NURS 611 Patho Exam 2 Review EXAM
2025
Where are nociceptors located? - Peripheral Nervous System (skin, muscles, joints,
bones, internal organs)
Where do nociceptors send electrical signaling messages to? - Dorsal horn of the spinal
cord
What happens to the sympathetic nervous system in chronic pain? - Sympathetic
unresponsiveness (adaptation); The patient may even look calm with no increase in pulse
or respiratory rate
What can are 4 things extreme, prolonged hyperthermia can cause - Nerve damage,
coagulation of proteins, convulsions, and death
Exogenous pyrogens are produced by what? - Pathogens
Endogenous pyrogens are produced by what? - Phagocytic cells (prostaglandin,
interleukins)
Higher body temperatures decrease serum levels of what? - Zinc, Iron, and Copper
(minerals needed for bacterial replication)
Fever: Subtle or atypical responses accompanied by dehydration are seen in which age
group? - Older adults
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Fever: In severe systemic infection, there may be no fever. Which age group? - Older
adults
Fever: Strange body sensations, headache, vivid dreams, and hallucinations are
associated with which age group? - Older adults
Fever: Severe systemic infections causing alternating hypothermia and high fever in a
24hr period are seen in which age group? - Older adults and Children
True/False: Infected babies may not develop infectious fever in the first few days of life. -
True
Fever: Present with fever and no other symptoms, making differential diagnosis difficult.
Which age group? - Young infants (60-90 days of age)
Fever: Skin vasoconstriction can lead to a rapid increase in body temperature. Which age
group? - Children
Partial or total airway obstruction to airflow recurring during sleep with continuous
respiratory efforts made against a closed airway is what? - Obstructive sleep apnea
syndrome (OSAS)
A condition that involves multiple apneic episodes that last 10 seconds or longer -
Obstructive sleep apnea syndrome (OSAS)
A condition that involves the temporary absence or diminution of ventilatory effort
during sleep with decreased sensitivity to carbon dioxide and oxygen tensions, and
decreased airway dilator muscle activation - Central sleep apnea
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Condition associated with heart failure, neurologic disease, high altitude, or narcotic
medications - Central sleep apnea
Condition that includes daytime hypercapnia and sleep disordered breathing not caused
by other disorders of hypoventilation - Obesity hypoventilation syndrome
If left untreated, this condition can lead to polycythemia, pulmonary HTN, right-sided
congestive heart failure, liver congestion, and peripheral edema - Sleep apnea
Carcinoma of the external auditory canal or middle ear are associated with what? -
Conductive hearing loss
Benign tumors of the middle ear are associated with what? - Conductive hearing loss
A soft speaking voice is associated with what condition? - Conductive hearing loss
Condition where individual hears better in a noisy environment as opposed to a quiet one
- Conductive hearing loss
Condition caused by impairment of the organ of Corti - Sensorineural hearing loss
Systemic disease (syphilis, Paget disease, collagen diseases, diabetes mellitus) can cause
what condition? - Sensorineural hearing loss
Changes in vasculature or stiffening of basilar membranes can cause what condition? -
Presbycusis
Condition that describes age-related hearing loss in the high frequencies? - Presbycusis
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