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WorksheetsPatho Exam 2
Total questions: 69
Worksheet time: 35mins
A 54-year-old male complains that he has been vomiting blood. Tests reveal portal hypertension. Which of the following is the most likely cause of his condition?
Thrombosis in the spleen
Cirrhosis of the liver
Left ventricular failure
Renal stenosis
Acute pancreatitis often manifests with pain to which of the following regions?
Right lower quadrant
Right upper quadrant
Epigastric
Suprapubic
A public health nurse is teaching the community about health promotion. Which information should the nurse include for innate immunity? Innate immunity is gained:
Following an illness
At birth
Via injection of specific antibodies
In adulthood
Biochemical secretions that trap and kill microorganisms include:
Hormones
Neurotransmitters
Earwax
Gastric acid
A 25-year-old female presents to her primary care provider reporting vaginal discharge of a white, viscous, and foul-smelling substance. She reports that she has been taking antibiotics for the past 6 months. Which finding will the nurse most likely see on the microorganism report?
Clostridium difficile overgrowth
Decreased Lactobacillus
Streptococcus overgrowth
Decreased Candida albicans
A 20-year-old male received a knife wound to the arm during an altercation. Which of the following types of immunity was compromised?
Inflammatory response
Adaptive immunity
Specific immunity
Innate immunity
A nurse recalls the mast cell, a major activator of inflammation, initiates the inflammatory response through the process of:
Chemotaxis
Endocytosis
Degranulation
Opsonization
The predominant phagocyte of early inflammation is the:
Eosinophil
Neutrophil
Lymphocyte
Macrophage
A 29-year-old male takes a NSAID for a tension headache. The nurse recalls that NSAIDs relieve pain from headache by:
decreasing leukotriene production.
increasing platelet-activating factor
increasing histamine release
decreasing prostaglandin production
What is the primary function of bradykinin regarding inflammation?
Bradykinin is involved in stimulating the clotting system.
Bradykinin is involved in vasoconstriction of blood vessels.
Bradykinin is involved in increasing vascular permeability.
Bradykinin is involved in increasing degradation of prostaglandins.
A 10-year-old female is diagnosed with a parasitic infection. Which lab result would the nurse expect to be elevated in response to the parasite?
Neutrophils
Eosinophils
Basophils
Monocytes
Lymphocytes
A patient comes in with strep throat. Which is the most active against the infection?
neutrophil
eosinophil
lymphocyte
monocyte
A patient comes in and is diagnosed with Influenza A. What is the most active in fighting against her infection?
neutrophil
lymphocyte
macrophage
eosinophil
An infant develops a fever secondary to a bacterial infection. Which of the following most likely triggered the fever?
Plasmin
Histamine
Interferons (IFNs)
Interleukin-1
A 35-year-old male is diagnosed with lobar pneumonia (lung infection). Which of the following exudates would be present in highest concentration at the site of this advanced inflammatory response?
Fibrinous
Hemorrhagic
Serous
Purulent
A 7 year old patient comes in with a heat rash. How would you describe the clear, fluid in the blisters and papules?
fibrinous
serous
purulent
hemorrhagic
A teenager goes into a dermatology office due to their severe acne. How can the nurse describe the exudate from the acne?
fibrinous
serous
purulent
hemorrhagic
A 30-year-old male was involved in a motor vehicle accident (MVC). The glass from the shattered window cut his face and neck. The scar, however, was raised and extended beyond the original boundaries of the wound. This pattern of scarring is caused by impaired:
contracture
epithelialization
collagen synthesis
nutritional status
Which is the most abundant class of antibody in the serum?
IgM
IgD
IgG
IgA
The predominant antibody of a typical primary immune response is:
IgD
IgE
IgA
IgM
A patient has a disease state that results from the secretion of toxins by bacteria. Which medical diagnosis will the nurse see documented on the chart?
Hepatitis
Malaria
Smallpox
Tetanus
A 25-year-old female has sexual relations with her boyfriend. Later she is told that her boyfriend is infected with Neisseria gonorrhoeae. Testing reveals that she does not have the disease. How is it possible that she did not contract the disease?
Platelets provided protection.
Antibodies covered sites of attachment
She was vaccinated against it.
IgE was released.
When the maternal immune system becomes sensitized against antigens expressed by the fetus, what type of immune reaction occurs?
