NSG 530 Exam Advanced Pathophysiology Wilkes Complete Questions And Correct Answers (Verified Answers)|Brand New Version!!

NSG 530 Exam Advanced Pathophysiology-
Wilkes Complete Questions And Correct
Answers (Verified Answers)|Brand New
Version!!
Question 1
A 3-year-old child presents with nausea, vomiting, and diarrhea. The child attends a
daycare and has not been vaccinated. There is no other significant history, and his
parents are healthy. Which diagnosis is supported by these symptoms?
A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Cirrhosis
Correct Answer
Hepatitis A



Question 2
what does aldosterone lead to
Correct Answer
-sodium and water retention
-potassium and magnesium loss
-reduced baroreceptor reflex
-cardiac fibrosis
-ischemia
-sympathetic activation



Question 3
Chronic Pyelonephritis
Correct Answer
Interstitial fibrosis and atrophy of tubules due to multiple bouts of acute
pyelonephritis
Can be associated with chronic UTI's, vesicoureteral reflux, or kidney stones




Page 1 of 106

,Question 4
Duodenal ulcers
Correct Answer
Ulcers of the small intestine caused by NSAIDs and Helicobacter pylori infection.
Characterized by intermittent pain in the epigastric area
-relieved rapidly by ingestion of foods or antacids



Question 5
GERD

Correct Answer
Reflux of gastric contents into the esophagus



Question 6
systolic blood pressure across classes of hypovolemic shock
Correct Answer
class I - normal
Class II - normal
Class III - decreased
Class IV - decreased



Question 7
NYHA HF Classification
Correct Answer
I - no limitation in normal physical activity
II - mild symptoms only in normal activity
III - marked symptoms during daily activities, asymptomatic only at rest
IV - severe limitations, symptomatic even at rest



Question 8
in unstable angina, why would there be a 3rd heart sound?
Correct Answer
indicator of LV dysfunction
related to increase in rapid filling phase




Page 2 of 106

,Question 9
Vaginal candidiasis
Correct Answer
a vaginal infection caused by the yeast-like fungus Candida albicans; also known as
a yeast infection.



Question 10
what are key characteristics of unstable angina that set it apart from stable angina?
Correct Answer
-patho - atherosclerotic plaque that is prone to rupture
-signals that the atherosclerotic plaque has become a complicated lesion; sign that
MI is imminent
-management requires hospitalization and MONA (morphine, oxygen, NTG, aspirin)
-unrelieved by rest/NTG



Question 11
clinical manifestations of cardiogenic shock
Correct Answer
Pulmonary edema, cardiomyopathies, dysrhythmias, chest pain dyspnea, JVD,
crackles, low EF, chest pain, and a feeling of impending doom.



Question 12
the effect of catecholamines on the heart is to:
a) increase the refractory period
b) decrease calcium influx
c) increase the strength of myocardial contraction
d) decrease the heart rate

Correct Answer
c




Page 3 of 106

, Question 13
compensatory mechanisms in HF: SNS
Correct Answer
-decrease in BP triggers SNS (catecholamines)
-this increases contractility, HR, and causes vasoconstriction (not wanted over long
periods bc it uses more myocardial oxygen consumption)
-vasoconstriction results in afterload increase, requiring further increases in BP to
push the blood through, increasing total peripheral resistance
-BP will rise and so will pulse



Question 14
the most common form of distributive shock with high mortality
a = cardiogenic

b = hypovolemic

c = neurogenic

d = anaphylactic

e = septic
Correct Answer
e



Question 15
Given the following etiology, what shock pathophysiology is related?
Infection by bacteria, fungi, or viruses
Correct Answer
endotoxin or exotoxin stimulation; macrophages; complement, clotting, and kinin
cascades; and initiation of the systemic inflammatory response syndrome




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