PATH 370 MIDTERM

CASE 3. Respiratory Infections A 7-year-old girl, Miss TL, is seen in the hospital paediatric outpatient clinic for a routine appointment. She is known to have cystic fibrosis and has had several exacerbations in the past which have been treated with flucloxacillin. On this visit, Miss TL is stable, but the report of sputum culture received 2 days after the clinic shows a growth of P. aeruginosa." Answer the following: 1. Pathophysiology of the Disease Condition 2. Presentation and Correlation of Signs and Symptoms

27.A patient receiving combination chemotherapy containing doxorubicin experiences dyspnea on exertion, peripheral edema, tachycardia and crackles. The nurse should suspect pulmonary edema, most like. a. Myocardial damage b. Veno-occlusive disease of the liver c. A post-renal obstruction d. Pulmonary toxicity 34.The nurse is admitting a patient who has been diagnosed with squamous cell carcinoma of the lung. When completing the history and physical assessment the nurse should assess the patient for? a. Dysphagia b. Halitosis c. Dyspepsia d. Hemoptysis

1. Differentiate leukemia from lymphoma and myeloma as to:    a. hallmark cells / blood features    b. organ in the body affected 2. In the 6 factors related to the occurrence of leukemia, rank them in order in which you think is the most related (1 for most related, 6 for least related). Give the reason for your ranking. 3. Rationalize  why most leukemic patient die of infection. 4. In patients with leukemia, there  is fatigue, weight loss, easy bruisability. Why do you think this is so?

87. A 24-year-old woman is brought to the emergency because of a 1-day history of fever and diffuse redness of the skin. She has been menstruating for 3 days. Her blood pressure dis 80/40 mm Hg. Serum creatinine concentration is 2.3 mg/dL. These findings are most likely mediated by which of the following host cells? A. B lymphocytes B. Basophils C. Eosinophils D. Granulocytes E. T lymphocytes.

a. b. Commonly known as the flu C. Leads to fever, nausea, body aches d. Kills in the U.S. per year e. Every few years, a new flu virus emerges 3. Chicken Pox a. Itchy on the body b. Typically seen in children, cases in adults are more severe C. Rarely d. Vaccine became available in 4. Polio a. Virus attacking the system b. Spread orally or by contact C. No d. Usually results in paralysis; can result from paralysis of major organs Virus Prevention and Treatment 1. wash hands frequently and avoid contaminated food and wastes 2. stimulate body's natural defense with a exist for illnesses such as polio and chicken pox 3. (not antibiotics) inhibit development and relieve symptoms (not very common)

2. Discuss dietary management of celiac disease.

27-28. A. Metacentric B. Submetacentric C. Acrocentric D. Telocentric Anti - A Anti-B Known A Known B Patient 1 4+ 3+ Patient 2 4+ 3+ Patient 3 2+ 4+ Patient 4 3+ 29-30. What is the blood type of patient number 1? А. Туре А В. Туре В 31-32.What is the blood type of patient number 2? А. Туре А В. Туре В 33-34. What is the blood type of patient number 3? А. Туре А В. Туре В 35-36. What is the blood type of patient number 4? А. Туре А В. Туре В С. Туре АВ D. Type O E. With discrepancy С. Туре АВ D. Type O E. With discrepancy С. Туре АВ D. Type O E. With discrepancy С. Туре АВ D. Туpe O E. With discrepancy

5. This may elevate the risk for cerebral microbleeds in patients with hemophilia a.All of the above b.Hepatitis C infection c.Increased age d.Cardiovascular risk factors   6. The prenatal counselling and delivery planning is discussed for a pregnant with hemophilia. Which of the following statements is true: a.Vaginal delivery is recommended based on the low overall risk of bleeding with vaginal delivery in a neonate with severe hemophilia b. The patients should have maternal factor levels drawn regardless of planned delivery route c. Cesarean delivery is recommended based on the increased risk of intracerebral hemorrhage associated with a trial of labor d. None of the choices

1- A. Define the term pathogen. B. Using MRSA, NOROVIRUS, ATHLETES FOOT and MALARIA as examples, identify the microorganisms (causal agent) involved in each disease. C. Provide some information on the microorganism for each disease e.g. structure D. Discuss 3 routes of entry that disease causing organisms use to enter the body.

