✔✔-+ |Down |syndrome |can |be |detected |in |the |1st |or |early |2nd |trimester
+ |Screen |maternal |serum |for |alpha-fetoprotein |(should |be |LOW) |and |other |biomarkers |
(multiple |marker |screening)
+ |Detecting |nuchal |thickness |and |underdevelopment |of |nasal |bone |on |ultrasonography.
McPhee |p |1692
s/s |of |Down |Syndrome |- |CORRECT |ANSWER✔✔-+ |Typical |craniofacial |features |(flat |occiput, |
epicanthal |folds, |large |tongue)
+ |Hypotonia
+ |Single |palmar |crease
,+ |Congenital |heart |defects |(50% |of |pts)
McPhee |p |1692
Hematuria |--What |do |proteinuria |and |casts |in |urinalysis |suggest? |- |CORRECT |ANSWER✔✔-
Renal |origin
McPhee |p |962
What |do |irritative |voiding |sx, |bacteruria |and |a |positive |urine |culture |suggest |in |the |female |
patient? |- |CORRECT |ANSWER✔✔-Urinary |tract |infection
McPhee |p |962
T/F |- |Urine |cytology |is |recommended |in |the |evaluation |of |asymptomatic |microscopic |
hematuria. |- |CORRECT |ANSWER✔✔-FALSE
McPhee |p |962
In |what |type |of |patient |is |cystology |indicated |for |evaluation |of |hematuria? |- |CORRECT |
ANSWER✔✔-Pts |with |gross |hematuria |and |those |> |35 |yrs |with |asymptomatic |microscopic |
hematuria
McPhee |p |962
Common |symtpoms |of |acute |cystitis |- |CORRECT |ANSWER✔✔-Irritative |voiding |sx |(frequency, |
urgency, |dysuria)
Suprapubic |discomfort
, NOTE: |♀ |may |also |have |gross |hematuria |and |sx |follow |sexual |intercourse.
McPhee |p |962
Urinalysis |results |in |acute |cystitis |- |CORRECT |ANSWER✔✔-Pyuria
Bacteruria
Varying |degrees |of |hematuria
McPhee |p |963
When |are |♀ |candidates |for |prophyactic |abx |tx |for |prevention |of |recurrent |UTI? |- |CORRECT |
ANSWER✔✔-♀ |who |have |> |3 |episodes |of |cystitis |per |year
McPhee |p |963
Microscopic |hematuria |in |male |patients |is |most |often |caused |by |what? |- |CORRECT |
ANSWER✔✔-BPH
McPhee |p |962
Most |common |cause |of |acute |cystitis? |- |CORRECT |ANSWER✔✔-Coliform |bacteria |(especially |
E.Coli |and |occasionally |gram |positive |bacteria).
McPhee |p |962
Correct Answers
S/S |of |acute |intermittent |porphyria |- |CORRECT |ANSWER✔✔-+ |Abdominal |pain |of |varying |
severity
+ |Absence |of |fever |or |leukocytosis
+ |Peripheral |neuropathy |(symmetric |OR |asymmetric)
+ |CNS |sx |(seizures, |altered |consciousness, |psuychosis, |abnormalities |of |basal |ganglia)
+ |Hyponatremia
McPhee |p |1690
Labs |for |acute |intermittent |porphyria |- |CORRECT |ANSWER✔✔-+ |Hyponatremia
+ |Urine |which |turns |dark |when |exposed |to |light |or |air |(r/t |porphobilonogen |excretion)
McPhee |p |1690
Prevention |of |attacks |in |pts |with |acute |intermittent |porphyria |- |CORRECT |ANSWER✔✔-+ |
Sulfanoamides |and |barbituates
+ |Starvation |or |prolonged |fasting
+ |Hormone |changes |during |pregnancy
McPhee |p |1690
,Typical |patient |with |AIP |- |CORRECT |ANSWER✔✔-Young |female |
McPhee |p |1690
Treatment |for |acute |intermittent |porphyria |(AIP) |- |CORRECT |ANSWER✔✔-+ |High |carb |diet
+ |Analgesics |and |IV |glucose |in |saline |and |hematin
McPhee |p |1691
Cause |of |acute |intermittent |porphyria |(AIP) |- |CORRECT |ANSWER✔✔-Genetic |condition, |
inherited |as |an |autosomal |dominant |condition.
Pts |have |mutation |in |HMBS
McPHee |p |1690
At |what |point |in |pregnancy |can |Down |Syndrome |be |detected, |and |what |tests |are |used? |- |
CORRECT |ANSWER✔✔-+ |Down |syndrome |can |be |detected |in |the |1st |or |early |2nd |trimester
+ |Screen |maternal |serum |for |alpha-fetoprotein |(should |be |LOW) |and |other |biomarkers |
(multiple |marker |screening)
+ |Detecting |nuchal |thickness |and |underdevelopment |of |nasal |bone |on |ultrasonography.
McPhee |p |1692
s/s |of |Down |Syndrome |- |CORRECT |ANSWER✔✔-+ |Typical |craniofacial |features |(flat |occiput, |
epicanthal |folds, |large |tongue)
+ |Hypotonia
+ |Single |palmar |crease
,+ |Congenital |heart |defects |(50% |of |pts)
McPhee |p |1692
Hematuria |--What |do |proteinuria |and |casts |in |urinalysis |suggest? |- |CORRECT |ANSWER✔✔-
Renal |origin
McPhee |p |962
What |do |irritative |voiding |sx, |bacteruria |and |a |positive |urine |culture |suggest |in |the |female |
patient? |- |CORRECT |ANSWER✔✔-Urinary |tract |infection
McPhee |p |962
T/F |- |Urine |cytology |is |recommended |in |the |evaluation |of |asymptomatic |microscopic |
hematuria. |- |CORRECT |ANSWER✔✔-FALSE
McPhee |p |962
In |what |type |of |patient |is |cystology |indicated |for |evaluation |of |hematuria? |- |CORRECT |
ANSWER✔✔-Pts |with |gross |hematuria |and |those |> |35 |yrs |with |asymptomatic |microscopic |
hematuria
McPhee |p |962
Common |symtpoms |of |acute |cystitis |- |CORRECT |ANSWER✔✔-Irritative |voiding |sx |(frequency, |
urgency, |dysuria)
Suprapubic |discomfort
, NOTE: |♀ |may |also |have |gross |hematuria |and |sx |follow |sexual |intercourse.
McPhee |p |962
Urinalysis |results |in |acute |cystitis |- |CORRECT |ANSWER✔✔-Pyuria
Bacteruria
Varying |degrees |of |hematuria
McPhee |p |963
When |are |♀ |candidates |for |prophyactic |abx |tx |for |prevention |of |recurrent |UTI? |- |CORRECT |
ANSWER✔✔-♀ |who |have |> |3 |episodes |of |cystitis |per |year
McPhee |p |963
Microscopic |hematuria |in |male |patients |is |most |often |caused |by |what? |- |CORRECT |
ANSWER✔✔-BPH
McPhee |p |962
Most |common |cause |of |acute |cystitis? |- |CORRECT |ANSWER✔✔-Coliform |bacteria |(especially |
E.Coli |and |occasionally |gram |positive |bacteria).
McPhee |p |962
