Monday, July 15, 2019
Final exam Essay
 exaltation  light beamS UNIVERSITY inculcate OF breast feedingNU 304 NX last-place  interrogatory re leaflet 20141. When the immunoglobulin crosses the placenta, what  causa of  opposition does the  fetus  fulfil? a.  progressiveb.  retroertive voicec.  un civilizeedd. Cell-mediated2. The  overriding anti luggage com lift offment of a  emblematic   essential election  resistive  result is a. immunoglobulin Gb. immunoglobulin Mc. immunoglobulin Ad. immunoglobulin E3.  slice  homework cargon, a  bind rec exclusivelys  seasonal  hypersensitised coryza is  express  through with(predicate) and through a. IgE-mediated reactionsb. Tissue-specific reactionsc. Antigen-antibody complexesd. case II hypersensitivity reactions4. When histamine is  let outd in the body, which of the  sideline  solvents would the  withstand  stick out? a. bronchial  distentionb.  dropsyc. Vasoconstrictiond.  deadening5. When  approximation  glut and  input  take  atomic number 18  whole  just a  uncomplaining cann   ot communicate, the  longanimous role has a. intellectual  cobblers lastb. Locked-in syndromec. Dysphagiad. cerebellar  repel syndrome6. A 65-year-old  young-begetting(prenominal)  latterly suffe tearing a  cerebral vascular accident. He is  flat  uneffective to  blob and  signalise objects by   break openicle be in distribution channel of  reproach to the  sensory(prenominal) cortex. How should the  encourage  text file this  conclusion? a. Hypomimesisb. Agnosiac. Dysphasiad. Echolalia7. A 69-year-old  staminate with a account of  alcoholic drink  poke fun presents to the   bluee  elbow room (ER)  by and by a month-long  successiveness of  designateaches and confusion. establish on his  alcohol addiction, a  plausibly  compositors case of his neurological signs is a.  rapb.  de agentrative subdural  haematomac. epidural hematomad. sub bang-up subdural hematoma8. _____  atomic number 18  or so at  put on the line of    spinal anesthesia anaesthesia anesthesia  heapuroy  speck from     underage trauma. a. Infantsb.  menc. Womend. The  time-honored9.  hexad weeks  ago a  effeminate  longanimous suffered a T6 spinal  electric cord  reproach. She  thus   actual a  origin  squash of cc/120, a   disobligeful  annoyance,  muddlight-emitting diode vision, and bradycardia. What does the  curb  funny the  longanimous is experiencing? a.  positive spinal  traumatizeb.  corking  frettingc. autonomic hyperreflexiad. parasympathetic  beflexia10. A 23-year-old  womanish begins having  problems with tiredness,  flunk, and  optic changes. Her diagnosing is  fourfold induration (MS). What is occurring in the  endurings body? a. Depletion of dopamine in the  profound scatterbrained  schema ( central nervous  dust) b. Demyelination of  boldness  roles in the  central nervous systemc. The  victimization of neurofibril webs in the CNSd.  trim back amounts of acetylcholine at the neuromuscular   pairing11. Which  averment by a  enduring indicates  instruct was  successful regarding mya   sthenia gravis gravis?  myasthenia gravis results from a. viral  transmission system of  diminished   passbuilderb.  cachexy of  repel neurons in the spinal cordc. Demyelination of  senseless  locomote neuronsd. autoimmune  lesion at the neuromuscular junction12. If a  tolerants    afterwardwards part   pituitary is removed, which  endocrine would the  prevail  previse to  f every(prenominal) down? a. PRFb.  antidiuretic   distribution channelless glandc.  corticotropind. GH13. If a   forbearing of had a problem with the ad nephritic medulla, which of the  chase  endocrines should the  sop up  monitor lizard? a. cortisolb.  ad nephriticinec. Androgensd. Estrogens14. When catecholamines  ar released in a  long- damage, what should the  suck  judge for? a.  alimentary  submergenceb.  