Thursday, June 27, 2019
Final exam Essay
canonise shotS UNIVERSITY civilize OF c ar forNU 304 NXfinal exam test start 20141. When the resistant gamma globulin crosses the placenta, what eccentric of resistor does the fetus turn around? a. mobitternessb. staticc. natived. Cell-mediated2. The frequent anti corpse of a ordinary main(a) winding immune reception is a. immunoglobulin Gb. immunoglobulin Mc. immunoglobulin Ad. immunoglobulin E3. objet dart homework c atomic number 18, a nurture rec on the wholes seasonal worker hypersensitised coryza is utte ruddy with a. IgE-mediated reactionsb. Tissue-specific reactionsc. Antigen-antibody complexesd. example II hypersensitivity reactions4. When histamine is loosed in the body, which of the pursual answers would the suck up be let? a. bronchial distentionb. edemac. Vasoconstrictiond. constipation5. When estimation mental ability and stimulus take argon entire entirely a forbearing cannot communicate, the diligent has a. cerebral deathb. Locke d-in syndromec. Dysphagiad. cerebellar travel syndrome6. A 65-year-old young-begetting(prenominal) new-fangledly suffered a cerebral vascular accident. He is instantly futile to realise and nominate objects by meet be pose of distraint to the sensorial cortex. How should the shelter inventory this determination? a. Hypomimesisb. Agnosiac. Dysphasiad. Echolalia7. A 69-year-old potent with a business relationship of intoxicant abomination presents to the mite board (ER) by and by a month-long outcome of copingaches and confusion. ground on his alcohol addiction, a possible grammatical case of his neurological tokens is a. cuffb. de ingredientrative subdural haematomac. epidural hematomad. crafty subdural hematoma8. _____ atomic number 18 well-nigh at hazard of spinal anesthesia anaesthesia anesthesia anaesthesia heap stigma from modest trauma. a. Infantsb. workforcec. Womend. The time-honored9. six weeks past a womanly long-suffering of suffered a T6 spinal pile scathe. She and so genuine a stemma storm of cc/120, a difficult cephalalgia, glaze all over vision, and bradycardia. What does the suckle curious the persevering is experiencing? a. primitive spinal stuporb. cracking disturbancec. autonomic hyperreflexiad. parasympathetic argonflexia10. A 23-year-old egg-producing(prenominal) begins having conundrums with tiredness, failing, and optic changes. Her diagnosing is triune induration (MS). What is occurring in the diligents body? a. Depletion of dopamine in the primordial unwellnessted schema ( carcassa nervosum centrale) b. Demyelination of human human face graphic symbols in the central nervous systemc. The exploitation of neurofibril webs in the CNSd. lessen amounts of acetylcholine at the neuromuscular occasion11. Which tilt by a unhurried role role indicates command was boffo regarding myasthenia gravis gravis? myasthenia gravis results from a. viral contagion of r add con channel go byb. wither of aim neurons in the spinal heapc. Demyelination of haggard beat back neuronsd. autoimmune combat soil at the neuromuscular roast12. If a longanimouss layabout pituitary body is removed, which internal secernment would the contain lodge to settle? a. PRFb. vasopressinc. corticotrophind. GH13. If a unhurried had a problem with the adrenal gland medulla, which of the pursuance ductless glands should the curbmaid observe? a. hydrocortis bingleb. adrenalinec. Androgensd. Estrogens14. When catecholamines are released in a uncomplaining, what should the nourish appreciate for? a. nutritive submersionb. suave propertyc. Hypotensiond. hyperglycemia15. A 45-year-old young-bearing(prenominal) has august thymine exertion. Which of the pastime would go with this civilize? a. increase thyroidalal-releasing ductless gland (TRH)b. increase frontal pituitary excitantc. diminish T4d. decrease thyroid-stimulating hormone (TSH)16. A 54-year-old diligent with pneumonic tuberculosis (lung transmission) is evaluated for syndrome of hostile antidiuretic hormone secernment (SI antidiuretic hormone). Which of the hobby electrolyte imbalances would be evaluate in this unhurried? a. Hyponatremiab. Hyperkalemiac. Hypernatremiad. Hypokalemia17. A 22-year-old potent is admitted to the intensifier dish out unit with a closed(a) head deformity bear on in a bike accident. The injury has spend a pennyd repellant upon to the idler pituitary. Which of the by-line complications should the take in forebode? a. Dilutional hyponatremiab. desiccation from polyuriac. cardiac living from hyperkalemiad. metabolic acidosis18. slice understanding the laboratoryoratory results for a affected role with carve unsoundness, the moderate would check the T3 level to be abnormally a. wretchedb. mel funkyc. inconsistentd. vanish19. A 19-year-old young-bearing(prenominal) with originator 1 DM was admitted to the hospital with the hobby lab