Essentials of Pathophysiology Exam #2
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Questions and Answers

Ulcerative colitis and Crohn’s Disease are examples of which type of bowel disorder?

  • Intussusception
  • Inflammatory (correct)
  • Mechanical bowel obstruction
  • Volvulus
  • Which viral hepatitis is primarily transmitted through fecal-oral routes?

  • Hepatitis C
  • Hepatitis A (correct)
  • Hepatitis B
  • Hepatitis E
  • Which congenital defect impairs an infant's ability to properly nurse or take a bottle?

  • Cleft palate (correct)
  • Injury at birth
  • Premature birth
  • Spina bifida
  • Gallstones can lead to which one of the following complications?

    <p>Acute pancreatitis</p> Signup and view all the answers

    What condition could cause jaundice in a client?

    <p>Gallstones obstructing the bile duct</p> Signup and view all the answers

    What can an ascending urinary tract infection lead to?

    <p>Pyelonephritis</p> Signup and view all the answers

    Which electrolyte requires close monitoring in clients with chronic kidney disease?

    <p>Phosphorus</p> Signup and view all the answers

    Obstruction in the ureter and enlarged prostate is associated with which type of kidney injury?

    <p>Postrenal kidney injury</p> Signup and view all the answers

    Which condition is primarily linked to hypertension and diabetes?

    <p>Kidney disease</p> Signup and view all the answers

    Which sign indicates a client is in the oliguric phase of acute renal failure?

    <p>Decreased urine output</p> Signup and view all the answers

    What classic manifestation is associated with glomerulonephritis?

    <p>Proteinuria</p> Signup and view all the answers

    What is an essential component of managing end-stage renal disease?

    <p>Erythropoietin administration</p> Signup and view all the answers

    Which symptoms are indicative of benign prostatic hypertrophy (BPH)?

    <p>Weak stream, nocturia, and difficulty initiating stream</p> Signup and view all the answers

    What does a nurse suspect if a client presents with dull, achy flank pain and a palpable mass in the costovertebral angle?

    <p>Renal cell carcinoma</p> Signup and view all the answers

    What type of incontinence occurs due to increased intraabdominal pressure during activities like coughing?

    <p>Stress incontinence</p> Signup and view all the answers

    Which dietary component is typically restricted for patients with kidney disease?

    <p>High-protein foods</p> Signup and view all the answers

    Which type of incontinence is typically caused by neurological damage?

    <p>Overflow incontinence</p> Signup and view all the answers

    What is a common clinical manifestation of cystitis?

    <p>Dysuria</p> Signup and view all the answers

    What finding will a nurse observe in a patient diagnosed with hypospadias?

    <p>Urinary meatus on the ventral undersurface of the penis</p> Signup and view all the answers

    What will the urine look like in a patient diagnosed with post-streptococcal glomerulonephritis?

    <p>Dark urine</p> Signup and view all the answers

    What do you call endometrial tissue growing outside of the uterus?

    <p>Endometriosis</p> Signup and view all the answers

    Menstruation stops due to which of the following?

    <p>Increased progesterone secretion</p> Signup and view all the answers

    Which diagnosis is associated with hirsutism, amenorrhea, and infertility?

    <p>Polycystic ovary syndrome</p> Signup and view all the answers

    What term describes a male with inflammation of the glans penis?

    <p>Balanitis</p> Signup and view all the answers

    In adrenocortical insufficiencies, such as Addison disease, which manifestation would you see?

    <p>An insufficient amount of circulating cortisol</p> Signup and view all the answers

    In which condition is hypercalcemia most likely to occur?

    <p>Hyperparathyroidism</p> Signup and view all the answers

    How is the etiology of myxedema in thyroid deficiency described?

    <p>Lack of thyroid hormone contributes to non-pitting edema</p> Signup and view all the answers

    What are the primary characteristics of Cushing syndrome?

    <p>Excessive cortisol production, fluid retention, and moon-face appearance</p> Signup and view all the answers

    Which mechanisms primarily cause hyponatremia in clients with Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH)?

