NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN UNIVERSITY
MIDTERM EXAM ACTUAL EXAM AND PRACTICE EXAM TEST BANK |
VERIFIED QUESTIONS WITH DETAILED ANSWERS | GRADED A
A 65-year-old female presents to your office complaining of fatigue. She has a long of rheumatoid
arthritis. A CBC reveals the following: Hgb=11.6 g/dL, Hct=34.8%, MCV=87 fL/redcell, platelet count
of 268,000/microliter, andWBC count of6800/microliter.The serum haptoglobin level is normal, and
the serum iron concentration is 20 micrograms/dL. The total iron binding
capacityis 195
micrograms/dL, andthe percent saturation is 10.2. The serum ferritin concentration is 317 ng/mL. No
fibrin split products are detected. The reticulocyte concentration is 1.1%. What is the most likely
diagnosis?
A. Beta- thalassemiamajor
B. Anemiaof chronic disease
C. Acutebloodloss anemia
D. Iron deficiency
anemiaAnemiaof
chronic disease
A 14-year-old male presents with high fever for ten days. Physical examination
reveals
scatteredpetechial hemorrhages
but is negativefor enlargement of the liver or spleen or lymph nodes.
Bone marrow examination does not show any abnormal cells. The complete blood count
(CBC)demonstrates a hemoglobin concentration (HgB) of 13.2 g/dL, hematocrit (Hct)of 38.9%,
meancellvolume (MCV)of 93 fL, platelet count of 175,000/microliter, and white blood cell (WBC)
count of 1850/microliter, with the differential count showing 1 segmented neutrophil, 98
lymphocytes, and 1 monocyte per 100 WBCs. What is the most likely cause of these findings?
A. Overwhelmingbacterialinfection
B. Acutelymphocytic(or lymphoblastic)leukemia
C. Acutemyeloidleukemia
D. Aplastic anemia
Overwhelmingbacterial
infection
A 31-year-old male has a history of chronic anemia and painful crises with joint
and abdominalpain.
A headcomputedtomography(CT) scanreveals several small remote infarctions. During one of these
acute crises, he is
,NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN UNIVERSITY
MIDTERM EXAM ACTUAL EXAM AND PRACTICE EXAM TEST BANK |
VERIFIED QUESTIONS WITH DETAILED ANSWERS | GRADED A
admittedwithsevere dyspnea. A CBC is performed.Which of thefollowing morphologic findings for
RBCs is most likely to be seen on the peripheral blood smear?
,NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN UNIVERSITY
MIDTERM EXAM ACTUAL EXAM AND PRACTICE EXAM TEST BANK |
VERIFIED QUESTIONS WITH DETAILED ANSWERS | GRADED A
A.Tear dropcells
B.SchistocytesC.Sickle cells
D.Spherocy
tesSickle cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this condition remains untreatedfor
years, which of the following cardiovascular
alterationswill beseenon a transthoracic
echocardiogram and ECG?
A. Left VentricularHypertrophy
B. Left VentricularAtrophy
C. Left Atrial Atrophy
D.Right Ventricular
HypertrophyLeftventricular
hypertrophy
A 65-year-old male with longstanding uncontrolled HTN presents to the office for evaluation of
syncope. His vital signs are temperature=98.3, Pulse=85,
RR=17, BP=165/85.Physicalexamination
revealsa fourthheart sound and a 4/6 crescendo
-decrescendo murmur heard at the right upper
sternal border with radiation to the carotid arteries. His ECG reveals enlarged QRS waves, consistent
with left ventricular hypertrophy. What is the most likely cause of his syncopalepisodes?
A.Mitralregurgitation
B.Mitral StenosisC.Aortic
regurgitationD.Aortic
stenosis Aortic
stenosis
A 63-year-old female presents to the emergency room with sudden onset of severe chest and back
pain. She describes the pain as sharp and different
from her anginal pain.Her past medicalhistory
is
positive forHTN
, NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN UNIVERSITY
MIDTERM EXAM ACTUAL EXAM AND PRACTICE EXAM TEST BANK |
VERIFIED QUESTIONS WITH DETAILED ANSWERS | GRADED A
X 20 years. VS: HR 105, BP 160/105, RR 17. On physical examination,NP the
noticesthather pedal
and radial pulsesarenot equal. Whatis the most likely cause of her chest pain?
