Podcast
Questions and Answers
Which of these options are examples of primary prevention in the health care system?
Which of these options are examples of primary prevention in the health care system?
What is the difference between incidence and prevalence?
What is the difference between incidence and prevalence?
Incidence refers to the number of new cases of a disease within a specific population and time period, while prevalence measures the proportion of existing cases of a disease in a population at a specific point in time.
Which of the following is NOT a cardinal sign of inflammation?
Which of the following is NOT a cardinal sign of inflammation?
What is the difference between a pneumothorax and a tension pneumothorax?
What is the difference between a pneumothorax and a tension pneumothorax?
Signup and view all the answers
Which of the following is a risk factor for developing pulmonary embolism?
Which of the following is a risk factor for developing pulmonary embolism?
Signup and view all the answers
What factors can contribute to left-sided heart failure?
What factors can contribute to left-sided heart failure?
Signup and view all the answers
Which of the following is NOT a common cause of chronic kidney disease?
Which of the following is NOT a common cause of chronic kidney disease?
Signup and view all the answers
What is the role of the kidneys in blood pressure regulation?
What is the role of the kidneys in blood pressure regulation?
Signup and view all the answers
Which of the following is a characteristic of nephrotic syndrome?
Which of the following is a characteristic of nephrotic syndrome?
Signup and view all the answers
What is the difference between stress incontinence and urge incontinence?
What is the difference between stress incontinence and urge incontinence?
Signup and view all the answers
Which of the following is NOT a cause of anemia?
Which of the following is NOT a cause of anemia?
Signup and view all the answers
Describe the difference between conjugated and unconjugated bilirubin.
Describe the difference between conjugated and unconjugated bilirubin.
Signup and view all the answers
Which of the following is NOT a symptom of heat exhaustion?
Which of the following is NOT a symptom of heat exhaustion?
Signup and view all the answers
Describe the pathophysiology of Parkinson's disease?
Describe the pathophysiology of Parkinson's disease?
Signup and view all the answers
Which of the following is NOT a symptom of Multiple Sclerosis?
Which of the following is NOT a symptom of Multiple Sclerosis?
Signup and view all the answers
What are the five A's of Alzheimer's disease?
What are the five A's of Alzheimer's disease?
Signup and view all the answers
Which of the following is a major complication of diabetes mellitus?
Which of the following is a major complication of diabetes mellitus?
Signup and view all the answers
Describe the role of gastric mucosa in protecting the stomach.
Describe the role of gastric mucosa in protecting the stomach.
Signup and view all the answers
The pyloric sphincter controls the rate of stomach emptying.
The pyloric sphincter controls the rate of stomach emptying.
Signup and view all the answers
What is steatorrhea, and what can cause it?
What is steatorrhea, and what can cause it?
Signup and view all the answers
Which of the following is a common clinical manifestation of gastroesophageal reflux disease (GERD)?
Which of the following is a common clinical manifestation of gastroesophageal reflux disease (GERD)?
Signup and view all the answers
What is the role of bile salts in the digestive process?
What is the role of bile salts in the digestive process?
Signup and view all the answers
Which type of hepatitis virus is most commonly transmitted through blood transfusions?
Which type of hepatitis virus is most commonly transmitted through blood transfusions?
Signup and view all the answers
The formation of gallstones is primarily due to an excess of bilirubin in bile.
The formation of gallstones is primarily due to an excess of bilirubin in bile.
Signup and view all the answers
What is the most common cause of peptic ulcers?
What is the most common cause of peptic ulcers?
Signup and view all the answers
Which of the following is a characteristic of appendicitis?
Which of the following is a characteristic of appendicitis?
Signup and view all the answers
What are some risk factors associated with peritonitis?
What are some risk factors associated with peritonitis?
Signup and view all the answers
Which of the following is NOT a common symptom of esophageal cancer?
Which of the following is NOT a common symptom of esophageal cancer?
Signup and view all the answers
What is the difference between Crohn's disease and ulcerative colitis?
What is the difference between Crohn's disease and ulcerative colitis?
Signup and view all the answers
Portal hypertension often results in a decrease in pressure within the portal venous system.
Portal hypertension often results in a decrease in pressure within the portal venous system.
Signup and view all the answers
Which of the following is NOT a risk factor for erectile dysfunction?
Which of the following is NOT a risk factor for erectile dysfunction?
Signup and view all the answers
What are the primary functions of the prostate gland?
What are the primary functions of the prostate gland?
Signup and view all the answers
Which of the following is a symptom of hypogonadism in men?