    <p>Increased sodium secretion and fluid retention</p> Signup and view all the answers

    Which arterial blood gas values are consistent with ketoacidosis in a diabetic patient?

    <p>pH 7.28, HCO3– 18 mEq/L, PCO2 28 mm Hg</p> Signup and view all the answers

    What symptom is NOT associated with myxedema due to hypothyroidism?

    <p>Weight loss</p> Signup and view all the answers

    What adverse effect is typically seen in Cushing syndrome?

    <p>Moon facies and hypertension</p> Signup and view all the answers

    In a patient with SIADH, what is the expected serum sodium level?

    <p>Decreased due to fluid overload</p> Signup and view all the answers

    Study Notes

    Bowel Disorders

    • Ulcerative colitis and Crohn's Disease are classified as inflammatory bowel disorders.

    Viral Hepatitis

    • Hepatitis A and E are transmitted via the fecal-oral route; Hepatitis C and B are primarily bloodborne.

    Congenital Birth Defects

    • Cleft palate affects an infant’s ability to nurse or use a bottle effectively.

    Gallstones

    • Gallstones can lead to acute pancreatitis due to blockage of the pancreatic duct.

    Jaundice

    • Causes of jaundice include liver disease and gallstones obstructing bile ducts.

    Urinary Tract Infections

    • An ascending urinary tract infection can lead to pyelonephritis.

    Electrolyte Imbalances

    • Potassium levels are closely monitored in clients with chronic kidney disease.

    Kidney Injury

    • Postrenal kidney injury can result from ureter obstruction and enlarged prostate.

    Kidney Filtration

    • Filtrate flows through the kidneys from Bowman’s capsule to the proximal convoluted tubule, reaching the loop of Henle.

    Chronic Disease Risk Factors

    • Hypertension and diabetes are significant risk factors for kidney disease.

    Glomerulonephritis

    • Classic symptoms include proteinuria and hypertension.

    Acute Renal Failure

    • The oliguric phase is characterized by decreased urine output.

    End-Stage Renal Disease Management

    • Management includes erythropoietin administration but not potassium or high-protein diets.

    Benign Prostatic Hypertrophy

    • Symptoms include weak stream, nocturia, and difficulty initiating urination.

    Flank Pain Assessment

    • Dull flank pain and a palpable mass in the costovertebral angle may indicate renal cell carcinoma.

    Types of Incontinence

    • Stress incontinence is caused by increased intra-abdominal pressure during activities like coughing.
    • Reflex incontinence results from neurological damage.

    Cystitis Symptoms

    • Common manifestations include dysuria and pelvic discomfort.

    Hypospadias

    • Urinary meatus is located on the ventral undersurface of the penis.

    Post-Streptococcal Glomerulonephritis

    • Urine may appear dark due to hematuria or the presence of proteins.

    Endometriosis

    • Defined by the presence of endometrial tissue outside the uterus.

    Menstruation Cessation

    • Menstruation stops due to decreased estrogen secretion.

    Polycystic Ovary Syndrome

    • Characterized by hirsutism, amenorrhea, and infertility.

    Balanitis

    • Refers to inflammation of the glans penis.

    Addison Disease

    • Results in insufficient circulating cortisol, affecting adrenal hormones.

    Hypercalcemia

    • Most commonly occurs in hyperparathyroidism.

    Myxedema

    • Caused by a lack of thyroid hormone leading to non-pitting edema.

    Cushing Syndrome

    • Features excessive cortisol production, fluid retention, and characteristic moon face appearance.

    SIADH

    • Causes hyponatremia through increased sodium secretion and fluid retention.

    Ketoacidosis

    • Arterial blood gas values consistent with ketoacidosis include low pH (7.28) and low HCO3- (18 mEq/L).

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    Test your knowledge with this practice exam covering key concepts in Essentials of Pathophysiology from Rasmussen University. This quiz focuses on critical topics that are essential for understanding disease processes and associated symptoms. Prepare effectively for your upcoming exam by reviewing these important questions.

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