,t ,t
PATHOPHYSIOLOGY7TH
,t ,t
EDITIONBYJACQUELYNL.
,t t, t, t,
BANASIK
,t
CHAPTER1-54 ,t
,t COMPLETEGUIDE t,
,Chapter1:IntroductiontoPathophysiology Test
,t ,t ,t ,t ,t
Bank
,t
MULTIPLE CHOICE ,t
1. C.Q. was recently exposed to group A hemolyticStreptococcus and subsequently developed a pharyngeal inf
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
examinationrevealsanoraltemperatureof102.3°F,skinrash,dysphagia,andreddenedthroatmucosawithmu
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
complains of sore throat, malaise, and joint stiffness. A throat culture is positive for Streptococcus, and antibio
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
The etiology of C.Q.‟s disease is
,t ,t ,t ,t ,t ,t
a. a sore throat. ,t ,t
b. streptococcal infection. ,t
c. genetic susceptibility. ,t
d. pharyngitis.
ANS: , t B
Etiology refers to the proposed cause or causes of a particular disease process. A sore throat is the manifestatio
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
Genetic susceptibility refers to inherited tendency to develop a disease. Pharyngitis refers to inflammation oft
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
manifestation of the disease process.
,t ,t ,t ,t ,t
REF: Pg. 2 , t , t ,t
2. A 17-year-old college-bound student receives a vaccine against an organism that causes meningitis. This is an
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
a. primary prevention. ,t
b. secondary prevention. ,t
c. tertiary prevention. ,t
d. disease treatment. ,t
ANS: , t A
Primaryprevention is prevention ofdiseasebyalteringsusceptibilityorreducingexposureforsusceptibleindi
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
vaccination. Secondary prevention is the early detection, screening, and management of the disease. Tertiary
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
rehabilitative and supportive care and attempts to alleviate disability and restore effective functioning. Disea
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
management of the disease once it has developed.
,t ,t ,t ,t ,t ,t ,t ,t
REF: Pg. 9 , t , t ,t
3. An obese but otherwisehealthy teen is given a prescription for a low-calorie diet and exercise program. This is a
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
a. primary prevention. ,t
b. secondary prevention. ,t
c. tertiary prevention. ,t
d. disease treatment. ,t
ANS: , t B
Secondarypreventionistheearlydetection,screening,andmanagementofthediseasesuchasprescribingdieta ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
who has already developed obesity. Primary prevention is prevention of disease by altering susceptibility orre
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
susceptible individuals. Tertiary prevention includes rehabilitative and supportive care and attempts to allevi
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
effective functioning. Disease treatment involves management of the disease once it has developed.
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
REF: , t Pgs. 9-10 ,t
4. A patient with high blood pressure who is otherwise healthy is counseled to restrict sodium intake. This is an ex
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
a. primary prevention. ,t
b. secondary prevention. ,t
c. tertiary prevention. ,t
d. disease treatment. ,t
ANS: , t B
Secondarypreventionistheearlydetection,screening,andmanagementofthedisease,suchasbyprescribingso ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
pressure. Primary prevention is prevention of disease by altering susceptibility or reducing exposure for susce
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
, 6. A patient has been exposed to meningococcal meningitis, but is not yet demonstratingsigns ofthis disease. This
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
stage. ,t
a. prodromal
b. latent
c. sequela
d. convalescence
ANS: , t B
Incubation referstotheinterval betweenexposureofatissuetoaninjurious agentand thefirst appearanceofsign
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
diseases,thisperiodisoftencalledtheincubation(latent)period.Prodromalreferstotheappearanceofthefirsts
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
the onset of a disease. These are often nonspecific, such as headache, malaise, anorexia, and nausea, which are
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
different diseases. Sequela refers to subsequent pathologic condition resulting from a disease. Convalescenc
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
disease, injury, or surgical operation.
,t ,t ,t ,t ,t
REF: Pg. 3 , t , t ,t
7. A disease that is native to a particular region is called
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
a. epidemic.
b. endemic.
c. pandemic.
d. ethnographic.
ANS: , t B
Adiseasethatis nativetoaparticularregion is called endemic. An epidemicis adiseasethat spreads tomanyindi
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
Pandemics are epidemics that affect large geographic regions, perhaps spreading worldwide.
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
REF: Pg. 6 , t , t ,t
8. In general, with aging, organ size and function
,t ,t ,t ,t ,t ,t ,t
a. increase.
b. decrease.
c. remain the same. ,t ,t
d. is unknown. ,t
ANS: , t B
In general, with aging, organ size and function decrease.
,t ,t ,t ,t ,t ,t ,t ,t
REF: Pg. 5 , t , t ,t
9. The stage during which the patient functions normally, although the disease processes are well established, is r
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
a. latent.
b. subclinical.
c. prodromal.
d. convalescence.
ANS: , t B
The stage during which the patient functions normally, although the disease processes are well established, is c
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
Theintervalbetweenexposureofatissuetoaninjuriousagentandthefirstappearanceofsignsandsymptomsma
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
the case of infectious diseases, an incubation period. The prodromal period, or prodrome, refersto the appeara
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
symptoms indicating the onsetof a disease. Convalescence is the stage of recovery after a disease, injury, or sur
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
REF: Pg. 3 , t , t ,t
MULTIPLE RESPONSE ,t
10. Your patient‟s red blood cell is slightly elevated today. This might be explained by(Select all that apply.)
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
a. gender difference. ,t
b. situational factors. ,t
c. normal variation. ,t
, COMPLETION
12. When the cause is unknown, a condition is said to be
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t .
ANS:
idiopathic
Many diseases are idiopathic in nature.
,t ,t ,t ,t ,t
REF: Pg. 2 , t , t ,t
13. Thenurseis swabbingapatient‟s throat to test forstreptococcal pharyngitis. Thenursemust understand that test
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
,t probability that they will be positive for a condition when applied to a person with the condition; this probabili
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
.
ANS:
sensitivity
The sensitivity of any test refers to the probability that the test will be positive when applied to a person with the
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
falsenegativeresult. Incontrast,specificityistheprobabilitythatatestwillbenegativewhenappliedtoapersonw
,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t ,t
condition.
,t
REF: Pg. 5 , t , t ,t