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Jacquelyn L. Banasik Chapter 1-54-Grades A+-2023-
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Chapter 01: Introduction to Pathophysiology
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Banasik: Pathophysiology, 7th Edition
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MULTIPLE CHOICE b
1. C.Q. was recently exposed to group A hemolytic Streptococcus and subsequently developed a
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pharyngeal infection. His clinic examination reveals an oral temperature of 102.3°F, skin rash,
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dysphagia, and reddened throat mucosa with multiple pustules. He complains of sore throat,
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malaise, and joint stiffness. A throat culture is positive for Streptococcus, and antibiotics have
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been prescribed. The etiology of C.Q.’s disease is
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a. a sore throat. b b
b. streptococcal infection. b
c. genetic susceptibility. b
d. pharyngitis.
ANS: B b
Etiology refers to the proposed cause or causes of a particular disease process. A sore throat is
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the manifestation of the disease process. Genetic susceptibility refers to inherited tendency to
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develop a disease. Pharyngitis refers to inflammation of the throat and is also a clinical
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manifestation of the disease process.
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2. A 17-year-old college-bound student receives a vaccine against an organism that causes
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meningitis. This is an example of
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a. primary prevention. b
b. secondary prevention. b
c. tertiary prevention. b
d. disease treatment. b
ANS: A b
Primary prevention is prevention of disease by altering susceptibility or reducing exposure for
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susceptible individuals, in this case by providing vaccination. Secondary prevention is the
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early detection, screening, and management of the disease. Tertiary prevention includes
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rehabilitative and supportive care and attempts to alleviate disability and restore effective
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functioning. Disease treatment involves management of the disease once it has developed.
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3. An obese but otherwise healthy teen is given a prescription for a low-calorie diet and exercise
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bprogram. This is an example of b b b b b
a. primary prevention. b
b. secondary prevention. b
c. tertiary prevention. b
d. disease treatment. b
ANS: B b
Secondary prevention is the early detection, screening, and management of the disease such as
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prescribing diet and exercise for an individual who has already developed obesity. Primary
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prevention is prevention of disease by altering susceptibility or reducing exposure for
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susceptible individuals. Tertiary prevention includes rehabilitative and supportive care and
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attempts to alleviate disability and restore effective functioning. Disease treatment involves
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management of the disease once it has developed.
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,4. A patient with high blood pressure who is otherwise healthy is counseled to restrict sodium
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intake. This is an example of
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a. primary prevention. b
b. secondary prevention. b
c. tertiary prevention. b
d. disease treatment. b
ANS: B b
Secondary prevention is the early detection, screening, and management of the disease, such
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as by prescribing sodium restriction for high blood pressure. Primary prevention is prevention
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of disease by altering susceptibility or reducing exposure for susceptible individuals. Tertiary
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prevention includes rehabilitative and supportive care and attempts to alleviate disability and
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restore effective functioning. Disease treatment involves management of the disease once it
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has developed.
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5. After suffering a heart attack, a middle-aged man is counseled to take a cholesterol-lowering
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medication. This is an example of
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a. primary prevention. b
b. secondary prevention. b
c. tertiary prevention. b
d. disease treatment. b
ANS: C b
Tertiary prevention includes rehabilitative and supportive care and attempts to alleviate
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disability and restore effective functioning such as prescribing a cholesterol-lowering
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medication following a heart attack. Primary prevention is prevention of disease by altering
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susceptibility or reducing exposure for susceptible individuals. Secondary prevention is the
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early detection, screening, and management of the disease. Disease treatment involves
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management of the disease once it has developed.
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6. A patient has been exposed to meningococcal meningitis, but is not yet demonstrating signs of
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bthis disease. This stage of illness is called the
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a. prodromal
b. latent
c. sequela
d. convalescence
ANS: B b
Incubation refers to the interval between exposure of a tissue to an injurious agent and the first
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bappearance of signs and symptoms. In infectious diseases, this period is often called the
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bincubation (latent) period. Prodromal refers to the appearance of the first signs and symptoms
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bindicating the onset of a disease. These are often nonspecific, such as headache, malaise,
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banorexia, and nausea, which are associated with a number of different diseases. Sequela refers
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bto subsequent pathologic condition resulting from a disease. Convalescence is the stage of
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brecovery after a disease, injury, or surgical operation.
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7. A disease that is native to a particular region is called
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a. epidemic.
b. endemic.
c. pandemic.
d. ethnographic.
, ANS: B b
A disease that is native to a particular region is called endemic. An epidemic is a disease that
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spreads to many individuals at the same time. Pandemics are epidemics that affect large
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geographic regions, perhaps spreading worldwide. Ethnographic does not describe a disease
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distribution pattern.
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8. In general, with aging, organ size and function
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a. increase.
b. decrease.
c. remain the same. b b
d. are unknown. b
ANS: B b
In general, with aging, organ size and function decrease.
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9. The stage during which the patient functions normally, although the disease processes are well
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established, is referred to as
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a. latent.
b. subclinical.
c. prodromal.
d. convalescence.
ANS: B b
The stage during which the patient functions normally, although the disease processes are well
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established, is called the subclinical stage. The interval between exposure of a tissue to an
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injurious agent and the first appearance of signs and symptoms may be called a latent period
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or, in the case of infectious diseases, an incubation period. The prodromal period, or
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prodrome, refers to the appearance of the first signs and symptoms indicating the onset of a
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disease. Convalescence is the stage of recovery after a disease, injury, or surgical operation.
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MULTIPLE RESPONSE b
1. Your patient’s red blood cell count is slightly elevated today. This might be explained by
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(Select all that apply.)
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a. gender difference. b
b. situational factors. b
c. normal variation. b
d. cultural variation. b
e. illness.
ANS: A, B, C, E b b b b
Gender, situations (e.g., altitude), normal variations, and illness may all determine red blood
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cell count. Culture affects how manifestations are perceived (normal versus abnormal).
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2. Socioeconomic factors influence disease development because of (Select all that apply.)
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a. genetics.
b. environmental toxins. b
c. overcrowding.
d. nutrition.
e. hygiene.