Quiz Questions Ch 1-5
Turner's syndrome
A child is noted to have a very short stature, webbed neck, droopy eyelids, and recurrent infections. The nurse will expect which of the following diagnoses?
Turner's
A common abnormality in females, _______ syndrome results from an absence of one X chromosome
thrombocytopenia
A decrease in platelets is called:
Bence Jones in the urine
A diagnostic laboratory finding in multiple myeloma is
Birth
A fetus is most vulnerable to environmental teratogens during
Gangrene
A form of coagulative necrosis that represents a combination of impaired blood flow and a bacterial invasion.
Apoptosis
A mechanism of programmed cell death that occurs because of morphologic changes in the cell
Has spread to a location away from it's site of origin
A metastatic tumor is one that
butterfly pattern rash on the face across the bridge of the nose
Although skin manifestations (symptoms) may occur in numerous locations, the classic presentation of systemic lupus erythematosus includes:
Pernicious Anemia
Cyanocobalamin deficiency is also known as which of the following?
Erythropoietin
If the bone marrow is not able to produce enough RBC's the kidney's produce a hormone called _______ that will stimulate the bone marrow to produce more RBC's.
Increased numbers of circulating blood cells
In cases of polycythemia vera, why is blood pressure elevated?
Receiving a mammogram to detect breast cancer
In preparing a community teaching program, which information presented by the nurse addresses a type of secondary cancer prevention?
reducing the impact of diabetes and sclerotic heart disease in an already diagnosed elder
In the context of aging, tertiary prevention refers to which of the following:
IgG
Paula, age 18, comes to the office complaining of severe sore throat and swollen posterior neck glands. Paula states she feels extremely tired. Paula states that she felt this way when she was previously diagnosed with Mononucleosis. You suspect that Paula has recurrent Mono and order an immunoglobulin assay (blood test) to see if you are correct. If paula does have mono again, which of the following immunoglobulins would be elevated?
Red blood cell production
Reticulocyte count is the most direct method for evalulating which of the following?
A mutation in chromosome 15
Tay sachs is caused by which of the following?
microcytic
Thalassemia may be confused with iron-deficiency anemia because they are both:
Initiation, promotion, progression
The cancer growth continuum is divided into which of the following stages:
Syngenic transplant
Tissue used from an identical twin
Xenogenic transplant
Tissue used from another species
Autologous transplant
Tissue used from the host (self-donor)
Allogenic transplant
Tissue used from the same species, but not identical
Factor VIII replacement
Treatment for Hemophilia A includes:
Chromosomal disorder
Turner's syndrome represents which type of disorder?
Primary prevention
Vaccines are an example of which type of preventative medicine?
Platelet adhesion and aggregation
Von Willebrand factor is directly involved in
Epstein Barr (EB) virus
What causes infectious mononucleosis?
Vit B12 deficit causing peripheral nerve demyelination
What causes paresthesias in the fingers of individuals with untreated pernicious anemia?
Autoimmune
What disease state results from an inability to differentiate from self to non-self?
Presence of inflammation or infection
What does leukocytosis (conditions of white blood cells) usually indicate?
Blood vessels expand and become more permeable
What happens when the vasodilator histamine is released by the mast cell?
tachycardia
What is a compensation mechanism for individuals for anemia?
Break down particles or worn-out cellular components
The function of lysosomes is to:
induces short term protection
The major disadvantage of passive immunity is that it
Osmosis
The movement of water or another solvent across the cellular membrane from an area of low solute concentration to an area of high solute
B-cells are responsible for hypersensitivity reactions
The nurse is teaching a community health class about the immune system. The nurse asks the class to list various functions of the "B-cells" and their role in immunity. Which of the responses is INCORRECT?
They turn into memory cells that keep the person immune
The nurse is teaching a health class about the immune system. The nurse asks the class to list the various functions of B cell immunity. Which of the following responses is correct?
Phenotype
The outward, physical expression of genes, such as eyecolor
The child has 2 hemoglobin S gene alleles, one inherited from each parent.
The student nurse asks the nurse why a child has sickle cell disease. Which explanation is best for the nurse to provide?