Which of the following is a symptom of hypogonadism in men?
Signup and view all the answers
Testicular torsion is a medical emergency that needs immediate attention.
Testicular torsion is a medical emergency that needs immediate attention.
Signup and view all the answers
Which of the following is a physiological effect of progesterone?
Which of the following is a physiological effect of progesterone?
Signup and view all the answers
What is menopause, and what are some common symptoms?
What is menopause, and what are some common symptoms?
Signup and view all the answers
Which of the following statements is TRUE about HPV?
Which of the following statements is TRUE about HPV?
Signup and view all the answers
What is pelvic inflammatory disease (PID), and who is most at risk?
What is pelvic inflammatory disease (PID), and who is most at risk?
Signup and view all the answers
Which of the following is a characteristic of gonorrhea?
Which of the following is a characteristic of gonorrhea?
Signup and view all the answers
Chlamydia is a common cause of pelvic inflammatory disease (PID).
Chlamydia is a common cause of pelvic inflammatory disease (PID).
Signup and view all the answers
Describe the characteristics of bacterial vaginosis.
Describe the characteristics of bacterial vaginosis.
Signup and view all the answers
Which of the following conditions could lead to vascular dementia?
Which of the following conditions could lead to vascular dementia?
Signup and view all the answers
What is the main goal of tertiary prevention?
What is the main goal of tertiary prevention?
Signup and view all the answers
Which of the following best describes the term 'etiology'?
Which of the following best describes the term 'etiology'?
Signup and view all the answers
In the context of acid-base balance, what causes respiratory acidosis?
In the context of acid-base balance, what causes respiratory acidosis?
Signup and view all the answers
Which manifestations are associated with respiratory alkalosis?
Which manifestations are associated with respiratory alkalosis?
Signup and view all the answers
What is the difference between prevalence and incidence?
What is the difference between prevalence and incidence?
Signup and view all the answers
Metabolic acidosis is typically characterized by which of the following?
Metabolic acidosis is typically characterized by which of the following?
Signup and view all the answers
What is the primary treatment for respiratory alkalosis?
What is the primary treatment for respiratory alkalosis?
Signup and view all the answers
Which type of prevention involves measures such as immunization?
Which type of prevention involves measures such as immunization?
Signup and view all the answers
What is the primary goal when treating alkalosis?
What is the primary goal when treating alkalosis?
Signup and view all the answers
Which of the following is NOT a manifestation of pneumothorax?
Which of the following is NOT a manifestation of pneumothorax?
Signup and view all the answers
What complication is a direct result of a tension pneumothorax?
What complication is a direct result of a tension pneumothorax?
Signup and view all the answers
Which of the following conditions can lead to dyspnea?
Which of the following conditions can lead to dyspnea?
Signup and view all the answers
Which of the following is a primary risk factor for developing DVT?
Which of the following is a primary risk factor for developing DVT?
Signup and view all the answers
Which symptom is associated with hypocalcemia during alkalosis?
Which symptom is associated with hypocalcemia during alkalosis?
Signup and view all the answers
What is one potential treatment for a large pneumothorax?
What is one potential treatment for a large pneumothorax?
Signup and view all the answers
What physiological change may occur with left-sided heart failure?
What physiological change may occur with left-sided heart failure?
Signup and view all the answers
Which of the following does NOT characterize a pulmonary embolism?
Which of the following does NOT characterize a pulmonary embolism?
Signup and view all the answers
What is the primary function of pulse oximetry?
What is the primary function of pulse oximetry?
Signup and view all the answers
What characterizes type 1 diabetes mellitus?
What characterizes type 1 diabetes mellitus?
Signup and view all the answers
Which condition results from an imbalance of excitatory and inhibitory neurotransmitters in the corpus striatum?
Which condition results from an imbalance of excitatory and inhibitory neurotransmitters in the corpus striatum?
Signup and view all the answers
What is a likely symptom of hyperglycemia?
What is a likely symptom of hyperglycemia?
Signup and view all the answers
Which of the following is NOT a cause of peptic ulcers?
Which of the following is NOT a cause of peptic ulcers?
Signup and view all the answers
Which symptom is characteristic of gastroesophageal reflux disease (GERD)?
Which symptom is characteristic of gastroesophageal reflux disease (GERD)?
Signup and view all the answers
What is a complication that can arise from Crohn's disease?
What is a complication that can arise from Crohn's disease?
Signup and view all the answers
What occurs during hepatitis A infection?
What occurs during hepatitis A infection?
