P&P1 Revision Tri1 2018 Part 2

Beschreibung

Nursing Quiz am P&P1 Revision Tri1 2018 Part 2, erstellt von Kathleen Jackson am 15/06/2018.
Kathleen Jackson
Quiz von Kathleen Jackson, aktualisiert more than 1 year ago
Kathleen Jackson
Erstellt von Kathleen Jackson vor etwa 6 Jahre
341
6

Zusammenfassung der Ressource

Frage 1

Frage
Which of the following is a systemic sign of infection?
Antworten
  • Pain
  • Erythema
  • Swelling
  • Fatigue

Frage 2

Frage
Which of the following does NOT directly determine the virulence of a microbe?
Antworten
  • Whether its gram positive or negative
  • Invasive qualities
  • Ability to mutate
  • Production of toxins

Frage 3

Frage
The widespread necrosis of respiratory mucosa caused by an influenza infection often gives rise to:
Antworten
  • Subclinical infections
  • Primary infections
  • Secondary infections
  • Tertiary infections

Frage 4

Frage
Which of the following bodily fluids would you expect to be sterile?
Antworten
  • Blood
  • Vaginal discharge
  • Faeces
  • Sputum

Frage 5

Frage
That time during an infection when the infected person may experience a headache or fatigue and senses he or she is “coming down with something” is referred to as which of the following?
Antworten
  • Subclinical
  • Acute
  • Prodromal
  • Incubation

Frage 6

Frage
Which of the following is a local sign of infection?
Antworten
  • Fever and leukocytosis
  • Headache and anorexia
  • Nausea, weight loss, and fatigue
  • Pain, erythema, and swelling

Frage 7

Frage
What are culture and sensitivity tests used for?
Antworten
  • To provide a specific medium that supports maximum microbial growth
  • To provide living host cells for microbes requiring such for replication
  • To identify the causative microbe and the effective antimicrobial agent for it
  • To determine the type of microbe present in a specimen

Frage 8

Frage
What does leukocytosis frequently indicate?
Antworten
  • Presence of viral infection
  • Presence of bacterial infection
  • Bone marrow damage
  • Immunosuppression

Frage 9

Frage
Secondary immune deficiencies occur because of:
Antworten
  • Lack of protein in the diet
  • Long term use of prednisone
  • Stressful job
  • All answers are correct

Frage 10

Frage
A common symptom of individuals with immunodeficiency is:
Antworten
  • Anaemia
  • Recurrent infections
  • Lots of allergies
  • Auto antibody production

Frage 11

Frage
Primary immune deficiencies occur because of:
Antworten
  • bad nutrition
  • a genetic defect
  • recurrent infections
  • chronic diseases affecting the immune system

Frage 12

Frage
Immunodeficiencies may result in an increased risk of infections by normally harmless microorganisms. These infections are referred to as:
Antworten
  • transient
  • pathogenic
  • opportunistic
  • virulent

Frage 13

Frage
Which of the following is an effect of cytokines? They:
Antworten
  • increase the rate of mitosis in tumors.
  • cause immediate pain.
  • activate and stimulate proliferation of B and T lymphocytes.
  • destroy antigens quickly.

Frage 14

Frage
An incompatible blood transfusion is an example of this type of hypersensitivity reaction:
Antworten
  • Type IV
  • Type III
  • Type II
  • Type I

Frage 15

Frage
Reaction to latex gloves (in most cases) is an example of what type of hypersensitivity reaction:
Antworten
  • Type IV
  • Type III
  • Type II
  • Type I

Frage 16

Frage
In this type of reaction, the antigen and antibody combine forming an immune complex which then can get deposited into tissue for example the kidneys.
Antworten
  • Type I
  • Type II
  • Type III
  • Type IV

Frage 17

Frage
A bee sting that causes a person to go into anaphylactic shock is an example of this type of hypersensitivity reaction:
Antworten
  • Type I
  • Type II
  • Type III
  • Type IV

Frage 18

Frage
The first line of defense which changes very little during our lifetime is called
Antworten
  • Passive immunity
  • Active immunity
  • Adaptive immune response
  • Innate immune response

Frage 19

Frage
Humoral immunity is mediated by:
Antworten
  • T lymphocytes (T cells).
  • B lymphocytes (B cells).
  • natural killer cells.
  • neutrophils.

