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HCR 240: Signs and symptoms practice for the final

Total questions: 69

Worksheet time: 1hrs 8mins

Name
Class
Date
1.

Increased thirst and frequent urination indicate...

a)

Diabetes inspidius

b)

Hypopituitarism

c)

Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

d)

Cushing’s Syndrome

2.

What is polydipsia?

a)
Excessive urination
b)
Excessive thirst
c)
Excessive hunger
d)
Excessive sweating
3.

What is polyuria?

a)
Frequent urination
b)
Excessive urination
c)
Decreased urination
d)
Normal urination
4.

Sudden, extremely painful headache (thunderclap headache) is a symptom of...

a)

hemorrhagic stroke

b)

ischemic stroke

c)

Parkinson's disease

d)

transient ischemic attack (TIA)

5.

Decreased urine output and hyponatremia is indiciative of...

a)

diabetes insipidus

b)

type I diabetes mellitus

c)

syndrome of inappropriate secretion of antidiuretic hormone (SIADH)

d)

Cushing's disease

6.

Weight gain in the trunk of body, puffy "moon" face, and easy bruising are signs and symptoms of which disorder?

a)

Hypothyroidism

b)

Cushing's syndrome

c)

diabetes insipidus

d)

multiple sclerosis

7.

Select ALL of the signs/symptoms that are indicitive of Cushing's syndrome

a)

Increased urine output

b)

Striae (strech marks) due to weight gain around abdomen

c)

"Buffalo hump"

d)

Polydipsia

e)

Hirsutism

8.

Match the damaged brain region with the sign/symptom

a)
Cerebellum
1.
Balance issues
b)

Broca’s area

2.

Difficulty speaking

c)

Temporal lobe

3.

Memory loss

d)

Occipital lobe

4.

Visual disturbances

9.

Slow progression of one-sided weakness or sensory loss and slurring of speech are more characteristic of ​ (a)   stroke. Sudden headache, elevated blood pressure, and a depressed level of consciousness are more indicative of a ​ (b)   stroke.

Choose from the below words
ischemic
hemorrhagic
10.

Select ALL of the signs/symptoms of Cushing's triad

a)

irregular respiratory rate

b)

bradycardia

c)

hypertension

d)

excess cortisol secretion

11.

Irregular respiratory rate, bradycardia, and hypertension together are referred to as ___.

a)

Cushing's triad

b)

diabetes insipidus

c)

apnea

d)

trigeminal autonomic cephalgia

12.

Stabbing, unilateral headache with nasal discharge and tearing of the eye.

a)

trigeminal autonomic cephalgia

b)

migraine headache

c)

epilepsy

d)

Guillain-Barre syndrome

13.

Neurodegenerative disorder characterized by resting tremor, bradykinesia, rigidity, and postural instability.

a)

Huntington's disease

b)

multiple sclerosis

c)

Parkinson's disease

d)

myasthenia gravis

14.

Match the neurological disorder with the etiology

a)

Parkinson's disease

1.

Loss of dopamine-producing neurons

b)

multiple scleorsis

2.

Autoimmune destruction of myelin in CNS

c)

myasthenia gravis

3.

Autoimmune destruction of Ach receptors

d)

Guillain-Barre syndrome

4.

Acute neuropathy following infection

15.

Parkinson's disease is caused by loss of neurons that produce which neurotransmitter?

(a)  

16.

Multiple sclerosis is an autoimmune disorder where ​ (a)   is damaged, primarily within the ​ (b)   .

Choose from the below words
myelin
CNS
PNS
blood flow
17.

Black, tarry stools caused by digested blood.

a)
Melena
b)
Hematemesis
c)
Hemoptysis
d)
Hematuria
18.

Jaundice is yellowing of the skin caused by a build up of ______.

a)
bilirubin
b)
cholesterol
c)
hemoglobin
d)
calcium
19.

Dysphagia

a)

Trouble swallowing

b)
Difficulty in speaking
c)
Trouble breathing
d)
Pain in the ear
20.

Right lower quadrant pain with rebound tenderness is a sign of _____.

a)
Kidney stones
b)

Gastroenteritis

c)
Appendicitis
d)

Cholecystitis

21.

Cullen's sign

a)

Acute pancreatitis

b)

Gastroenteritis

c)

Peptic ulcer disease

d)

Crohn's disease

22.

Epigastric pain while lying supine

a)

GERD

b)

Peptic ulcer disease

c)

Acute pancreatitis

d)

Diverticulitis

23.

Epigastric pain that radiates to the right shoulder. Can be confused with cardiac chest pain.

a)

Cholecystitis

b)

Pancreatitis

c)

Ulcerative colitis

d)

Celiac disease

24.

