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Advanced Pathophysiology NURS 5350 Exam 2 Units 5-8 questions with accurate detailed solutions

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Advanced Pathophysiology NURS 5350 Exam 2 Units 5-8 questions with accurate detailed solutions

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Advanced Pathophysiology NURS 5350 Exam 2 Units 5-8 ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




questions with accurate detailed solutions ||\\//|| ||\\//|| ||\\//|| ||\\//||




Terms in this set (236) ||\\//|| ||\\//|| ||\\//|| ||\\//||




Original

What are the four clinical stages of the process of infection and describe each?
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Incubation phase: period from initial exposure to the onset of of the first symptoms; can last ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




hours to years.
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Prodromal phase: Starts with initial symptoms is often very mild with feelings of discomfort ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




and tiredness.
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Invasion phase: invasion is farther and affects other body tissues, symptoms of illness are at
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




their worst. ||\\//||




Convalescence phase: (RECOVERY) recovery occurs and symptoms decline, or the disease is ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




fatal, or has period of latency.
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What activates almost every aspect of inflammation?
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Lipopolysaccharide (LPS). ||\\//||




Clinical manifestations of infection? ||\\//|| ||\\//|| ||\\//||




fatigue

malaise

weakness

concentration loss ||\\//||




aching

loss of appetite
||\\//|| ||\\//||




FEVER: HALLMARK SIGN ||\\//|| ||\\//||




leukocytosis

What is virulence? ||\\//|| ||\\//||

,Capacity of a pathogen to cause severe disease; How potent.
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Infectious Disease Classification: Endemic? ||\\//|| ||\\//|| ||\\//||




Diseases with relatively high, but constant, rates of infection in a particular population.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Infectious Disease Classification: Epidemic? ||\\//|| ||\\//|| ||\\//||




Number of new infections in a particular population that greatly exceeds the number
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




usually observed. ||\\//||




Infectious Disease Classification: Pandemic? ||\\//|| ||\\//|| ||\\//||




An epidemic that spreads over a large area such as a continent or worldwide.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Bacterial Infection: Gram + vs Gram - ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Gram-Positive: Above diaphragm. ||\\//|| ||\\//||




Gram-Negative: Below diaphragm. ||\\//|| ||\\//||




What are Exotoxins? ||\\//|| ||\\//||




Enzymes released during growth causing specific responses. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What are Endotoxins? ||\\//|| ||\\//||




Contained in cell walls of gram negative bacteria and released during lysis of bacteria.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




How do antibiotics work against bacterial infections?
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Antibiotics work by prohibiting protein synthesis. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What bacteria is the major cause of hospital acquired (noscomial) infections and antibiotic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




resistance?

Staphylococcus aureus. ||\\//||




What are fungal infections?
||\\//|| ||\\//|| ||\\//||




Systemic infection is usually from immunosuppression. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Fungal infections are so toxic to humans as fungus have similar cell compositions to
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human cells. ||\\//|| ||\\//||




What is the most common fungal infection?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Candida albicans ||\\//||




How is tissue damage caused with parasitic infections?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||

,Tissue damage by parasites is secondary to release of enzymes that destroy surrounding
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




extracellular matrix and tissue. ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is the most common parasitic infection worldwide?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Malaria.

What is malaria? ||\\//|| ||\\//||




Malaria is a life-threatening disease caused by parasites that are transmitted to people
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




through the bites of infected mosquitos. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Infected anopheles mosquito. ||\\//|| ||\\//||




Parasite enters the bloodstream, survives in the liver, and invades parenchymal cells.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Liver cells rupture and thousands of parasites enter blood, infecting RBCs.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is the most common affliction of humans and includes the common cold, cold sores,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




hepatitis, HIV? ||\\//||




Viral Diseases. ||\\//||




What is the viral life cycle? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




1. Attachment- it attaches or binds itself to the host
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




2. Penetrates the host cell.
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3. Releases genetic information into the host cytoplasm (RNA viruses enter the host
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




nucleus; DNA viruses enter host nucleus and may integrate into host DNA; May make||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




mRNA.

Influenza Virus: Why we have to get new antiviral each year? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Surface proteins undergo change each year. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




HIV facts in US?
||\\//|| ||\\//|| ||\\//||




About 13% of the people who have HIV don't know it and need testing.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Estimated new HIV infections declined 12% from 36,500 in 2017 to 32,100 in 2021. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Clinical manifestations of HIV? Diagnosis? ||\\//|| ||\\//|| ||\\//|| ||\\//||




Window period: infectious but asymptomatic. ||\\//|| ||\\//|| ||\\//|| ||\\//||




Fatigue, headache, muscle aches, fever (may be asymptomatic for years).||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||

, Diagnosis: CD4+ T-cell numbers are at or below 200 cells/uL (depending on age). ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What are antimicrobials? What are their mechanisms?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Natural products of fungus, bacteria, and organisms to kill or inhibit the growth of other
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




microorganisms. ||\\//||




Bacteriostatic: Prevents growth. ||\\//|| ||\\//||




Bactericidal: Directly kills microorganisms. ||\\//|| ||\\//|| ||\\//||




Mechanism: Inhibits production and function of the cell wall, blocks DNA replication, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




inhibits protein synthesis, and interferes with folic acid metabolism.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What are antivirals? ||\\//|| ||\\//||




Are sometimes less successful because viruses use host enzymes.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is the definition of stress?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Stress is viewed as the state of affairs rising when a person relates to situations in certain
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




ways.

Causes psychologic and physical responses. ||\\//|| ||\\//|| ||\\//|| ||\\//||




What are examples of stressors? Definition of stressors?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Infection, noise, decreased oxygen supply, pain, malnutrition, heat, cold, trauma, prolonged
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




exertion, radiation, responses to life events, obesity, old age, drugs, disease, surgery, and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




medical treatment. ||\\//||




Elicit a stress response or stress system through actions of the nervous and endocrine
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




systems.

What is the General Adaptation Syndrome? (GAS). Three phases?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Alarm Phase: Arousal of body defenses-fight or flight (Activates sympathetic nervous
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




system). ||\\//||




Stage of Resistance or Adaptation: Mobilization that contributes to fight or flight (Begins
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




with actions of adrenal hormones: Cortisol, epinephrine, and noepinephrine).
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Stage of Exhaustion (allostatic overload): Progressive breakdown of compensatory
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




mechanisms (may lead to disease). ||\\//|| ||\\//|| ||\\//|| ||\\//||




What is the Hypothalamic-Pituitary-Adrenal (HPA) Axis? How does it relate to GAS?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
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