WorksheetsPatho - Exam 2
Total questions: 75
Worksheet time: 38mins
Hoarseness, dysphasia, or atelectasis with systemic signs of weight loss, anemia, fatigue
Pneumonia
Lung Cancer
Cystic Fibrosis
Heart failure
Etiology: Radiation exposure, viruses, toxins, autoimmune disease, environmental toxins
pernicious anemia
atelectasis
pneumoconiosis
aplastic anemia
Signs/Symptoms: Frothy, pink sputum, pulmonary congestion and orthopnea
Pleural effusion
Right sided heart failure
Left sided heart failure
pulmonary edema
Common causes of this disorder are atherosclerosis, trauma (particularly car accidents) or syphilis. Hypertension is present in half the patients diagnosed with this disorder.
aortic aneurysm
pericarditis
angina
myocardial infarction
Sudden chest pain occurs, which increases with coughing or deep breathing. Tachypnea, cough and dyspnea develops suddenly. Hypoxia stimulates a sympathetic response, with anxiety and restlessness, pallor, and tachycardia.
Asthma
Pulmonary embolism
Pleural effusion
Heart failure
Vasodilation due to severe infection; often with gram negative bacteria.
hypovolemic
cardiogenic
Septic shock
anaphylactic
This may develop from pain, fear, drugs, or loss of SNS stimuli with spinal cord injury. Metabolic dysfunction, such as hypoglycemia or insulin shock or severe acidosis, may also lead to this:
Cardiogenic shock
Anaphylactic shock
Septic shock
Vasogenic shock
This is the most common genetic anemia. The child’s growth and development are impaired directly by the hypoxia and indirectly by the fatigue and inactivity. Blood transfusions are needed on long term basis.
thalassemia
aplastic
leukemia
pernicious
Feeling of pressure, heaviness, or burning in the chest, especially with increased activity or sudden crushing pain radiating to jaw, left arm or sudden shortness of breath, sweating, weakness, fatigue, nausea, indigestion, anxiety or fear. These are clinical manifestations of:
myocardial infarction
left sided heart failure
right sided heart failure
angina
Hyperinflation, air trapping, loss of elasticity and impaired expiration.
pneumothorax
flail chest
emphysema
pulmonary embolism
With left-sided congestive heart failure, backup of blood from the failing left ventricle causes high pressure in the pulmonary circulation leading to:
COPD
flail chest
pleural effusion
pulmonary edema
A rare- life threatening condition that involves both excessive bleeding and excessive clotting.
COPD
DIC
Left sided heart failure
Pulmonary embolism
Chest wall rigidity is lost, resulting in the paradoxical (opposite) movement during inspiration and expiration
plueral effusion
pnemonia
flail chest
pneumothorax
Genetic disorder of the exocrine glands, thick tenacious mucous, steatorrhea, frequent infections
Cystic fibrosis
Sickle cell anemia
Asthma
COPD
Often seen in developing countries, child may show signs/symptoms of sore throat, fever, and heart murmur on auscultation.
TB
rheumatic heart disease
angina
coronary artery disease
Jugular vein distention, ascites, hepatomegaly, and swelling in the lower extremities
Left sided hear failure
Pericarditis
Right sided heart failure
Hypertension
Tachycardia, hypotension, restlessness and rapid respiration are signs and symptoms of:
pnemonia
COPD
shock
asthma
This occurs when a coronary artery is totally obstructed, leading to prolonged ischemia and cell death of the heart wall. The most common cause is atherosclerosis, usually with thrombus attached.
left sided heart failure
right sided heart failure
myocardial infarction
atherosclerosis
A disease of the lungs due to inhalation of dust, characterized by inflammation, cough, and fibrosis.
Heart failure
Pneumoconiosis
Asthma
Atelectasis
The nurse should encourage the patient to avoid strenuous activity or high altitudes, encourage dehydration, and manage pain for this disorder:
sickle cell anemia
TB
lung cancer
rheumatoid arthritis
Afternoon low-grade fever and night sweats, prolonged cough that becomes increasingly severe and, as cavitation develops, more productive purulent sputum often contains blood.
Pneumoconiosis
Cystic fibrosis
COPD
TB
This bacterial infection affects the valves, which become edematous wart like vegetation along the outer edge of the valve cusp. The mitral calve is affected most frequently.
MI
infective endocarditis
pericarditis
angina
Pain occurs while resting and comes as a surprise to the patient. The pain is typically worse and lasts longer, rest and medication do not help relieve the pain. This typically means that an artery has become completely blocked and a heart attack is imminent. It is treated by finding the blockage and then removing it or bypassing it with surgery.
unstable angina
peripheral vascular disease
endocarditis
aortic aneurysm
Anemia due to lack of dietary intake or absorption of B12. The body’s inability to absorb vitamin B12 is due to the lack of intrinsic factor, a protein made in the stomach.
hemolytic anemia
iron deficiency anemia
pernicious anemia
leukemia
Tracheal deviation to unaffected side, absent breath sounds to affected side, severe hypoxia, may proceed to shock and death.
atelectasis
pneumothrax
pneumoconiosis
pulmonary embolism
Barking cough, stridor, restlessness and anxiety are clinical manifestations of:
Bronchiolitis
Epiglottitis
Laryniotracheobronchitis
Sinusitis
This blood type has antigen A and antibodies B, cannot have B or AB, can have A or O type blood.