A.Unstableangina
B.Aortic dissection
C.Prinzmetalangina D.Acute
myocardial
infarctionAortic dissection
A 45-year-old male collapsed suddenly while playing basketball. Bystander
CPR and defibrillation
wasperformedusing an automatic external defibrillator or AED. When EMS
MIDTERM EXAM ACTUAL EXAM AND PRACTICE EXAM TEST BANK |
VERIFIED QUESTIONS WITH DETAILED ANSWERS | GRADED A
A 65-year-old female presents to your office complaining of fatigue. She has a long of rheumatoid
arthritis. A CBC reveals the following: Hgb=11.6 g/dL, Hct=34.8%, MCV=87 fL/redcell, platelet count
of 268,000/microliter, andWBC count of6800/microliter.The serum haptoglobin level is normal, and
the serum iron concentration is 20 micrograms/dL. The total iron binding
capacityis 195
micrograms/dL, andthe percent saturation is 10.2. The serum ferritin concentration is 317 ng/mL. No
fibrin split products are detected. The reticulocyte concentration is 1.1%. What is the most likely
diagnosis?
A. Beta- thalassemiamajor
B. Anemiaof chronic disease
C. Acutebloodloss anemia
D. Iron deficiency
anemiaAnemiaof
chronic disease
A 14-year-old male presents with high fever for ten days. Physical examination
reveals
scatteredpetechial hemorrhages
but is negativefor enlargement of the liver or spleen or lymph nodes.
Bone marrow examination does not show any abnormal cells. The complete blood count
(CBC)demonstrates a hemoglobin concentration (HgB) of 13.2 g/dL, hematocrit (Hct)of 38.9%,
meancellvolume (MCV)of 93 fL, platelet count of 175,000/microliter, and white blood cell (WBC)
count of 1850/microliter, with the differential count showing 1 segmented neutrophil, 98
lymphocytes, and 1 monocyte per 100 WBCs. What is the most likely cause of these findings?
A. Overwhelmingbacterialinfection
B. Acutelymphocytic(or lymphoblastic)leukemia
C. Acutemyeloidleukemia
D. Aplastic anemia
Overwhelmingbacterial
infection
A 31-year-old male has a history of chronic anemia and painful crises with joint
and abdominalpain.
A headcomputedtomography(CT) scanreveals several small remote infarctions. During one of these
acute crises, he is
,NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN UNIVERSITY
MIDTERM EXAM ACTUAL EXAM AND PRACTICE EXAM TEST BANK |
VERIFIED QUESTIONS WITH DETAILED ANSWERS | GRADED A
admittedwithsevere dyspnea. A CBC is performed.Which of thefollowing morphologic findings for
RBCs is most likely to be seen on the peripheral blood smear?
,NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN UNIVERSITY
MIDTERM EXAM ACTUAL EXAM AND PRACTICE EXAM TEST BANK |
VERIFIED QUESTIONS WITH DETAILED ANSWERS | GRADED A
A.Tear dropcells
B.SchistocytesC.Sickle cells
D.Spherocy
tesSickle cells
A 50-year-old male has a blood pressure of 160/95 mm Hg. If this condition remains untreatedfor
years, which of the following cardiovascular
alterationswill beseenon a transthoracic
echocardiogram and ECG?
A. Left VentricularHypertrophy
B. Left VentricularAtrophy
C. Left Atrial Atrophy
D.Right Ventricular
HypertrophyLeftventricular
hypertrophy
A 65-year-old male with longstanding uncontrolled HTN presents to the office for evaluation of
syncope. His vital signs are temperature=98.3, Pulse=85,
RR=17, BP=165/85.Physicalexamination
revealsa fourthheart sound and a 4/6 crescendo
-decrescendo murmur heard at the right upper
sternal border with radiation to the carotid arteries. His ECG reveals enlarged QRS waves, consistent
with left ventricular hypertrophy. What is the most likely cause of his syncopalepisodes?
A.Mitralregurgitation
B.Mitral StenosisC.Aortic
regurgitationD.Aortic
stenosis Aortic
stenosis
A 63-year-old female presents to the emergency room with sudden onset of severe chest and back
pain. She describes the pain as sharp and different
from her anginal pain.Her past medicalhistory
is
positive forHTN
, NURS 6501ADVANCED PATHOPHYSIOLOGY WALDEN UNIVERSITY
MIDTERM EXAM ACTUAL EXAM AND PRACTICE EXAM TEST BANK |
VERIFIED QUESTIONS WITH DETAILED ANSWERS | GRADED A
X 20 years. VS: HR 105, BP 160/105, RR 17. On physical examination,NP the
noticesthather pedal
and radial pulsesarenot equal. Whatis the most likely cause of her chest pain?
A.Unstableangina
B.Aortic dissection
C.Prinzmetalangina D.Acute
myocardial
infarctionAortic dissection
A 45-year-old male collapsed suddenly while playing basketball. Bystander
CPR and defibrillation
wasperformedusing an automatic external defibrillator or AED. When EMS
