MSC Quiz

Beschreibung

Nursing Quiz am MSC Quiz, erstellt von Lauren Holland am 27/02/2023.
Lauren Holland
Quiz von Lauren Holland, aktualisiert more than 1 year ago
Lauren Holland
Erstellt von Lauren Holland vor mehr als ein Jahr
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Zusammenfassung der Ressource

Frage 1

Frage
Aldosterone stimulates the reabsorption of water in the nephron via which process?
Antworten
  • Synthesis of glucose channels
  • Increasing the flow of filtrate
  • Upregulation of epithelial sodium channels
  • Excretion of water

Frage 2

Frage
Which of the following produce antibodies
Antworten
  • Erythrocytes
  • T lymphocytes
  • B lymphocytes
  • Thrombocytes

Frage 3

Frage
which of the following provides the correct definition of cor pulmonale
Antworten
  • abnormal enlargement of the right side of the heart as a result of diesease of the lungs or the pulmonary blood vessels
  • abnormal enlaregemnt of the left side of the heart as a resukt of disease of the lungs or the pulmonary blood vessels
  • abnormal enlargement of the right side of the heart as a resukt of an increase in systemic afterload
  • abnormal enlargement of the left side of the heart as a result of an increase in right sided afterload

Frage 4

Frage
During myocyte depolarisation this outside of the cell become:
Antworten
  • positive
  • negative
  • stays the same
  • become hyperpolerized

Frage 5

Frage
What is the source of energy used to power the sodium-potassium pump?
Antworten
  • breakdown of ATP
  • formation of ATP
  • transport of ATP by the pump
  • breakdown of GTP

Frage 6

Frage
which of the following is true?
Antworten
  • In systolic heart failure the heart’s ejection fraction increases
  • In systolic heart failure the heart’s ejection fraction stays the same
  • In systolic heart failure the heart’s ejection fraction decreases
  • In diastolic heart failure the ejection fraction increases

Frage 7

Frage
During myocardial diastole the sodium / potassium pump:
Antworten
  • Pumps out 3 sodium ion and pump in 2 potassium ions
  • Pumps out 6 sodium ions and pumps in 4 potassium ions
  • Pumps in 3 sodium ions and pumps out 2 potassium ions
  • Pumps in 6 sodium ions and pumps out 4 potassium ions

Frage 8

Frage
Which of the following types of emphysema is most commonly associated with smoking and chronic bronchitis
Antworten
  • Paraseptal
  • Panacinar
  • Centriacinar
  • Irregular

Frage 9

Frage
Haemoglobin
Antworten
  • is composed of four identical subunits
  • has iron at the centre of haem groups which must be in the ferrous form to bind O2
  • binding of oxygen is reduced in the presence of high Pco2 because CO2 and O2 compete for the same binding sites on haemoglobin
  • variants (such as fetal haemoglobin) often differ from normal adult haemoglobin in the precise structure of the haem group.

Frage 10

Frage
Which of the following is a neurotransmitter in the sympathetic nervous system?
Antworten
  • Acetylcholine
  • Norepinephrine
  • Vasopressin
  • Enoximone

Frage 11

Frage
The alveolar pores that enable collateral ventilation are called:
Antworten
  • Pores of Oddi
  • Pores of Kohn
  • Pores of Dalton
  • Pores of Boyles

Frage 12

Frage
Peripheral chemoreceptors are highly responsive to:
Antworten
  • Dysponea
  • Coughing
  • Hypoxemia
  • Breath holding

Frage 13

Frage
Aspirin is given in the treatment of myocardial infarction in order to prevent platelet aggregation. Which of the following effects means it is useful in this situation?
Antworten
  • Inhibition of actin myosin filaments in platelets
  • Inhibition of thromboxane A2
  • Inhibition of collagen
  • Inhibition of calcium

Frage 14

Frage
During myocyte (heart cell) depolarisation, the inside of the cell becomes momentarily:
Antworten
  • positive
  • negative
  • electrically neutral
  • unchanged

