1-4 Midterm Exam Complete 1-100 Exam Questions Proctored Via Examplify
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1 A 55-year-old patient with a long history of untreated hypertension shows evidence of left ventricular
enlargement on an echocardiogram. Which cellular adaptation is most likely occurring in the cardiac
myocytes?
A. Hypertrophy
B. Atrophy
C. Metaplasia
D. Hyperplasia
2 A patient is rushed to the emergency department after a bee sting. They are experiencing airway
edema and hypotension. Which type of hypersensitivity reaction is occurring?
A. Type II
B. Type I
C. Type III
D. Type IV
3 During an assessment of a patient with chronic obstructive pulmonary disease (COPD), the nurse notes
a barrel chest. This clinical finding is primarily a result of:
A. Pulmonary fibrosis causing lung shrinkage
B. Right-sided heart failure causing systemic edema
C. Fluid accumulation in the pleural space
D. Increased lung compliance and air trapping
4 Which of the following laboratory findings is most characteristic of Iron Deficiency Anemia?
,A. Normocytic, normochromic
B. Macrocytic, hypochromic
C. Microcytic, hypochromic
D. Macrocytic, normochromic
5. A patient presents with metabolic acidosis. Which compensatory mechanism would you expect to see
the body utilize first?
A. Decrease in bicarbonate production
B. Increased respiratory rate (Kussmaul respirations)
C. Decreased heart rate to reduce metabolism
D. Renal excretion of hydrogen ions
6. In the Renin-Angiotensin-Aldosterone System (RAAS), what is the primary role of Angiotensin II?
A. Stimulating the release of insulin
B. Potent vasoconstriction and stimulation of aldosterone
C. Systemic vasodilation to lower blood pressure
D. Decreasing the thirst mechanism in the brain
7. A patient with chronic renal failure is found to have a serum potassium level of 6.5 mEq/L. Which
physiological complication is the most immediate priority?
A. Respiratory alkalosis
B. Increased bone density
C. Cardiac dysrhythmias
D. Muscle wasting
8. Which of the following is the most common cause of cellular injury and death?
A. Hypoxia
B. Genetic defects
C. Microbial infection
D. Chemical toxins
, 9.
A patient with right-sided heart failure is likely to exhibit which of the following clinical signs?
A. Paroxysmal nocturnal dyspnea
B. Peripheral edema and jugular venous distention
C. Productive cough with pink frothy sputum
D. Pulmonary edema and crackles
10. Which antibody is most involved in a Type II hypersensitivity reaction, such as an ABO blood
incompatibility?
A. IgG or IgM
B. IgE
C. IgA
D. IgD
11. A patient is diagnosed with an Arthus reaction after a booster vaccination. Which hypersensitivity
mechanism is primarily responsible for this localized tissue necrosis?
A. Type II
B. Type I
C. Type IV
D. Type III
12. During the 'Alarm Stage' of the General Adaptation Syndrome (GAS), which organ is primarily
responsible for the release of catecholamines?
A. Anterior pituitary
B. Hypothalamus
C. Adrenal cortex
D. Adrenal medulla
13. A patient with chronic alcoholism is found to have a serum magnesium level of 1.1 mg/dL. Which
clinical finding is most consistent with this electrolyte imbalance?
A. Lethargy