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Quiz am Patho Quiz 1, erstellt von Crystal Thorn am 02/12/2014.

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Patho Quiz 1

Frage 1 von 50

1

An ordered photographic display of a set of chromosomes from a single cell is a

Wähle eine der folgenden:

  • Karyotype

  • no

Erklärung

Frage 2 von 50

1

A 75-year-old male presents with chest pain with exertion. He was previously diagnosed with arteriosclerosis (narrowing and blockage of the vessels). The chest pain is most likely due to hypoxic injury secondary to

Wähle eine der folgenden:

  • Ischemia (inadequate blood supply to organ)

  • no

Erklärung

Frage 3 von 50

1

Natriuretic hormones affect the balance of:

Wähle eine der folgenden:

  • calcium.

  • magnesium.

  • sodium.

  • potassium.

Erklärung

Frage 4 von 50

1

How are potassium and sodium transported across plasma membranes?

Wähle eine der folgenden:

  • By diffusion

  • By coupled channels

  • By passive electrolyte channels

  • By active transport requiring ATP

Erklärung

Frage 5 von 50

1

The role of physical activity in the prevention of colon cancer is identified by which of the following?

Wähle eine der folgenden:

  • It increases the secretion of hydrochloric acid thereby killing mutants.

  • It increases blood supply thereby increasing oxygen to the colon.

  • It increases fluid loss leading to thirst and increased fluid intake, hydrating the colon.

  • It increases gut motility thereby decreasing the time the bowel is exposed to mutagens.

Erklärung

Frage 6 von 50

1

Which of the following compounds has been shown to increase the risk of cancer when used in combination with smoking?

Wähle eine der folgenden:

  • Hypnotics

  • Antihistamines

  • Steroids

  • Alcohol

Erklärung

Frage 7 von 50

1

When an aide asks why carcinomas rarely occur in childhood, how should the nurse respond? (Select all that apply.)

Wähle eine der folgenden:

  • Carcinomas need a long time from exposure to occurrence.
    Carcinomas are due to environmental exposures.

  • Carcinomas cannot develop in an immunosuppressed environment.
    Carcinomas are mesodermal.
    Carcinomas occur primarily in secondary sexual organs.

Erklärung

Frage 8 von 50

1

An athlete runs a marathon, after which his muscles feel fatigued and unable to contract. The athlete asks the nurse why this happened. How should the nurse respond? A deficiency in ________ can cause impaired muscle contraction.

Wähle eine der folgenden:

  • AMP

  • GMP

  • GTP

  • ATP

Erklärung

Frage 9 von 50

1

The faculty member asked the student to identify the appropriate term for the movement of small, electrically uncharged molecules through a semipermeable barrier. Which answer indicates the nursing student understood the teaching?

Wähle eine der folgenden:

  • Diffusion

  • Osmosis

  • Active Transport

  • Hydrostatic Pressure

Erklärung

Frage 10 von 50

1

A patient receives a hypertonic saline solution intravenously to replace the sodium and chloride lost in the stool. What effect will this fluid replacement have on cells? Cells will:

Wähle eine der folgenden:

  • Divide

  • Become hydrated

  • Swell or burst

  • Shrink

Erklärung

Frage 11 von 50

1

What causes the rapid change in the resting membrane potential that initiates an action potential?

Wähle eine der folgenden:

  • Potassium gates close, allowing sodium into the cell to change the membrane potential from positive to negative.

  • Sodium gates close, allowing potassium into the cell to change the membrane potential from positive to negative.

  • Potassium gates open, and potassium rushes into the cell, changing the membrane potential from negative to positive.

  • Sodium gates open, and sodium rushes into the cell, changing the membrane potential from negative to positive.

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Frage 12 von 50

1

The nurse is teaching staff about the most common cause of Down syndrome. What is the nurse describing?

Wähle eine der folgenden:

  • Paternal nondisjunction

  • Paternal translocations

  • Maternal nondisjunction

  • Maternal translocations

Erklärung

Frage 13 von 50

1

An aide asks the nurse why people who have neurofibromatosis will show varying degrees of the disease. Which genetic principle should the nurse explain to the aide?

Wähle eine der folgenden:

  • Expressivity

  • Dominance

  • Recessiveness

  • Penetrance

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Frage 14 von 50

1

A child is born with blue eyes (bb). The child’s mother has blue eyes and the father has brown eyes. Which of the following represents the father?

Wähle eine der folgenden:

  • Bb

  • BB

Erklärung

Frage 15 von 50

1

A biologist is explaining how RNA directs the synthesis of protein. Which process is the biologist describing?

Wähle eine der folgenden:

  • Transcription

  • Translation

  • Translocation

  • Termination

Erklärung

Frage 16 von 50

1

When the nurse is teaching the staff about X-linked recessive disorders, which information should the nurse include? (Select all that apply.)

Wähle eine der folgenden:

  • The gene can be transmitted through a series of carrier females.
    The trait is never transmitted from father to son.
    The gene is passed from an affected father to all his daughters.

  • The trait is seen much more often in females than in males.
    The trait never skips generations.