Frage 20

Frage
Which white blood cells are responsible for adaptive immunity:
Antworten
  • Monocytes
  • Eosinophils
  • Neutrophils
  • Lymphocytes

Frage 21

Frage
A molecule that will stimulate the adaptive immune response:
Antworten
  • Antigen
  • Pathogen
  • Immunoglobulin
  • Antibody

Frage 22

Frage
Neutrophils:
Antworten
  • produce histamine.
  • produce antibodies.
  • are elevated during an allergic response.
  • are phagocyte cells.

Frage 23

Frage
The role of memory cells is to:
Antworten
  • change into an antibody-secreting cell following activation.
  • immediately secrete antibodies following the first exposure to antigen.
  • recognize the antigen and stimulate the immune response.
  • bind complement to the antibody.

Frage 24

Frage
Humoral immunity is mediated by:
Antworten
  • Natural killer cells
  • T cells
  • B cells
  • Neutrophils

Frage 25

Frage
The most abundant, actively motile, phagocytic leukocyte is the:
Antworten
  • Neutrophil
  • Monocyte
  • Basophil
  • Macrophage

Frage 26

Frage
Which cells are required to process and present antigens from foreign material as the initial step in the immune response?
Antworten
  • T-helper cells
  • Macrophages
  • Eosinophils
  • Monocytes

Frage 27

Frage
The immunoglobulin that is found in tears and saliva is:
Antworten
  • IgB
  • IgA
  • IgM
  • IgG

Frage 28

Frage
Exposure to peanuts where the person goes into anaphylactic shock is an example of this type of hypersensitivity reaction:
Antworten
  • Type III
  • Type I
  • Type II
  • Type IV

Frage 29

Frage
A common primary target for most immunosuppressant drugs is:
Antworten
  • B cell activation
  • Macrophages
  • All cytokines
  • T cell activation

Frage 30

Frage
An autoimmune disease is:
Antworten
  • an abnormal response to ingested food and drugs
  • failure of the immune system to distinguish self from nonself
  • an extreme response to normally harmless material in the environment
  • excessive formation of antibodies following exposure to foreign material

Frage 31

Frage
When an allergen binds with IgE antibodies on mast cells, resulting in release of chemical mediators, this reaction is called:
Antworten
  • Delay hypersensitivity
  • Cytotoxic hypersensitivity
  • Immune complex hypersensitivity
  • Type 1 hypersensitivity

Frage 32

Frage
Autoimmunity arises when a breakdown in 'self-
Antworten
  • Specificity
  • Immunity
  • Memory
  • Tolerance

Frage 33

Frage
A 22-year-old prostitute was recently diagnosed with HIV. A decrease in which of the following cell types would be expected to accompany this virus?
Antworten
  • CD8 T cells
  • T memory cells
  • CD4 T cells
  • B cells

Frage 34

Frage
Primary immune deficiencies occur because of:
Antworten
  • A genetic defect
  • HIV
  • Excessive emotional stress
  • Lack of vitamin C

Frage 35

Frage
A 30-year-old male was diagnosed with HIV. Which of the following treatments would be effective?
Antworten
  • ribavirin
  • reverse transcriptase inhibitors
  • cell wall synthesis inhibitors
  • inhibitors of metabolism

Frage 36

Frage
Which type of immunity is provided by a vaccination?
Antworten
  • Passive natural
  • Active artificial
  • Active natural
  • Passive artificial