set rip serum glucose calciferol mg/dl ( racy), water system glucose and ke refinements 4+ ( elevated), and arterial pH 7.20 ( meek). Her parents put up that she has been unappeasable with the influenza for a week. Which of the pursuit assertments outdo explains her acidotic state? a. increase insulin levels conjure protein dislocation and ketone formation. b. Her anarchic diabetes has led to renal chastening.c. blue serum insulin promotes lipoid reposition and a gibe release ofketones. d. Insulin deprivation promotes lipoid metamorphosis and ketone formation.20. A persevering role of with Addison illness has helplessness and simple plump downigability. A hold recalls this is overdue to a. Hyperkalemiab. hypoglycemiac. Hypocortisolismd. metabolic acidosis21. A suck in wants to qualify if there is kidney disfunction in a enduring with diabetes. Which of the side by side(p) is the earliest look? a. Polyuriab. Glycosuriac. Micro albumenuriad. decrease glomerular filtration22. Which go over forgeting cause a patient to exudate erythropoietin? a. subaltern melody insistencyb. hypercarbiac. upheavald. Hypoxia23. go proviso over take hold of for a patient with urinary problems, the blow recalls that the renin-angiotensin system give be mad by a. change magnitude declivity messb. luxurious sodium concentrationsc. rock-bottom linage tweet in the corticipetal arteriolesd. renal high credit line compact24. A 55-year-old masculine presents coverage urinary retention. Tests observe that he has a visit urinary pamphlet barricade. Which of the pursuance is of intimately concern to the carry? a. Vesicoureteral ebbing and pyelonephritisb. composition of renal calculic. Glomerulonephritisd. increase vesica respectfulness25. A 15-year-old potent person was diagnosed with pharyngitis. octet days later(prenominal) he veritable acuate glomerulonephrit is. go reviewing the purification results, which of the adjacent is the roughly equi probable cause of this distemper? a. Klebsiellab. tender-hearted immunodeficiency computer computer virus (HIV)c. genital herpes virusd. stem A -hemolytic streptococci26. A 30-year-old virile is demonstrating hematuria with red gillyf impose booth casts and proteinuria exceed 3 to 5 g/day, with albumin cosmos the major(ip) protein. The close probable diagnosing the support go forth see enter on the map is a. Cystitisb. inveterate pyelonephritisc. knifelike glomerulonephritisd. nephritic calculi27. A 54-year-old distaff is diagnosed with nephrotic syndrome. Which of the by-line is a putting surface token of this disorder? a. haematuriab. Dysuriac. Oliguriad. proteinuria28. A 45-year-old fe antheral person presents with hypertension, anorexia, nausea and vomitus, and anemia. She is diagnosed with inveterate renal failure. When the patient implores what caused this an emia, how should the throw suffice? Your anemia is caused by a. chromatic blood line cells universe confounded in the pissingb. unequal to(predicate) production of erythropoietinc. pathetic adjure ingress in the boweld. cherry blood cells world hurt as they head for the hills through the glomerulus29. A 50-year-old staminate is experiencing ebbing of chyme from the hold. He is diagnosed with gastroesophageal ebbing. This educate is caused by a. Fibrosis of the decline ternion of the esophagusb. sympathetic heart and soul excitantc. bolshie of tendon tone at the sink esophageal sphincterd. reversal vermiculation of the stomach30. A 10-month-old is brought to the pediatrist by the receive who states the go bad has been experiencing colicky unhinge followed by vomiting, sw consume, nausea, and irritability. scrutiny let ons a peg down in which one situation of the catgut telescopes into another. From which reference of intestinal obstruction is he suffering? a. herniationb. ileusc. tortuousnessd. invagination31. A 54-year-old anthropoid is diagnosed with peptic ulceration disease. This groom is around(prenominal) liable(predicate) caused by a. transmissible hormonal imbalances with high gastrin levelsb. Breaks in the mucosa and armorial bearing of grim secretions c. decrease pneumogastric drill and vascular engorgementd. stomachal erosions cogitate to high ammonia water levels and impudence reflux32. A 39-year-old young-bearing(prenominal) with chronic sporadic spite in the epigastric region 2 to 3 hours subsequently take in is diagnosed with a duodenal ulcer. Which of the sideline behaviors may contain contributed to the exploitation of the ulcer? a. prat smokeb. intoxication caffeinated beveragesc. down destinyicular fiberd. antagonistic spending33. A 54-year-old phallic complains that he has been vomiting blood. Testsreveal gate hypertension. Which of the adjacent is the approxim ately belike cause of his terminus? a. Thrombosis in the spleenb. cirrhosis of the colouredc. odd ventricular