STUDY GUIDE
D115 OA WITH
ABSOLUTE
ANSWERS.
[Document subtitle]
,Conductive hearing loss involves the
inner ear
middle ear
5th cranial nerve
8th cranial nerve - correct ans:middle ear and is usually the result of one of
the following: blockage of the ear canal, a hole in the ear drum, problems
with three small bones in the ear, or fluid in the space between the ear drum
and cochlea
A 30-day-old infant presents to the emergency room with decreased oral
intake, decreased urine output, and a fever of 101.8. The infant is admitted
for further evaluation with a workup to include a blood culture, a urine
culture, a spinal tap, and a chest X-ray.
Which issue of innate immunity, as it relates to neonates, is of concern?
dysfunctional chemotactic factor response
excess collectin and collectin like protein
relative deficiency of factor b
high levels of mannose - correct ans:relative deficiency of factor B
12-year-old African American patient presents with unilateral eye swelling
and lower lip swelling. The patient's parent reports that the swelling is
spontaneous and resolves over several days. The patient does not have
complaints of fever, hives, or vomiting. Serum lab results show
hyperactivation of three plasma protein systems. The APRN suspects
hereditary angioedema.
C1 esterase inhibitor
Plasminogen
Bradykinin
Hageman factor - correct ans:C1 esterase inhibitor
,angioedema - correct ans:painless swelling under the skin, triggered by an
allergy to animal dander, pollen, drugs, venom, food, or medication.
The parent of a child diagnosed with Down syndrome expresses concerns
about the child's recurrent respiratory tract infections to an advanced
practice registered nurse (APRN). The infections have occurred regularly
since birth.
What should the APRN tell the parent is the underlying cause of this illness?
Hyperthyroidism causes an increased risk of infection.
Gastroesophageal reflux disease causes aspiration of thin fluids.
Short stature causes poor lung development.
Hypertonia causes airway restriction. - correct ans:Gastroesophageal reflux
disease causes aspiration of thin fluids.
A 36-year-old patient is being seen by an advanced practice registered nurse
(APRN) in a primary care clinic for the first time. The patient reports feeling
depressed due to a major life change. Additional symptoms include weight
gain, sedentary activity, and insomnia. The APRN plans on providing the
patient with several exercises to reduce the physiological effect of stress.
· It increases protein synthesis.
· It increases smooth muscle contraction.
· It decreases glucose uptake - correct ans:It decreases glucose uptake
Turner syndrome - correct ans:Single X chromosome. Short stature, wide
spaced nipples, sparse body hair, normal IQ. All females.
Klinefelter syndrome - correct ans:Individuals w at least two X chromosomes
and a Y chromosome in each cell. XXY chromosome. Have male appearance,
Usually sterile, and half develop female like breasts. Testes are small, body
hair sparse, voice is somewhat high pitched, stature elevated, and moderate
metal impairment may be present.
, Prader-Willi syndrome - correct ans:Chromosome 15 long arm deletion.
INHERITED FROM THE FATHER with features that include short stature,
hypotonia, small hands and feet, obesity, mild to moderate intellectual
disability, and hypogonadism
Angelman syndrome - correct ans:Chromosome 15 long arm deletion.
INHERITED FROM MOTHER which is characterized by severe intellectual
disability, seizures, and an ataxic gait
A patient presents to the hospital complaining of blurred vision, muscle
weaknesses, impaired gait, and fatigue lasting more than 24 hours. The
patient has a history of smoking and vitamin D deficiency. Extensive
diagnostic testing and a comprehensive neurological assessment reveals a
diagnosis of multiple sclerosis.
Which pathological mechanism will support this diagnosis?
A loss of myelin sheaths, causing a disruption of nerve conduction
Demyelination caused by antibody and cell-mediated immunologic reaction
of the peripheral nerves
A defect in nerve impulse transmission at the neuromuscular junction
Degeneration of the neuromuscular junction and the upper and lower motor
neurons - correct ans:A loss of myelin sheaths, causing a disruption of nerve
conduction
Multiple Sclerosis- is a potentially disabling disease of the brain and spinal
cord (central nervous system). In MS, the immune system attacks the
protective sheath (myelin) that covers nerve fibers and causes
communication problems between your brain and the rest of your body.
A child presents to a clinic with a white pupillary reflex noted in the right eye.
The child is constantly crying and rubbing her eyes. An advanced practice
registered nurse (APRN) performs a complete ophthalmologic examination
D115 OA WITH
ABSOLUTE
ANSWERS.