Erklärung

Frage 17 von 50

1

A 52-year-old male suffered a myocardial infarction secondary to atherosclerosis and ischemia. Once oxygen returned to the damaged heart, reperfusion injury occurred as a result of:

Wähle eine der folgenden:

  • Vacuolation

  • Lipid acceptor proteins

  • Increased metabolic state

  • Free radical formation

Erklärung

Frage 18 von 50

1

A common pathway of irreversible cell injury involves increased intracellular:

Wähle eine der folgenden:

  • Sodium

  • Potassium

  • Calcium

  • Magnesium

Erklärung

Frage 19 von 50

1

A 55-year-old male with a 30-year history of smoking is examined for respiratory disturbance. Examination of his airway (bronchial) reveals that stratified squamous epithelial cells have replaced the normal columnar ciliated cells. This type of cellular adaptation is called:

Wähle eine der folgenden:

  • Hyperplasia

  • Dysplasia

  • Anaplasia

  • Metaplasia

Erklärung

Frage 20 von 50

1

A nurse is teaching the staff about antidiuretic hormone (ADH). Which information should the nurse include? Secretion of ADH is stimulated by:

Wähle eine der folgenden:

  • Generalized edema

  • Increased serum potassium

  • Increased plasma osmolality

  • Decreased renal blood flow

Erklärung

Frage 21 von 50

1

Which statement by the staff indicates teaching was successful concerning aldosterone? Secretion of aldosterone results in:

Wähle eine der folgenden:

  • Increased serum potassium levels

  • Decreased plasma osmolality

  • Localized edema

  • Increased blood volume

Erklärung

Frage 22 von 50

1

Which of the following patients is the most at risk for developing hypernatremia? A patient with:

Wähle eine der folgenden:

  • Vomiting

  • Dehydration

  • Hypoaldosteronism

  • Diuretic use

Erklärung

Frage 23 von 50

1

For a patient experiencing metabolic acidosis, the body will compensate by:

Wähle eine der folgenden:

  • Hyperventilating

  • Excreting H+ through the kidneys

  • Retaining CO2 in the lungs

  • Secreting aldosterone

Erklärung

Frage 24 von 50

1

A 54-year-old male with a long history of smoking complains of excessive tiredness, shortness of breath, and overall ill feelings. Lab results reveal decreased pH, increased CO2, and normal bicarbonate ion. These findings help to confirm the diagnosis of:

Wähle eine der folgenden:

  • Metabolic acidosis

  • Respiratory acidosis

  • Respiratory alkalosis

  • Metabolic alkalosis

Erklärung

Frage 25 von 50

1

Water movement between the ICF and ECF compartments is determined by:

Wähle eine der folgenden:

  • Osmotic forces

  • Antidiuretic hormone

  • Plasma oncotic pressure

  • Buffer systems

Erklärung

Frage 26 von 50

1

When planning care for a dehydrated patient, the nurse remembers the principle of water balance is closely related to _____ balance.

Wähle eine der folgenden:

  • Sodium

  • Potassium

  • Bicarbonate

  • Chloride

Erklärung

Frage 27 von 50

1

The predominant phagocyte of early inflammation is the:

Wähle eine der folgenden:

  • Macrophage

  • Neutrophil

  • Eosinophil

  • Lymphocyte

Erklärung

Frage 28 von 50

1

A 25-year-old female experiences a headache and takes Advil for relief. A nurse recalls Advil relieves the headache by:

Wähle eine der folgenden:

  • Decreasing prostaglandin production

  • Increasing platelet-activating factor

  • Increasing histamine release

  • Decreasing leukotriene production

Erklärung

Frage 29 von 50

1

The nurse identified each of the following clinical manifestations of inflammation. Which would the nurse classify as a local response? (Select all that apply.)

Wähle eine der folgenden:

  • Heat
    Redness
    Swelling
    Pain

  • Fever

Erklärung

Frage 30 von 50

1

A 10-year-old male is stung by a bee while playing in the yard. He experiences a severe allergic reaction and has to go to the ER. The nurse providing care realizes this reaction is the result of:

Wähle eine der folgenden:

  • Toxoids

  • IgM

  • IgE

  • IgA

Erklärung

Frage 31 von 50

1

Which patient will develop active immunity? A patient who:

Wähle eine der folgenden:

  • Has T cells that become B cells

  • Receives immunoglobulin

  • Has natural exposure to an antigen or receives an immunization

  • Receives preformed antibodies or T cells from a donor

Erklärung

Frage 32 von 50

1

When the immunoglobulin crosses the placenta, what type of immunity does the fetus receive?

Wähle eine der folgenden:

  • Active

  • Passive

  • Innate

  • Cell-mediated

Erklärung

Frage 33 von 50

1

When a nurse cares for a patient with systemic lupus erythematosus (SLE), the nurse remembers this disease is an example of:

Wähle eine der folgenden:

  • Alloimmunity

  • Homoimmunity

  • Alleimmunity

  • Autoimmunity

Erklärung

Frage 34 von 50

1

When a nurse notices that a patient has type O blood, the nurse realizes that anti-_____ antibodies are present in the patient’s body.

