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pathophysiology
week 1 - 7
Question | Answer |
---|---|
(wk3) The major phagocytic cells in inflammation are: | Neutrophils and macrophages |
(wk3) A patient with a combined immune deficiency lacks: | T and B Lymphocytes |
(wk3) When assessing and patient with SLE you should expect to identify : | arthralgia, anemia, and a rash |
(wk3) Your patient is having a reaction to a bee sting which type of hypersensitivity are they displaying: | Type 1 |
(wk3) What is the role of plasmin in the inflammatory response cycle? | It controls clotting by breaking down fibrin |
(wk3) Among many innate defenses the body has two pathogens, the first list of defenses is the: | Skin and mucous membrane |
(wk3) Which substance is released during a viral infection and signals neighboring cells to enhance viral defenses? | Interferon |
(wk3) What term is used to describe the process of endocytosis? | Engulfment |
(wk3)DiGeorge syndrome is characterized by absence or underdevelopment of which organ? | Thymus |
(wk3) Your planning a community teaching event about systemic lupus erythematosus (SLE) to which population should your teaching be primarily targeted? | Women 20 - 40 years old |
(wk 2) A disease results in the accumulation of lipids in the nerve cell of the brain: | Tah - Sachs Disease |
(wk 2) Cellular atrophy is: | a decrease in cell size |
(wk 2) The process in which cells program themselves to die: | Apoptosis |
(wk 2) What causes metaplasia in humans? | Cell injury from noxious stimuli |
(wk 2) The postmortem decrease in a patient's body temperature will be documented as: | Algor Mortis |
(wk 2) Dysplasia is characterized by abnormal changes in: | cell secretions |
(wk 2) Clastogens are agents that cause: | chromosomal breakage |
(wk 2) which organ is most frequently affected by chronic alcohol (ethanol) injury? | Liver |
(wk 2) The nurse documents "tattooing and stippling" in a trauma patient. Which type of injury does this patient have? | gunshot wounds |
(wk 2) When a patient has an extreme laceration (laceration with a flap), which medical term should the nurse document on the chart? | an avulsion |
(wk1) The nurse caring for a patient with a genetic disease that is transmitted through autosomal recessive inheritance. Which is the most likely diagnosis for this patient? | Cystic Fibrosis |
(wk1) Adaptive cellular mechanism function to: | protects cells from injuries |
(wk1) If a patient has liquefactive necrosis, which organ should the nurse assess first? | brain |
(wk1) The nurse in the genetics clinic is describing a genetic disease that leads to progressive dementia in middle to later adulthood. To which disease is the nurse likely referring to? | Huntington Disease |
(wk1) The triplet of base pairs necessary to code for a specific amino acid is called a: | Codon |
(wk1) The outward manifestation of a disease, often influenced by both genes and the environment, is called the disease: | phenotype |
(wk1) The condition that occurs when a zygote is missing in each cell is referred to as: | a "monosomy" |
(wk1) The process by which RNA is formed from DNA for protein synthesis as: | transcription |
(wk1) The somatic cell that contains a multiple of 23 chromosomes is called: | an euploid cell |
(wk1) Which is the chief function of ribosomes? | protein synthesis |
(Quiz 1) The nurse is caring for a patient with a genetic disease that is transmitted through autosomal recessive inheritance. Which is the most likely diagnosis for this patient? | Cystic fibrosis |
(Quiz 1) Which is most frequently affected by chronic alcohol (ethanol) injury? | Liver |
(Quiz 1) A couple has two offspring; one child has an autosomal recessive disease trait, and one is normal. What most likely conclusions can the nurse make about the parents? | Both parents could be carriers. |
(Quiz 1) When a patient has tissue ischemia and a decrease in mitochondrial oxygenation, which of the following does the nurse expect? | Decreased ATP production |
(Quiz 1) If an ovum has chromosomal nondisjunction, which conditions(s) could result in the embryo? | Monosomies and trisomies |
(Quiz 1) Which statement by a nursing student indicates the need for further teaching? Free radical injury can be caused by: | tissue damage by antioxidants. |
