Which group is at the highest risk for urinary tract infection?
Sexually active women
Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for
sphincter of Oddi dysfunction.
Myasthenia gravis is a type II hypersensitivity disorder that involves
impaired muscle function.
The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis
indicates peritonitis with substantial risk for sepsis and shock.
An urgent surgical consult is indicated for the patient with acute abdominal pain and
absent bowel sounds.
Critically ill patients may have parenterally administered vasoactive drugs that are adjusted according to their _____ pressure.
mean arterial
Airway obstruction in chronic bronchitis is because of
thick mucus, fibrosis, and smooth muscle hypertrophy.
Rickets is characterized by soft, weak bones resulting from a deficiency of
vitamin D
Pain with passive stretching of a muscle is indicative of
noncontractile tissue injury.
A tool used to assess levels of consciousness is
Glasgow Coma Scale (GCS).
It is useful to conceptualize pain physiology according to the four stages because each stage provides an opportunity for
intervention.
In addition to renal colic pain, signs or symptoms of ureteral stones may frequently include
hematuria.
Autonomic dysreflexia is characterized by
hypertension and bradycardia.
The patient most at risk for postrenal acute kidney injury is a(n)
elderly patient with hypertrophy of the prostate.
What is likely to lead to hyponatremia?
Frequent nasogastric tube irrigation with water
Which group of clinical findings describes the typical presentation of ALL (acute lymphoid leukemia)?
pain in long bones, infection, fever, bruising
Dramatic hypotension sometimes accompanies type I hypersensitivity reactions, because
massive histamine release from mast cells leads to vasodilation.
Clinical manifestations of hypoparathyroidism
result from decreased serum ionized calcium
In which stage of shock is a patient who has lost 1200 mL of blood, who has normal blood pressure when supine, but who experiences orthostatic hypotension upon standing?
Class II, Compensated Stage
The most frequent initial symptom of bladder cancer is
hematuria.
Individuals with end-stage chronic renal disease are at risk for renal osteodystrophy and spontaneous bone fractures, because
they are deficient in active vitamin D
The hallmark manifestation of acute respiratory distress syndrome is
hypoxemia
The primary reason that prolonged seizure activity predisposes to ischemic brain damage is that
the lack of airway maintenance can lead to hypoxia.
Two of the most serious oncology emergencies associated with non-Hodgkin lymphoma are obstruction of the superior vena cava and compression of the spinal cord.
true
in contrast to all other types of shock, the hyperdynamic phase of septic shock is associated with
high cardiac output.
The imbalance that occurs with oliguric renal failure is
hyperkalemia.
The most important determinant for prescribing therapy for acute stroke is
ischemic versus hemorrhagic cause.
Epigastric pain that is relieved by food is suggestive of
gastric ulcer.
The body compensates for metabolic alkalosis by
hypoventilation.
The major underlying factor leading to the edema associated with glomerulonephritis and nephrotic syndrome is
proteinuria.
An early indicator of colon cancer is
a change in bowel habits.
Many of the responses to stress are attributed to activation of the sympathetic nervous system and are mediated by
norepinephrine.
Vaccination for pneumococcal pneumonia should be performed before 1 year of age in patients with sickle cell anemia.
False
Tachycardia is an early sign of low cardiac output that occurs because of
baroreceptor activity.
In the acute phase of stroke, treatment is focused on
stabilization of respiratory and cardiovascular function.
A type of shock that includes brain trauma that results in depression of the vasomotor center is cardiogenic.
false
Growth hormone-deficient infants would display
normal birth length and weight.
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.
After evaluation, a child’s asthma is characterized as “extrinsic.” This means that the asthma is
associated with specific allergic triggers.
Cystic fibrosis is associated with
bronchiectasis.
Hyperlipidemia occurs in nephrotic syndrome because
hepatocytes synthesize excessive lipids.
Rheumatoid arthritis involves joint inflammation caused by
autoimmune injury
Pain in fibromyalgia involves
changes in pain transmission in the spinal cord.
Hyperaldosteronism causes
ECV excess and hypokalemia
Emesis causes
metabolic alkalosis.
To best prevent emphysema, a patient is instructed to stop smoking since cigarette smoke
impairs α1-antitrypsin, allowing elastase to predominate
In general, a cancer cell that is more tissue-specific differentiated is more likely to be aggressive.
false
Autologous stem cell transplantation is a procedure in which
stem cells are harvested from the patient and then returned to the same patient.
In individuals who have asthma, exposure to an allergen to which they are sensitized leads to which pathophysiologic event?
Inflammation, mucosal edema, and bronchoconstriction
Systemic disorders include
rheumatoid arthritis.
The effects of histamine release include
increased vascular permeability.
Severe combined immunodeficiency (SCID) syndrome is an example of a(n)
deficient immune response
A type of insulin that would be most appropriate for acute management of hyperglycemia is
regular.
The finding of ketones in the blood suggests that a person may have
metabolic acidosis.
Effects of hypernatremia on the central nervous system typically include
confusion.
Celiac sprue is a malabsorptive disorder associated with
inflammatory reaction to gluten-containing foods
Retroviruses are associated with human cancers, including
Burkitt lymphoma.
An example of an acyanotic heart defect is
ventricular septal defect.
If an individual has a fully compensated metabolic acidosis, the blood pH is
in the normal range.
A major risk factor for the development of active pulmonary tuberculosis (TB) disease is
immunosuppression
Two primary acid-base disorders that are present independently are referred to as
mixed acid-base imbalance.
Uterine prolapse is caused by a relaxation of the
cardinal ligaments.
Sudden, severe testicular pain is indicative of
testicular torsion
Steatohepatitis is caused by an accumulation of ________ in the liver cells.
fat
A patient presenting with muscle cramps, fatigue, anxiety, depression, and prolonged Q-T intervals on EKG may be showing symptoms of
hypoparathyroidism
To avoid the progression of cutaneous lesions, a patient diagnosed with systemic lupus erythematosus (SLE) should
avoid sun exposure.
The most common symptom of multiple myeloma is
bone pain.
When systemic vascular resistance is decreased, blood flow
decreases.
A child with a history of recent strep throat infection develops glomerulonephritis. This is most likely a type _____ hypersensitivity reaction.
III
In general, the best prognosis for long-term disease-free survival occurs with
ALL (acute lymphoid leukemia).
A laboratory test finding helpful in confirming the diagnosis of iron-deficiency anemia is
elevated total iron-binding capacity.