Type A
Type B
Type AB
Type O
This specific anemia results from excessive destruction of RBC’s, causes include: genetic defects, immune reactions or infections such as malaria.
aplastic anemia
sickle cell anemia
hemolytic anemia
thalassemia
Morning stiffness is often an early sigh of this MS disorder. Stiffness that lasts for about 30 minutes and get better with activity.
degenerative joint disease
osteomyelitis
osteoarthritis
rheumatoid arthritis
Obstruction of lymphatic vessels, extremities swell because of lymph accumulation.
lymphedema
gout
elephantiasis
fat emboli
Rupture of this occasionally leads to moderate bleeding but most often causes severe hemorrhage and death. Signs includes severe pain and indications of shock.
DVT
Fat emboli
Aneurysms
Angina
Besides the general signs and symptoms of anemia such as pallor, weakness, tachycardia, dyspnea, this patient will have severe pain because ischemia of tissues and infarction and hyperbilirubinemia- jaundice
thalassemia
sickle cell anemia
iron deficiency anemia
aplastic anemia
Chronic blood loss, impaired duodenal absorption will cause this anemia
sickle cell anemia
aplastic anemia
hemolytic anemia
iron deficiency anemia
This is a chronic autoimmune disease targeting multiple joints. The synovium is the primary site of the inflammatory process.
rheumatoid arthritis
osteoarthritis
anemia
degenerative joint disease
Petechiae and purpura are clinical manifestations of this disorder:
gout
dvt
thrombocytopenia
osteomyelitis
Lymphedema caused by blockage because of the parasitic infection
fat emobli
multiple myloma
elephantiasis
gout
Increased production of erythrocytes and other cells in the bone marrow, neoplastic disorder.
leukocytosis
thalassemia
pernicious anemia
polycythemia
Basic problem is lack of absorption of vitamin B12 because of lack of intrinsic factor.
Hemolytic anemia
Pernicious anemia
Sickle cell anemia
Aplastic anemia
Degenerative- wear and tear joint disease. May be the result of increased weight-bearing or lifting or obesity.
Osteoarthritis
Osteoporosis
Osteomyelitis
Degenerative joint disease
A patient with multiple fractures is at risk for this:
gout
rheumatoid arthritis
osteoporosis
fat emboli
This lymphoma is distinguished by multiple node involvement scattered through the body and a non-organized pattern of widespread metastases, often present at diagnosis.
Hodgkin's Lymphoma
Non-Hodgkin's Lymphoma
Neoplastic disease that involves increased production of plasma (B cells) in the bone marrow, occurs in older adults, production of other blood cells is impaired, hypercalcemia, renal failure, bone lesions.
fat emboli
osteomyelitis
lymph edema
multiple myloma
Frequent purpura, petechiae and ecchymosis are clinical manifestations of:
neutropenia
leukopenia
thrombocytopenia
polycythemia
Impairment or failure of bone marrow due to factors such as chemotherapy or radiation will cause this anemia.
aplastic anemia
iron deficiency anemia
hemolytic anemia
sickle cell anemia
The “5 Ps” are often times associated with pain, pallor, paresthesia, pulselessness and paralysis during this condition:
compartment syndrome
fat emboli
infection
ischemia
Risk factors for this disorder are surgery, immobility and injury:
Pulmonary embolus
Pulmonary Edema
DVT
muscular dystrophy
T lymphocytes seem to be defective; lymphocyte count decreased, presence of Reed-Sternberg cells
Hodgkin's lymphoma
Non-Hodgkin's lymphoma
Excessive clotting in circulation, thrombi and infarcts occur. Clotting factors are reduced to a dangerous level in this disorder:
thromophilia
deep vein thrombosus
disseminated intravascular coagulation
polycythemia
Anemia, leukopenia, thrombocytopenia is specific to this anemia.
hemolytic anemia
sickle cell anemia
iron deficiency anemia
aplastic anemia
After an injury, blood or edema may accumulate in the compartment. The tough walls of fascia cannot easily expand, and compartment pressure rises, preventing adequate blood flow to tissues inside the compartment. Severe tissues damage can result, with loss of body function or even death.
