patho final pt 2 Flashcards


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1

Dysfunctional uterine bleeding (DUB) is due to….WHAT

  • vaginal bleeding
  • hormonal imbalance
  • estrogen & progesterone

2

A breast lump that is painless, hard, and unmoving is most likely…..WHAT?

breast cancer

3

Excessive vomiting in pregnant women is known as……..WHAT?

Hyperemesis gravidarum

4

The most common types of uterine tumors are known as….is WHAT?

leiomyomas

5

ALL symptoms in a woman diagnosed with pregnancy-induced hypertension? All that apply.)

  • -Peripheral edema
    -Proteinuria
    -Increased arterial pressure

6

Cervical cancer can be detected in the early, curable stage by the ________ test.

Pap smear

7

Which symptom suggests the presence of a hiatal hernia?

heartburn

8

The most common cause of mechanical bowel obstruction is…what

Adhesions

9

Acute pain at McBurney’s point is indicative of…..WHAT

Appendicitis

10

Celiac sprue is a malabsorptive disorder associated with…WHAT

inflammatory reaction to gluten-containing foods

11

Barrett esophagus is a……WHAT?

preneoplastic lesion

12

Esophageal varices represent a complication of ________ hypertension.

portal

13

A patient with chronic gastritis would likely be tested for….WHAT

H. Pylori

14

Premature infants are at greater risk for developing…..WHAT

Necrotizing enterocolitis

15

Disorders of the esophageal smooth muscle function where dysphagia is a symptom include which of the following? All that apply.)

  • -Esophageal stricture
    -achalasia
    -esophageal tumors
    -hiatal hernia

16

Crohn disease is associated with what complications? All that apply.)

  • -perianal fissures
    -fistulae
    -abscesses

17

Medication classes are used to treat Ulcerative Colitis (UC)? All that apply.)

  • Aminosalicylates
  • Corticosteroid
  • Immunomodulators

18

Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order to……WHAT?

remove the usual stimuli for pancreatic secretion.

19

Most gallstones are composed of…WHAT?

cholesterol

20

Elevated serum lipase and amylase levels are indicative of…WHAT?

pancreatitis

21

The definitive treatment for cholecystitis is…..WHAT?

cholecystectomy

22

Chronic pancreatitis may lead to….WHAT?

diabetes mellitus

23

It is true that biliary cancer…….WHAT?

tend to be asymptomatic and progress insidiously

24

More than half of the initial cases of pancreatitis are associated with…WHAT?

alcoholism

25

WHAT Patients at risk for development of cholesterol gallstones? All that apply.)

  • high spinal cord injuries
  • patients receiving total parenteral nutrition
  • patients with rapid weight loss
  • pregnant women

26

Jaundice is a common manifestation of..WHAT??

problem with:

  • liver
  • gallbladder
  • pancreas

27

Liver transaminase elevations in which aspartate aminotransferase (AST) is markedly greater than alanine aminotransferase (ALT) is characteristic of…WHAT?

alcohol-induced injury

28

A viral hepatitis screen with positive hepatitis B surface antigen (HBsAg) should be interpreted as ________ hepatitis B.

acute

29

laboratory data would support a diagnosis of hemochromatosis?

Elevated ferritin

30

A patient with a history of alcoholism presents with hematemesis and profound anemia. The expected diagnosis is….WHAT?

gastroesophageal varices

31

A patient being treated for hepatic encephalopathy could be expected to receive a(n) ________ diet.

low-protein and high-fiber

32

An infusion of mannitol would be prescribed to treat…WHAT

cerebral edema

33

________ disease is a rare autosomal recessive disorder in which excessive amounts of copper accumulate in the liver.

Wilson

34

Steatohepatitis is caused by an accumulation of ________ in the liver cells.

fat

35

Diabetes insipidus is a condition that…..WHAT?

inadequate ADH secretion

36

Clinical manifestations of Graves disease may include…WHAT?

tremor

37

Clinical manifestations of hypoparathyroidism……ARE WHAT?

result from decreased serum ionized calcium

38

The formation of active vitamin D…….WHAT?

is impaired in renal failure

39

Aldosterone secretion is regulated by the presence of ________ in the circulation.

angiotensin II

40

A symptom associated with primary Cushing syndrome is….WHAT?

hyperglycemia

41

Growth hormone-deficient infants would display…….WHAT?

normal birth length and weight

42

A thyroid gland that grows larger than normal is known as…..WHAT?

goiter

43

A tumor which results in excessive production and release of catecholamines is…WHAT?

Pheochromocytomas

44

Calcitonin is produced by thyroid parafollicular cells and increases bone formation by…WHAT?

osteoblasts

45

Are major classifications of deficiencies in growth hormone secretion? All that apply.)

  • Decreased GH secretion
  • Defective GH
  • Defective IGF-1 generation

46

Insulin binding to its receptor on target cells results in…WHAT?

increased facilitated cellular diffusion of glucose

47

Type 2 diabetes mellitus is often associated with…WHAT?

nonketotic hyperosmolality

48

Diabetic neuropathy is thought to result from…..WHAT?

decreased myoinositol transport

49

In diabetic ketoacidosis, respiratory compensation may occur through a process of…….WHAT?

respiratory alkalosis

50

Therapies appropriate for a patient with type 1 diabetes mellitus? All that apply.)

  • carbohydrate counting
  • daily exercise
  • insulin

51

Hormones that increase serum glucose level? All that apply.)