Frage 15

Frage
The Law stating that the more the ventricle is filled with blood during diastole (end-diastolic volume), the greater the volume of ejected blood will be during the resulting systolic contraction (stroke volume) is the:
Antworten
  • Frank-Starling’s Law
  • Cushing’s Law
  • Virchow’s triad Law
  • Best-Banting Law

Frage 16

Frage
The anaerobic metabolism of carbohydrates results in the production of:
Antworten
  • Citric acids
  • keto acids
  • lactic acid
  • hydrochloric acid

Frage 17

Frage
Flattened T waves on an ECG can signify:
Antworten
  • 1st Degree heart block
  • Hyperkaleamia
  • Hypokaleamia
  • Atrial fibrillation

Frage 18

Frage
The diuretic Spironolactone interferes with the action of which endogenous hormone?
Antworten
  • Vasopressin
  • Renin
  • Aldosterone
  • Anti Diuretic Hormone (ADH)

Frage 19

Frage
During acidosis the pH scale moves
Antworten
  • up
  • down
  • stays the same
  • moves to one

Frage 20

Frage
A disease caused by the demyelination of the oligodendrocytes
Antworten
  • Myasthenia gravis
  • Multiple sclerosis
  • Amyotrophic Lateral Sclerosis
  • Parkinson’s disease

Frage 21

Frage
Intra-plural pressure is:
Antworten
  • positive
  • negative
  • the same as atmospheric pressure
  • higher than atmospheric pressure

Frage 22

Frage
Concerning fats, when triglyceride molecules contain only single carbon bonds (c-c-c) these are referred to as:
Antworten
  • Poly unsaturated fats
  • saturated fats
  • Hyper-carbonated fats
  • Mono unsaturated

Frage 23

Frage
With a nasal cannula in-situ @ 2L O2 what % increase in FiO2 will there be
Antworten
  • 21 %
  • 50%
  • 100%
  • 31%

Frage 24

Frage
Which of the following is a restrictive lung disease:
Antworten
  • Asthma
  • Pneumoconiosis
  • Emphysema
  • Chronic bronchitis

Frage 25

Frage
Heart failure results in which of the following type of hypoxia
Antworten
  • Anaemic hypoxia
  • Histo-toxic
  • Hypoxic
  • Stagnant

Frage 26

Frage
Type II pneumocytes in the lung are the major source of
Antworten
  • IgG
  • cytokines
  • oxygen
  • surfactant proteins (SP)

Frage 27

Frage
A reduction in lung compliance would lead to a
Antworten
  • Obstructive lung disease
  • Type II respiratory failure
  • Restrictive lung disease
  • Hypercapnic lung disease

Frage 28

Frage
Which lung volume would (usually) be reduced in restrictive lung disease
Antworten
  • Inspiratory reserve volume
  • Function residual capacity
  • Residual volume reserve
  • Expiratory reserve volume

Frage 29

Frage
If the fraction of an inspired gas was .35 what would its partial pressure be at 1ATM
Antworten
  • 210mmHg
  • 160mmHg
  • 350mmHg
  • 266mmHg

Frage 30

Frage
E = P + pgh + ½ PV2 which, if we remove gravity, reads as E = P + ½ PV2. Or, more simply, the faster the flow, the lower the pressure is which theorem
Antworten
  • Venturi’s
  • Dalton’s
  • Bernoulli’s
  • Charles’s

Frage 31

Frage
Hypocalcaemia caused by hyperventilation results in which of the following signs
Antworten
  • Dahl’s sign
  • Palmar erythema
  • Trousseau sign
  • Schamroth's sign

Frage 32

Frage
Replacing inspired air with a gas mixture that contains 60% oxygen
Antworten
  • causes a large increase in oxygen content with little increase in oxygen saturation in a healthy person at high altitude
  • causes a large increase in arterial PaO2 and a small increase in oxygen content in a healthy person at sea level
  • would greatly enhance the exercise tolerance of a patient COPD
  • would greatly reduce the oxygen delivery problems of a patient in circulatory shock

Frage 33

Frage
Antidiuretic hormone (ADH) is secreted by
Antworten
  • Adrenal glands
  • Kidneys
  • Pineal gland
  • Hypothalamus

