FINAL TB

What would you not expect an NP to give a patient with bronchitis?

Antitussives

Eye disorder Manifests with red eye, pain, and visual acuity changes.

Acute closed angle glaucoma

IgE response

Allergic

Osteosarcoma

An aggressive tumor most often found in the bone marrow of long bones

Multiple sclerosis manifests as asymmetrical and in different parts of the body because

Auto reactive lymphocytes are causing diffuse patchy damage to the myelin sheath in the central nervous system

Which of the patients are at higher risk for developing oral cancer?

Both an adult male with a history of alcoholism and a middle-aged male who smokes a pipe

65year old man is admitted to the intensive care unit from the operating room after a triple coronary artery bypass graft. He is intubated and on a ventilator. Lactic acid levels were normal postoperatively, but now they are rising. The increased level could be an indication of:

Bowel ischemia

In which disorder does a Staphylococcus Aureus organism produce a toxin leading to exfoliation and large blister formation?

Bulbous impetigo

70 year old woman has difficulty driving and she has been frequently getting lost. Her husband said she has also been acting strange and seems to want to sleep a lot. He said the other night she kept saying she was seeing animals such as lions in her room. He says her memory is not too bad, but he is very concerned about her health. Physical examination reveals an alert women with stable vitals. Bradykinesia and limb rigidity are noted. These findings are consistent with:

Dementia with lewy body

muscular dystrophy is a result of an abnormality of the muscle protein

Dystrophin

The canola plants genome is altered to produce an herbicide resistant crop. The canola oil produced from this crop is an example of a:

Genetically modified food

A 51 year old woman has the following clinical findings: thin hair, exopthalmos, hyperreflexia, and pretibial edema. These findings are consistent with:

Graves disease

Which of the following birthmarks usually fade or regress as the child gets older?

Hemangiomas, congenital dermal melanocytosis (ex: Mongolian spots), and macular stains

Acute infection of eyelid that presents as abscess

Hordelum

Urticaria is what kind of hypersensitivity reaction

Hypersensitivity type 4???

The signs of thyroid crisis resulting from Graves disease include:

Hyperthermia and tachycardia

Decreased glomerular filtration rate in a patient with acute glomerulonephritis is due to which pathophysiologic process?

Immune complex deposition, increased capillary permeability, and cellular proliferation

Plasma protein inflammatory mediator systems

Includes complement, clotting, and kinin systems.

Most body fluids are located in the

Intracellular space

Hemoglobin electrophoresis is done to evaluate for sickle cell disease. The report reveals the person has HbAS, which means the person

Is a sickle cell carrier

30-year-old man has a history of heart transplant and is receiving long-term steroids to prevent rejection. The patient is due for routine vaccines. Attenuated vaccines are contraindicated in this patient because the antigen is:

Live and can cause infection

Primary hypercholesteremia is often a result of

Low-density lipoprotein (LDL) receptor mutation with defects in the breakdown

Translocation of Chromosome 9 and 22, associated with:

M protein chains

Ductal carcinoma in situ characterized by

Malignant cells have not invaded the stroma, it is considered a cancer precursor, and it has a higher risk for invasive cancer in comparison to lobular carcinoma in situ

Crohn disease

Manifests with right lower quadrant cramping.

20 year old male shoots his hand with a nail gun while replacing roofing shingles. Which of the following cell types would be the First to aid in killing bacterial to prevent infection in his hand?

Neutrophils

A 27-year-old woman who has epilepsy had a generalized seizure. After the seizure, she feels tired and falls asleep. This is:

Normal and termed the postictal period

Which of the following is a clinical manifestation in a patient with renal impairment associated with polycystic kidney disease?

Palpable kidneys

With nephritic syndrome in comparison to nephrotic syndrome, there is

Presence of red blood cells casts in the urine

Nail Pitting is a sign of:

Psoriasis

Which of the following chronic inflammatory skin disorders is characterized by angiogenesis, immune cell activation (particularly T cells), and keratinocyte proliferation?

Psoriasis

Subconjunctival hemorrhage

Resolves without treatment within 2 weeks

Macular degeneration

Result of impaired blood supply leading to cellular waste accumulation and ischemia

Female patient with joint pain and fatigue

Rheumatoid Arthritis

____Is a cause of the crystallization within the synovial fluid of the joint affected by gouty arthritis

Underexcretion of uric acid

Benign positional vertigo

Usually triggered when the patient bends forward.

Molluscum Contagiosum caused by:

Virus

A 30-year-old has poorly controlled asthma and is taking prednisone 10 mg by mouth once a day. He has been on this regimen for 6 weeks. Abrupt withdrawal or discontinuation of this medication can cause:

adrenal crisis

Cellular membrane exchange process that is active

sodium moving out of cells and potassium moving into cells

Manifestations of Cushing syndrome include

truncal obesity with thin extremities

Pain in the lower extremities due to Peripheral artery disease usually worsens

with elevation of the extremity because blood is diverted away

Early stages of Atheroma development is characterized by

macrophages full of oxidized LDL in the intima

Women who have breast cancer due to BRCA1 gene mutation are usually:

negative for receptors to estrogen, progesterone, and human epidermal receptor2

In Chronic obstructive pulmonary disease, the inflammatory response predominantly involves

neutrophils

Anemia of chronic inflammation is classified as

normochromic and normocytic

Mechanical Small intestine obstruction caused by

postoperative adhesions

In which patient is alpha-1 antitrypsin deficiency the likely cause of chronic obstructive pulmonary disease?

30 year old who has smoked for 3 years

Which of the following women are at highest risks for the development of endometrial cancer?

45r year old woman who is obese and whose menstrual pattern consists of periods of amenorrhea and are infrequent

In which patients would the manifestation of a headache be a sign of a serious underlying disorder?

55 year old man with new onset of headaches that are worse at night and reported mood swings according to his family

In which of the following cases is dehydration more likely to occur?

A 50 year old man who is morbidly obese

Irritable bowel syndrome

Can be associated with anxiety and/or depression

Multiple dark bands on the nails

Can be associated with malignant melanoma

Vitamin B12 deficiency

Causes megaloblastic anemia and lower extremity paresthesias.

A man with gout has developed large, hard nodules around his toes and elbows. The phase of gout:

Chronic gout

Which of the following disorders is more likely associated with blood in stool

Colon cancer

Which of the following tests is recommended for lung cancer screening?

CT scan

Which of the following is a factor that leads to increased risk for dehydration in the elderly?

Decline in kidney function

Rhabdomyolysis results in muscle pain, weakness. Complaints of:

dark urine