HS 320 Test 6 Communicable and Non Communicable Disease_ LATEST,100% CORRECT

HS 320 Test 6 Communicable and Non Communicable Disease_ LATEST Communicable and Non Communicable Disease L11: Test #6 Question 1 2 / 2 points Crohn disease and Ulcerative colitis are inflammatory disorders of the gastrointestinal tract. Which of the following characteristics are NOT correctly matched with the diagnosis? A) Crohn disease: Inflammation tends to be patchy or segmented B) Crohn disease: No cure for Crohn disease C) Ulcerative colitis: Inflammation tends to be patchy or segmented D) Ulcerative colitis: Symptoms commonly include fever, weight loss, and dehydration Question 2 0 / 2 points Again, using Crohn disease and Ulcerative colitis, which of the following characteristics are NOT correctly matched with the diagnosis? A) Crohn disease: Inflammation typically starts at the rectum and extends upward B) Crohn disease: Pain most commonly seen in the right lower quadrant of the abdomen C) Ulcerative colitis: The best treatment will suppress the inflammatory response D) Ulcerative colitis: Inflammation involves only the superficial mucosal lining of the colon E) A and D Question 3 The only definitive diagnosis for Crohn disease is . A) Blood work B) Colonoscopy C) Barium enema D) Biopsy Question 4 0 / 2 points 2 / 2 points Ken is a 22 yo M. He playe on the Universty of Southern California Baseball team. The night before the first game of the season, Ken develops abdominal pain. At first his pain generalized throughout the entire abdomen, however the pain eventually settled in the right lower quadrant. Ken is also suffering from nausea, vomiting and anorexia. On his physical exam his abdomen is rigid. What is the most likely diagnosis? Question 5 A) Irritable bowel syndrome (IBS) B) Ulcerative colitis C) Acute appendicitis D) Peptic Ulcer 2 / 2 points Based on Kevin's symptoms (question 4), what is the most appropriate diagnostic test? A) No test is needed, the diagnosis can be made by symptoms alone B) Physical exam, including palpation of that abdomen at the McBurney point C) Colonoscopy D) Blood test for H. pylori Question 6 Which symptom is most likely to assist the clinician in differentiating between herpetic stomatitis and aphthous stomatitis? A) Pain B) Fever C) Stress D) Inflammation Question 7 Which of the following is FALSE regarding herpetic and aphthous stomatitis? A) Aphthous stomatitis is contagious B) Herpetic stomatitis is caused by a B12 deficiency C) Aphthous stomatitis can be treated with topical anesthetics D) Herpetic stomatitis is caused by a viral infection E) A and B F) A and D Question 8 Which category of pathogens is responsible for causing Hepatitis A, B, and C? 2 / 2 points 0 / 2 points 0 / 2 points Question 9 A) Virus B) Bacteria C) Protozoa D) Hepatitis A, B and C are caused by an inflammatory response, not a pathogen 2 / 2 points Randal is a 54 yo M. He drinks alcohol regularly and has developed a series of vague unspecific symptoms. Randal reports recurrent nausea and vomiting, dull abdominal pain, weight loss and he is easily fatigued. Upon examination you noticed an accumulation of fluid in his abdomen (ascites), and his skin has a yellow tint. What physical exam finding is the most useful in determining the diagnosis? A) Increased bowel sounds B) Pain at McBurney's point C) Enlarged and firm liver D) Blood in the stool Question 10 0 / 2 points In addition to alcohol restriction, which of the following treatment options would be the most therapeutic for Randal (question 9)? A) High fiber diet B) Liver transplant C) Long-term gluten-free diet D) Antibiotics Question 11 8 / 8 points Match the diagnosis with the appropriate description, etiology, signs, symptoms treatment or prevention. 