Frage 37

Frage
Which of the following is NOT a cause of immunodeficiency?
Antworten
  • Hypoplasia of the thymus
  • Immunosuppresive agents
  • Atrophy of lymph nodes
  • Delayed hypersensitivity

Frage 38

Frage
All of the following are factors that promote healing EXCEPT:
Antworten
  • Effective circulation
  • Advanced age
  • Good nutrition: protein, vitamins A & C
  • A clean, undisturbed wound

Frage 39

Frage
A raised thickened scar that grows beyond the wound margin is
Antworten
  • Keloid scar
  • Epithelialisation
  • Ulcer
  • Hypertrophic scar

Frage 40

Frage
The purpose of inflammation include all the following except:
Antworten
  • Eliminate/neutralise injurious agent
  • To remove body toxins
  • Localise injury and prevent further damage
  • Clean-up tissue for healing

Frage 41

Frage
The first phagocytic cell(s) to enter a site of injury are:
Antworten
  • Neutrophils
  • Macrophages
  • Monocytes
  • Lymphocytes

Frage 42

Frage
Systemic manifestations of inflammation include all EXCEPT:
Antworten
  • Pyrexia
  • Malaise
  • Regional swelling
  • Anorexia

Frage 43

Frage
Pathophysiology may be defined as the study of:
Antworten
  • Disease patterns
  • Disease causes
  • How disease develop and alter body function
  • A collection of signs and symptoms

Frage 44

Frage
Glucocorticoids are produced by
Antworten
  • The hypothalamus
  • The spleen
  • The thymus glands
  • The adrenal glands

Frage 45

Frage
The mechanism of action of glucocorticoids include all of the following except:
Antworten
  • Inhibit of helper T cells
  • Prevent the synthesis of arachidonic acid
  • Increase production of antibodies
  • Inhibit protein synthesis of chemical mediators

Frage 46

Frage
Which of the following effects is NOT one typically associated with glucocorticoids?
Antworten
  • Reduced prostaglandin sythesis
  • Stimulation of fat and protein break down
  • Reduced bone density
  • Increased sodium and water retention

Frage 47

Frage
Patients taking glucocorticoids for long periods of time are likely to develop all of the following
Antworten
  • Opportunistic infections
  • Decreased bone density
  • Increased leukocyte production
  • Wasting skeletal muscle

Frage 48

Frage
Which of the following drugs relieves fever and some types of pain but is NOT an anti-inflammatory agent?
Antworten
  • Paracetamol
  • Prednisone
  • Asprin
  • Ibuprofen

Frage 49

Frage
Drugs that have anti-inflammatory, analgesic, and antipyretic activities include: 1. COX-2 inhibitors (NSAIDs). 2. glucocorticoids (e.g., prednisone). 3. ibuprofen (NSAID). 4. paracetamol. 5. aspirin.
Antworten
  • 1,2
  • 2,4
  • 1,3,5
  • 1,4,5

Frage 50

Frage
All of the following are correct statements regarding wound healing EXCEPT:
Antworten
  • Resolution occurs where there is minimal tissue damage and the cells can recover.
  • Regeneration occurs where the cells are capable of mitosis.
  • Granulation tissue forms a permanent replacement for damaged tissue.
  • Scar tissue forms where the surrounding cells are incapable of mitosis

Frage 51

Frage
Which of the following factors generally WOULD NOT delay wound healing?
Antworten
  • Poor nutrition
  • Adequate serum levels of Vitamins A & C
  • Hypoxia
  • Advanced age

Frage 52

Frage
exudates are thick, yellow/green and typically indicates a bacterial infection
Antworten
  • Serous
  • Fibrinous
  • Purulent
  • Haemorrhagic

Frage 53

Frage
Systemic manifestations of inflammation include all EXCEPT:
Antworten
  • Pyrexia
  • Malaise
  • Regional swelling
  • Anorexia

Frage 54

Frage
Chemical mediators released during inflammatory response include:
Antworten
  • Albumin and fibrinogen
  • Growth factors and cell enzymes
  • Histamine and prostaglandins
  • Macrophages and neutrophils