Pain when palpitating the right upper quadrant, that becomes much sharper with inhalation.

a)

Grey Turner sign

b)

Cullen's sign

c)

Murphy' sign

d)

Psoas sign

25.

Stomach pain that is worse 2-3 hours after a meal is inidicitive of _____.

a)
Gallstones
b)
Peptic ulcer disease
c)

Crohn's disease

d)
Gastroesophageal reflux disease (GERD)
26.

Skip lesions are a sign of _____.

a)

Crohn's disease

b)

Ulcerative colitis

27.

Organize the signs and symptoms with the causes of inflammatory bowel disease

Categorize the following

Skip lesions

Cobblestone appearance

Pseudopolyps

Only impacts large intestine

Predisposes to colon cancer

Crohn's disease
Ulcerative colitis
28.

Hepatitis virus that is most common cause of chronic hepatitis

a)
Hepatitis A
b)
Hepatitis B
c)
Hepatitis C
d)
Hepatitis D
29.

Hepatitis virus that can be spread through sexual contact

a)
Hepatitis A
b)
Hepatitis B
c)
Hepatitis C
d)
Hepatitis D
30.

Bright-red stools (hematochezia) is a sign of _____.

a)

GERD

b)
appendicitis
c)

gastroenteritis

d)
hemorrhoids
31.

Ascites is a sign of _____.

a)

diverticular disease

b)

GERD

c)

liver cirrhosis

d)
dehydration
32.

Match the signs/symptoms with the disorder

Categorize the following

Murphy's sign

Cullen's sign

Grey Turner sign

Epigastric pain that radiates to shoulder

Epigastric pain that is worse lying supine

Cholecystitis
Pancreatitis
33.

Painful or difficult urination

a)
Polyuria
b)
Dysuria
c)
Hematuria
d)
Dysphagia
34.

Blood in urine

a)
Hemoptysis
b)
Hematoma
c)
Hemolysis
d)
Hematuria
35.

White blood cells and purulent exudate in urine

a)

Pyuria

b)

Dysuria

c)

Hematuria

d)

Proteinuria

36.

Excess protein in urine

a)
Hyperglycemia
b)
Proteinuria
c)
Hypertension
d)
Hypokalemia
37.

Match the term with the definition

a)

Amenorrhea

1.

Absence of menstrual periods

b)

Menorrhagia

2.

Abnormally heavy bleeding during menstruation

c)

Dysmenorrhea

3.

Painful menstruation

d)

Oligomenorrhea

4.

Infrequent or light menstrual periods

e)

Menarche

5.

First occurance of menstruation

38.

Flank pain, chills, hematuria, and pyuria and signs and symptoms of...

a)

pyelonephritis

b)

polycystic ovary syndrome

c)
appendicitis
d)

endometritis

39.

Sudden edema, especially edema of the face and eyelids, is a classic sign of...

a)

urinary tract infection

b)

glomerulonephritis

c)

stress incontinence

d)

nephrolithiasis

40.

Excessive protein in the urine (proteinuria) is indicitive of...

a)

urinary tract infection

b)

nephrotic syndrome

c)

benign prostatic hyperplasia

d)

neurogenic bladder

41.

Match the description to the type of incontinence

a)

Urine leaking when sneezing or coughing

1.

Stress incontinence

b)

Strong, sudden need to urinate

2.

Urge incontinence

c)

Constant dribbling or leaking of urine

3.

Overflow incontinence

d)

Illness or disability impairs ability to hold urine

4.

Functional incontinence

e)

Brain or spinal cord injury

5.

Neurogenic bladder

42.

Mass in digital rectal exam and negative PSA (prostate surface antigen) are signs of...

a)
bladder infection
b)
kidney stones
c)

testicular cancer

d)

benign prostatic hyperplasia

43.

Female infertilty due to anovulation (lack of ovulation) are signs of...

a)

endometritis

b)

polycystic ovary syndrome

c)

precocious puberty

d)

menorrhagia

44.

What are signs/symptoms of glomerulonephritis? Select ALL correct answers

a)

Sudden edema

b)

Proteinuria

c)

Hematuria

d)

Polyuria

e)

Bradycardia

45.

What are signs/symptoms of pyelonephritis? Select ALL correct answers

a)

Flank pain

b)

Hypotension

c)

Edema

d)

Pyuria

e)

Dysuria

46.

Menstrual bleeding that lasts for over 7 days each cycle

a)
Menorrhagia
b)
Hematuria
c)
Dysmenorrhea
d)
Amenorrhea
47.

Fever, abdominal and pelvic tenderness, and abnormal vaginal discharge are signs of...

a)

polycystic ovary syndrome

b)

endometriosis

c)

nephrolithiasis

d)

endometritis

48.

Bouchard's nodes and Heberden nodes are signs of...

a)
fibromyalgia
b)
gout
c)
rheumatoid arthritis
d)
osteoarthritis
49.

