NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A
A 65-year-old female presents to your office complaining of fatigue. She
has a long of rheumatoid arthritis. A CBC reveals the following: Hgb=11.6
g/dL, Hct=34.8%, MCV=87 fL/red cell, platelet count of 268,000/microliter,
and WBC count of 6800/microliter. The serum haptoglobin level is normal,
and the serum iron concentration is 20 micrograms/dL. The total iron
binding capacity is 195 micrograms/dL, and the percent saturation is 10.2.
The serum ferritin concentration is 317 ng/mL. No fibrin split products are
detected. The reticulocyte concentration is 1.1%. What is the most likely
diagnosis?
A. Beta- thalassemia major
B. Anemia of chronic disease
C.Acute blood loss anemia
D. Iron deficiency
anemia Anemia of
chronic disease
A 14-year-old male presents with high fever for ten days. Physical
examination reveals scattered petechial hemorrhages but is negative for
enlargement of the liver or spleen or lymph nodes.
Bone marrow examination does not show any abnormal cells. The
complete blood count (CBC) demonstrates a hemoglobin concentration
(HgB) of 13.2 g/dL, hematocrit (Hct) of 38.9%, mean cell volume (MCV) of
93 fL, platelet count of 175,000/microliter, and white blood cell (WBC)
count of 1850/microliter, with the differential count showing 1 segmented
neutrophil, 98 lymphocytes, and 1 monocyte per 100 WBCs. What is the
most likely cause of these findings?
A. Overwhelming bacterial infection
B. Acute lymphocytic (or lymphoblastic) leukemia
C.Acute myeloid leukemia
D. Aplastic anemia
Overwhelming bacterial
infection
A 31-year-old male has a history of chronic anemia and painful crises with
joint and abdominal pain. A head computed tomography (CT) scan reveals
several small remote infarctions. During one of these acute crises, he is
,NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A
admitted with severe dyspnea. A CBC is performed. Which of the following
morphologic findings for RBCs is most likely to be seen on the peripheral
blood smear?
,NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A
A. Tear drop cells
B. Schistocytes
C.Sickle cells
D. Spherocy
tes Sickle
cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this
condition remains untreated for years, which of the following
cardiovascular alterations will be seen on a transthoracic echocardiogram
and ECG?
A. Left Ventricular Hypertrophy
B. Left Ventricular Atrophy
C.Left Atrial Atrophy
D. Right Ventricular
Hypertrophy Left
ventricular hypertrophy
A 65-year-old male with longstanding uncontrolled HTN presents to the
office for evaluation of syncope. His vital signs are temperature=98.3,
Pulse=85, RR=17, BP=165/85. Physical examination reveals a fourth heart
sound and a 4/6 crescendo-decrescendo murmur heard at the right upper
sternal border with radiation to the carotid arteries. His ECG reveals
enlarged QRS waves, consistent with left ventricular hypertrophy. What is
the most likely cause of his syncopal episodes?
A. Mitral regurgitation
B. Mitral Stenosis
C.Aortic regurgitation
D. Aortic
stenosis
Aortic
stenosis
A 63-year-old female presents to the emergency room with sudden onset
of severe chest and back pain. She describes the pain as sharp and
different from her anginal pain. Her past medical history is positive for HTN
, NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A
X 20 years. VS: HR 105, BP 160/105, RR 17. On physical examination,
the NP notices that her pedal and radial pulses are not equal. What is the
most likely cause of her chest pain?
A. Unstable angina
B. Aortic dissection
C.Prinzmetal angina
D. Acute myocardial
infarction Aortic
dissection
A 45-year-old male collapsed suddenly while playing basketball.
Bystander CPR and defibrillation was performed using an automatic
external defibrillator or AED. When EMS
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A
A 65-year-old female presents to your office complaining of fatigue. She
has a long of rheumatoid arthritis. A CBC reveals the following: Hgb=11.6
g/dL, Hct=34.8%, MCV=87 fL/red cell, platelet count of 268,000/microliter,
and WBC count of 6800/microliter. The serum haptoglobin level is normal,
and the serum iron concentration is 20 micrograms/dL. The total iron
binding capacity is 195 micrograms/dL, and the percent saturation is 10.2.
The serum ferritin concentration is 317 ng/mL. No fibrin split products are
detected. The reticulocyte concentration is 1.1%. What is the most likely
diagnosis?
A. Beta- thalassemia major
B. Anemia of chronic disease
C.Acute blood loss anemia
D. Iron deficiency
anemia Anemia of
chronic disease
A 14-year-old male presents with high fever for ten days. Physical
examination reveals scattered petechial hemorrhages but is negative for
enlargement of the liver or spleen or lymph nodes.
Bone marrow examination does not show any abnormal cells. The
complete blood count (CBC) demonstrates a hemoglobin concentration
(HgB) of 13.2 g/dL, hematocrit (Hct) of 38.9%, mean cell volume (MCV) of
93 fL, platelet count of 175,000/microliter, and white blood cell (WBC)
count of 1850/microliter, with the differential count showing 1 segmented
neutrophil, 98 lymphocytes, and 1 monocyte per 100 WBCs. What is the
most likely cause of these findings?
A. Overwhelming bacterial infection
B. Acute lymphocytic (or lymphoblastic) leukemia
C.Acute myeloid leukemia
D. Aplastic anemia
Overwhelming bacterial
infection
A 31-year-old male has a history of chronic anemia and painful crises with
joint and abdominal pain. A head computed tomography (CT) scan reveals
several small remote infarctions. During one of these acute crises, he is
,NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A
admitted with severe dyspnea. A CBC is performed. Which of the following
morphologic findings for RBCs is most likely to be seen on the peripheral
blood smear?
,NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A
A. Tear drop cells
B. Schistocytes
C.Sickle cells
D. Spherocy
tes Sickle
cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this
condition remains untreated for years, which of the following
cardiovascular alterations will be seen on a transthoracic echocardiogram
and ECG?
A. Left Ventricular Hypertrophy
B. Left Ventricular Atrophy
C.Left Atrial Atrophy
D. Right Ventricular
Hypertrophy Left
ventricular hypertrophy
A 65-year-old male with longstanding uncontrolled HTN presents to the
office for evaluation of syncope. His vital signs are temperature=98.3,
Pulse=85, RR=17, BP=165/85. Physical examination reveals a fourth heart
sound and a 4/6 crescendo-decrescendo murmur heard at the right upper
sternal border with radiation to the carotid arteries. His ECG reveals
enlarged QRS waves, consistent with left ventricular hypertrophy. What is
the most likely cause of his syncopal episodes?
A. Mitral regurgitation
B. Mitral Stenosis
C.Aortic regurgitation
D. Aortic
stenosis
Aortic
stenosis
A 63-year-old female presents to the emergency room with sudden onset
of severe chest and back pain. She describes the pain as sharp and
different from her anginal pain. Her past medical history is positive for HTN
, NURS 6501 ADVANCED PATHOPHYSIOLOGY WALDEN
UNIVERSITY MIDTERM EXAM ACTUAL EXAM AND
PRACTICE EXAM TEST BANK | VERIFIED QUESTIONS
WITH DETAILED ANSWERS | GRADED A
X 20 years. VS: HR 105, BP 160/105, RR 17. On physical examination,
the NP notices that her pedal and radial pulses are not equal. What is the
most likely cause of her chest pain?
A. Unstable angina
B. Aortic dissection
C.Prinzmetal angina
D. Acute myocardial
infarction Aortic
dissection
A 45-year-old male collapsed suddenly while playing basketball.
Bystander CPR and defibrillation was performed using an automatic
external defibrillator or AED. When EMS
