C.Q. was recently exposed to group A hemolytic Streptococcus and subsequently developed a pharyngeal infection. His clinic examination reveals an oral temperature of 102.3°F, skin rash, dysphagia, and reddened throat mucosa with multiple pustules. He complains of sore throat, malaise, and joint stiffness. A throat culture is positive for Streptococcus, and antibiotics have been prescribed. The etiology of C.Q.’s disease is
streptococcal infection
A 17-year-old college-bound student receives a vaccine against an organism that causes meningitis. This is an example of
Primary prevention
An obese but otherwise healthy teen is given a prescription for a low-calorie diet and exercise program. This is an example of
Secondary prevention
A patient with high blood pressure who is otherwise healthy is counseled to restrict sodium intake. This is an example of
secondary prevention
After suffering a heart attack, a middle-aged man is counseled to take a cholesterol-lowering medication. This is an example ofN
tertiary prevention
A patient has been exposed to meningococcal meningitis, but is not yet demonstrating signs of this disease. This stage of illness is called the _____ stage.
latent
A disease that is native to a particular region is called
endemic
In general, with aging, organ size and function
decrease
The stage during which the patient functions normally, although the disease processes are well established, is referred to as
subclinical
Your patient’s red blood cell is slightly elevated today. This might be explained by (Select all that apply.)
a. gender difference.
b. situational factors.
c. normal
variation.
e. illness.
Socioeconomic factors influence disease development because of (Select all that apply.)
b. environmental toxins.
c. overcrowding.
d.
nutrition.
e. hygiene.
TRUE/FALSE
When the cause is unknown, a condition is said to be idiopathic
True
The nurse is swabbing a patient’s throat to test for streptococcal pharyngitis. The nurse must understand that tests such as this differ in the probability that they will be positive for a condition when applied to a person with the condition; this probability is termed sensitivity.
True
All the following stress-induced hormones increase blood glucose except
Aldosterone
The most common tumor-suppressor gene defect identified in cancer cells is
P53
Necrotic death of brain tissue usually produces _____ necrosis.
Liquefactive
Your patient eats “lots of fat,” leads a “stressful” life, and has smoked “about two packs a day for the last 40 years.” Her chronic morning cough recently worsened, and she was diagnosed with a lung mass. The most likely contributing factor for development of lung cancer in this patient is
Cigarette smoking
In general, with aging, organ size and function
Decrease
The hypermetabolic state leading to cachexia in terminal cancer is thought to be because of
tumor necrosis factor
An increase in organ size and function caused by increased workload is termed
hypertrophy
The stage during which the patient functions normally, although the disease processes are well established, is referred to as
subclinical
Selye’s three phases of the stress response include all the following except
allostasis
After surgery to remove a lung tumor, your patient is scheduled for chemotherapy, which will
kill rapidly dividing cells
A 17-year-old college-bound student receives a vaccine against an organism that causes meningitis. This is an example of
primary prevention
The nurse is swabbing a patient’s throat to test for streptococcal pharyngitis. The nurse must understand that tests such as this differ in the probability that they will be positive for a condition when applied to a person with the condition; this probability is termed sensitivity.
True
Cancer grading is based on
cell differentiation.
Indicators that an individual is experiencing high stress include all the following except
pupil constriction
Retroviruses are associated with human cancers, including
Burkitt lymphoma.
An obese but otherwise healthy teen is given a prescription for a low-calorie diet and exercise program. This is an example of
secondary prevention.
After bronchoscopy and histologic examination of a suspected tumor, your patient is diagnosed with primary bronchial carcinoma. Thus, the tumor
is malignant.
Apoptosis is a process that results in cellular
Cellular death
Extreme cold injures cells by all the following except
decreased blood viscosity
When the cause is unknown, a condition is said to be idiopathic
True
A patient with metastatic lung cancer wants to know her chances for survival. Which response is correct?
Lung cancer has about a 15% survival rate.
Allostasis is best defined as
the overall process of adaptive change necessary to maintain survival and well-being.
A patient has been exposed to meningococcal meningitis, but is not yet demonstrating signs of this disease. This stage of illness is called the _____ stage.
latent
Malignant neoplasms of epiphelial origin are known as
carcinomas
A disease that is native to a particular region is called
endemic
Carbon monoxide injures cells by
reducing oxygen level on hemoglobin.
Breast cancer in women who have the breast cancer gene
occurs at an earlier age.