Frage 34

Frage
Macula densa cells help regulate blood pressure by detecting changes to
Antworten
  • Sodium
  • Potassium
  • oxygen
  • calcium

Frage 35

Frage
Which of the following anatomical portion of a nephron connects the Bowman’s capsule to the loop of Henle?
Antworten
  • Connecting tubule
  • Proximal convoluted tubule
  • Collecting duct
  • Distal convoluted tubule

Frage 36

Frage
The gene responsible for causing Duchenne muscular dystrophy is found on
Antworten
  • Y chromosome
  • X chromosome
  • Autosomal chromosome number 8
  • Autosomal chromosome number 5

Frage 37

Frage
Which of the following is the primary neurotransmitter of the parasympathetic nervous system
Antworten
  • Adrenaline
  • Acetylcholine
  • Dopamine
  • Serotonin

Frage 38

Frage
Which of the following heart layers secretes pericardial fluid?
Antworten
  • Myocardium
  • Endocardium
  • Serous pericardium
  • Fibbrous pericardium

Frage 39

Frage
The Haldane effect states that
Antworten
  • for any given Pco2 less CO2 is carried by oxygenated blood
  • an increase in Pco2 shifts the O2 dissociation curve to the left
  • an increase in Pco2 reduces the amount of haemoglobin in the red cell.
  • for any given Pco2 more CO2 is carried by oxygenated blood

Frage 40

Frage
Ventilation is NOT increased by
Antworten
  • decreased Po2 at the central chemoreceptor
  • increased Paco2
  • decreased CSF pH
  • decreased arterial pH

Frage 41

Frage
The amount of a gas dissolved in a solution as a result of partial pressure is which of the following gas laws
Antworten
  • dalton
  • henrys
  • charles
  • boyles

Frage 42

Frage
How is the ejection fraction worked-out
Antworten
  • SV/EDV x 100
  • EDVEDV/SV x 100
  • RVEDV x EDV x 100
  • EDV/100 x 60

Frage 43

Frage
The layer of blood close to the walls of lung capillaries is known as the
Antworten
  • RBC layer
  • Tissue barrier layer
  • Alveolar fluid layer
  • plasma layer

Frage 44

Frage
A pulmonary embolism would result in
Antworten
  • Intrapulmonary shunting
  • decrease in dead space
  • increase in dead space
  • increase in lung surface area

Frage 45

Frage
The rate of diffusion of a gas across a membrane is inversely proportional to the square root of its molecular weight - is a definition of which of the following gas laws
Antworten
  • ficks law
  • daltons law
  • grahams law
  • chales law

Frage 46

Frage
Angiotensin I is converted to angiotensin II in the:
Antworten
  • lungs
  • nephron
  • pancreas
  • bowman's capsule

Frage 47

Frage
Hydrostatic pressure at the venule end of a capillary is usually (approximately)
Antworten
  • 25mmHg (3.3kPa)
  • 32mmHhg (4.2kPa)
  • 80mmHg (10.6kPa)
  • 12mmhg (1.6Pa)

Frage 48

Frage
A symptom seen in the patient with Keto-acidosis
Antworten
  • Bradycardia
  • Keto-alkalosis
  • kussmaul respiration
  • Bradyapnoea

Frage 49

Frage
During DKA sodium bicarbonate levels are:
Antworten
  • raised
  • lowered
  • absent
  • normal

Frage 50

Frage
Which of the following will increase the stroke volume:
Antworten
  • Decreased venous return
  • Increased afterload
  • Decreased preload
  • Increased venous return

Frage 51

Frage
The renal system does not play a direct role in regulating which of the following
Antworten
  • Blood pressure
  • Blood temperature
  • Blood acid base balance
  • Blood solute concentrations

Frage 52

Frage
Angiotensin II exerts its action by binding to various receptors throughout the body. In response to angiotensin II, the adrenal cortex is stimulated to release
Antworten
  • Adrenaline
  • Angiotensin I
  • Angiotensin ll
  • Aldosterone