Signup and view all the answers
What is a primary function of bile salts in digestion?
What is a primary function of bile salts in digestion?
Signup and view all the answers
What common risk factor is associated with developing vascular dementia?
What common risk factor is associated with developing vascular dementia?
Signup and view all the answers
Which of the following diet and lifestyle changes is essential for managing type 2 diabetes?
Which of the following diet and lifestyle changes is essential for managing type 2 diabetes?
Signup and view all the answers
What is considered a normal cardiac output range resting level?
What is considered a normal cardiac output range resting level?
Signup and view all the answers
Which factor decreases stroke volume?
Which factor decreases stroke volume?
Signup and view all the answers
Which GFR level suggests chronic kidney disease?
Which GFR level suggests chronic kidney disease?
Signup and view all the answers
What role does angiotensin II play in blood pressure regulation?
What role does angiotensin II play in blood pressure regulation?
Signup and view all the answers
In which stage of chronic kidney disease is there a GFR of 15-29 mL/min?
In which stage of chronic kidney disease is there a GFR of 15-29 mL/min?
Signup and view all the answers
What triggers the urge to urinate during bladder fullness?
What triggers the urge to urinate during bladder fullness?
Signup and view all the answers
Which type of urinary incontinence involves the bladder failing to empty completely?
Which type of urinary incontinence involves the bladder failing to empty completely?
Signup and view all the answers
What is a common symptom of heat exhaustion?
What is a common symptom of heat exhaustion?
Signup and view all the answers
Which test is more accurate for measuring kidney function but less common due to inconvenience?
Which test is more accurate for measuring kidney function but less common due to inconvenience?
Signup and view all the answers
What condition is characterized by the unregulated overproduction of red cell mass?
What condition is characterized by the unregulated overproduction of red cell mass?
Signup and view all the answers
What effect does aldosterone have in the kidneys?
What effect does aldosterone have in the kidneys?
Signup and view all the answers
What is a potential cause of anemia related to red blood cell production?
What is a potential cause of anemia related to red blood cell production?
Signup and view all the answers
Which of the following actions occurs during the bladder filling phase?
Which of the following actions occurs during the bladder filling phase?
Signup and view all the answers
Study Notes
Types of Prevention
- Primary: Removing risk factors to prevent disease. Accomplished outside healthcare systems at a community level. Examples include immunizations.
- Secondary: Detecting disease early when it's still curable. Done in clinical settings. Examples include pap smears.
- Tertiary: Preventing further deterioration or reducing complications of a disease. This goes beyond initial treatment, such as using antibiotics.
Etiology, Pathogenesis, and Clinical Manifestations
- Etiology: The cause of a disease.
- Pathogenesis: How a disease process evolves.
- Clinical Manifestations: Signs and symptoms of a disease.
Prevalence and Incidence
- Prevalence: A measure of existing disease in a population at a specific point in time.
- Incidence: The number of new cases of a disease arising in a population at risk during a defined time period.
Morbidity and Mortality
- Morbidity: Describes the effect a disease has on a person's life.
- Morbidity rate: Examines how many people have a certain disease in a defined population.
- Mortality: Pertains to causes of death in a specific population.
- Mortality rate: The number of deaths in a year in a given population.
Cardinal Signs of Inflammation
- Rubor: Redness
- Calor: Heat
- Tumor: Swelling
- Dolor: Pain
- Functio Laesa: Loss of function
Modes of Transmission
- Direct Contact
- Ingestion
- Inhalation
- Penetration
Disease Course
- Incubation: Pathogens may not produce recognizable symptoms.
- Prodromal Stage: Initial symptoms appear before a specific disease indication or worse symptoms.
- Acute Stage: Host experiences the maximal impact of infection symptoms.
- Convalescent: Containment and elimination of pathogens, resolution of symptoms.
Respiratory Alkalosis and Acidosis
- Respiratory Alkalosis: pH increases, CO2 decreases.
- Respiratory Acidosis: pH decreases, CO2 increases.
- Metabolic Alkalosis: pH increases, CO2 increases.
- Metabolic Acidosis: pH decreases, CO2 decreases.
Dyspnea
- Subjective difficulty breathing. Includes chest tightness, shortness of breath, air hunger, or breathlessness.
6-P's of Dyspnea
- Possible foreign body
- Pulmonary bronchial constriction
- Pulmonary embolism
- Pneumothorax
- Pneumonia
- Pump failure
Epiglottitis
- Airway inflammation resulting in obstruction.
