FINAL EXAM NEWEST 2026-2027
ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT
DETAILED ANSWERS
/. What organ does cystic fibrosis affect? - Answer-✅Affects the pancreas causing
secretions into the lungs
/.What is Klinefelter syndrome? - Answer-✅An extra X chromosome for males so
example XXY causing female-like qualities
/.What is Turner Syndrome? - Answer-✅females. missing or deformed x chromosome.
right hemisphere dysfunction, hearing loss, ear infection, language and articulation
disorders, visual spatial and attentional problems
/.What is beta thalassemia? - Answer-✅a condition in which the synthesis of the beta-
globin chains is decreased or absent. Causes low hemoglobin.
/.Which medication is contraindicated in a patient with Beta Thalassemia? - Answer-
✅Ferrous Sulfate
/.What drug is used in combination with other agent to treat lymphoid tissue (leukemia).
Directly toxic to lymphoid tissues Selective estrogen receptor modulators (SERM) - for
hormone receptor positive and advanced breast cancer. (Tomaxafin - reduces risk and
recurrence risk) - Answer-✅Glucocorticoids
/.What is the normal ejection fraction? - Answer-✅55-60%. Less than 50% is BAD
/.Is an ejection fraction of 50% reduced or preserved? - Answer-✅Preserved
/.What are symptoms of left sided heart failure? - Answer-✅Think PULMONARY. JVD,
FVO, rails, S3 murmurs. Number one cause of right sided heart failure!
/.What are symptoms of right sided heart failure? - Answer-✅Think peripheral vascular.
Lower extremity edema, abdominal distension.
, /.What is the gold standard lab test for heart failure? - Answer-✅BNP. Heart failure is a
result greater than 100
/.What heart disease is worse with exertion? - Answer-✅Ischemic heart disease
because the demand requirements are higher.
/.What should you assess before giving Digoxin? - Answer-✅Apical pulse
/.How should Warfarin be started? - Answer-✅Start initial dose at half to monitor the
effects
/.What causes the destruction of alveolar walls? Air goes in but can't get out which leads
to hyperinflation - Answer-✅Emphysema
/.What causes excess mucus production and smooth muscle hypertrophy? - Answer-
✅Bronchitis
/.What is a chronic inflammatory obstruction of bronchi? - Answer-✅Asthma, Triggers
cause mucus to clog bronchial tubes.
/.What causes an overbite and buffalo hump? - Answer-✅Endocrine disorder called
acromegaly (overproduction of growth hormone)
/.What causes Addison's disease? - Answer-✅Decreased glucocorticoid (due to
autoimmune destruction of adrenal cortex)
/.What causes Cushing's syndrome? - Answer-✅excess cortisol
/.What causes Grave's disease? - Answer-✅overproduction of thyroid hormone.
HYPERthyroidism.
/.When should you instruct the patient to take their FIRST dose of antihypertensive? -
Answer-✅At night to avoid orthostatic hypotension. Educate slow position changes and
lay down if needed.
/.What are side effects of ACE inhibitors? - Answer-✅dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
/.Which type of antihypertensive should NOT be given to patients with Asthma? -
Answer-✅Nonselective beta blocker (-lol) because both beta-2 receptors are effected
/.What is the first choice of calcium channel blocker? - Answer-✅Verapamil