2025/2026 ACCURATE QUESTIONS AND
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1. Define stroke - ANSWER ✓ interruption of cerebral blood supply cause by
hemorrhage or occlusion
2. Types of stroke - ANSWER ✓ ischemic and hemorrhagic
3. ischemic stroke - ANSWER ✓ interruption of brain blood flow caused by
thrombus, embolus or plaque; most common type
4. hemorrhagic stroke - ANSWER ✓ occurs when a blood vessel in the brain
leaks or ruptures; also known as a bleed; most deadly type
5. Lacunar stroke - ANSWER ✓ a stroke resulting from occlusion of small
vessels.
6. intracerebral hemorrhage - ANSWER ✓ bleeding into the brain as a result of
a ruptured blood vessel within the brain
7. subarachnoid hematoma - ANSWER ✓ usually the result of a cerebral
aneurysm; main symptom severe headache.
8. Stroke symptoms - ANSWER ✓ Sudden weakness or numbness of the face,
arm or leg, especially on one side of the body
•Sudden dizziness, loss of balance or coordination, or trouble walking
•Sudden confusion, trouble speaking or understanding
•Sudden trouble seeing •Sudden severe headache
,9. early stroke warning signs - ANSWER ✓ disorientation and mild weakness
10.Modifiable risk factors for stroke - ANSWER ✓ smoking cessation,
increasing dietary fruits and vegetables, exercising regularly, limit alcohol ,a
dn avoid illicit drugs
11.stroke symptoms for cerebral cortex, and basal ganglia - ANSWER ✓
Headache, ataxia, aphasia, hemiparesis, hemisensory deficits, and vision
field deficit.
12.stoke symptoms for vertebral Avery posterior cerebral artery, cerebellar -
ANSWER ✓ ALOC, nausea, vomiting, vertigo, ataxia, cranial nerve
paralysis
13.aphasia - ANSWER ✓ loss of ability to understand and express speech.
14.Apraxia - ANSWER ✓ difficulty with motor planning to perform tasks or
movement.
15.cerebral angiography - ANSWER ✓ procedure used to examine cerebral
blood vessels in the brain
16.Romberg test - ANSWER ✓ used to evaluate cerebellar function and
balance
17.mitral valve prolapse - ANSWER ✓ systolic click heard at apical area, pt
asymptomatic, need echo w/ doppler to confirm dx
18.Treatment for patient w/ HF - ANSWER ✓ ACE & ARBS in combination
w/ beta blocker & diuretic
19.paroxysmal atrial tachycardia - ANSWER ✓ rapid, regular contractions of
the atria that begins and ends quickly
20.Side effect of Calcium Channel Blockers - ANSWER ✓ headache, heart
blocks, bradycardia
,21.apical pulse difference - ANSWER ✓ done when both radial and apical
pulses are checked at same time
22.For pt w/ emphysema - ANSWER ✓ do not give beta blockers because it
decreases response to bronchodilators
23.pluses paradoxus - ANSWER ✓ Decrease in systolic blood pressure (by
10mmHG) during inspiration
24.S2 sounds - ANSWER ✓ caused by closure of semilunar valve
25.aortic stenosis murmur - ANSWER ✓ harsh and high pitched, best heard at
the 2nd right intercostal space w/ radiation to carotid arteries
26.Addisson's disease - ANSWER ✓ findings: hyperpigmentation ,
hyperkalemia, hyponatremia and decrease serum cortisol levels
27.Hashimoto's disease - ANSWER ✓ an autoimmune disease in which the
body's own antibodies attack and destroy the cells of the thyroid gland; an
enlarged thyroid is first sign of disease
28.Somogyi phenomenon - ANSWER ✓ A rebound phenomenon that occurs in
clients with type 1 diabetes mellitus. Normal or elevated blood glucose
levels are present at bedtime; hypoglycemia occurs at about 2 to 3 am.
Counterregulatory hormones, glucagon (converted to glucose )produced to
prevent further hypoglycemia, result in hyperglycemia Treatment includes
decreasing the evening (predinner or bedtime) dose of intermediate acting
insulin or increasing the bedtime snack.
29.Regular insulin - ANSWER ✓ short acting; onset 15-20 mins peak 1.5 hrs
duration 3-4 hours
30.NPH insulin - ANSWER ✓ intermediate acting insulin; onset 1.5-3 hrs, peak
4-12 hours, duration 18-24 hours
31.low free T4 - ANSWER ✓ requires start of Synthroid
, 32.TSH (thyroid stimulating hormone) - ANSWER ✓ stimulates thyroid gland;
best screening for hypothyroidism
33.Meniere's disease - ANSWER ✓ disorder of inner ear causing episodic
vertigo, tinnitus, and hearing loss, sense of ear fullness
34.Hemoglobin A1c - ANSWER ✓ 4-6% = good glucose control > 6.6 =DM 2
Tretment goal <7
35.Cushing's syndrome - ANSWER ✓ a condition caused by prolonged
exposure to high levels of cortisol
36.newly diagnosed DM 2 - ANSWER ✓ strenuous exercise is contraindicated
because of risk of hypoglycemia
37.Types of Non-Small Cell Carcinoma - ANSWER ✓ Squamous Cell,
Adenocarcinomas, Large Cell, Bronchial Carcinoid
38.ICP in Superior Vena Cava Syndrome - ANSWER ✓ Excess collection of
blood in the head causing Increase ICP, increased risk in aneurysms and
rupture, Can lead to venous stroke (rare), headache, cerebral edema,
papillodema
39.Causes of Superior Vena Cava Syndrome - ANSWER ✓ external tumor
compression on vessel, blood clot(s) inside vessel
40.Carcinoid syndrome - ANSWER ✓ Caused by systemic release in
vasoactive substances including Serotonin (5-HT) and Kalliklein
41.Lung Cancer - ANSWER ✓ 2nd most common cancer
42.Terminal hematuria (at end of urination) - ANSWER ✓ blood presents at the
end of urination. Indicates a problem in bladder or prostate and can be seen
in advanced prostate adenocarcinoma
43.What does PTHrP cause? - ANSWER ✓ Hypercalcemia in Squamous Cell
Carcinoma