Wähle eine der folgenden:

  • B only

  • A only

  • O

  • A and B

Erklärung

Frage 35 von 50

1

A 15-year-old male suffers from severe hemorrhage following a motor vehicle accident. He is given a blood transfusion, but shortly afterward the red blood cells are destroyed by agglutination and lysis. Which of the following blood type-transfusion type matches would cause this?

Wähle eine der folgenden:

  • A-AB

  • A-A

  • B-O

  • AB-O

Erklärung

Frage 36 von 50

1

After studying about viruses, which information indicates the student has a good understanding of viruses? Viruses:

Wähle eine der folgenden:

  • Contain no DNA or RNA

  • Replicate their genetic material inside host cells

  • Are easily killed by antimicrobials

  • Are capable of independent reproduction

Erklärung

Frage 37 von 50

1

What common symptom should be assessed in individuals with immunodeficiency?

Wähle eine der folgenden:

  • Autoantibody production

  • Hypersensitivity

  • Anemia

  • Recurrent infections

Erklärung

Frage 38 von 50

1

A 10-year-old male is stung by a bee while playing in the yard. He begins itching and develops pain, swelling, redness, and respiratory difficulties. He is suffering from:

Wähle eine der folgenden:

  • Autoimmunity

  • Tissue-specific hypersensitivity

  • Anaphylaxis

  • Immunodeficiency

Erklärung

Frage 39 von 50

1

A 45-year-old female was recently diagnosed with cervical cancer. She reports a sexual history that includes 43 partners. Which of the following is the most likely cause of her cancer?

Wähle eine der folgenden:

  • Rubella virus

  • Hepatitis B virus

  • Human papillomavirus (HPV)

  • Herpes virus

Erklärung

Frage 40 von 50

1

A 45-year-old male presents with persistent, severe stomach pain. Testing reveals a peptic ulcer. Further laboratory tests reveal the presence of Helicobacter pylori. Which of the following is of concern for this patient?

Wähle eine der folgenden:

  • Leukemia

  • Gastric cancer

  • Adenocarcinoma of the colon

  • Lung cancer

Erklärung

Frage 41 von 50

1

Which information indicates a nurse understands characteristics of malignant tumors?

Wähle eine der folgenden:

  • Has a high mitotic index

  • Grows slowly

  • Is well-differentiated

  • Has a well-defined capsule

Erklärung

Frage 42 von 50

1

A 30-year-old female is diagnosed with cancer. Testing reveals that the cancer cells have spread to local lymph nodes. A nurse realizes this cancer would be documented as stage:

Wähle eine der folgenden:

  • 1

  • 4

  • 3

  • 2

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Frage 43 von 50

1

Which information should the nurse include when teaching about angiogenic factors? In cancer, angiogenic factors stimulate:

Wähle eine der folgenden:

  • Release of growth factors

  • Tumor regression

  • Apoptosis

  • New blood vessel growth

Erklärung

Frage 44 von 50

1

In response to an increased workload, cardiac myocardial cells will:

Wähle eine der folgenden:

  • decrease in length.

  • increase in number.

  • increase in excitability.

  • increase in size.

Erklärung

Frage 45 von 50

1

Effects of elevated -endorphins include:

Wähle eine der folgenden:

  • hyperglycemia.

  • pain inhibition.

  • peripheral vasoconstriction.

  • decreased immune cell activity.

Erklärung

Frage 46 von 50

1

A runner has depleted all the oxygen available for muscle energy. Which of the following will facilitate his continued muscle performance?

Wähle eine der folgenden:

  • Oxidative phosphorylation

  • Anaerobic glycolysis

  • Aerobic glycolysis

  • Electron-transport chain

Erklärung

Frage 47 von 50

1

An epidemiological study reveals that a large population of people carry the same genetic mutation but only 75% of the people with that mutation express the disease. This finding can be described as which of the following?

Wähle eine der folgenden:

  • Hidden phenotype

  • Variable expressivity

  • Incomplete penetrance

  • Karotypic malformation

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Frage 48 von 50

1

A 23-year old diabetic male presents with a 3-day history of flu-like symptoms. His blood sugar is elevated and the arterial blood gas (ABG) values reveal a decreased pH, normal CO2, and decreased bicarbonate ion. The most likely diagnosis is:

Wähle eine der folgenden:

  • respiratory alkalosis.

  • metabolic alkalosis.

  • metabolic acidosis.

  • respiratory acidosis.

Erklärung

Frage 49 von 50

1

A nurse is reviewing the pedigree chart. When checking for a proband, what is the nurse looking for?

Wähle eine der folgenden:

  • The codominance

  • The phenotype of genetic material

  • The person who is first diagnosed with a genetic disease

  • The individual who has a disease gene but is phenotypically normal

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Frage 50 von 50

1

A 20 year old patient asks the nurse about side effects of the flu vaccine. The nurse knows that possible side effects include:

Wähle eine der folgenden:

  • dystonia.

  • inability to ambulate in a forward direction.

  • pain at the injection site.

  • an Australian accent.

Erklärung