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Patho Week 1 Exemplars

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

Your patient has:

- black/tarry stools

-pain after eating

- H. pylori culture found

-labs show decreased Hemoglobin & Hematocrit

a)

Ulcers

(Peptic Ulcer Disease)

b)

Diverticular Disease

c)

Chron's Disease/ Ulcerative colitis

d)

Cholecystitis

2.

Your patient has:

- inflammation of gastric mucosa

- been taking NSAID medications

a)

Gastritis

b)

Diverticular Disease

c)

Chron's Disease

d)

Cholecystitis

3.

Your patient has:

- bloody stools

-weight loss/fatigue/fever

-pain in the abdomen: small/large intestine

- Labs: elevated CRP, ESR, Hemoglobin, Hematocrit

a)

Gastritis

b)

Diverticular Disease

c)

Chron's Disease/ Ulcerative colitis

d)

Cholecystitis

4.

Your patient has:

-Gastric distress in RUQ

-Biliary colic

-pain in right shoulder, fever, chills, nausea

-Labs: Elevated WBC, amylase, lipase, AST, ALT, bilirubin

a)

Cholelithiasis/ Cholecystitis

b)

Pancreatitis

c)

Glomerulonephritis

d)

Diverticulitis

5.

Your patient has:

-Deep pain & abdominal tenderness

-Jaundice, Cullen sign

-fever, chills

-history of alcohol abuse

-Labs: Elevated amylase, lipase, WBC, bilirubin, AST, ALT

a)

Cholelithiasis/ Cholecystitis

b)

Pancreatitis

c)

Glomerulonephritis

d)

Diverticulitis

6.

Your patient has:

-proteinuria & hematuria (blood/protein in pee)

-edema & hypertension

-Labs: Decreased albumin and total proteins

a)

Cholelithiasis/ Cholecystitis

b)

Pancreatitis

c)

Glomerulonephritis

d)

Diverticulitis

7.

Your patient has:

-pain in LLQ

-nausea & diarrhea

-occult blood

-Imagining found small pouches in the colon

a)

Cholelithiasis/ Cholecystitis

b)

Pancreatitis

c)

Glomerulonephritis

d)

Diverticulitis

8.

Your patient has:

-jaundice/ liver failure

-nausea & diarrhea

-Labs: Elevated AST, ALT, and bilirubin, positive antibodies

a)

Hepatitis

b)

Pancreatitis

c)

Glomerulonephritis

d)

Cirrhosis

9.

Your patient has:

-GI Bleeding

-jaundice, ascites, anemia

-history of alcohol abuse

-Labs: Elevated AST, ALT, and bilirubin, ammonia

Decreased Albumin & total protein

a)

Hepatitis

b)

Pancreatitis

c)

Glomerulonephritis

d)

Cirrhosis

10.

Your patient (female) has:

-butterfly rash on face

-photosensitivity, arthritis, fatigue

a)

Rheumatoid Arthritis

b)

Lupus

c)

Multiple Sclerosis

d)

Psoriasis

11.

Your patient (47yo female) has:

-major swelling, stiffness, pain in joints

-weakness, fatigue, anorexia

-exposure to Epstein-Barr virus

a)

Rheumatoid Arthritis

b)

Lupus

c)

Multiple Sclerosis

d)

Psoriasis

12.

Your patient has:

-chronic inflammation, lesions, plaques

-Weakness/impaired gait

-Urinary incontinence

-Abnormal white matter in brain

a)

Rheumatoid Arthritis

b)

Lupus

c)

Multiple Sclerosis

d)

Psoriasis

13.

Your patient has:

-thickened dermis & epidermis

-skin is scaly & inflamed

- stiff/painful joints

a)

Rheumatoid Arthritis

b)

Lupus

c)

Multiple Sclerosis

d)

Psoriasis

14.

Your patient has:

- coughing/sore throat

-fever, chills

-muscle aches

a)

Influenza

b)

Herpes (HSV)

c)

HIV

d)

HPV

15.

Your patient has:

- coughing/sore throat

-fever, chills

-painful vesicles (cold sores/genital sores)

-swollen lymph

a)

Influenza

b)

Herpes (HSV)

c)

HIV

d)

HPV

16.

