Pathophysiology Final Exam Review
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Questions and Answers

What is the initial intervention for a mild hypoglycemic event?

  • Encouraging carbohydrate intake
  • Providing oral glucose tablets (correct)
  • Administering glucagon
  • Intravenous dextrose administration
  • How is tuberculosis primarily transmitted?

  • Inhalation of airborne droplets (correct)
  • Direct contact with infected skin
  • Vector-borne transmission
  • Bloodborne transmission
  • Which assessment finding is specifically indicative of pneumothorax?

  • Hyporesonance to percussion
  • Hyperresonance to percussion (correct)
  • Increased breath sounds on the affected side
  • Decreased chest expansion
  • What can uncontrolled hypertension potentially lead to?

    <p>Renal failure</p> Signup and view all the answers

    How does stable angina differ from unstable angina?

    <p>Stable angina is relieved by rest, while unstable angina is not.</p> Signup and view all the answers

    Which symptom is characteristic of a gastric ulcer?

    <p>Nocturnal epigastric pain</p> Signup and view all the answers

    What dietary recommendation is appropriate for a patient with type 2 diabetes?

    <p>High-carbohydrate, low-fat diet</p> Signup and view all the answers

    What is the term for the inability to recognize familiar people or objects?

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

    Which type of neurofibrillary abnormality is most commonly found in Alzheimer's disease?

    <p>Tau protein tangles</p> Signup and view all the answers

    In Parkinson's disease, which neurotransmitter is primarily deficient?

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

    What symptom is indicative of autonomic disturbances in Parkinson's disease?

    <p>Unregulated blood pressure</p> Signup and view all the answers

    What type of renal failure is caused by decreased blood supply to the kidneys?

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

    Which condition leads to kidney dysfunction due to urinary outflow obstruction?

    <p>Postrenal failure</p> Signup and view all the answers

    What is a common cause of intrinsic renal failure?

    <p>Nephrotoxic agents</p> Signup and view all the answers

    What is the likely neurological cause of confusion, stupor, and coma in chronic kidney disease?

    <p>Electrolyte imbalance</p> Signup and view all the answers

    What is the priority nursing intervention for a client diagnosed with right-sided heart failure who presents with bilateral bulging blue neck veins?

    <p>Assessing for peripheral edema</p> Signup and view all the answers

    What is a consequence of the forward effect in left-sided heart failure?

    <p>Increased perfusion to vital organs</p> Signup and view all the answers

    Which diagnostic test is most appropriate for confirming an ischemic stroke?

    <p>Magnetic Resonance Imaging (MRI)</p> Signup and view all the answers

    Which modifiable factor contributes to the development of osteoporosis?

    <p>Sedentary lifestyle</p> Signup and view all the answers

    What characteristic feature distinguishes rheumatoid arthritis from other forms of arthritis?

    <p>Symmetric joint involvement</p> Signup and view all the answers

    In the management of a hypoglycemic event for a patient with type 1 diabetes, what is the initial intervention?

    <p>Providing oral glucose tablets</p> Signup and view all the answers

    What physical characteristic is associated with 'pink puffers' in emphysema?

    <p>Barrel-shaped chest</p> Signup and view all the answers

    What is a common sign indicative of right-sided heart failure?

    <p>Jugular venous distension</p> Signup and view all the answers

    What physiological mechanism is triggered due to the decreased blood flow caused by left-sided heart failure?

    <p>Decreased oxygen delivery to tissues</p> Signup and view all the answers

    Which of the following is a common manifestation in 'blue bloaters' suffering from chronic bronchitis?

    <p>Peripheral edema</p> Signup and view all the answers

    For a patient diagnosed with diverticulitis, what diet is generally recommended?

    <p>High-fiber diet</p> Signup and view all the answers

    To evaluate for appendicitis, where should the nurse palpate for tenderness?

    <p>Right lower quadrant at McBurney's point</p> Signup and view all the answers

    What is a key finding in the urine output of a patient experiencing acute kidney injury?

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

    Which neurological condition is characterized by autoimmune demyelination in the central nervous system?

    <p>Multiple Sclerosis</p> Signup and view all the answers

    What is most indicative of a diagnosis of acute kidney injury?

    <p>Elevated serum creatinine</p> Signup and view all the answers

    What is a common initial symptom indicating the need to suspect multiple sclerosis?

    <p>Visual disturbances</p> Signup and view all the answers

    What is the impact of elevated nitrogenous wastes in chronic kidney disease?

    <p>It can cause neurological symptoms.</p> Signup and view all the answers

    What does a decreased glomerular filtration rate (GFR) indicate?

    <p>Severe kidney dysfunction.</p> Signup and view all the answers

    Which type of diabetes is characterized by autoimmune destruction of beta cells?

    <p>Type 1 diabetes</p> Signup and view all the answers

    Which blood test is most useful for monitoring long-term blood sugar levels in diabetic patients?

    <p>Hemoglobin A1c (HbA1c)</p> Signup and view all the answers

    In a patient with hypothyroidism, what blood test results are typically observed?