Frage 53

Frage
Most of the glucose that is filtered through the glomerulus undergoes reabsorption in the
Antworten
  • Proximal convoluted tubule
  • Distal tubule
  • Descending loop of Henle
  • Assessing limb loop of Henle

Frage 54

Frage
Which is not a function of angiotensin ll
Antworten
  • Vasoconstriction
  • Inhibition of ADH
  • Reabsorption of sodium
  • Stimulation of aldosterone secretion

Frage 55

Frage
Which is not a sign of renal cell carcinoma
Antworten
  • Flank pain
  • Flank mass
  • Heamaturia
  • Cullen's sign

Frage 56

Frage
Aldosterone stimulates the reabsorption of water in the nephron via which process
Antworten
  • Synthesis of glucose channels
  • Increasing the flow of filtrate
  • Excretion of water
  • Upregulation of epithelial sodium channels

Frage 57

Frage
The majority of carbon dioxide produced by the body is transported
Antworten
  • As hydrogen and bicarb ions
  • Bound to haemoglobin
  • As an alkaline
  • Bound to intercellular albumin

Frage 58

Frage
Von Hippel-Lindau syndrome is
Antworten
  • An inherited disorder characterized by the formation of tumours
  • An autoimmune disease
  • An infectious disease
  • A condition only seen within the renal architecture

Frage 59

Frage
4)The first stage of the RAAS is the release of angiotensinogen, which is produced (primarily)
Antworten
  • Carotid arch
  • Brain
  • Lungs
  • Liver

Frage 60

Frage
Insufficiency of ADH is a condition called
Antworten
  • Addison's disease
  • Renal disease
  • Cushing's disease
  • Diabetes insipidus

Frage 61

Frage
Antidiuretic hormone (ADH) is secreted by
Antworten
  • Kidneys
  • Adrenal glands
  • Hypothalamus
  • Pineal gland

Frage 62

Frage
In the adult the majority
Antworten
  • Basophils
  • Eosinophils
  • Lymphocytes
  • Neutrophils

Frage 63

Frage
Macula densa cells are chemoreceptors found in the
Antworten
  • Distal tubule
  • Proximal tubule
  • Descending loop of Henle
  • Ascending loop of Henle

Frage 64

Frage
The amount of air that is moved in and out of the lungs during normal quiet breathing is
Antworten
  • Vital capacity
  • Tidal volume
  • Residual vohimo
  • Inspiratory reserve volume

Frage 65

Frage
increase in the partial pressure of carbon dioxide favours oxygen dissociation from oxyHb. The effect is known as
Antworten
  • The Nernst effect
  • The Bohr effect
  • Henderson effect
  • Dalton effect

Frage 66

Frage
The Hering-Breuer reflex
Antworten
  • Inhibits expiration
  • prolongs inspiration time
  • Shortens inspiration time
  • Is initiated by expiration

Frage 67

Frage
Which definition best suits the term 'inflammation' in relation to asthma
Antworten
  • Inflammation is caused by infectious agents in asthma, and is mediated by antiproteases
  • Inflammation is associated with airway remodelling in asthma. Inflammation is triggered by a stimulus, and causes epithelial injury, among other things
  • Mast cells can help to reduce inflammation by releasing histamine and preventing further lung damage
  • Inflammation is caused by airway remodelling in asthma.

Frage 68

Frage
Interstitial fluid enters capillaries at the venular end through the action of
Antworten
  • Negative pressure
  • Colloid osmotic pressure
  • Active transport
  • Capillary co-transport

Frage 69

Frage
What are the classic signs of a cardiac tamponade
Antworten
  • Tachycardia, dyspnoea, fever
  • Bradycardia, arm weakness, diaphoresis
  • Hypertension, palpitations, chest pain
  • Hypotension, increased jugular venous distention, muffled heart sounds

Frage 70

Frage
The term 'ectopic pacemaker' (or ectopic focus)
Antworten
  • An ectopic arrythmia due to hyponatraemia
  • Any cardiac dysrhythmia
  • A shift of the pacemaker function of the SA node to another part of the heart
  • An arrythmia due to hyper