[Document subtitle]
,Conductive hearing loss involves the
inner ear
middle ear
5th cranial nerve
8th cranial nerve - correct ans:middle ear and is usually the result of one of
the following: blockage of the ear canal, a hole in the ear drum, problems
with three small bones in the ear, or fluid in the space between the ear drum
and cochlea
A 30-day-old infant presents to the emergency room with decreased oral
intake, decreased urine output, and a fever of 101.8. The infant is admitted
for further evaluation with a workup to include a blood culture, a urine
culture, a spinal tap, and a chest X-ray.
Which issue of innate immunity, as it relates to neonates, is of concern?
dysfunctional chemotactic factor response
excess collectin and collectin like protein
relative deficiency of factor b
high levels of mannose - correct ans:relative deficiency of factor B
12-year-old African American patient presents with unilateral eye swelling
and lower lip swelling. The patient's parent reports that the swelling is
spontaneous and resolves over several days. The patient does not have
complaints of fever, hives, or vomiting. Serum lab results show
hyperactivation of three plasma protein systems. The APRN suspects
hereditary angioedema.
C1 esterase inhibitor
Plasminogen
Bradykinin
Hageman factor - correct ans:C1 esterase inhibitor
,angioedema - correct ans:painless swelling under the skin, triggered by an
allergy to animal dander, pollen, drugs, venom, food, or medication.
The parent of a child diagnosed with Down syndrome expresses concerns
about the child's recurrent respiratory tract infections to an advanced
practice registered nurse (APRN). The infections have occurred regularly
since birth.
What should the APRN tell the parent is the underlying cause of this illness?
Hyperthyroidism causes an increased risk of infection.
Gastroesophageal reflux disease causes aspiration of thin fluids.
Short stature causes poor lung development.
Hypertonia causes airway restriction. - correct ans:Gastroesophageal reflux
disease causes aspiration of thin fluids.
A 36-year-old patient is being seen by an advanced practice registered nurse
(APRN) in a primary care clinic for the first time. The patient reports feeling
depressed due to a major life change. Additional symptoms include weight
gain, sedentary activity, and insomnia. The APRN plans on providing the
patient with several exercises to reduce the physiological effect of stress.
· It increases protein synthesis.
· It increases smooth muscle contraction.
· It decreases glucose uptake - correct ans:It decreases glucose uptake
Turner syndrome - correct ans:Single X chromosome. Short stature, wide
spaced nipples, sparse body hair, normal IQ. All females.
Klinefelter syndrome - correct ans:Individuals w at least two X chromosomes
and a Y chromosome in each cell. XXY chromosome. Have male appearance,
Usually sterile, and half develop female like breasts. Testes are small, body
hair sparse, voice is somewhat high pitched, stature elevated, and moderate
metal impairment may be present.
, Prader-Willi syndrome - correct ans:Chromosome 15 long arm deletion.
INHERITED FROM THE FATHER with features that include short stature,
hypotonia, small hands and feet, obesity, mild to moderate intellectual
disability, and hypogonadism
Angelman syndrome - correct ans:Chromosome 15 long arm deletion.
INHERITED FROM MOTHER which is characterized by severe intellectual
disability, seizures, and an ataxic gait
A patient presents to the hospital complaining of blurred vision, muscle
weaknesses, impaired gait, and fatigue lasting more than 24 hours. The
patient has a history of smoking and vitamin D deficiency. Extensive
diagnostic testing and a comprehensive neurological assessment reveals a
diagnosis of multiple sclerosis.
Which pathological mechanism will support this diagnosis?
A loss of myelin sheaths, causing a disruption of nerve conduction
Demyelination caused by antibody and cell-mediated immunologic reaction
of the peripheral nerves
A defect in nerve impulse transmission at the neuromuscular junction
Degeneration of the neuromuscular junction and the upper and lower motor
neurons - correct ans:A loss of myelin sheaths, causing a disruption of nerve
conduction
Multiple Sclerosis- is a potentially disabling disease of the brain and spinal
cord (central nervous system). In MS, the immune system attacks the
protective sheath (myelin) that covers nerve fibers and causes
communication problems between your brain and the rest of your body.
A child presents to a clinic with a white pupillary reflex noted in the right eye.
The child is constantly crying and rubbing her eyes. An advanced practice
registered nurse (APRN) performs a complete ophthalmologic examination