  • Glucagon
    c. Growth hormone
    d. Catecholamine
    e. Corticosteroid

52

Microvascular complications of diabetes mellitus? All that apply.)

  • Retinopathy
  • Nephropathy

53

Secondary injury after head trauma refers to…what?

brain injury due to the body's response to tissue damage

54

Risk factors for hemorrhagic stroke include…..WHAT?

acute hypertension

55

Clinical manifestations of a stroke within the right cerebral hemisphere include..WHAT?

left-sided muscle weakness and neglect

56

Cerebral aneurysm is most frequently the result of…WHAT?

subarachnoid hemorrhage

57

Leakage of CSF from the nose or ears is commonly associated with….WHAT?

basilar skull fracture

58

Rupture of a cerebral aneurysm should be suspected if the patient reports…WHAT?

sudden, severe headache

59

A college student living in a dormitory reports a stiff neck and headache and is found to have a fever of 102°F. This information is most consistent with…..WHAT?

meningitis

60

A level of ____ on the Glasgow Coma Scale indicates likely fatal damage.

3

61

Brain disorders that are a cause of acute brain injury? All that apply.)

  • brain hemorrhage
  • brain trauma
  • central nervous system infections

62

The primary reason that prolonged seizure activity predisposes to ischemic brain damage is that……WHAT?

the lack of airway maintenance can lead to hypoxia

63

the dementia of Alzheimer disease is associated with structural changes in the brain, including…WHAT?

deposition of amyloid plaques in the brain

64

Parkinson disease is associated with…WHAT?

degeneration in the nigrostriatal dopamine pathway

65

Dopamine precursors and anticholinergics are all used in the management of Parkinson disease because they…..WHAT?

increase dopamine activity in the basal ganglia

66

What effect do demyelinating disorders such as multiple sclerosis have on neurotransmission?

slower rate of action potential conduction

67

The stage of spinal shock that follows spinal cord injury is characterized by….WHAT?

absent spinal reflexes below the level of injury

68

It is true that Bell palsy is a…..WHAT?

paralysis of the muscles innervated by the facial nerve

69

It is recommended that women of childbearing age take folic acid daily for prevention of…WHAT?

neural tube defects

70

Which neurologic disorder is commonly referred to as Lou Gehrig disease?

amyotrophic lateral sclerosis

71

Which statement is true about the incidence of multiple sclerosis?

the age of onset rages from 20 to 50 years

72

Orthostatic hypotension may be a manifestation of…WHAT?

parkinson disease

73

Pain is thought of as…..WHAT?

subjective experience that is difficult to measure

74

Referred pain may be perceived at some distance from the area of tissue injury, but generally felt……WHERE?

within the same dermatome

75

Most sensory afferent pain fibers enter the spinal cord by way of the ________ nerve roots.

posterior

76

The ________ is the level of painful stimulation required to be perceived.

threshold

77

One of the most common causes of acute pain is…WHAT?

headache

78

Muscular dystrophy includes a number of muscle disorders that are..WHAT

genetically transmitted

79

Myasthenia gravis is an autoimmune disease in which……

acetylcholine receptors are destroyed or dysfunctional

80

A Type I open fracture is best described as a bone that is…what?

compound fracture

81

The complication which is not likely to result from an open, transverse fracture of the tibia and fibula is…WHAT?

air embolus

82

What type of fracture generally occurs in children?

greenstick

83

Most muscle strains are caused by…WHAT

abnormal muscle contractions

84

Healing of a fractured bone with a poor alignment is called…WHAT?

malunion

85

The pathophysiology of osteomalacia involves…WHAT?

inadequate mineralization in the osteoid

86

The most common site affected in Paget disease is the…WHAT?

lower spine

87

The most common type of osteomyelitis is…WHAT?

hematogenous

88

The most common symptom of multiple myeloma is…WHAT?

bone pain

89

Manifestations of fibromyalgia often include which of the following? All that apply.)

  • generalized pain
  • headache
  • fatigue
  • sleep disturbance

90

Characteristics of scoliosis include which of the following? All that apply.)

  • involvement of latent curvature of the spine
  • increase during periods of rapid growth
  • identifiable by uneven shoulders or scapular prominance
  • possibility of leading to respiratory complications

91

Individuals diagnosed with systemic lupus erythematosus (SLE) are at risk for developing numerous complications of various organs because of???

immune injury to basement membranes

92

Ankylosing spondylitis is characterized by…???

  • inflammation
  • stiffness
  • fusion of spinal joint

93

The earliest manifestation of scleroderma is????

raynaud phenomenon

94

The most common presenting sign/symptom with rheumatic fever is????

polyarthritis

95

Enteropathic arthritis is associated with?????

inflammatory bowel disease

96

The pathophysiology of rheumatoid arthritis involves?????

immune cells accumulaating in pannus and destroying articular cartilage

97

The chief pathologic features of osteoarthritis are?????

  • degeneration of articular cartilage
  • destruction of the bone under the cartilage
  • thickening of the synovium

98

Characteristics of gout include which features? All that apply.)

  • disturbed uric acid metabolism
  • crystalline deposits in bony and connective tissue
  • cardiac involvement
  • renal involvement

99

For which signs/symptoms of Lyme disease would the nurse assess? All that apply.)

  • fever
  • chills
  • arthitic pain
  • headache
  • myalgia

100

Which are signs and symptoms of Sjogren syndrome? All that apply

  • dry eyes
  • dry mouth
  • cavaties
  • dry skin
  • vaginal ilceration
  • eyelid infection