Nsg 5003 – Advanced Pathophysiology Exam Study Guide
(Comprehensive Notes & Answers)
1. 1. It is important to not dilate the eye if is suspected.
Cataract
Macular degeneration
Acute closed-angle glaucoma
Chronic open-angle glaucoma: Acute closed-angle glaucoma
2. Question 2. 2. An 18-year-old female patient presents with repeated urinary
tract infections. She has no risk factors in her history, and her physical examina-
tion is unremarkable. She also has a normal pelvic exam. Which of the following
should be obtained if anatomic abnormalities are suspected?
Ultrasound of the kidneys
Intravenous pyelogram
Cystoscopy
Transvaginal ultrasound of the bladder: Intravenous pyelogram
3. Question 3. 3. The pathophysiological hallmark of ACD is:
Depleted iron stores
Impaired ability to use iron stores
Chronic uncorrectable bleeding
,Reduced intestinal absorption of iron: Impaired ability to use iron stores
4. Question 4. 4. Which of the following is the most important question to ask
during cardiovascular health history?
Number of offspring
Last physical exam
Sudden death of a family member
Use of caffeine: Sudden death of a family member
5. Question 5. 5. A 26-year-old, non-smoker, male presented to your clinic with
SOB with exertion. This could be due to:
Exercise-induced cough
Bronchiectasis
,Alpha-1 deficiency
Pericarditis: Alpha-1 deficiency
6. Question 6. 6. Which of the following dermatological conditionsresults from
reactivation of the dormant varicella virus?
Tineaversicolor
Seborrheic keratosis
Verruca
Herpes zoster: Herpes zoster
7. Question 7. 7. Mr. Jones is a 68-year-old retired Air Force pilot that has been
diagnosed with prostate cancer in the past week. He has never had a surgical
procedure in his life and seeks clarification on the availability of treatments for
prostate cancer. He asks the nurse practitioner to tell him the side effects of a
radical prostatectomy. Which of the following is not a potential side effect of
this procedure?
Urinary incontinence
Impotence
Dribbling urine
Selected low back pain: Selected low back pain
8. Question 8. 8. Presbycusis is the hearing impairment that is associated with:
Physiologic aging
Ménière's disease
Cerumen impaction
Herpes zoster: Physiologic aging
9. Question 9. 9. Asymptomatic 1+ bacteriuria is found in a nursing home res-
ident with an indwelling catheter. The nurse practitioner's initial intervention
includes:
, Assessing resident's cognitive status and last change of the catheter/bag
Prescribing prophylactic Bactrim 1 tablet at bedtime
Ordering a urine culture and sensitivity and prescribing empiric treatment until
results obtained
Ordering an X-ray of the kidney, urine, and bladder: Assessing resident's cognitive status and
last change of the catheter/bag
10. Question 10. 10. A 64-year-old male presents with erythema of the sclera,
tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently
throughout the year and he has associated clear nasal discharge. Which of the
following is most likely because of the inflammation?
Bacterium
Allergen
Virus
Fungi: Allergen
11. Question 11. 11. The nurse practitioner is examining a 62-year-old female
who has been complaining of lower abdominal pain. Upon auscultation, bowel
sounds are high pitched and tinkling. Which of the following terms describes
this finding?
Succession splash
Borborygmi
Tenesmus
Puddle sign: Borborygmi
12. Question 12. 12. Which ethnic group has the highest incidence of prostate
cancer?
Asians
Hispanics
(Comprehensive Notes & Answers)
1. 1. It is important to not dilate the eye if is suspected.
Cataract
Macular degeneration
Acute closed-angle glaucoma
Chronic open-angle glaucoma: Acute closed-angle glaucoma
2. Question 2. 2. An 18-year-old female patient presents with repeated urinary
tract infections. She has no risk factors in her history, and her physical examina-
tion is unremarkable. She also has a normal pelvic exam. Which of the following
should be obtained if anatomic abnormalities are suspected?
Ultrasound of the kidneys
Intravenous pyelogram
Cystoscopy
Transvaginal ultrasound of the bladder: Intravenous pyelogram
3. Question 3. 3. The pathophysiological hallmark of ACD is:
Depleted iron stores
Impaired ability to use iron stores
Chronic uncorrectable bleeding
,Reduced intestinal absorption of iron: Impaired ability to use iron stores
4. Question 4. 4. Which of the following is the most important question to ask
during cardiovascular health history?
Number of offspring
Last physical exam
Sudden death of a family member
Use of caffeine: Sudden death of a family member
5. Question 5. 5. A 26-year-old, non-smoker, male presented to your clinic with
SOB with exertion. This could be due to:
Exercise-induced cough
Bronchiectasis
,Alpha-1 deficiency
Pericarditis: Alpha-1 deficiency
6. Question 6. 6. Which of the following dermatological conditionsresults from
reactivation of the dormant varicella virus?
Tineaversicolor
Seborrheic keratosis
Verruca
Herpes zoster: Herpes zoster
7. Question 7. 7. Mr. Jones is a 68-year-old retired Air Force pilot that has been
diagnosed with prostate cancer in the past week. He has never had a surgical
procedure in his life and seeks clarification on the availability of treatments for
prostate cancer. He asks the nurse practitioner to tell him the side effects of a
radical prostatectomy. Which of the following is not a potential side effect of
this procedure?
Urinary incontinence
Impotence
Dribbling urine
Selected low back pain: Selected low back pain
8. Question 8. 8. Presbycusis is the hearing impairment that is associated with:
Physiologic aging
Ménière's disease
Cerumen impaction
Herpes zoster: Physiologic aging
9. Question 9. 9. Asymptomatic 1+ bacteriuria is found in a nursing home res-
ident with an indwelling catheter. The nurse practitioner's initial intervention
includes:
, Assessing resident's cognitive status and last change of the catheter/bag
Prescribing prophylactic Bactrim 1 tablet at bedtime
Ordering a urine culture and sensitivity and prescribing empiric treatment until
results obtained
Ordering an X-ray of the kidney, urine, and bladder: Assessing resident's cognitive status and
last change of the catheter/bag
10. Question 10. 10. A 64-year-old male presents with erythema of the sclera,
tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently
throughout the year and he has associated clear nasal discharge. Which of the
following is most likely because of the inflammation?
Bacterium
Allergen
Virus
Fungi: Allergen
11. Question 11. 11. The nurse practitioner is examining a 62-year-old female
who has been complaining of lower abdominal pain. Upon auscultation, bowel
sounds are high pitched and tinkling. Which of the following terms describes
this finding?
Succession splash
Borborygmi
Tenesmus
Puddle sign: Borborygmi
12. Question 12. 12. Which ethnic group has the highest incidence of prostate
cancer?
Asians
Hispanics
