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1. A 77 year old man with a diagnosis of stomach cancer has been found to have
metastases in the liver. The reason for this is that:
the parenchymal tissue of the liver is particularly susceptible to
secondary malignancies
the proximity of the liver to the stomach allows for direct spread of
cancerous cells due to lack of contact inhibition
the portal circulation brings venous blood from the GI tract to the
liver
hepatic stromal tissues shares characteristics with the cancer cells
including lack of anchorage dependence
2. What is the primary cause of muscle atrophy in a patient who has been
immobilized for two weeks?
A reduction of skeletal muscle use secondary to the traction
treatment.
Reduced oxygen consumption and cellular function that ensures
muscle cell survival.
Denervation of the affected muscles during the time of traction.
High levels of insulin and IGF-1 in the client's blood during
immobilization.
3. What term describes the increase in the number of cells in the remaining liver
after the removal of a lobe due to liver disease?
Organ atrophy
Compensatory hyperplasia
, Metaplasia
Physiologic hypertrophy
4. A nurse is researching the etiology and pathogenesis of a number of clients
under his care in the hospital context. Which aspects of client situation best
characterizes pathogenesis rather than etiology...
a client experiencing the effects of methyl alcohol poisoning
a client with multiple skeletal injuries due to motor vehicle accident
a client who has been exposed to the mycobaterium tuberculosis
bacterium
a client with incresed levels of amonia in the blood due to liver
cerosis
5. In a clinical scenario, if a patient with multiple sclerosis shows signs of
increased neuronal loss, what could be a potential underlying mechanism
related to apoptosis?
Excessive programmed cell death due to dysregulated apoptosis.
Normal apoptosis rates leading to balanced cell turnover.
Increased survival of nerve cells due to inhibited apoptosis.
Increased production of neuroprotective factors preventing
apoptosis.
6. Which response by the nurse is most appropriate when the client becomes
concerned that the skin is reddened after radiation treatment?
inform the client that the redness indicate superficial bleeding'
explain to the client that this is an expected outcome of radiation
therapy
, reassure the client that the redness is hardly noticeable.
instruct the client that the heat from radiation causes vasodilation
7. Describe how the portal circulatory system influences the liver's susceptibility
to cancer.
The portal circulatory system isolates the liver from the GI tract.
The portal circulatory system allows substances from the GI tract,
including potential carcinogens, to directly enter the liver,
increasing its cancer risk.
The portal circulatory system only transports nutrients to the liver.
The portal circulatory system prevents harmful substances from
reaching the liver.
8. Discuss why noncompliance with hypertensive medications may increase the
risk of dilated cardiomyopathy in adults.
Dilated cardiomyopathy is only caused by genetic factors.
Noncompliance with medications has no effect on heart health.
Noncompliance with hypertensive medications can lead to
uncontrolled blood pressure, which increases the workload on the
heart and may result in dilated cardiomyopathy.
Hypertensive medications are not related to heart conditions.
9. Describe why the accumulation of fat in the cytoplasm is considered a
reversible process compared to apoptosis.
Both processes are reversible under certain conditions.
Accumulation of fat leads to cell death, similar to apoptosis.
, The accumulation of fat in the cytoplasm can be reversed if the
underlying cause is addressed, while apoptosis is a programmed
and irreversible cell death.
Apoptosis can be reversed if the cell receives proper signals.
10. Describe the significance of a tumor not crossing the basement membrane
in terms of surgical intervention.
It implies that the tumor has a strong fibrous capsule surrounding it.
It indicates that the tumor is localized and can be removed with
minimal risk of recurrence.
It means the tumor has differentiated cells that resemble the original
tissue.
It suggests that the tumor is aggressive and likely to metastasize.
11. Which type of cancer is most commonly associated with genetic screening
due to family history?
Breast cancer
Multiple myeloma
Leukemia
Liver cancer
12. Describe the implications of dysregulated apoptosis on nerve cells in
multiple sclerosis.
Dysregulated apoptosis allows nerve cells to survive longer than
normal, enhancing their function.
Dysregulated apoptosis leads to excessive programmed cell death,
which can damage neuro-pathways and impair nerve function.