(Quiz 1) A geneticist is teaching a class that includes information about DNA. Which information should be included? DNA contains: | the genetic code for all parts of the body. |
(Quiz 1) If a patient has Gaucher disease, which of the following organ(s) should the nurse monitor? | Liver, Spleen, CNS/Brain All the above |
(Quiz 1) When teaching staff Tay-Sachs disease, which information should the nurse include? Tay-Sachs disease results in the accumulation of: | lipids in the nerve cells of the brain. |
(Quiz 1) The nurse is caring for a new mother who just gave birth to a baby with Down syndrome. The nurse explains that this syndrome is a result of trisomy with which chromosome? | 21 |
(Quiz 1) An individual who is heterozygous for a gene has: | alleles at a given locus that are different from one another. |
(Quiz 1) The nurse in the genetics clinic is describing a genetic disease that leads to progressive dementia in middle to later adulthood. To which disease is the nurse most likely referring? | Huntington disease |
(Quiz 1) When the clinician is discussing the DNA helix, which information should be included? In the DNA helix, guanine pairs with: | cytosine. |
(Quiz 1) When an infant has been identified as having had fetal exposure to alcohol, which assessment parameters should be considered? | Low birth weight, Mental retardation, Facial anomalies, -- All of the above |
(Quiz 1) Which information indicates that the nurse has a good understanding of clastogens? Clastogens are agents that cause: | chromosomal breakage. |
(Quiz 1) A patient has Wiskott-Aldrich syndrome. Which typical assessment findings should the nurse monitor for in this patient? | Decreased IgM and bleeding |
(Quiz 1) What is the role of plasmin in the inflammatory response cycle? | It controls clotting by breaking down fibrin. |
(Quiz 1) A patient has a combined immune deficiency. Which important principle should the nurse remember? A patient with a combined immune deficiency lacks: | T and B lymphocytes. |
(Quiz 1) A patient asks a nurse what leukotrienes do. Which of the following is the best answer? Leukotrienes: | cause increased vascular permeability. |
(Quiz 1) A nurse is describing primary immune deficiency. Which primary deficiencies should the nurse include? | B lymphocytes and complement |
(Quiz 1) A patient has DiGeorge syndrome. Which organ should the nurse discuss when describing the pathophysiology of this disease? | Thymus |
(Quiz 1) When assessing the patient with SLE, the nurse should expect to identify: | arthralgia, anemia, and rash. |
(Quiz 1) Which substance is released during a viral infection and signals neighboring cells to enhance viral defenses? | Interferon |
(Quiz 1) A patient asks about the role of clotting mechanisms during inflammation. The nurse should indicate that the function of the clotting cascade during inflammation is to: | trap microorganisms. |
(Quiz 1) While discussing the complement system, which information should the nurse include? The alternative pathway of the complement system is activated by: | bacteria. |
(Quiz 1) The nurse is planning a community teaching event about systemic lupus erythematosus (SLE). To which population should the teaching be primarily targeted? | Women, 20 to 40 years old |
(Quiz 1) Among the many innate defenses the body has to pathogens, the first line of defense is the: | skin and mucous membranes. |
(Quiz 1) A patient with cancer sustains an excessive amount of tumor necrosis factor alpha. For which condition should the nurse be particularly alert? | Cachexia |
(Quiz 1) The nurse is caring for a patient with B-lymphocyte deficiency. The nurse should protect the patient primarily from: | encapsulated bacteria. |
(Quiz 1) A nurse wants to teach about the most common primary immune deficiency condition. Which of the following should the nurse describe? | Common variable immune deficiency |
(Wk 4) Most commonly reported symptom associated with cancer is | fatigue |
(wk4) The retinoblastoma gene is what type of gene | A tumor suppressor gene |
(wk4) A process in which a piece of one chromosome is moved to another chromosome | translocation |