Frage 55

Frage
Aetiology is defined as the study of the:
Antworten
  • causes of a disease
  • course of a disease
  • expected complications of a disease
  • manifestations of a disease

Frage 56

Frage
Identify the proper sequence in the healing process
Antworten
  • 1)A blood clot forms; 2) granulation tissue grows into the gap; 3) new blood vessels develop; 4) phagocytosis of foreign material and cell debris occurs; 5) and collagen fibers form a tight, strong scar.
  • 1)Foreign material and cell debris are removed by phagocytes; 2) a blood clot forms; 3) granulation tissue grows into the gap; 4) new blood vessels form; 5) and collagen fibers grow and cross-link.
  • 1) A blood clot forms; 2) phagocytes remove foreign material and cell debris; 3) granulation tissue grows into the gap; 4) new blood vessels form; 5) and collagen fibers promote formation of a tight, strong scar.
  • 1) Collagen fibers form in the damaged area; 2) a blood clot forms; 3) granulation tissue grows into the gap; 4) angiogenesis takes place; 5) and foreign material and cell debris are removed by phagocytes.

Frage 57

Frage
To which of the following does the term apoptosis refer?
Antworten
  • Unplanned death of a group of cells
  • Preprogrammed cell self-destruction
  • Increase rate of mitosis of cells
  • Necrotic tissue invaded by bacteria

Frage 58

Frage
A patient is on a high dose of glucocorticoids to treat lupus. Which of the following blood tests would a nurse be most concerned about?
Antworten
  • Blood glucose
  • Liver enzymes
  • Clotting time
  • pH

Frage 59

Frage
A patient with type 1 diabetes was prescribed a glucocorticoid for chronic obstructive pulmonary disease. Which will the nurse expect in the treatment plan?
Antworten
  • A decrease in the amount of insulin needed
  • An increase in the amount of insulin needed
  • No change in the amount of insulin needed
  • An increase in the need for carbohydrates

Frage 60

Frage
Inflammation is a non-specific response to:
Antworten
  • Any injury to vascularised tissue
  • Cold temperatures
  • Micro-organisms only
  • Foreign material only

Frage 61

Frage
Histamines are produced from ? and cause ?.
Antworten
  • Plasma proteins; increased platelet aggregation
  • Mast cells; vasodilation and increased capillary permeability
  • All cell membranes; pain
  • Platelets; attraction of neurophils

Frage 62

Frage
A broad-spectrum bactericidal agent would be expected to:
Antworten
  • reduce the replication of many bacteria.
  • reduce the growth of many gram-positive and gram-negative bacteria
  • destroy many gram-positive and gram-negative bacteria
  • destroy all pathogenic microbes

Frage 63

Frage
Bacterial mutation means that:
Antworten
  • pathogens become nonpathogens
  • the host's immune response to that bacteria is strengthened
  • the bacteria survives adverse conditions but can no longer replicate
  • its genetic information has changed

Frage 64

Frage
Pathogenicity:
Antworten
  • is the capacity of microbes to cause disease/infection
  • is the size of a specific microbe
  • is the presence of toxins in the blood
  • is the presence of viruses in the blood

Frage 65

Frage
Exotoxins:
Antworten
  • are very heat tolerant
  • may cause fever and fatigue
  • can disrupt cellular metabolic and signalling processes causing widespread damage
  • can be incorporated into the structure of the cell membrane as liposaccharides

Frage 66

Frage
Gram negative bacteria have
Antworten
  • A thick peptidoglycan layer cell wall
  • A thin peptidoglycan cell wall sandwiched between an inner cytoplasmic cell membrane and a bacterial outer membrane.
  • No cell wall only a thick cell membrane
  • require oxygen as a source of energy and therefore for growth.