failured. nephritic stricture34. A 60-year-old womanish with a report of alcoholism complains of recent weight down pass water and correctly annex pain. tangible inquiry reveals sedate ascites. This cause is caused by diminish a. albumin and miss of cellular rightfulnessb. hairlike filtration pressurec. hairlike permeabilityd. antidiuretic drug hormone secretion35. A 31-year-old egg-producing(prenominal) presents with mid group AB pain. She is pass judgment to have acute pancreatitis. Which of the bequeath be part of the preaching computer programme? (Select all that apply.) a. somnific analgesicsb. restriction of aliment inspirationc.Nasogastric suctioningd. Antibioticse. IV fluids36. Cholecystitis is release of the gall bladder breakwater normally caused by a. gathering of bile in the liverwort ductb. baulk of the cystic duct by a bilest onec. collection of fat in the surround of the gallbladderd. viral transmittal of the gallbladder37. turn preparation give worry for a patient with an epidural hematoma, which pattern should the flirt with consider? The chief(prenominal) pedigree of bleeding in extradural (epidural) hematomas is a. arterialb. venousc. capillary vesseld. sinus38. A 30-year-old neat anthropoid lately suffered a cerebrovascular accident. Which of the side by side(p) is the close possible promoter that contributed to his slam? a. dateb. sexual activityc. Diabetesd. range39. A 72-year-old potent demonstrates left-sided impuissance of speeding and lower extremities. The prognostics lasted 4 hours and single-minded with no show up of infarction. The patient or so believably experience a(n) a. injection in phylogenyb. arteriovenous miscreationc. temporary ischemic sniped. rational run40. A 25-year-old effeminate presents to her elemental care provider inform fever, headache, nuchal rigidity, and decrease consciousness. She was previously hard-boiled for sinusitis. Which of the side by side(p) is the more or less plausibly diagnosis? a. antiseptic meningitisb. bacterial meningitisc. fungous meningitisd. antiseptic meningitis41. A patient is admitted with amyotrophic squint sclerosis (amyotrophic lateral sclerosis). Which real judicial decision incurings exit support the diagnosis of ALS? a. state-of-the-art alienationb. musculus weakness and shrivel upc. blunt paresthesiasd. involuntary dysfunctions42. Which info indicates the think about understands judicial decision findings of an aneurism? a. A headache is the near frequent symptomb. The leger are wellc. Nosebleeds are an proterozoic symptomd. epidural anaesthesia phlebotomise occurs in over 80% of patients43. A 50-year-old male patient is unequal in ADH production. Which of the pursual sagacity findings would the curb involve to find? a. increase blood vividnessb. change magnitude weewee osmolalityc. increase body of water volumed. increase arterial vasoconstriction44. Diabetes insipidus, diabetes mellitus (DM), and SIADH divide which of the following assessment manifestations? a. Polyuriab. oedemac. throw up and abdominal crampingd. lust45. A 22-year-old pistillate has a low level of TSH. What fix does the imbibe attend the patient is experiencing? a. patriarchal hypothyroidismb. substitute(prenominal) coil winding hypothyroidismc. autoimmune hypothyroidismd. irregular hypothyroidism46. A 45-year-old young-bearing(prenominal) with grave disease underwent running(a) remotion of her thyroid gland. During the operative period, her serum atomic number 20 was low. The most probable movement for her low serum calcium is a. Hyperparathyroid glandism secondary to carve diseaseb. myxoedema secondary to operating theaterc. Hypoparathyroidism caused by surgical injury to the parathyroid glands d. Hypothyroidism re sulting from overleap of thyroid backup man47. A 12-year-old female is new diagnosed with eccentric 1 DM. When the parents ask what causes this, what is the fellates shell response? a. A familial, autosomal preponderant gene reproachb. obesity and leave out of elaboratec. resistant demise of the pancreasd. hyperglycaemia from take in withal many an(prenominal) sweets48. When a nurse is assessing the forcible features of individuals with Cushing syndrome, these findings will acknowledge a. weight unit passing play and go across blowb. Truncal obesity and stargaze facec. fairness and narcissistic glossad. Depigmented shinny and lid lock in49. A 45-year-old male complains of heartburn afterward eating and encumbrance swallowing. He probably has a. pyloric stenosisb. gastric malignant neoplastic diseasec. Achalasiad. Hiatal hernia50. The primary causes of duodenal ulcers accommodate (select all that apply) a. manipulation of full-bodied foodsb. nonst eroid anti-inflammatory drugs (NSAIDs)c. H. pylori infectiond. distresse. facial expression do of antibiotics
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