Caseous necrosis
The type of necrosis that occurs when necrotic cells disintegrate, but the celllular debris remains for months or years
Fat necrosis
This type of necrosis occurs from an acute inflammation affecting tissues with numerous adipocytes such as breast tissue, and leaves a whitish deposit at the cell site as a result of the formation of calcium soaps
Aplastic Anemia
Which anemia is life threatening and is caused by bone marrow stem failure?
Iron deficiency anemia
Which of the following anemias is classified as microcytic and hypochromic?
Eosinophils
Which of the following cell types causes allergy symptoms?
IgM
Which of the following immunoglobins is elevated when a patient has an acute illness?
Contraction of smooth muscle
Which of the following is NOT part of the inflammatory system?
iron deficiency anemia
Which of the following is the most prevalent anemia in the world?
All of the above
Which of the following is true when comparing Type 1 Neurofibromatosis (NF1) (von Recklinghausen's disease) from Type 2 (NF2) Neurofibromatosis:
A pregnant woman whose Hgb is 9.8 d/lt
Which of the following people IS anemic?
Plasmapheresis may be performed
Which of the following statement is NOT true of chronic ITP (Ideopathic Thrombocytopenic Purpura)?
Both Hodgkin's lymphoma and Non-Hodgkin's lymphoma have Reed-Sternberg cells
Which of the following statements in NOT correct?
It requires previous exposure in order to set up an inflammatory response
Which of the following statements is NOT true of inflammatory response?
Breastfeeding is a form of passive acquired immunity and will help protect my baby until he/she can develop his/her own antibodies
Which of the following statements regarding immunity best indicates that the new mother who is breast feeding her baby has understood the teaching of the nurse?
Neurophils
Which of the following would be found in someone who has an acute inflammation?
Polycythemia Vera
Which type of anemia is a disorder in which the bone marrow produces too many blood cells?
All of the above
While assessing a patient with Marfan's Syndrome, the nurse should include which of the following that is consistent with the syndrome?
The change in shape of erythrocytes clog vessels
Why do vascular occlusions and infarctions occur frequently with sickle-cell anemia?
Type I
Within minutes after a bee sting, the patient begins to complain of shortness of breath and chest pain. The nurse notifies the Nurse Practitioner because this patient is most likely experiencing which type of hypersensitivity reaction?
Serum Ferritin level
You suspect that your patient has anemia. Which of the following lab tests would you order to assess if iron stores are being depleted?
Exhaustion
During which of the following stages of the General Adaptation Syndrome (GAS) have the body's coping methods been completely utilized?
carrier molecule ........ down
Facilitated diffusion across a membrane requires _____ and moves a solute _____ its concentration gradient.
antigens
Foreign molecules that elicit an immune response are called:
Artificial (acquired) active immunity
Geoffrey is going to college at monmouth university and plans to live in a dorm. The college requires all resident students to be immunized against Meningitis. Geofffrey received the first vaccination in order to begin protection from this illness. Which type of immunity will Geoffrey have?
Bone marrow
Graft versus host disease occurs most commonly in which type of transplant?
invades the CD4 cells and coverts viral RNA to DNA
HIV infection causes immunodeficiency because it
Iron deficiency resulting from chronic blood loss
A 45 year old man has a hypochromic, microcytic anemia. What is the MOST likely cause of his anemia?
dominant
A ________ gene expresses itself in either the heterozygous or the homozygous state.
Host-versus-graft disease
A 2 day post op heart transplant patient begins to have fever and signs of heart failure. The patient is more than likely experiencing which of the following?
Dysplasia
A 40-year old female is diagnosed with cervical cancer after a Pap smear. This of the following cellular changes would the nurse most likely see written on the report?
Ischemic
Injury that occurs when blood flow is diminished to tissue is called ________ injury.
Atrophy
Lack of exercise during an illness may cause skeletal muscle to undergo:
plasma cells
Multiple myeloma is a cancer of the
liquefactive necrosis
Necrotic death of brain tissue usually produces
Cell proliferation and differentiation
Neoplasia involves abnormalities in