Frage 67

Frage
Protozoa:
Antworten
  • are multicellular organisms
  • have intricate life cycles including egg, larvae and adults stages
  • replicate asexually by cell division
  • all of the answers are correct

Frage 68

Frage
Opportunistic infections are:
Antworten
  • An infection by a non-pathogenic organism that has become pathogenic
  • The capacity of microbes to cause disease
  • Presence and multiplication of micro-organisms that is not yet causing disease
  • An organism participating in a symbiotic relationship with the host

Frage 69

Frage
What is a eukaryotic organism, that contains both a cell wall and cell membrane. When they cause an infection it is termed mycosis
Antworten
  • Fungi
  • Virus
  • Bacteria
  • Protozoa

Frage 70

Frage
Which of the following factors would NOT increase the virulence of a specific microbe?
Antworten
  • Secretion of endotoxins
  • Presence of a bacterial capsule
  • Secretion of enzymes
  • Size of the micro-organism

Frage 71

Frage
Triazole as an antifungal agent works by:
Antworten
  • Disrupt the synthesis of its cell membrane
  • Disrupt DNA replication
  • Disrupt the synthesis of its cell wall
  • Inhibit hydrogen peroxide metabolism

Frage 72

Frage
An antimicrobial agent with a narrow spectrum of activity reflects a drug that has:
Antworten
  • only a weak antibiotic action.
  • effectiveness against a relatively small variety of microbes.
  • a low potency.
  • a narrow margin of safety.

Frage 73

Frage
Which of the following signs would best indicate a bacterial infection (in comparison to a viral infection)?
Antworten
  • The presence of pain
  • The presence of purelent exudate.
  • The presence of a serous exudate.
  • The presence of swelling.

Frage 74

Frage
During which period is the infectious disease fully developed?
Antworten
  • Prodromal
  • Acute
  • Incubation
  • Aggresive

Frage 75

Frage
The structure of a virus includes:
Antworten
  • a cell wall and membrane
  • metabolic enzymes and a cell wall
  • a protein coat and either DNA or RNA
  • a slime capsule and cilia

Frage 76

Frage
Bacteria:
Antworten
  • require host cells in order to replicate
  • are prokaryotes
  • may cause mycosis
  • are contained within a capsid

Frage 77

Frage
Bacterial mutation means that:
Antworten
  • pathogens become nonpathogens
  • the bacteria survives adverse conditions but can no longer replicate
  • its genetic information has changed
  • the host's immune response to that bacteria is strengthened

Frage 78

Frage
Which of the following mechanisms is NOT one of the four typical mechanisms of action of antibiotic agents
Antworten
  • Affect bacterial folic acid synthesis
  • Inhibit bacterial DNA synthesis
  • Disrupt bacterial meiosis
  • Disrupt cell wall synthesis

Frage 79

Frage
Which of the following clinical manifestations is not one typically associated with anaphylaxis
Antworten
  • Pruritus
  • Hypertension
  • Stridor
  • Syncopy

Frage 80

Frage
Which of the following is NOT a cause of immunodeficiency?
Antworten
  • Atrophy of lymph nodes
  • Immunosuppresive agents
  • Hypoplasia of the thymus
  • Delayed hypersensitivity

Frage 81

Frage
Primary immune deficiencies occur as a result of:
Antworten
  • A genetic defect affecting immune cell number
  • Human immunodeficiency virus
  • Excessive emotional stress
  • Lack of vitamin C

Frage 82

Frage
An example of a live attenuated vaccine includes:
Antworten
  • Polio
  • Rabies
  • DPT
  • Rubella

Frage 83

Frage
The main property of the adaptive immune response for immunity to previously encountered infections is:
Antworten
  • Antigen specificity
  • Diversity
  • Memory
  • Self/non-self recognition

Frage 84

Frage
The role of memory cells is to
Antworten
  • change into an antibody-secreting cell following activation.
  • immediately secrete antibodies following the first exposure to antigen.
  • recognize the antigen and stimulate an immune response.
  • activate the hippocampus in the CNS