Match the signs and symptoms with the type of arthritis

Categorize the following

Osteophytes

Autoimmune disease

Morning joint pain/stiffness that is better within 30 min

Morning joint pain/stiffness that last >30 min

Cartilage loss

Synovium inflammation

Heberden's nodes

Bouchard's nodes

Rheumatoid arthritis
Osteoarthritis
50.

Put the steps of bone infection in order:

a)

Inflammation

b)

Suppuration

c)

Sequestrum

d)

Involucrum

e)

Resolution of infection, or progression to complications

1)
2)
3)
4)
5)
51.

What is the term for the sign of bone infection when pus pushes through the haversian system, forming an abscess within the infected bone?

a)

Inflammation

b)

Suppuration

c)

Sequestrum

d)

Involucrum

52.

What is the term for the sign of bone infection that describes regions of necrotic bone?

a)

Inflammation

b)

Suppuration

c)

Sequestrum

d)

Involucrum

53.

Erythema migrans is a sign of...

a)
Measles
b)

Osteoarthritis

c)

Gout

d)
Lyme disease
54.

Which pathogen causes Lyme disease?

a)

The bacterium Borrelia burgdorferi

b)

The virus Varicella Zoster

c)

The toxin tetrodotoxin

d)

The fungus Candida

55.

Which disease/disorder is most likely to cause neurological symptoms such as numbness, muscle weakness, and pain?

a)

Osteoporosis

b)

Degenerative Disc Disease

c)

Gout

d)

Acute pancreatitis

56.

Match the disease/disorder with the sign.

a)

Warmth, swelling, and pain of the big toe joint

1.

Gout

b)

Loss of height

2.

Osteoporosis

c)

Erythema migrans

3.

Lyme disease

d)

Osteophytes (bone spurs)

4.

Osteoarthritis

57.

Match the disease/disorder with the sign.

a)

Motor weakness and nerve pain

1.

Degenerative Disc Disease

b)

Thinning of bone matrix

2.

Osteoporosis

c)

Hyperuricemia

3.

Gout

d)

Bouchard nodes and Heberden nodes

4.

Osteoarthritis

58.

What skeletal disease is associated with the formation of osteophytes along the edges where cartilage is lost?

a)
Rheumatoid Arthritis
b)
Gout
c)
Osteoarthritis
d)
Osteoporosis
59.

Joint pain that is relieved with rest. Pain can be worse in bad weather or cold.

a)
Gout
b)

Lyme disease

c)
Tendinitis
d)

Osteoarthritis

60.

Flank pain, dark urine, and facial edema that develops 2 weeks after strep through infection

a)

Pyelonephritis

b)
Post-streptococcal glomerulonephritis
c)

Polycystic kidney disease

d)
Urinary tract infection
61.

What is the most common cause of glomerulonephritis?

a)
Diabetes mellitus
b)
Hypertension
c)
Lupus nephritis
d)

Recent streptococcal infection

62.

Which of the following best describes functional incontinence?

a)

Incontinence due to increased abdominal pressure, such as coughing or sneezing

b)

Incontinence caused by an overactive bladder and sudden, strong urge to urinate

c)

Incontinence occurring when a person is unable to reach the toilet in time due to physical or cognitive impairments

d)

Loss of urine associated with a weakened pelvic floor or damaged sphincter muscles

63.

The blockage of urine flow that can lead to urine backup and kidney damage

(a)  

64.

Which term is associated with early signs of trabecular matrix thinning and bone loss?

a)
osteoporosis
b)
osteomalacia
c)
hypercalcemia
d)
osteopenia
65.

What is a potential complication of gestational diabetes?

a)

Osteoporosis

b)

Hemolytic disease of the newborn

c)

Infant is large for their gestational age

d)

Infant is born with high blood sugar (hyperglycemia)

66.

Bleeding or hematoma in the brain

a)

Hemorrhagic stroke

b)

Ischemic stroke

c)

Trigeminal autonomic cephalgias

d)

Guillain-Barre syndrome

67.

A patient presents with polydipsia, polyuria, and retinopathy. What is the most likely diagnosis?

a)

Diabetes insipidis

b)

Diabetes mellitus

c)

Cushing's disease

d)

Hypothyroidism

68.

What three signs are indicitive of increased intracranial pressure (Cushing's triad)? Select ALL correct answers.

a)

Bradycardia

b)

Bradypenia or irregular respiration

c)

Hypertension

d)

Dysphasia

69.

Match the cause to the type of renal disease

a)

Pre-renal dysfunction

1.

Heart failure

b)

Intrarenal dysfunction

2.

Post-streptococcal glomerulonephritis

c)

Post-renal dysfunction

3.

Obstructive uropathy