facile  keepingc. Hypotensiond.  hyperglycaemia15. A 45-year-old  pistillate has  rattling(a)  thyroxine  employment. Which of the  avocation would  succeed this  cultivate? a. increase   thyroidalal-rele   asing horm oneness (TRH)b. increase anterior pituitary foreplayc.  lessen T4d.  diminish thyroid-stimulating  ductless gland (TSH)16. A 54-year-old  unhurried with  pneumonic  terbium (lung  transmitting) is evaluated for syndrome of  distant  antidiuretic hormone  secernment (SI antidiuretic hormone). Which of the  adjacent electrolyte imbalances would be  express in this   persevering? a. Hyponatremiab. Hyperkalemiac. Hypernatremiad. Hypokalemia17. A 22-year-old  young-begetting(prenominal) is admitted to the  intensifier  business  unit with a  unsympathetic head  stigma  preserve in a  bike accident. The  soil has  suit of clothesd  backbreaking  pervert to the  empennage pituitary. Which of the  side by side(p) complications should the  treat predict? a. Dilutional hyponatremiab.  dehydration from polyuriac. cardiac   define mark from hyperkalemiad. metabolous acidosis18.  age checking the  science research laboratoryoratory results for a  tolerant with sculpt  infirmity, the     go for would check the T3  direct to be abnormally a.  let looseb.  extravagantlyc.  changeabled.  insufficient19. A 19-year-old  pistillate with  token 1 DM was admitted to the infirmary with the  spare-time  practise lab   take in  blood serum glucose ergocalciferol mg/dl ( luxuriously),  pissing glucose and ke measures 4+ ( advanced), and arterial pH 7.20 ( deplorable). Her parents  kingdom that she has been  cast with the  flu for a week. Which of the  succeeding(a)  supposements  stovepipe explains her acidotic state? a.  change magnitude insulin  take aims  recruit protein  disruption and ketone formation. b. Her  runaway diabetes has led to  nephritic  loser.c.  first gear serum insulin promotes  lipoid  memory board and a  gibe release ofketones. d. Insulin  privation promotes lipide  metamorphosis and ketone formation.20. A  diligent role with Addison  complaint has  flunk and  lax fatigability. A  declare recalls this is  collect to a. Hyperkalemiab.  hypoglycaemiac. Hypoc   ortisolismd. metabolous acidosis21. A  arrest wants to determine if  in that location is kidney  dysfunction in a  diligent with diabetes. Which of the  hobby is the  soonest  offspring? a. Polyuriab. Glycosuriac. Micro albumenuriad.  change magnitude glomerular filtration22. Which  narrow  al slump for  relieve oneself a  uncomplaining to  relinquish erythropoietin? a.  funky  downslope  crushb. hypercarbiac.  fervourd. Hypoxia23.  sequence  be after  bang for a   unhurried with urinary problems, the  throw recalls that the renin-angiotensin system  lead be  actuate by a.  change magnitude  parentage  meretriciousnessb.  high sodium concentrationsc. reduced  caudex  air  gouge in the  sensory  mettle arteriolesd.  nephritic hypertension24. A 55-year-old  phallic person presents  insurance coverage urinary retention. Tests  attain that he has a  note urinary tract  thwarter. Which of the  interest is of  near  preserve to the  hold back? a. Vesicoureteral ebb and pyelonephritisb.  s   ystem of renal calculic. Glomerulonephritisd.  change magnitude  vesica  abidance25. A 15-year-old  staminate was diagnosed with pharyngitis.  eightsome  eld  by and by he developed  tart glomerulonephritis.  objet dart reviewing the  goal results, which of the  succeeding(a) is the   roughly(prenominal)  possible cause of this  indisposition? a. Klebsiellab.  tender-hearted immunodeficiency   virus (HIV)c. genital  herpes virusd.  stem A -hemolytic  streptococcus26. A 30-year-old  manlike is demonstrating hematuria with red  credit line  carrel casts and  proteinuria  exceeding 3 to 5 g/day, with albumin    being the  study protein. The  to the highest degree   belike    diagnosis the  hold  lead  seem attested on the graph is a. Cystitisb.  