Frage 71

Frage
In cor pulmonale the
Antworten
  • the mean pulmonary arterial pressure increases
  • the mean arterial pressure decreases
  • the mean pulmo
  • the mean pulmonary arterial pressure is 10mmhg

Frage 72

Frage
a person who smoked 20 cigarettes a day for 30 years has a pack years of
Antworten
  • 20
  • 30
  • 40
  • 25

Frage 73

Frage
which of the following types of emphysema is most commonly asscoiated with smoking and chronic bronchitis
Antworten
  • paraseptal
  • panacinar
  • centaicinar
  • irregular

Frage 74

Frage
a patients blood gas analysis shows that both their Paco2 and bicarbnate concentration are increased above normal by 25% what does this mean ?
Antworten
  • They are excercising and so producing more CO2
  • The arterial Ph is unchanged
  • They are likely to have renal damage
  • They are likely to be polycythaemic

Frage 75

Frage
Which of the following is not normally associated with chironic bronchitis
Antworten
  • CO2 retention
  • less than 15% increase in FeV1 following treatment with a bronchodilator or steroids
  • Polycythemia
  • Increased total lung capacity

Frage 76

Frage
Urine is formed in a three step process, which of the follwoing gives the correct order in which these steps take place in the nephron
Antworten
  • Tubular secretion, tubular re-absorption, glomerular filtration
  • Tubular reabsorption, tubular secretion, glomerular filtration
  • Glomerular filtration, tubular reabsorption, tubular secretion
  • glomerular filtration, tubular secretion, tubular reabsorption

Frage 77

Frage
Which of the following is least likely to be present in the gfiltrate, (the filtrate produced by the nephron before it enters the loop of henle) of a healthy adult nnephron
Antworten
  • Amino acids
  • Glucose
  • electrolytes
  • Large molecular weight proteins

Frage 78

Frage
Which of the following is not a function of aldosterone
Antworten
  • Stimulates the secretion of K+ into the tubular lumen
  • Stimulates Na+ and water reabsorption
  • Upregulates epithelial sodium channels
  • Causes vasodilation

Frage 79

Frage
Which of the following produces surfactant
Antworten
  • Type 1 pneumocytes
  • Type 2 pneumocytes
  • Oligodendrocytes
  • Schwann cells

Frage 80

Frage
Which of the following is NOT a restrictive lung disease
Antworten
  • pneumoconiosis
  • Silcosis
  • Tuberculosis
  • Asthma

Frage 81

Frage
The enzyme that assists rapid inter conversion of carbon dioxide and water into carbonic acid is
Antworten
  • Amylase
  • Lipase
  • Trypsin
  • Carbonic anhydrase

Frage 82

Frage
The (normal) intra-venous partial pressure of carbon dioxide is
Antworten
  • 40 mmHg
  • 55mmHg
  • 46mmHg
  • 35mmHg

Frage 83

Frage
Which of the following is NOT found in the service side of type 1 pneumocytes
Antworten
  • nerve endings
  • macrophages
  • Collagen
  • Surfactant

Frage 84

Frage
Within the cerebral spinal space and the CSF what regulates ventilation
Antworten
  • carbon dioxide
  • carbonic anhydrase
  • Hydrogen ions
  • carbonic acid

Frage 85

Frage
Carbon dioxide is how many times more soluble than oxygen
Antworten
  • 10 times
  • 20 times
  • 100 times
  • 40 times

Frage 86

Frage
With a nasal cannula, we assume that the fraction of O2 that is inspired (above the normal atmospheric level) increases by how much for every additional litre of oxygen flow administered
Antworten
  • 10 percentage points
  • 100 percentage points
  • 4 percentage points
  • 21 percentage points

Frage 87

Frage
Which of the following does NOT contribute to maintaining osmotic pressure
Antworten
  • Sodium
  • Glucose
  • Albumin
  • Calcium

Frage 88

Frage
A respiratory acidosis moves the O2 curve and the PH respectfully
Antworten
  • Right/down
  • Left/up
  • Right/up
  • left/down

Frage 89

Frage
the protein whose production gets affected in Duchenne muscukar dystrophy is
Antworten
  • actin
  • myotropin
  • dystropin
  • leucovorin