(wk 4) What term is used to describe cancer that extends to organs or tissues distant from the site of origin | metastasis |
(wk 4) what is the leading cause of death in developed countries? | Cancer |
(wk 4) what would you expect to occur when a patient's cancer is caused by mutations of the proto- oncogene?? | increased cell division |
(wk 4) A patient is experiencing leukopenia from cancer and chemotherapy treatment. which condition should assess for in this patient? | Infection |
(wk 4) Malignant tumors have a tendency to | invade surrounding tissues; they also grow rapidly and have a tendency to metastasize. |
(wk 4) For metastasis to occur tumor cells must be capable of | surviving in the bloodstream |
(wk 4) what is the primary cause of cervical cancer? | HPA -- Human Papilloma Virus |
(wk 5) The development of sensory and motor symptoms in multiple scoliosis is caused by | immunologic and inflammatory demyelination of central nervous system of neurons |
(wk 5) Subdermal hematomas: | bleeding between the dura matter and the brain |
(wk 5) Autonomic hyperreflexia is caused by | stimulation of sensory/pain receptors below the level of the spinal |
(wk 5) What usually causes encephalitis? | a viral infection |
(wk 5) Most forms of focal brain injury are associated with increased: | Brain Swelling |
(wk 5) ALS is caused by: | degeneration of lower and upper motor neurons |
(wk 5) A patient has a spinal cord tumor that originated within the neural tissues. What type of tumor is this called? | Intramedullary |
(wk 5) A sign associated with classic cerebral concussion is | loss of consciousness |
(wk 5) Your patient has Giuanne Barre during the health history you should ask about a history of | respiratory or gastrointestinal viral infections |
(wk 5) Cerebral thrombosis develops most often from | atherosclerosis an inflammatory disease process (arteritis) |
(wk 6) Which intervertebral disks should a nurse assess first for herniation | L4 - S1 |
(wk 6) Your patients forehead hit the steering wheel during a motor vehicle accident. Which part of the brain received the coup injury? | Frontal |
(wk 6) Your patient has a brief episode of neurological deficits that resolves within 12 hours with a return to normal functioning. What diagnosis should you document on the chart? | TIA (transient ischemic attack) |
(wk 6) What type of injury will the nurse prepare to care when a patient has a diffuse brain injury | concussion |
(wk 6) A patient has a recent spinal cord injury. Which term should the nurse use to describe the loss of reflex function below the level/lesion of injury? | spinal shock |
(wk 6) Your patient with HIV has painful burning dysesthesias and paresthesia's, especially in the extremities. What condition will you document in the chart? | HIV neuropathy |
(wk 6) During your assessment of a patient with meningitis, you want to test for nuchal rigidity which test will you implement? | Kernig |
(wk 6) During a myasthenic or cholinergic crisis, a patient is in danger of | respiratory arrest |
(wk 6) Irritative syndromes involve: | compressive symptoms plus radicular pain and parathesis |
(wk 6) A herniated disc allows the gelatinous material (the nucleus polposus ) to: | extrude and compress the nerve root |
(wk 6) A patient with a spinal cord injury (T6 level) reports a headache. The patient's blood pressure is 296 systolic, and the patient is sweating. Which intervention is most appropriate? | Check the patient's bladder. |
(wk 6) A nurse is describing the pathophysiology of myasthenia gravis. Which information should the nurse include? | This is an autoimmune disease mediated by antibodies against the acetylcholine receptors, resulting in defective nerve impulses. |
(wk 6) A nurse is preparing a presentation on progressive neurological disorders. Which concept should be taught? | Amyotrophic lateral sclerosis—degenerative disorder of both upper and lower motor neurons |
(wk 6) A patient has a spinal cord tumor that is causing an irritative syndrome. What does this imply to the nurse? | The patient is experiencing compression symptoms plus radicular pain. |
(wk 6) A patient developed a subdural hematoma within 12 hours of the injury. Which diagnosis will the nurse observe documented on the chart? | Acute subdural hematoma |