Advanced Pathophysiology 530.

ADVANCED
PATHOPHYSIOLOGY 530 -
EXAM 3 NSG WITH 100%
FULL UPDATE




Acpatientciscdiagnosedcwithcackidneycstonecthatcisccomposedcofcmagnesium,cammo
nium,candcphosphate.cWhatctypecofcurinaryccalculusciscthis?
A)cCalcium
B)cStruvite
C)cUriccacid
D)cIndinavirc-ccorrectcanswer-B)cStruvite

Acpatientchascuncontrolledcorcprematureccontractionscofcthecdetrusorcmuscle.cWhich
cconditionciscassociatedcwithcthiscmedicalcproblem?
A)cSpinalccordcinjury
B)cImmunecsystemcdysfunction

,C)cCongestivecheartcfailure
D)cRenalccarcinomac-ccorrectcanswer-A)cSpinalccordcinjury

Whichcstatementcregardingcrenalccellccarcinomacisccorrect?
A)cItciscassociatedcwithcp53.
B)cSymptomscincludecpainlesschematuria.
C)cEarlycstagescproducecaclargecabdominalcmass.
D)cGranularccellctumorschavecbettercprognosis.c-ccorrectcanswer-
B)cSymptomscincludecpainlesschematuria.

Acpatientcwhocreportscabdominalcandcbackcpainchascbeencdiagnosedcwithcbacteriaci
ncthecurine.cWhatciscthecappropriatectermcforcinvolvementcofcthecuppercurinaryctractct
hatcisclikelyctoccausecsuchcsymptoms?
A)cCystitis
B)cPyelonephritis
C)cUrinaryctractcinfection
D)cAsymptomaticcbacteriuriac-ccorrectcanswer-B)cPyelonephritis

Withcwhichcbacteriaciscacutecglomerulonephritiscassociated?
A)cEscherichiaccoli
B)cStaphylococcus
C)cGroupcAcStreptococcus
D)cKlebsiellac-ccorrectcanswer-C)cGroupcAcStreptococcus

Acdiabeticcchildcwithc4.0cgcofcproteincinchercurineceachcdayciscexperiencingcedemaca
ndcvitamincDcdeficiency.cWhichciscthecmostclikelycdiagnosis?
A)cNephriticcsyndrome
B)cNephroticcsyndrome
C)cAcutecrenalcfailure
D)cRapidlycprogressivecglomerulonephritisc-ccorrectcanswer-Nephroticcsyndrome

Ac2-month-
oldcmalecpatientcpresentscwithcthecurethralcopeningconcthecdorsalcsurfacecofcthecpen
is.cWhichctermcisctheccorrectcnamecforcthiscanomaly?
A)cHypospadias
B)cEpispadias
C)cExstrophy
D)cUreteropelviccjunctionc-ccorrectcanswer-Epispadias

Acpatientcpresentscwithcwide-setceyes,c"parrotcbeak"cnose,clow-
setcears,candcrecedingcchin.cWhatciscthecrenalcmanifestationcassociatedcwithcthiscpr
esentation?
A)cPottercsyndrome
B)cPolycysticckidneycdisease
C)cInfundibularcstenosis
D)cMegacalycosisc-ccorrectcanswer-Pottercsyndrome

Ac6-year-
oldchascjustcrecoveredcfromcstreptococcalcpharyngitis.cWhichcstatementcregardingcth
iscchild'scacutecpoststreptococcalcglomerulonephritiscisctrue?

,A)cAntibody-antigenccomplexescofcIgM,cIgG,candcIgAcarecdeposited.
B)cThecexactcmechanismcofcimmuneccomplexesciscunknown.
C)cThereciscdecreasedcvascularcpermeability.
D)cNocsignscofcinflammationcarecpresent.c-ccorrectcanswer-
Thecexactcmechanismcofcimmuneccomplexesciscunknown.