- Increased pulse and respirations
- Restlessness
- Retractions
- Anxiety
- Inspiratory stridor
- Drooling
Pneumothorax
- Presence of air in the pleural space.
- Causes partial or complete collapse of the affected lung.
- Spontaneous pneumothorax arises from a ruptured bleb on the lung surface.
- Rupture allows atmospheric air to enter the pleural cavity.
Open Pneumothorax/Communicating and Tension Pneumothorax
- Open pneumothorax: Air enters the chest during inspiration and exits during expiration.
- Tension pneumothorax:Air enters during inhalation but cannot leave the chest during exhalation
Pulse Oximetry
- Painless, non-invasive procedure to measure oxygen levels in the blood.
- Detects hypoxia.
Pulmonary Embolism
- Blockage in a lung artery.
- Clot in an artery blocking blood flow.
- Often arising from deep veins of the legs (DVT)
- Can cause pulmonary infarction.
Risks of Immobilization
- Deep vein thrombosis (DVT)
- Blood clots in veins. (Usually legs)
- Swelling and pain.
Aortic Aneurysm
- An aneurysm in the aorta can cause a blood clot.
- Swelling and pain in the chest.
Heart Failure
- Left-sided: Decreased cardiac output, activity intolerance, pulmonary congestion.
- Right-sided: Peripheral tissue congestion, dependent edema and ascites, GI tract congestion.
Cardiac Preload and Afterload
- Preload: Pressure from blood volume in ventricles at the end of diastole.
- Afterload: Resistance left ventricle must overcome to circulate blood. Increased in hypertension and vasoconstriction.
Stroke Volume and Cardiac Output
- Stroke Volume (SV): Amount of blood pumped with each beat.
- Cardiac Output (CO): SV * HR
Glomerular Filtration Rate (GFR)
- Measurement of blood flow through kidneys.
- Measured amount of glomerular filtrate moves into tubular segments of nephron.
Role of the Kidney in Blood Pressure Regulation
- Sympathetic stimulation affects renal blood flow.
- Renin-angiotensin-aldosterone system (RAAS) activation affects sodium and water retention.
Nephrotic Syndrome
- Constellation of clinical findings from inc. glomerular permeability and loss of plasma proteins in the urine.
- Characterized by massive proteinuria (greater than 3.5 g/day), lipiduria, and hypoalbuminemia (less than 3g/dL).
Progression of Chronic Kidney Disease
- CKD commonly arises from hypertension and diabetic kidney disease.
- GFR progressively reduces
- Severe reduction in GFR < 15 may need renal replacement therapy
Process of Bladder Emptying
- Urine flow from the kidneys through the ureters to the bladder.
- Ureters enter the bladder on the sides, near the base of bladder for entry into the urethra.
- Trigone is where the ureters join the bladder.
- Micturition is the process of voluntary bladder emptying
Types of Urinary Incontinence
- Stress: Loss of urine associated with increased intra-abdominal pressure.
- Overactive bladder/Urge: Urgency and frequency caused by detrusor muscle hyperactivity.
- Overflow: Loss of urine with increased pressure over maximal urethral pressure.
- Functional: Inability to reach the bathroom for urination due to cognitive or physical problems.
Serum and Plasma
- Serum is blood without clotting factors.
- Plasma is blood with clotting factors.
Anemia
- Abnormally low number of circulating red blood cells or a low level of hemoglobin.
- Diminished oxygen-carrying capacity.
Hemoglobin
- Vehicle for oxygen and carbon dioxide transport in red blood cells.
Red Blood Cell Production
- Red bone marrow produces red blood cells.
- Production declines after age 20.
Polycythemia
- Increase in RBC mass. Can be relative (loss of vascular fluid) or primary (proliferation disease of bone marrow).
Disseminated Intravascular Coagulation (DIC)
- Widespread coagulation and bleeding in the vascular compartment.
- Massive activation of the coagulation cascade following unregulated thrombin generation.
Hemoglobin Synthesis
- Rate depends on iron availability.
Destruction of Red Blood Cells
- Spleen responsible for RBC destruction.
- Unconjugated bilirubin accumulates from excessive RBC destruction in the blood.
Conjugated vs. Unconjugated Bilirubin
- Conjugated: Processed by the liver, soluble in water, and excreted in bile.
- Unconjugated: Not yet processed by the liver, insoluble in water, and attached to albumin until processed by liver.
Hemolytic Anemia
- Low number of RBC due to excessive hemolysis.