35-A 4-month-old who has meningococcal meningitis gets admitted to the pediatric unit. Which of these nursing interventions has the highest priority? A. Administering acetaminophen (Tylenol) B. Obtaining history information from the parents C. Orienting the parents to the pediatric unit D. Instituting droplet precautions 36-In children aged 2 months to 3 years, the most common form of meningitis is caused by? A. Neisseria meningitidis B. Streptococcus pneumonia C. Morbillivirus D. Hemophilus influenza

Study Questions on the Pharmacology of Anti-TB drugs 1. Why must TB disease be treated for at least 6 months? 2. Which four drugs are recommended for the initiai treatment of TB disease? 3. Why should at least two drugs be used to treat TB disease? 4. Name two factors that can lead to drug resistance. 5. How often should patients be monitored for adverse reactions to TB drugs?

Which ones are the correct choices?

11 The licensed prescriber orders cephalexin 250 mg po four times a day for a child weighing 50 lb. You have cephalexin 250-mg capsules. The recommended daily po dosage for a child is 25 to 50 mg/kg/day in divided doses q 6 h. a. Child's weight is kg. b. What is the d. If yes, how safe and therapeutic range for this child? capsules will you administer? c. Is the order safe? many Expiration Date/Control No. Indianapolis, IN, U.S.A. a Subsidiary of Eli Lilly and Company Carolina, Puerto Rico 00630 a Division of Eli Lilly Industries, Inc. DISTA PRODUCTS CO. Manufactured by WV 3473 DPX 59° to 86°F (15° to 30°C) Store at Controlled Room Temperature Keep Tightly Closed hibits dispensing without prescription. CAUTION-Federal (U.S.A.) law pro- R NDC 0777-0869-02 100 PULVULES® No. 402 KEFLEX® CEPHALEXIN CAPSULES, USP 250 mg Press Esc to exit full screen DISTA Usual Adult Dose-One PULVULE every 6 hours. For more severe infections, dose may be increased, not to exceed 4 g a day. See literature.…

3.[Single Choice]The diagnosis of progressive hemothorax was made by A.Repeated determination of HB showed a progressive decrease B.After blood transfusion and rehydration, the blood pressure did not rise, or temporarily increased, and soon decreased C.Pulse fast, blood pressure continues to drop D.There was no bleeding in pleural puncture, but X-ray examination showed that the shadow of pleural cavity was getting bigger and bigger E.The total amount of blood was 200ml in 3 hours

2. Explain the pathophysiology of: a. blind staggers disease in sheep b. osseus hydatid disease

Single Answer 1. Which is not the feature of lobular pneumonia? A. Common in children and the elders B. Mostly caused by avirulent pneumococcus C. Lung abscess is the common complication D. Consolidation of a large portion of a lobe or of an entire lobe E. Purulent inflammation 2. Which disease can develop granuloma? A. Atelectasis B. Asthma C. Cor pulmonale D. Lobar pneumonia E. Silicosis 3. Which is the key pathogenesis for ARDS? A. Damage of respiratory membrane B. Low blood oxygen C. Decreased production and secretion of pulmonary surfactant D. Fibrinoid necrosis on arteriolar wall E. Thrombosis in capillaries 4. Which is the basic pathologic lesion for expectoration in patients with chronic bronchitis? A. Hyperplasia and hypertrophy of the bronchial mucous glands and goblet cells B. Injury of the elastic fibres on the alveolar septa C. Diffuse fibrosis of the lung D. Destruction of the bronchial wall and cartilage E. Curschmann spirals Multiple Answers 5. In the stage of Red…

The skin lesions indicative of HSV are ___ a. Papulosquamous lesions on palms and soles b. Chickenpox peripartum on the mother  c. Skin vesicles  d. Pustular skin lesions

Answer please

4. A patient presents with fever that spikes every evening and returns to normal in the morning. This fever pattern is characteristic of: a. Continuous fever b. Remittent fever c. Pel Ebstein fever d. Intermittent fever e. Relapsing fever