    <p>High TSH, low T3, low T4</p> Signup and view all the answers

    What blood test results are expected in hyperthyroidism?

    <p>Low TSH, high T3, high T4</p> Signup and view all the answers

    Which of the following is considered a nonmodifiable risk factor for cardiovascular disease?

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

    What lifestyle factor contributes to an increased risk of cardiovascular disease?

    <p>Excessive alcohol use</p> Signup and view all the answers

    In Guillain-Barre Syndrome, how does the muscle weakness typically progress?

    <p>Distal to proximal</p> Signup and view all the answers

    What autonomic disturbance is commonly associated with Guillain-Barre Syndrome?

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

    What is the normal range for calcium levels in the blood?

    <p>8.6 - 10.3 mg/dL</p> Signup and view all the answers

    Which blood test result is expected in a patient with hypothyroidism?

    <p>Low T4</p> Signup and view all the answers

    What blood test result indicates hyperthyroidism?

    <p>High T4</p> Signup and view all the answers

    Which type of diabetes is characterized by a lack of insulin production?

    <p>Type 1</p> Signup and view all the answers

    Study Notes

    Patho Final Practice Exam

    • Right-sided heart failure: Bilateral bulging blue neck veins indicate jugular venous distension (JVD). Priority nursing intervention is assessing for peripheral edema to determine its severity.
    • Left-sided heart failure forward effect: Weakened left ventricle leads to inadequate ejection of blood into the aorta, causing increased perfusion to vital organs.
    • Ischemic stroke diagnostic test: Magnetic Resonance Imaging (MRI) is the preferred diagnostic test to detect ischemic strokes.
    • Osteoporosis modifiable factor: Sedentary lifestyle, lack of weight-bearing exercise, is a modifiable risk factor.
    • Rheumatoid arthritis vs. other arthritis: Symmetric joint involvement is the distinguishing characteristic.
    • Hypoglycemic event initial intervention: Providing oral glucose tablets is the initial intervention.
    • Tuberculosis transmission: Inhalation of airborne droplets containing Mycobacterium tuberculosis is the primary transmission method.
    • Pneumothorax assessment finding: Hyperresonance to percussion is indicative of a pneumothorax.
    • Uncontrolled hypertension consequence: Renal failure is a possible consequence.
    • Stable vs. unstable angina: Stable angina is relieved by rest, while unstable angina is not.

    Additional Topics

    • Diabetes type 2 recommended diet: A high-carbohydrate, low-fat diet is recommended.
    • Emphysema pink puffers characteristic: Barrel-shaped chest due to hyperinflation and overdistended alveoli.
    • Chronic bronchitis blue bloaters feature: Peripheral edema is a common feature
    • Diverticulitis dietary advice: A high-fiber diet is recommended to promote regular bowel movements.
    • Appendicitis tenderness palpation area: Right lower quadrant at McBurney's point is the area to assess for tenderness.
    • Acute kidney injury characteristic urine finding: Anuria (absence of urine output) is a characteristic finding.
    • Recurrent visual disturbances, difficulty walking, muscle weakness with lesions on brain MRI: Multiple Sclerosis (MS) is the likely diagnosis, and autoimmune demyelination in the central nervous system underlies the symptoms.
    • Peptic ulcer disease major cause: Helicobacter pylori infection is a major cause.
    • Bacterial meningitis signs: Positive Brudzinski and Kernig signs.
    • Crohn's disease characteristic: Skip lesions, involving patches of inflammation with areas of normal tissue in between.
    • Right-sided heart failure symptoms: Jugular venous distension (JVD), peripheral edema, hepatomegaly
    • Left-sided heart failure symptoms: Dyspnea, pink frothy sputum, and orthopnea.
    • Cerebrovascular accident (stroke) symptoms: Sudden slurred speech, facial droop, and weakness on one side of the body requiring immediate activation of the stroke response.
    • Myasthenia Gravis ocular manifestation: Diplopia (double vision).
    • Myasthenic crisis precipitating factor: Infections are common triggers.
    • Severe Myasthenia Gravis association: Hyperthyroidism
    • Spinal Cord injury, high in spinal column priority intervention: Assess airway, breathing, and circulation (ABCs).
    • Spinal cord injury, descending tracts damage significance: Motor deficits.
    • Meningitis classic signs: Fever, nuchal rigidity, and headache
    • Common type of meningitis: Viral
    • Gout diagnosis: Elevated uric acid levels are a diagnostic indication.
    • Hypothyroidism blood test result: High TSH, low T3, low T4
    • Hyperthyroidism blood test result: Low TSH, high T3, high T4
    • Potassium level normal range: 3.5 - 5.3 mmol/L
    • Type 1 diabetes: Lack of insulin production

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    Patho Final Practice Exam PDF

    Description

    Test your knowledge on key concepts in pathophysiology, including heart failure, stroke diagnostics, and chronic conditions like rheumatoid arthritis and osteoporosis. This quiz covers vital nursing interventions and disease mechanisms essential for nursing practice.

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