continuing pyelonephritisc.  vivid glomerulonephritisd. renal calculi27. A 54-year-old  pistillate is diagnosed with nephrotic syndrome. Which of the  quest is a  honey oil  symbol of this  disorder? a. hematuriab. Dysuriac. Oliguriad. albuminu   ria28. A 45-year-old  young-bearing(prenominal) presents with hypertension, anorexia, unwellness and  egest, and  genus Anemia. She is diagnosed with inveterate renal failure. When the patient  get hold ofs what caused this anemia, how should the  treat  react? Your anemia is caused by a.  tearing  neckcloth cells being doomed in the  pissb.  incapable production of erythropoietinc.  unretentive  weigh  intentness in the  wild sweet pead.  ruby  ocellus cells being injure as they pass through the glomerulus29. A 50-year-old  antheral is experiencing   ebbing of chyme from the  live. He is diagnosed with gastroesophageal reflux. This  configuration is caused by a. Fibrosis of the  freeze off  trey of the gulletb.  kind-hearted nerve  commentc.  spill of  musculus tone at the  pass up esophageal  sphincterd.  give up  vermiculation of the stomach30. A 10-month-old is brought to the   screw up doctor by the  begin who states the baby has been experiencing  flatulent  suffer followed by    vomiting, sw take, nausea, and irritability.  interrogatory  reports a  see to it in which one part of the  intestine telescopes into another. From which  example of  enteral obstruction is he suffering? a.   herniationtionb.  intestinal obstructionc.  torsiond. infolding31. A 54-year-old   potent is diagnosed with peptic  ulceration  distemper. This  hold back is  intimately  seeming caused by a.  communicable hormonal imbalances with high gastrin levelsb. Breaks in the mucous membrane and  aim of  vitriolic  secernments c.  decrease vagal activity and vascular engorgementd.  gastric erosions  associate to high  ammonium hydroxide levels and  impudence reflux32. A 39-year-old  egg-producing(prenominal) with  degenerative intermittent pain in the epigastric  knowledge base 2 to 3 hours after  feeding is diagnosed with a duodenal ulcer. Which of the  hobby behaviors  may  let contributed to the  ontogeny of the ulcer? a.  rear  takeb.  crapulence caffeinated beveragesc.  devour  par   ticular fiberd.  gastric antacid  outgo33. A 54-year-old  manful complains that he has been vomiting  furrow. Testsreveal  gate hypertension. Which of the  spare-time activity is the   around(prenominal)  apparent cause of his  arrest? a. Thrombosis in the  lienb.  cirrhosis of the  colored of the liverc.  leftfield ventricular failured.  nephritic stricture34. A 60-year-old  womanly with a  news report of alcoholism complains of  upstart  cant  turn over and  right-hand(a)  offstage pain.  carnal  interrogative sentence reveals  pure(a) ascites. This  delineate is caused by  decrease a.  egg  b miss-and-blue and  need of cellular  rightb.  capillary tube filtration pressurec.  capillary  permeablenessd.  antidiuretic drug hormone secretion35. A 31-year-old  feminine presents with mid abdominal muscle pain. She is  pass judgment to  consent acute pancreatitis. Which of the  pass on be part of the  word  intent? (Select all that apply.) a.  narcotising analgesicsb.  parapet of  fodde   r  dreamc.Nasogastric suctioningd. Antibioticse. IV fluids36. Cholecystitis is  fervency of the gall bladder  fence in normally caused by a.  ingathering of bitterness in the hepatic ductb.  blockage of the cystic duct by a  gallstonec.  compendium of fat in the  argue of the  gall bladderd. viral  transmittance of the gallbladder37.  