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N 3366 QUIZ 1 PATHOPHYSIOLOGY
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PATHOPHYSIOLOGY N 3366 QUIZ 1
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Quiz #1N3366 Pathophysiology
1. A 55-year-old man with emphysema (a type of lung disease) who has smoked 2
packs of cigarettes per day for 40 years is hospitalized for acute onset of cough with
bloody sputum. After a few days of testing and treatment, the patient’s nurse reads a
physician’s note on the chart: “I have told the patient that the etiologies of his
presenting problem are: 1) exacerbation of his chronic emphysema and 2) the new
diagnosis of lung cancer. The onset of both was contributed to by his longstanding
smoking.” The patient asks the nurse for more information about his illness.
Which explanation, by the nurse, indicates a full understanding of the patient’s
situation?
a. “You have a new disease process that was directly caused by all the
coughing you’ve been doing from cigarette smoking.”
b. “You have a sudden onset of a chronic lung disease that was brought on by
lung cancer.”
c. “The coughing up of blood is caused by a worsening of a disease you’ve had
for a long time plus a new problem-- lung cancer.”
d. “These diseases have been creeping up on you for probably 20 years; it just
goes to
show that you should never have taken up smoking.”
2. An 80-year-old patient has experienced a massive blood loss following an accident.
His vital signs are: BP 80/50 (normal ~ 120/80), HR 120 (norm = 60-100), RR 20
(norm = 12 to 20), T 98.6 (norm ~ 98.6). In assessing this patient, the nurse
understands that the abnormal HR is
a. probably the etiology for the patient’s elevated BP.
b. due to the patient’s heart compensating for low blood volume.
c. the normal compensatory response of shunting blood volume to the
periphery.
d. due to multiple risk factors.
3. A young, otherwise healthy patient is admitted to the hospital with a diagnosis of
heart failure of unknown cause. The etiology of the heart failure would be termed
a. iatrogenic.
b. idiopathic.
c. nosocomial.
d. acute.
4. To do well on tests in this course, a student should
a. closely memorize verbatim all of the notes.
b. be able to explain concepts and apply them to different situations.
c. wait till a week before the tests to seek help from the instructor.
d. avoid extensive studying until two days before the test.
5. A child is born to a couple, one of whom is heterozygous for an autosomal
dominant disease. The other parent is homozygous normal. What would be the
1
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, Quiz #1
N3366 Pathophysiology
child’s chances of having the disease? (Hint: use a Punnett square to figure this
out).
a. 0%
b. 25%
c. 50%
d. 75%
6. A child is born to a couple, one of whom is heterozygous for an autosomal
recessive disease. The other parent is homozygous normal. What would be the
child’s chances of having the disease? (Hint: use a Punnett square to figure this
out).
a. 0%
b. 25%
c. 50%
d. 75%
7. A child is born to a couple, one of whom is heterozygous for an autosomal
recessive disease. The other parent is homozygous normal. What are the chances
that the child will be a carrier of the disease?
a. 0%
b. 25%
c. 50%
d. 75%
8. Which of the following is the result of defective protein synthesis caused by a
single-gene malfunction of the nucleus of a cell?
a. fetal alcohol syndrome.
b. Down’s syndrome.
c. mitochondrial DNA disorder.
d. cysts in the kidneys.
9. A nurse explaining to a new mother the patho of her baby’s teratogenic defect
shows complete understanding of the situation when he says,
a. “Certain chromosomes in your baby may have been injured before you finally
kicked your cocaine addiction in your 6th month of pregnancy.”
b. “Your baby inherited a gene from you or his father that caused a defect in
important protein-based structures.”
c. “Your baby inherited a gene that caused a defect called trisomy 21.”
d. “Since your little guy was born with the Philadelphia chromosome, he will be
a life-long Phillies fan.”
10. A child with sickle cell anemia presents with pain all over, especially the joints.
Which of the following best links the patho with S&S?
a. Cyst formation in the kidneys leads to blood spillage from the circulation into
the
urine, thus causing anemia.
2
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https://www.coursehero.com/file/19645946/Quiz-1/
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