4 Celiac Disease 2 Gastritis 1. Caused by a weak lower- esophageal sphincter 2. Symptoms include epigastric pain, indigestion, and belching 3. Of the diagnosis listed, this one is most likely to be treated with antibiotics 3 Peptic Ulcer Disease 1 Gastroesophageal Reflux Disease 4. Disease marked by malabsorption and damage to mucosal lining 5. Etiology included obstruction caused by a fecalith 6. Caused by HSV-1 7. Diagnostic tests include colonoscopy Question 12 2 / 2 points Jennifer is a 19 yo F. She recently moved to Rexburg from her home in North Carolina to begin studies as a pre-nursing student at BYUI. In addition to her 18 credits, Jennifer has begun a new job working 30 hours a week, she broke up with her boyfriend after a "huge fight," and she is failing her Anatomy and Physiology class (a prerequisite for the nursing program). She was recently diagnosed with irritable bowel syndrome (IBS). Which statement is correct regarding IBS? Question 13 A) Lower right side abdominal pain and fever B) Treatment includes a life-long gluten free diet C) Symptoms include abdominal pain, and alternating diarrhea and constipation D) Treatment should include antibiotics 2 / 2 points Which is the most likely etiology of Gastrosophageal reflux disease? A) Lack of B12 B) Obstruction by a fecalith C) Weak contraction of the lower esophageal sphincter D) HSV-1 Question 14 Which statement regarding Diverticular disease is TRUE? 2 / 2 points Question 15 A) Prognosis worsens with advancing age B) Treatment requires an appendectomy C) Biopsy is the only definitive diagnosis D) Symptoms include flu-like illness 2 / 2 points Which of the following is NOT a possible etiology of hemorrhoids? A) Straining during bowel movement B) Pregnancy C) Anal intercourse D) Infections E) All of the above ARE possible causes of hemorrhoids Question 16 Which of the following diagnoses is (are) correctly matched with its symptoms? A) Hiatal hernia: May be asymptomatic B) Cirrhosis: Burning and tingling of mucous membranes C) Acute appendicitis: Blood in stool D) Diverticular disease: vomiting Question 17 2 / 2 points 2 / 2 points Irma is a 30 yo F. Every time she eats walnuts she gets aphthous stomatitis. How long should expect to have symptoms? A) 3 days B) 7 days C) 10 days D) 14 days Question 18 Which of the following is FALSE regarding Gastritis? A) Treatment includes avoidance of raw cauliflower and broccoli 2 / 2 points Question 19 B) Etiology may include H. Pylori C) Prognosis is good with proper treatment D) Description includes inflammation and erosion of the gastric mucosa 2 / 2 points There are three major causes of Peptic Ulcers. Which are these three major causes? A) H. Pylori infection, use of NSAIDs, diet high in gluten B) H. Pylori infection, diet high in gluten, alcohol use C) H. Pylori infection, use of NSAIDs, hypersectretion disorders D) H. Pylori infection, diet high in gluten, tobacco use Question 20 2 / 2 points Identify the diagnosis below: A) Colorectal cancer B) Diverticular disease C) Irritable Bowel Syndrome (IBS) D) Ulcerative colitis E) Crohn disease Question 21 2 / 2 points Ty is a 36 yo M. He presents to the clinic with a head-to-toe rash (even on the palms and soles), brittle hair and nails, fever, and malaise. When asked about sexual history, he reports he has engages in high risk sexual behavior (unprotected sex with, multiple partners) since he was seventeen. Given the history and symptoms what is the most likely diagnosis? A) Syphilis B) Gonorrhea C) Chlamydia D) Epididymitis Question 22 What would be the most appropriate treatment for Ty (question 21)? A) Ceftriaxone (Rocephin) B) Azithromycin C) Penicillin D) Vaccine E) No treatment would cure Ty's symptoms Question 23 Which is the most appropriate description of infertility? A) Failure to become pregnant after 6 months of unprotected intercourse B) Inability to achieve and maintain an erection sufficient for intercourse C) Failure to become pregnant after 1 year of unprotected intercourse D) Inability to achieve orgasm during sexual intercourse 2 / 2 points 2 / 2 points Question 2 / 2 24 points Which of the following is the most common sexually transmitted disease? A) Herpes simplex virus (HSV-2) B) Gonorrhea C) Human papillomavirus (HPV) D) Chlamydia E) Syphilis Question 25 Cryptorchidism will place an individual at risk for Cancer. A) Prostate B) Testicular C) Ovarian D) Breast Question 26 2 / 2 points 2 / 2 points Pain caused by this disorder may cause a specific modified gait, commonly called a "waddle." A) Epididymitis B) Genital Herpes C) Gonorrhea D) Prostate cancer E) Endometriosis Question 27 Which diagnosis is correctly matched with its description, etiology, signs/ symptoms, or treatment? 