Leukemias vs. Lymphomas
- Leukemias: Malignant blood disorders originating from hematopoietic stem cells. Classified according to the cell lineage.
- Lymphomas: Originate in lymphatic tissue.
Infectious Mononucleosis (Mono)
- Epstein-Barr virus (EBV) causes a self-limited lymphoproliferative disorder.
Heat Cramps
- Slow, painful muscle cramps from salt and fluid loss during strenuous activities.
Heat Exhaustion
- Profuse sweating, elevated heart rate and body temperature, and symptoms indicating heat cramps.
Heat Stroke
- Failure in thermoregulation with high core body temperature, dry skin, lack of sweating.
Parkinson's Disease
- Degeneration of basal ganglia, causing tremor, rigidity, and bradykinesia (slow movement).
Amyotrophic Lateral Sclerosis
- Progressive neurologic disorder that affects motor function.
Multiple Sclerosis
- Demyelination disease of the central nervous system (CNS) characterized by exacerbations and remissions.
Alzheimer's Disease
- Progressive brain disease accounting for 60-80% of dementia cases.
- Short-term memory loss, personality changes, and impaired cognitive function are early signs.
Severe Alzheimer's Disease
- Inability to respond to environment
- Require total care
- Complications related to chronic debilitation
Vascular Dementia
- Thought processes impaired because of the brain damage caused by impaired blood flow to brain.
Negative Feedback Loop
- Most common mechanism of hormone control. A feature of hormone action inhibits further hormone secretion so that the hormone level returns to an ideal level.
Chronic Complications of Diabetes Mellitus
- Microvascular: Neuropathies, nephropathies, retinopathies
- Macrovascular: Coronary, cerebral, and peripheral vascular disease.
- Gastrointestinal disorders and foot ulcers.
Type I Diabetes
- Majority of DM cases with relative insulin deficiency.
- Formerly called adult onset, non-insulin dependent DM.
- Strong genetic component
- High, normal, or low insulin levels (insulin resistance).
Type I Diabetes
- Majority of DM cases with relative insulin deficiency.
- Formerly called adult onset, non-insulin dependent DM.
- Strong genetic component
- High, normal, or low insulin levels (insulin resistance).
Hyperglycemia
- Imbalance between insulin secretion and cellular responsiveness.
- Body cells aren't able to take up glucose, and glucose levels increase.
Hypoglycemia
- Low blood sugar.
Sensory Neuropathy
- Microvascular damage from advanced glycation end products (AGEs) and reactive oxygen species (ROS).
Cholelithiasis
- Precipitation of substances contained in bile (mainly cholesterol and bilirubin) leading to gallstones.
Peptic Ulcers
- Ulcerative disorders in areas exposed to acid-pepsin secretions.
- Common causes include H. pylori, aspirin use, other factors
Appendicitis
- Inflammation, swelling, and potential gangrene of the appendix.
- Abrupt onset pain, usually affecting the periumbilical or epigastric area that progressively localizes to the right lower quadrant.
Esophageal Cancer
- Malignant tumors in the esophagus.
- Several types, including squamous cell carcinoma and adenocarcinoma.
Diverticulitis
- Inflammation of diverticula (small pouches) in the colon.
- Pain in lower left quadrant, tenderness, fever, nausea and vomiting.
Crohn's Disease
- Recurrent granuloma inflammatory response affecting any area of the GI tract from mouth to anus.
Portal Hypertension
- Increased resistance to flow in the portal venous system
Hepatitis
- Viral infection of the liver, potentially leading to chronic inflammation and liver damage.
Pelvic Inflammatory Disease (PID)
- Inflammation of the upper reproductive tract.
- Polymicrobial infection, often from Neisseria gonorrhoeae and Chlamydia trachomatis.
Sexually Transmitted Infections
- Broad range of diseases transmitted through sexual contact. Examples are Herpes, Gonorrhea, Syphilis and Chlamydia.
Chlamydia
- Common STI frequently with few or no symptoms
- Can lead to PID if untreated.
Bacterial Vaginosis
- Caused by an imbalance of bacteria in the vagina.
Gastroesophageal Reflux Disease (GERD)
- Symptoms or mucosal damage produced by abnormal reflux of gastric contents into the esophagus or oral cavity.
- May include pain in back or neck, dyspepsia, increased burping, bloating and pain after meals.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Explore the various types of disease prevention, including primary, secondary, and tertiary strategies. Understand key concepts like etiology, pathogenesis, prevalence, and incidence. This quiz will test your knowledge of health concepts critical to public health and clinical practice.