Paraneoplastic syndromes in cancer involve excessive production of substances by multiple means. A common substance found in excessive amounts resulting from cancer paraneoplastic syndromes is
calcium
Persistence of the alarm stage will ultimately result in
permanent damage and death.
The primary effect of aging on all body systems is
decreased functional reserve.
The primary adaptive purpose of the substances produced in the alarm stage is
energy and repair
In general, a cancer cell that is more tissue-specific differentiated is more likely to be aggressive.
True
The cellular component that is most susceptible to radiation injury is the
DNA
All these cellular responses are potentially reversible except
Necrosis
The effects of excessive cortisol production include
immune suppression
The cellular change that is considered preneoplastic is
dysplasia
Many of the responses to stress are attributed to activation of the sympathetic nervous system and are mediated by
norepinephrine
Reperfusion injury to cells
involves formation of free radicals.
Of the statements below, the accurate statement regarding nutrition and cellular health is
deficient cellular uptake by one cell type may contribute to excess nutrient delivery to other cell types.
Proto-oncogenes
are normal cellular genes that promote growth.
Indicators that an individual is experiencing high stress include all the following except
pupil constriction
The hypermetabolic state leading to cachexia in terminal cancer is thought to be because of
tumor necrosis factor.
Malignant neoplasms of epithelial origin are known as
carcinomas
Which is not normally secreted in response to stress?
Insulin
Familial retinoblastoma involves the transmission of what from parent to offspring?
Mutant tumor-suppressor gene
In general, a cancer cell that is more tissue-specific differentiated is more likely to be aggressive.
False
Persistence of the alarm stage will ultimately result in
permanent damage and death.
Somatic death refers to death
of the entire organism
An obese but otherwise healthy teen is given a prescription for a low-calorie diet and exercise program. This is an example of
secondary prevention.
The effects of excessive cortisol production include
immune suppression.
Your patient is scheduled for a staging procedure. She wants to know what that means. The correct response is which of the following?
It is a procedure for determining the extent of tumor spread
The primary effect of aging on all body systems is
decreased functional reserve
When the cause is unknown, a condition is said to be idiopathic
True
Of the statements below, the accurate statement regarding nutrition and cellular health is
deficient cellular uptake by one cell type may contribute to excess nutrient delivery to other cell types.
The cellular response indicative of injury because of faulty metabolism is
intracellular accumulations.
A patient with metastatic lung cancer wants to know her chances for survival. Which response is correct?
Lung cancer has about a 15% survival rate.
After bronchoscopy and histologic examination of a suspected tumor, your patient is diagnosed with primary bronchial carcinoma. Thus, the tumor
is Malignant
Your patient is scheduled for a staging procedure. She wants to know what that means. The correct response is which of the following?
It is a procedure for determining the extent of tumor spread.
A patient with metastatic lung cancer wants to know her chances for survival. Which response is correct?
Lung cancer has about a 15% survival rate.
After surgery to remove a lung tumor, your patient is scheduled for chemotherapy, which will
kill rapidly dividing cells.
Malignant neoplasms of epithelial origin are known as
carcinomas
Retroviruses are associated with human cancers, including
Burkitt lymphoma.
Cancer grading is based on
cell differentiation.
Deficits in immune system function occur in cancer due to (Select all that apply.)
chemotherapy.
cancer cells.
cancer
metastasis to bone marrow.
malnutrition.
Tumor markers (Select all that apply.)
are produced by normal cells.
help determine cancer
origin.
help identify progression of cancer.
include prostatic-specific antigen.
Characteristics of telomerase include (Select all that apply.)
repairs the end caps of chromosomes.
is deficient in
cancer cells.
activity allows a cell to replicate indefinitely.
Side effects of chemotherapy include (Select all that apply.)
anemia.
leukocytosis.
bleeding.
infections.
In general, a cancer cell that is more tissue-specific differentiated is ____ (more/less) likely to be aggressive.
Less
Necrotic death of brain tissue usually produces _____ necrosis.
liquefactive
Metaplasia is
the replacement of one differentiated cell type with another.
The cellular change that is considered preneoplastic is
Dysplasia
Coagulative necrosis is caused by
interrupted blood supply.
Reperfusion injury to cells
involves formation of free radicals.
Extreme cold injures cells by all the following except
decreased blood viscosity.
The primary effect of aging on all body systems is
decreased functional reserve.
Of the statements below, the accurate statement regarding nutrition and cellular health is
deficient cellular uptake by one cell type may contribute to excess nutrient delivery to other cell types.