2 / 2 points A) Ovarian Cancer- Diagnostic procedures include physical exam, and abdominal z-ray B) Carcinoma of the breast- Most common cause of cancer death among females C) Endometriosis- Infertility is a primary complication D) Ovarian cycles cysts and tumors are always symptomatic Question 8 / 8 28 points Match the diagnosis with the appropriate description, etiology, signs, symptoms treatment or prevention. 1. Expulsion of the conceptus before the 20th week 2. Fertilized ovum implants and grows outside the uterine cavity 1 Spontaneous abortion 4 Dysmenorrhea 3 Endometriosis 2 Ectopic pregnancy 3. Diagnostic procedures include laparoscopy to visualize displaced tissue 4. Pain associated with menstruation 5. Etiology includes the presence of BRCA 2 genes 6. Diagnostic Procedures includes an urethral swab 7. Follicles in the ovary do not open and release the ovum 8. Most commonly treated with chemotherapy 9. Abnormal fear or phobia of menstruation Question 29 2 / 2 points Andre is a sexually active 17 yo male. He presents to the clinic with genital herpes. Which of the following is correct regarding genital herpes? A) The symptoms of a herpes infection are limited to the genital region B) Genital herpes can be cured with the use of antibiotics Question 30 C) Herpes simplex virus rarely causes pain D) No cure is available for genital herpes E) None are correct regarding genital herpes 0 / 2 points Which group of symptoms is Andre (question 29) most likely to have? A) Urinary frequency, low back pain, and hematuria B) Smooth, firm, painless mass on the testicle C) Genital warts on the penis D) Painful vesicles on a erythematous base E) The patient will be asymptomatic Question 31 What is the best treatment for Andre (question 29)? A) No treatment available B) IV Penicillin C) Antiviral medication (Acyclovir) D) Scrotal support and evaluation Question 32 2 / 2 points 2 / 2 points Ray is 71 yo male. He is currently suffering from difficulty voiding, dysuria, low back pain and weight loss. Given those symptoms, which would NOT be an appropriate diagnostic procedure? A) Prostate specific antigen (PSA) B) Ultrasound C) Abdominal x-ray D) Digital rectal exam Question 33 Based on Ray's (question 32) symptoms, what is the most likely diagnosis? A) Epididymitis B) Testicular cancer 2 / 2 points Question 34 C) Prostate cancer D) Human papillomavirus E) Dysmenorrhea 2 / 2 points Which of the following sexual transmitted diseases can be prevented with a vaccine? A) Human papillomavirus (HPV) B) Syphilis C) Gonorrhea D) Chlamydia E) A and B F) None of the above Question 35 8 / 8 points Match the diagnosis with the appropriate description, etiology, signs, symptoms treatment or prevention. 3 Syphilis 1 Gonorrhea 2 Chlamydia 4 Genital Herpes 1. Treatment includes Ceftriaxone (Rocephin) 2. Treatment includes Azithromycin 3. Symptoms include a chancre 4. There is no cure for this STD 5. Etiology includes environmental/chemical exposure 6. Symptoms relieved by elevating the scrotum and cool compress 7. Can be prevented with a vaccine 8. Etiology includes estrogen use during pregnancy 9. Symptoms include cervical dilation Question 36 0 / 2 points Rhonda is a 37 yo F. She is 37 weeks pregnant. While enjoying a family barbeque at her in-laws house, her "water broke." Her husband rushed her to the hospital. What is the most likely treatment? A) Medication to stop cervical dilation and delay delivery B) Strict bed rest C) Vaginal delivery D) Emergency caesarian section Question 37 Which of the following is TRUE regarding Ovarian cysts? A) Possible etiology includes obesity B) Cysts typically require surgery C) Large cysts are least likely to be painful D) All of the above are true Question 38 Which of the following is the best diagnostic procedure to diagnosis gonorrhea? A) Physical exam B) Medical history C) Pelvic x-ray D) Urethral culture Question 39 What is the best prevention of gonorrhea? 0 / 2 points 2 / 2 points 0 / 2 points Question 40 A) Condom use B) Oral use C) Abstinence D) All of the above offer equal protection 2 / 2 points Which symptom is correctly matched with the appropriate stage of syphilis? A) Chancre: Second stage B) Rash: Third (tertiary) stage C) Nervous system damage: Third (tertiary) stage D) All of the above are matched correctly E) None of the above are matched correctly Question 41 2 / 2 points Tyler is a 17 yo male. Recently diagnosed with epididymitis. Which of the following is the best treatment option? A) Antibiotics B) Hormone replacement C) Vaccine D) surgery