Your patient has:

- cervical cancer

a)

Influenza

b)

Herpes (HSV)

c)

Chlamydia

d)

HPV

17.

Your patient has:

- dysuria, painful sex, urethral drainage

- Scarring that led to infertility

- a positive Gonorrhea culture

a)

Influenza

b)

Herpes (HSV)

c)

Chlamydia

d)

HPV

18.

Your patient has:

- diarrhea

-pseudomembranous colitis

- Labs: gram-positive bacteria

a)

C. Difficile

b)

Herpes (HSV)

c)

Chlamydia

d)

Chron's disease

19.

Your patient has:

- cough, aching chest pain

-hemoptysis (coughing up blood)

-weight loss/fever

- Test: skin test

a)

TB

b)

Otitis media

c)

Conjunctivitis

d)

Endocarditis

20.

Your patient has:

- inflamed conjunctiva

- allergies

- Eustachian tube dysfunction

a)

TB

b)

Otitis media

c)

Conjunctivitis

d)

Endocarditis

21.

Your patient has:

- inflamed conjunctiva/pink eyes

a)

Cellulitis

b)

Otitis media

c)

Conjunctivitis

d)

Endocarditis

22.

Your patient has:

- fever

-murmur

-petechial lesions of skin, eyes, mouth

-Janeway lesions on palms, soles

-weight loss, back pain

a)

Cellulitis

b)

Otitis media

c)

Conjunctivitis

d)

Endocarditis

23.

Your patient has:

- warm, swollen, painful area

- fever, chills

-tachycardia

a)

Cellulitis

b)

Otitis media

c)

Conjunctivitis

d)

Endocarditis

24.

Your patient has:

- white plaques on the tongue, throat, vagina, skin folds

a)

Cellulitis

b)

Otitis media

c)

Tinea

d)

Thrush (Candida albicans)

25.

Your patient has:

- scaly plaque (ringworm)

a)

Cellulitis

b)

Otitis media

c)

Tinea

d)

Thrush (Candida albicans)

26.

Your pregnant patient has:

- vaginal bleeding

-abdominal pain

-uterine tenderness

-is in pre-term labor that has a high chance of fetal death

a)

Pre-Eclampsia

b)

Abruptio Placenta

c)

Placenta Previa

d)

Congenital Heart Defects

27.

Your pregnant patient has:

- vaginal bleeding

-nontender abdomen

-can lose up to 40% of blood before SHOCK

a)

Pre-Eclampsia

b)

Abruptio Placenta

c)

Placenta Previa

d)

Congenital Heart Defects

28.

Your pregnant patient has:

- sudden weight gain

-edema, headache, right-sided pain

-increased BP, decreased kidney/liver perfusion

-Lab: increased liver enzymes, protein in the urine

a)

Pre-Eclampsia

b)

Abruptio Placenta

c)

Placenta Previa

d)

Congenital Heart Defects

29.

Your patient has:

- sustained high blood pressure

a)

Pre-Eclampsia

b)

Hypertension

c)

Placenta Previa

d)

Congenital Heart Defects

30.

Your patient has:

- chest pain

- high lipid levels

-vasoconstriction due to plaque in arteries

- sedentary, obese, smoker lifestyle

a)

CAD

Coronary Artery Disease

b)

DVT

Deep Vein Thrombosis

c)

DIC

Disseminated Intravascular Coagulation

d)

Shock (anemia)

31.

Your patient has:

- a clot in their legs that traveled and lead to a pulmonary embolism

a)

CAD

Coronary Artery Disease

b)

DVT

Deep Vein Thrombosis

c)

DIC

Disseminated Intravascular Coagulation

d)

Shock (anemia)

32.

Your patient has:

- decreased coagulating proteins (all used up from recent trauma)

- bleeding from ears, nose, eyes

a)

CAD

Coronary Artery Disease

b)

DVT

Deep Vein Thrombosis

c)

DIC

Disseminated Intravascular Coagulation

d)

Shock (anemia)

33.

Your patient has:

- hypotension

-decreased RBC/hemoglobin to carry O2 to cells

a)

CAD

Coronary Artery Disease

b)

DVT

Deep Vein Thrombosis

c)

DIC

Disseminated Intravascular Coagulation

d)

Shock (anemia)

34.