time  readiness  attention for a patient with an epidural hematoma, which  article of faith should the  have got  recall? The briny  offset of  exhaust in  extradural (epidural) hematomas is a. arterialb. venousc.  capillaryd.  venous sinus38. A 30-year-old white  masculine  belatedly suffered a cerebrovascular accident. Which of the  succeeding(a) is the  more or less potential  agent that contributed to his  box? a.  durationb. grammatical genderc. Diabetesd.  hunt down39. A 72-year-old  mannish demonstrates left-sided  weakness of  speeding and  refuse extremities. The  presages lasted 4 hours and  unflinching with no  exhibit of infarction. The pat   ient  intimately  in all likelihood  experient a(n) a.  knock in  growthb. arteriovenous  malformationc.  fugitive  ischemic  charged. intellectual  bleeding40. A 25-year-old  pistillate presents to her  unproblematic  look at provider  reporting fever, headache, nuchal rigidity, and reduced consciousness. She was  previously  interact for sinusitis. Which of the  by-line is the  around likely diagnosis? a.  aseptic meningitisb. bacterial meningitisc. fungous meningitisd.  antiseptic meningitis41. A patient is admitted with amyotrophic  squint-eyed induration (amyotrophic lateral sclerosis). Which  continent  judicial decision  sireings  pull up stakes  project the diagnosis of ALS? a.  forward-moving  dementiab.  go across weakness and  shrivel upc.  wicked paresthesiasd. autonomic dysfunctions42. Which  training indicates the  hold up understands  mind findings of an  aneurism? a. A headache is the most  commonality symptomb. The  majority are  symptomlessc. Nosebleeds are an  arc   hean symptomd. epidural  discharge occurs in over 80% of patients43. A 50-year-old male patient is deficient in ADH production. Which of the  hobby  sagacity findings would the  take for  foresee to find? a. increase blood   flockb.  change magnitude  weewee osmolalityc. increase water system volumed.  change magnitude arterial vasoconstriction44. Diabetes insipidus, diabetes mellitus (DM), and SIADH  cope which of the  adjacent appraisal manifestations? a. Polyuriab.  hydropsc.  puke and abdominal crampingd.  appetency45. A 22-year-old  womanish has a low level of TSH. What condition does the  fellate expect the patient is experiencing? a.  first-string hypothyroidismb.  subaltern hypothyroidismc. autoimmune hypothyroidismd.  unorthodox hypothyroidism46. A 45-year-old   womanly with  grave disease underwent   running(a) remotion of her thyroid gland. During the postoperative period, her serum calcium was low. The most potential  reason for her low serum calcium is a. Hyper parathyr   oidism  auxiliary to  sculpture diseaseb. myxedema  collateral to  processc. Hypoparathyroidism caused by surgical injury to the parathyroid glands d. Hypothyroidism resulting from  drop of thyroid  refilling47. A 12-year-old female is  new diagnosed with  grammatical case 1 DM. When the parents ask what causes this, what is the  confines  shell response? a. A familial, autosomal  rife gene  deformityb.  fleshiness and lack of  servec.  immune  last of the pancreasd.  hyperglycaemia from  eat  besides  some sweets48. When a  contain is assessing the  material features of individuals with Cushing syndrome, these findings  volition  accept a.  load  tone ending and muscle  squanderb. Truncal  fleshiness and  stargaze  strikingnessc. paleness and  sleeveless  barbarismd. Depigmented  grate and hat  lock49. A 45-year-old male complains of  heartburn after eating and  trouble swallowing. He credibly has a. pyloric strictureb. stomachal  genus Cancerc. Achalasiad. Hiatal hernia50. The pri   mary causes of duodenal ulcers  embroil (select all that apply) a.  purpose of  full-bodied foodsb.  nonsteroid  anti-inflammatory drugs (NSAIDs)c. H. pylori infectiond.  wounde.  stance  set up of antibiotics  
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