Disseminated intravascular coagulation
Compartment syndrome
Uric acid crystals in the joint fluid; usually in the big toe
degenerative joint disease
thrombophilia
gout
hypertension
Excessive fluid that accumulates in the pleural cavity. This excess fluid can impair breathing by limiting the expansion of the lungs
pulmonary embolism
flail chest
atelectasis
pleural effusion
A piece of thrombus breaks off, usually because of some activity, and flows in the venous blood returning to the heart. The first smaller blood vessels along the route are those of the lungs, where the clot lodges, obstructing the pulmonary circulation and causing both respiratory and cardiovascular complications. Sudden chest pains and shock are indicator of:
DVT
Pneumothorax
Pulmonary embolism
anyurism
When the heart is unable to pump sufficient blood to meet the metabolic needs of the body.
congestive heart failure
left sided heart failure
right sided heart failure
hypertension
Degeneration changes in the small arteries and arterioles, commonly occurring in individuals over age 50 and those with diabetes. Elasticity is lost, the walls become thick and hard, and the lumen gradually narrows and may become obstructed. This leads to diffuse ischemia and necrosis in the various tissues, such as the kidneys, brain, or heart.
aortic aneurysm
atelectasis
atherosclerosis
arteriosclerosis
When the pharyngeal tissue collapses during sleep leading to repeated and momentary cessation of breathing.
dyspnea
obstructive sleep apnea
orthopnea
paroxysmal nocturnal dyspnea
Inspiratory stridor is hear. The child appears anxious and pale and assumes a sitting position (tripod position) with the mouth open, struggling to breathe.
Bronchiolitis
Laryngotracheobronchitis
Epiglottitis
Sinusitis
The basic changes in the lungs result from injury to the alveolar wall and capillary membrane, leading to release of chemical mediators, increased permeability of alveolar capillary membranes. Also known as shock lung, wet lung or stiff lung.
COPD
Acute respiratory distress syndrome
TB
Pneumothorax
With liquids the effects are somewhat different. Irritating liquids, particularly acids (vomitus), alcohol, or oils (milk), tend to disperse in several bronchi. These materials cause severe inflammation and predisposes to the development of infection later
aspiration pneumonia
cystic fibrosis
asthma
atelectasis
A localized dilation and weakening of an atrial wall. The most common location is either the abdominal or thoracic aorta. May lead to rupture, massive bleeding and death.
hypertension
myocardial infarction
angina
aortic aneurysm
As congestion increases, hemoptysis often occurs. Sputum is frothy owing to air mixed with secretions, and blood-tinged owing to ruptured capillaries in the lungs. Breathing becomes labored as it becomes more difficult to expand the lungs. The individual feels as if he or she is drowning.
pneumoconiosis
pnemonia
pulmonary edema
pneumothorax
Destruction of alveolar walls, loss of elasticity, impaired expiration, barrel chest, hyperinflation due to air trapping:
ARDS
Emphysema
COPD
atelectasis
Thick, sticky mucus builds up in the lungs, allowing germs to thrive and multiply. The buildup of mucus is in the pancreas can also stop the absorption of food.
TB
pnemonia
empysema
cystic fibrosis
Air in the pleural cavity with signs and symptoms of dyspnea, tracheal deviation. Chest pain and absent breath sounds.
ARDS
flail chest
pneumothorax
plueral effusion
When the valve damage has occurred, precautionary measures such as prophylactic penicillin prior to invasive procedures or dental treatments marked by significant bleeding are recommended to prevent this.
myocarditis
pericarditis
rheumatic heart disease
bacterium and infective endocarditis
Prolonged pain at rest and of recent onset, perhaps the result of a break in the atheroma. This may precede a myocardial infarction.
coronary artery disease
unstable angina
arteriosclerosis
pericarditis
Occupational lung disease, such as silicosis, asbestosis, and farmer’s lung are classified as restrictive lung diseases. These irritant causes interstitial inflammation and fibrosis, resulting in loss of compliance, or “stiff lung.”
pneumoconiosis
acute respiratory distress syndrome
pneumothorax
atelectasis
Hemoptysis is common as blood vessels are eroded. With cavitation, spread of the organism into other parts of the lungs is promoted. Bacilli are present in the sputum, where they may be passed to others.
cystic fibrosis
tuberculosis
lung cancer
heart failure
The broken section of ribs moves inward rather than outward as intra thoracic pressure is decreased. The inward movement of the ribs prevents expansion of the affected lung.
lung cancer
pneumothorax
flail chest
cystic fibrosis
The inflammation involves the heart and other parts such as joints and skin. It usually occurs in children 5-15 years of age. A history prior to streptococcal infection.
myocarditis
endocarditis
pericarditis
rheumatic heart disease
This differentiated by the presence of atheroma’s, plaque consisting of lipids, cells, fibrin, and cell debris, often with attached thrombi, which form inside the walls of the large arteries.
atherosclerosis
arteriosclerosis
pericarditis
endocarditis
The bronchi and bronchioles respond to the stimuli with three changes. Inflammation of the mucosa with edema, contraction of smooth muscles. Increased secretion of thick mucus in the passages.
acute respiratory distress syndrome
asthma
chronic obstructive pulmonary heart disease
pnemonia
Anxiety, tachycardia, pallor, light-headedness, syncope, sweating.
hypoventilation
angina
shock
hyperventilation
Patients with advanced lung disease (in this case COPD) will often assume this position: leaning forward, hands on knees.
tripod position
dyspnea
orthopnea
aspiration
This usually develops during sleep, when the increased blood volume in the lungs leads to the increased fluid in the alveoli and interferes with oxygen diffusion and lung expansion. The individual awakes in a panic, struggling for air and coughing.
dyspnea
obstructive sleep apnea
orthopnea
paroxysmal nocturnal dyspnea