Your patient has:

-chest pain/discomfort

-shortness of breath

-irregular heartbeat

-fatigue

a)

Valve Disorders (Rheumatic Heart Disease)

b)

Hemophilia

c)

DIC

(Disseminated Intravascular Coagulation)

d)

Shock (anemia)

35.

Your patient has:

-a genetic X-linked disorder

-bruising/excessive bleeding

-Labs: decreased thrombocytes (to clot)

a)

Valve Disorders (Rheumatic Heart Disease)

b)

Hemophilia

c)

DIC

(Disseminated Intravascular Coagulation)

d)

Shock (anemia)

36.

Your patient has:

-chest pain/discomfort

-edema in feet/ankles

-fainting during activity

-cyanosis (blue lips/fingers)

-enlarged right ventricle & pulmonary hypertension

a)

Valve Disorders (Rheumatic Heart Disease)

b)

ACS (Acute Coronary Syndrome)

c)

DIC

(Disseminated Intravascular Coagulation)

d)

Cor Pulmonale

37.

Your patient has:

HR = 40bpm

a)

Sinus bradycardia

b)

Sinus tachycardia

c)

Atrial fibrillation

d)

Ventricular tachycardia

38.

Your patient has:

HR = 106 bpm

a)

Sinus bradycardia

b)

Sinus tachycardia

c)

Atrial fibrillation

d)

Ventricular tachycardia

39.

Your patient has:

-quivering atria

- 72 year old man who's wife just died

-he had a heart attach (MI) a year ago

a)

Sinus bradycardia

b)

Sinus tachycardia

c)

Atrial fibrillation

d)

Ventricular tachycardia

40.

Your patient has:

-ventricles aren't refilling completely because they are contracting too much

a)

Sinus bradycardia

b)

Sinus tachycardia

c)

Atrial fibrillation

d)

Ventricular tachycardia

41.

Your patient has:

-no heartbeat

a)

Sinus bradycardia

b)

Ventricular fibrillation

c)

Atrial fibrillation

d)

Asystole

42.

Your patient has:

- chest pain with breathing/coughing

-phlegm with cough

-fever, sweats, fatigue

- lower than normal body temp

a)

Pneumonia

b)

Asthma

c)

COPD

d)

RSV

43.

Your patient has:

- chest tightness

-shortness of breath

-wheezing when exhaling

-coughing/wheezing attacks made worse by allergies/exercise

a)

Pneumonia

b)

Asthma

c)

COPD

d)

RSV

44.

Your patient has:

- chest tightness

-shortness of breath/fatigue

-crackling/wheezing when exhaling

-yellow/green sputum (phelgm)

a)

Pneumonia

b)

Asthma

c)

COPD

d)

RSV

45.

Your patient has:

- runny nose

-wheezing/coughing/sneezing

-fever & decreased appetite

a)

Pneumonia

b)

Asthma

c)

COPD

d)

RSV

46.

Your patient has:

- runny nose

-wheezing/coughing/sneezing

-fever & decreased appetite

a)

Pneumonia

b)

Asthma

c)

COPD

d)

RSV

47.

Your patient has:

- shortness of breath

-low blood oxygen

-rapid breathing

-clicking/rattling breath sounds

a)

Pneumonia

b)

Asthma

c)

ARDS

(Acute Respiratory Distress Syndrome)

d)

RSV

48.

Your patient has:

- persistent coughing

-frequent lung infections

-poor growth/weight gain

-wheezing/shortness of breath

a)

Pneumonia

b)

Pneumothorax

c)

ARDS

(Acute Respiratory Distress Syndrome)

d)

Cystic Fibrosis

49.

Your patient has:

- sharp stabbing chest pain

- shortness of breath

- cyanosis (blue skin)

- blebs on lungs (ruptured)

a)

Pneumonia

b)

Pneumothorax

c)

ARDS

(Acute Respiratory Distress Syndrome)

d)

Cystic Fibrosis

50.

Your patient has:

- shortness of breath (dyspnea)

-crackles lung sounds (fluid in lungs)

-coughing up pink sputum

a)

Pneumonia

b)

Pneumothorax

c)

Cystic Fibrosis

d)

Pulmonary edema