Allergic
Autoimmune
Anaphylaxis
Alloimmune
A patient present with poison ivy on the extremities, face, and buttock after an initial exposure 48 hours ago. This condition is an example of:
anaphylaxis
viral disease
delayed hypersensitivity
serum sickness
A 23-year-old patient with a nut allergy begins to complain about itching, pain, swelling, redness, and respiratory difficulties immediately after he begins to eat his hospital lunch. He is suffering from:
immunodeficiency
tissue-specific hypersensitivity
autoimmunity
anaphylaxis
A 45-year-old male complains of heartburn after eating and difficulty swallowing. He probably has:
Pyloric stenosis
Gastric cancer
Achalasia
Hiatal hernia
The cardinal sign of pyloric stenosis caused by ulceration or tumors is:
Constipation
Diarrhea
Vomiting
Heartburn
A mother brings her 2-week-old infant to the pediatrician because he vomits forcefully for no apparent reason and food sometimes is regurgitated as though undigested. The infant is most likely suffering from:
Pyloric stenosis
Meconium ileus
Esophageal atresia
Galactosemia
The most common disorder associated with upper GI bleeding is:
Diverticulosis
Hemorrhoids
Esophageal varices
Cancer
A 54-year-old male is diagnosed with peptic ulcer disease. This condition is most likely caused by:
Hereditary hormonal imbalances with high gastrin levels
Breaks in the mucosa and presence of corrosive secretions
Decreased vagal activity and vascular engorgement
Gastric erosions related to high ammonia levels and bile reflux
A 22-year-old male underwent brain surgery to remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as a(n) _____ ulcer.
Infectious
Cushing
Ischemic
Curling
Which of the following is the most common peptic ulcer and is caused by H. pylori infection? It can be intermittent pain but relieved by eating food or antacids
Duodenal ulcers
Gastric ulcers
A nurse is giving an example of inflammation as an etiology for cancer development. What is the best example the nurse should give?
Pneumonia and lung cancer
Ulcerative colitis and colon cancer
Prostatic hypertrophy and prostate cancer
Hypercholesteremia and leukemia
A 50-year-old male complains of frequently recurring abdominal pain, diarrhea, and bloody stools. A possible diagnosis would be:
Ulcerative colitis
Hiatal hernia
Pyloric obstruction
Achalasia
Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease?
Abdominal pain
Pattern of remission/exacerbations
Diarrhea
Malabsorption
The nurse is reviewing the lab data of a newly admitted patient. The nurse notes the patient had an erythrocyte sedimendation rate (ESR) done, and the results are quite elevated. The nurse would focus the care plan on which of the following conditions
inflammation
infection
Electrolyte imbalance
Anemia
Complete the statement. Fungi causing deep or systemic infections:
are extremely rare.
are easily treated with penicillin.
are commonly opportunistic.
never occur with other infections.
The nurse is teaching the parents of a patient about vaccination. The nurse explains that most viral vaccines contain:
attenuated viruses.
viral toxins.
killed viruses.
active viruses.
A nurse recalls bacteria become resistant to antimicrobials by:
specialization.
attenuation.
proliferation.
mutation.
A 22-year-old was recently diagnosed with acquired immunodeficiency syndrome (AIDS). Which decreased lab finding would be expected to accompany this diagnosis?
CDC cells
CD8+ T-helper
CD4+ T-helper
CDC 10 cells
An infant is experiencing hemolytic disease of the newborn. Which of the following would the nurse expect to find in the infant's history and physical?
The father was exposed to Agent Orange.
The baby is Rh positive.
The mother was exposed to measles.
The baby was born 6 weeks or more prematurely.
Exhaustion occurs if stress continues and __________ is not successful.
adaptation
flight or fight response
alarm
arousal
The nursing student walks into lab and finds out that there is an unannounced exam. Which physiological response would be expected?
Bronchoconstriction
Decrease lipolysis
Increased glucagon release
Decreased cortisol release
A 35-year-old male is diagnosed with hormone secreting tumor of the adrenal medulla. He experiences elevated blood pressure and increased anxiety. Which of the following hormones is the predominant one released by the tumor?
Cortisol
Antiduretic hormone
Acetylcholine
Norepinephrine
A nurse recalls that stress-induced stimulation of the adrenal cortex causes it to secrete:
parathyroid hormone.
cortisol.
estrogen.
adrenocorticotropin hormone (ACTH)
When a patient is diagnosed with a hormone-secreting tumor of the adrenal cortex, which physiological response would be expected?
increased lipogenesis of extremities
Decreased blood pressure
Decreased gastric secretions
increased incidence of gastric ulcers
A 23-year-old male reports a rash and pruritus. An increase in _____ is associated with pruritus?
