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Question 1 f
What is the most abundant class of plasma protein?
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Globulin
Albumin
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Clottingfactors
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Complement proteins f
Albumin (approximately 60% of total plasma protein at a concentration of about 4
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g/dl) is the most abundant plasma protein. NR507 Advanced Pathophysiology
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midterm exam question with answers.
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Question 2 f
Carcinoma in situ is characterized by which changes? f f f f f f f
Cells have broken through the local basement membrane. Cells
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have invaded immediate surrounding tissue.
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Cells remain localized in the glandular or squamous cells. Cellular
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and tissue alterations indicate dysplasia.
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Carcinoma in situ (CIS) refers to preinvasive epithelial malignant tumors of
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glandular or squamous cell origin. These early stage cancers are localized to the
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epithelium and have not broken through the local basement membrane or
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invaded the surrounding tissue. Dysplasia refers to changes in mature cell
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structure.
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Question 3 f
Which laboratory test is considered adequate for an accurate and
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reliable diagnosis of gonococcal urethritis in a symptomatic man?
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,Ligase chain reaction (LCR) Gram- f f f f
stain technique Polymerase chain
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reaction (PCR) DNA testing
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Microscopic evaluation of Gram-stained slides of clinical specimens is
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deemed positive for Neisseria gonorrhoeae if gram-negative diplococci with the
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typical “kidney bean” morphologic appearance are found inside
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polymorphonuclear leukocytes. Such a finding is considered adequate for the
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diagnosis of gonococcal urethritis in a symptomatic man. The other options are
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not relevant to the diagnosis of this condition.
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Question 4 f
The Papanicolaou (Pap) test is used to screen for which cancer?
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Ovarian
Uterine
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Cervical
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Vaginal
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The Pap test, an examination of cervical epithelial scrapings, readily detects
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early oncogenic human papillomavirus (HPV)infection. The Pap test is not used
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for screening the other cancer sites listed.
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Question 5 f
pts
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Causes of hyperkalemia include: f f f
Hyperparathyroidism and malnutrition f f
,Vomiting and diarrhea f f
Renal failure and Addison disease
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Hyperaldosteronism and Cushing disease f f f
NR507 Advanced Pathophysiology midterm exam question with answers
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Hyperkalemia should be investigated when a history of renal disease, massive
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trauma, insulin deficiency, Addison disease, use of potassium salt substitutes,
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or metabolic acidosis exists. The other options are not known to be causes of
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hyperkalemia.
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Question 6 f
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What is the major concern regarding the treatment of gonococci infections?
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Development of antibiotic resistance f f f
Changes in virulence f f
Changes in pathogenicity f f
Mutations into different strains f f f
, Several types of drug-resistant strains have been identified; they are
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penicillinase-producing Neisseria gonorrhoeae (PPNG), which is resistant to
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penicillin; tetracycline-resistant N. gonorrhoeae (TRNG), which is resistant to
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tetracycline; chromosomal control of mechanisms of resistance of N.
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gonorrhoeae (CMRNG), which is resistant to penicillin and tetracycline; and
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increasingly a fluoroquinolone-resistant N. gonorrhoeae (QRNG). The other
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options are not major concerns. NR507 Advanced Pathophysiology midterm
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exam question with answers.
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Question 7 f
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Hypersensitivity is best defined as a(an): f f f f f
Disturbance in the immunologic tolerance of self-antigens
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Immunologic reaction of one person to the tissue of another person
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Altered immunologic response to an antigen that results in disease
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Undetectable immune response in the presence of antigens f f f f f f f
Hypersensitivity is an altered immunologic response to an antigen that results f f f f f f f f f f
in disease or damage to the host. The other options are not accurate definitions
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of hypersensitivity.
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Question 8 f