Acpatientcpresentscwithcskinclesionscascwellcaschematuria,cproteinuria,candcabdomin
alcpain.cWhichciscthecmostclikelyccausecofcthesecsymptoms?
A)cHenoch-Schonleincpurpura
B)cHemolyticcuremiccsyndrome
C)cPrimarycnephroticcsyndrome
D)cMinimalcchangecnephropathyc-ccorrectcanswer-Henoch-Schonleincpurpura

Whatcisctheccausecofcminimalcchangecnephropathy?
A)cFusioncofcthecglomerularcfootcprocesses
B)cVerotoxincofcE.ccoli
C)cIgAcdeposition
D)cInflammationcofcthecglomerulic-ccorrectcanswer-
Fusioncofcthecglomerularcfootcprocesses

Acchildcwhoseckidneyscarecenlargedcpresentscwithcchills,cfever,candcabdominalcpain.
cThecmostclikelycdiagnosiscis:
A)cacutecpyelonephritis.
B)cvesicoureteralcreflux.
C)curinaryctractcinfection.
D)cenuresis.c-ccorrectcanswer-acutecpyelonephritis

Whatcarecthecmajorccausescofcbladdercoutletcobstruction?
A)cUrethralcvalvescandcpolyps
B)cKidneycstonescandcWilms'ctumor
C)cKidneycstonescandcwarts
D)cUrethralcvalvescandcwartsc-ccorrectcanswer-Urethralcvalvescandcpolyps

Whichcconditionscareccomplicationscofcachorseshoeckidney?c(selectcallcthatcapply)
A)cHydronephrosis
B)cHypospadias
C)cInfection
D)cStonecformationc
E)cEnuresisc-ccorrectcanswer-Hydronephrosis
Infection
Stonecformation

Thecdevelopmentcofcwhichccharacteristicciscthecfirstcsigncofcpubertycincfemales?
A)cMenarche
B)cPubicchair
C)cThelarche
D)cDysmenorrheac-ccorrectcanswer-Thelarche

Whichctermcdescribescpainfulcmenstruationcassociatedcwithcthecreleasecofcprostagla
ndinscincovulatoryccycles?

, A)cPrimarycdysmenorrhea
B)cPrimarycamenorrhea
C)cSecondarycdysmenorrhea
D)cSecondarycamenorrheac-ccorrectcanswer-Primarycdysmenorrhea

Whichcconditioncmustcbecruledcoutcwhencidentifyingctheccausecofcsecondarycamenor
rhea?
A)cAbnormalcthyroidcfunction
B)cIrregularcprolactincproduction
C)cPituitarycglandcdysfunction
D)cUnknowncpregnancyc-ccorrectcanswer-Unknowncpregnancy

Ac24-year-
oldcfemalecpresentscwithcseverecabdominalcpaincandcfevercthatciscbelievedctocbecacr
esultcofcpelviccinflammatorycdiseasec(PID)cstemmingcfromcacChlamydiactrachomatisc
infection.cWhichcquestioncwillcmostclikelycidentifyctheccausecofchercsymptoms?
A)c"Iscyourcabdominalcpaincaffectedcbycwalking?"
B)c"Havecyoucbeencexperiencingcnauseacandcvomitingcascwell?"
C)c"Iscconstipationcacproblemcforcyou?"
D)c"Wouldcyoucdescribecyourcpaincascbeingcstabbing?"c-ccorrectcanswer-
Iscyourcabdominalcpaincaffectedcbycwalking?

Acpatientcpresentscwithcancinflammationcofconecofcthecductscthatcleadcfromcthecintroit
us.cWhatciscthecappropriatectermcforcthisccondition?
A)cVaginitis
B)cCervicitis
C)cBartholinitis
D)cVulvovestibulitisc-ccorrectcanswer-Bartholinitis

Acpatientchascbeencdiagnosedcwithcacmoderatelyclargeccystocele.cWhatcinformationc
wouldcthecnursecincludecincthecclient'scteachingcplan?
A)cIsometriccexercisescwillchelpcstrengthencthecpubococcygealcmuscles.
B)cThecsymptomscwillcincreasecduringcmenstruation.
C)cThecconditionccausescurinarycstresscincontinence.
D)cThiscconditionccontributesctocchroniccconstipation.c-ccorrectcanswer-
Isometriccexercisescwillchelpcstrengthencthecpubococcygealcmuscles.

Whichcfemaleciscatcgreatestcriskcforcdevelopingcacbenigncovarianccyst?
A)cAc26-year-oldcwithcregularcmenstrualccycle
B)cAc48-year-oldcdiagnosedcascpremenopausal
C)cAc13-year-oldcexperiencingcdelayedcpuberty
D)cAc70-year-oldcdiagnosedcwithcaccystocelec-ccorrectcanswer-Ac48-year-
oldcdiagnosedcascpremenopausal

Polycysticcovarycsyndromec(PCOS)cisccharacterizedcwithcthecpresencecof:
A)camenorrhea.
B)chypotension.
C)clowccholesterolclevel.
D)chypoandrogenism.c-ccorrectcanswer-amenorrhea