Substance P
Norepinephrine
Dopamine
Acetylcholine
What are the pathway is most commonly used to transmit impulses of chronic pain?
efferent fibers
nociceptors
unmyelinated C fibers
myelinated A delta fibers
To promote efficient wound healing, which dressing should be applied to a superficial ulcer?
bulky and dry
Thick and dry
Flat and moist
thick and moist
A 50-year-old male recently underwent a liver transplant and is taking immunosuppressive drugs. He no has painful vesicular eruptions on the face and trunk. He reports that he had chickenpox as a child. Which of the following is the most likely diagnosis?
Poliomyelitis
Herpes zoster
Erysipelas
Warts
A 20-year-old female presents with vaginal pruritus and thin-walled pustular lesions and is diagnosed with candidiasis. This condition is caused by a:
parasite
bacteria
virus
yeast-like fungus
The nurse is caring for a patient with burns through all of the dermis with only a few epidermal appendages intact. What is this burn classified as?
first degree
third degree
superficial partial-thickness
deep partial-thickness
Which process would be expected in the first 24 hours following a serious burn?
Increased capillary permeability
Diuresis
Decreased levels of stress hormones
Fluid overload
A 14-year-old male presents with severe acne. Which of the following promotes acne development?
Estrogens
Androgens
Glucocorticoids
Gonadotropins
What is the medical term for ringworm?
impetigo
psoriasis
thrush
tinea corporis
A 10-year-old presents with vesicles and is diagnosed with vesicular impetigo. What is the most likely cause of the patient's condition?
Human papillomavirus (HPV)
Herpes virus
Streptococcus pyogenes
Candida albicans
The nurse is caring for a patient hospitalized with a bacterial infection. The patient has a fever of 102.4. What mediator was responsible for releasing pyrogens into the circulation causing the fever?
Interleukin-1
Interferons
Neutrophils
B-Cells
A 3-year-old boy who attends daycare regularly presents to his primary care provider with a rash. He is diagnosed with scabies infection. His mother wants to know why how he got this infection. The nurse identifies what as a major risk factor for infection with scabies?
The patient is a boy.
He got the infection from animals he cam into contact with.
He attends daycare regularly.
He must live in unsanitary conditions.
What is the most common disorder associated with upper GI bleeding?
esophageal varices
hemorrhoids
stomach cancer
diverticulosis
A 50-year-old is diagnosed with gastroesophageal reflux. What is the most likely cause of this condition?
reverse peristalsis of the stomach
sympathetic nerve stimulation
fibrosis of the lower third of the esophagus
loss of muscle tone at the lower esophageal sphincter
What is the cause of peptic ulcer disease?
Breaks in the mucosa and presence of corrosive secretions
Hereditary hormonal imbalance with high gastrin levels
gastric erosion related to high ammonia levels and bile reflux
Decreased vagal activity and vacular engorgement
A 19-year-old presents with abdominal pain in the right lower quadrant. Physical examination reveals rebound tenderness and a low-grade fever. What would the nurse suspect the most likely diagnosis to be
appendicitis
pancreatitis
Colon cancer
diverticulitis
_________ is manifested by abdominal pain that is dull, boring, and steady and may radiate directly through the abdomen to the back and nausea and vomiting, anorexia, and diarrhea.
Appendicitis
Pancreatitis
Colon cancer
diverticulitis
Manifestations associated with hepatic encepalopathy from chronic liver disease are the result of:
hyperbilirubinemia and jaundice.
impaired ammonia metabolism.
fluid and electrolyte imbalances.
decreased cerebral blood flow.
In alcoholic cirrhosis, hepatocellular damage is caused by:
acidosis.
acetaldehyde accumulation.
fatty infiltrations.
bile toxicity.
Cholecystitis is inflammation of the gallbladder wall usually caused by:
viral infection of the gallbladder.
accumulation of fat in the wall of the gallbladder.
obstruction of the cystic duct by a gallstone.
accumulation of bile in the hepatic duct.
Acute pancreatitis often manifests with pain to which of the following regions?
Right upper quadrant
Suprapubic
Right lower quadrant
Epigastric
When a newborn has a lack of bilirubin uptake, what does the nurse suspect is occurring in the patient?
Physiologic jaundice
Biliary hypertrophy
Hepatitis A
Infantile cirrhosis
Outbreaks of hepatitis _______ often occur in young children attending daycare centers and can be attributed to poor handwashing.
D
B
C
A