Frage 85

Frage
White blood cells responsible for adaptive immunity:
Antworten
  • Neutrophils
  • Lymphocytes
  • Monocytes
  • Eosinophils

Frage 86

Frage
Which cells are required to process and present antigens from foreign material as the initial step in the immune response?
Antworten
  • T-helper cells
  • Macrophages
  • Eosinophils
  • Mast cells

Frage 87

Frage
A common primary target for most immunosuppressant drugs is:
Antworten
  • Blocking cytokines
  • Suppressing B cell activation
  • Suppressing T cell activity
  • Suppressing macrophages

Frage 88

Frage
Some common treatments for immunodeficiency may include marrow or thymus transplants and:
Antworten
  • Hyperbaric treatments
  • Blood transfusions and narrow spectrum antibiotics
  • Prophylactic antibiotics and cytokine stimulants
  • Antibiotics and radiation therapy

Frage 89

Frage
Interferons work by:
Antworten
  • Suppress viral replication in infected cells
  • Stimulates cytokine production
  • Inhibit macrophage activity
  • Inducing fever

Frage 90

Frage
The immune system identifies foreign organisms via the recognition of surface:
Antworten
  • antigens
  • cytokines
  • interferons
  • antibodies

Frage 91

Frage
Type 1 diabetes mellitus is associated with a:
Antworten
  • Type III hypersensitivity reaction
  • Type II hypersensitivity reaction
  • Type IV hypersensitivity reaction
  • Type I hypersensitivity reaction

Frage 92

Frage
Systemic lupus erythematosus is caused by:
Antworten
  • development of an immune-deficient state.
  • a chronic allergic condition.
  • immune complex deposits of anti DNA/RNA antibodies.
  • a deficiency of T lymphocytes.

Frage 93

Frage
The type of white blood cells that contains chemical mediators and plays an important part in allergic inflammatory responses is the:
Antworten
  • Basophil
  • Neutrophil
  • Monocyte
  • Macrophage

Frage 94

Frage
The common local effects of an expanding tumour mass include: 1. obstruction of a tube or duct. 2. anemia and weight loss. 3. cell necrosis and ulceration. 4. tumour markers in the circulation.
Antworten
  • 1,2
  • 2,4
  • 1,3
  • 1,2,3,4

Frage 95

Frage
Which of the following does paraneoplastic syndrome refer to?
Antworten
  • The decreased resistance to infection resulting from malignant tumors
  • The effects of substances such as hormones secreted by the tumor cells
  • The effects of multiple metastatic tumors
  • Severe weight loss and cachexia associated with advanced cancer

Frage 96

Frage
Ultraviolet light is considered a carcinogen because:
Antworten
  • It produces a carcinogenic enzyme in skin cells
  • It introduces errors into DNA (genes)
  • It directly prevents telomere shortening
  • It directly prevents DNA repair

Frage 97

Frage
First line treatment for testicular cancer always involves
Antworten
  • nodulectomy
  • chemotherapy
  • radiation
  • orchidectomy

Frage 98

Frage
Staging systems used to classify a malignant tumour at the time of diagnosis are based on which of the following factors?
Antworten
  • Size, encapsulated or non-encapsulated, invasion into neighboring tissue
  • Size of the tumour, involvement of lymph nodes, metastases
  • Location of tumour, size, type of cellular abnormality
  • Type of cellular abnormality, size of secondary tumours, location/tissue affected

Frage 99

Frage
Why is a patient with prostate cancer prescribed an estrogen?
Antworten
  • To soften prostatic tissue
  • To decrease the rate of replication for malignant cells
  • To achieve hormonal balance
  • To suppress prostate gland function

Frage 100

Frage
Seeding refers to:
Antworten
  • Spread of cancer cells in body cavities/membranes
  • Spread of cancer cells into the nearest lymph node
  • Local spread of cancer cells within a tissue
  • Spread of cancer cells to distant sites in the body by blood or lymph
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