ACTUAL EXAM TEST BANK| NURS611 ADVANCED
PATHOPHYSIOLOGY EXAM 2 REVIEW WITH
COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
What is the alertness and orientation with delirium? - ANSWER -
impaired
What is the alertness and orientation with dementia? - ANSWER -
Normal alertness and intact early, but impaired later
What behavior is associated with delirium? - ANSWER - Agitation,
withdrawn/depressed
What behavior is associated with dementia? - ANSWER - normal
What speech and thoughts are associated with delirium? - ANSWER -
Incoherent and rapid/slow as well as being disorganized and delusional
What speech and thoughts are associated with dementia? - ANSWER -
word-finding problems and impoverished thoughts
What disease is the leading cause of dementia and severe cognitive
dysfunction in older adults? - ANSWER - Alzheimer's Disease
pg. 1
,What genetics have been linked to Alzheimer's Disease? - ANSWER -
Amyloid precursor protein (APP) on Chromosome 21, presenilin
(PSEN1) on chromosome 14, and PSEN 2 on chromosome 14
Who has a higher risk of stroke? Caucasian or African American? -
ANSWER - African Americans have a 2x higher risk
What are the three types of strokes? - ANSWER - Ischemic,
hemorrhagic, and subarachnoid hemorrhagic
What percentage of strokes are ischemic, hemorrhagic, and
subarachnoid? - ANSWER - 87% Ischemic, 10% Hemorrhagic, 3%
Subarachnoid
What are risk factors of a stroke? - ANSWER - Arterial HTN, insulin
resistance, DM, high total cholesterol, hyperhomocysteinemia, PVD,
CHF, carotid stenosis, polycythemia, thrombocythemia, A fib, post
menopause hormone therapy, high sodium intake, low potassium intake,
smoking, inactivity, obesity, chronic sleep deprivation
What is the most common artery affected by stoke? - ANSWER -
Middle cerebral artery (MCA)
What are S/S of MCA stroke? - ANSWER - MOTOR: contralateral
hemiparesis/hemiplegia (greater in face and arm than leg)
SENSATION: contralateral loss in same distribution as motor loss
SPEECH: Expressive (motor) disorder with anomia (left hemisphere
most commonly effected) with non-fluent aphasia and some
comprehension defects
pg. 2
,VISION: contralateral homonymous hemianopsia and quadranopsia
RESPIRATION: Cheye-stokes, contrlateral hyperhidrosis, ocasional
mydriasis
PERCEPTION: transient visual and sensory neglect on the left if a right
lesion
What causes Guillian-Barre syndrome? - ANSWER - Autoimmune
disease triggered by a preceding bacteria or viral infection
What are the typical first manifestations of Guillian-Barre? - ANSWER -
numbness, pain, paresthesia, or weakness in limbs
When does weakness plateau or improve with Guillain-Barre? -
ANSWER - in 90% of cases by the 4th week
What causes Multiple Sclerosis? - ANSWER - Autoimmune response to
self-antigens in genetically susceptible individuals
What can prelude Multiple Sclerosis? - ANSWER - The first
demyelentation event (clinically isolated syndrome) is a single episode
of neurological dysfunction lasting >24 hours
What is myesthenia gravis? - ANSWER - chronic autoimmune disease
mediated by acetylcholine receptors antibodies that act at the
neuromuscular junction
pg. 3
, When do the first clinical manifestations of myesthenia gravis appear? -
ANSWER - during pregnancy, during the postpartum period, or in
conjunction with the administration of certain anesthetic
What are the hallmark symptoms of myesthenia gravis? - ANSWER -
exertion fatigue and weakness that worsens with activity, improves with
rest, and recurs with resumption of activity. Often have recurring URI
What are the hallmarks of Parkinson's Disease? - ANSWER - resting
tremor, pill rolling tremors, bradykineasia/akinesia, rigidity, and postural
abnormalities
What are characteristics of acute pain? - ANSWER - Caused by an
external agent or known disease, usually sudden onset, last up to 6
months, causes increase in HR, diaphoresis, and dilated pupils, suffering
decreases over time and there is a likelihood of complete relief
What are characteristics of chronic pain? - ANSWER - Can be caused by
unknown source or ineffective treatment, pain may develop suddenly or
over time, the pain lasts months to years, suffering increases over time
and complete relief is often not possible
What systems can sleep deprivation effect? - ANSWER - respiratory and
immune systems
What is the leading cause of visual impairment? - ANSWER - Glaucoma
(open angle most common)
pg. 4