Frage 90

Frage
Duchenne muscular dystrophy can be cured with
Antworten
  • allopurinol
  • creatinine phosphokinase inhibitors
  • corticosteroids
  • none of these

Frage 91

Frage
The involvement of this muscle affects the breathing in duchenne muscular dystrophy
Antworten
  • triceps
  • biceps
  • diaphragm
  • quadriceps

Frage 92

Frage
Which of the following represents one of the most recent developments in the treatment of MD
Antworten
  • replacing muscles
  • create customised diets for them to be healthier and stronger
  • attempting to correct defective genes so it creates the right proteins
  • none of these

Frage 93

Frage
SLUDGE syndrome stands for which of the following
Antworten
  • Salvation, lacrimation, urination, defacation, gastrointestinal symptoms and emesis
  • sodium retention, lactic acidosis, urine retention, deafness, gastrointestinal bleeding and episodes of dizzines
  • Scoliosis, limited movement, urinary failure, decay, gastrointestinal ulceration, and epilepsy
  • sepsis, lymphedema, ulceration, diabetes, genital warts and Ecoli infection

Frage 94

Frage
Which portion of the heart is the base and which sis the apex
Antworten
  • Two thirds apex and one third base
  • one third base, two thirds apex
  • one half base, one half apex
  • three quaters base and one quater apex

Frage 95

Frage
Which of the following factors increase cardiac output
Antworten
  • Increased sympathetic activity
  • Increased end diastolic volume
  • increased venous return
  • all of the above

Frage 96

Frage
Where is the stethoscope (best) placed to auscultate the mitral valve
Antworten
  • 5th intercostal space at sternum
  • 5th intercostal space inferior to left nipple
  • 2nd intercostal space left of sternum
  • 2nd intercostal space right of sternum

Frage 97

Frage
On the ECG the short flat segment between the S and T waves represents the refractory state of the
Antworten
  • Atrial myocardium
  • AV node
  • SA node
  • Ventricular myocardium

Frage 98

Frage
Considering cardiac tamponade - the heart is covered by
Antworten
  • pericardium
  • endocardium
  • epicardium
  • supracradium

Frage 99

Frage
Which of the following is isotonic
Antworten
  • 0.9% saline
  • water
  • 5% dextrose
  • Lucozade

Frage 100

Frage
Fenestrated capillaries are found in the
Antworten
  • muscles
  • adipose tissue
  • central nervous system
  • intestines

Frage 101

Frage
Which of the following would be the best initial management of an acute cardiac tamponade
Antworten
  • Intravenous fluids
  • Percardiocentesis
  • Intravenous beta blockers
  • coronary angioplasty

Frage 102

Frage
which of the following is not a structure of the respiratory system
Antworten
  • pharynx
  • larynx
  • bronchus
  • hyoid

Frage 103

Frage
the roof of the nasal cavity is formed primarily by the
Antworten
  • cribriform plate
  • hard palate
  • superior concha
  • sphenoid

Frage 104

Frage
in the blood most of the carbon doixide is transported as
Antworten
  • carboxyhaemoglobin
  • dissolved carbon dioxide
  • as free hydrogen
  • as bicarbonate

Frage 105

Frage
peripheral chemoreceptors are located in
Antworten
  • lung tissue
  • pons and medulla
  • aortic & carotid bodies
  • renal arch

Frage 106

Frage
Factors determining the extent to which oxygen will combine with haemoglobin include
Antworten
  • partial pressure oxygen
  • blood temperature
  • blood PH
  • all of the above

Frage 107

Frage
expectorate in uncomplicated asthma has a high level of
Antworten
  • neutrophils
  • eosinophils
  • red blood cells
  • IgD

Frage 108

Frage
Which of the following is not a classic clinical characteristic of asthma
Antworten
  • dyspnoea
  • wheeze
  • cough
  • Increased FEV1

Frage 109

Frage
In the adult the majority of leukocytes are
Antworten
  • basophils
  • eosinophils
  • lymphocytes
  • neutrophils
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