PATHOPHYSIOLOGY II MULTIPLE CHOICE EXAM
QUESTIONS AND ANSWERS COMPLETE RATED
A.
Which of the following statements about berry aneurysms in the
brain is NOT true?
a. They usually develop at points of bifurcation in the circle of Willis.
b. They are usually asymptomatic for many years.
c. Rupture causes signs of circulatory shock.
d. Following rupture, blood appears in the subarachnoid space.
Verified Answer -c
In a case of bacterial meningitis, where does swelling and purulent
exudate form?
a. involving the pia, arachnoid, and surface of the entire brain
b. in the dura mater and epidural space
c. at the site of the injury or entry point of the microbes
d. primarily around the spinal cord
Verified Answer -A
What are significant signs of acute bacterial meningitis?
a. severe headache, nuchal rigidity, and photophobia
b. fatigue and lethargy, fever, and anorexia
c. focal signs, such as progressive paralysis in a limb
,d. ascending paralysis beginning in the legs
Verified Answer -A
In many types of encephalitis, such as St. Louis encephalitis, how are
the viruses transmitted?
a. carriers
b. bites of mosquitoes and ticks
c. respiratory droplet
d. septic emboli in the circulation
Verified Answer -B
All of the following apply to tetanus infection EXCEPT:
a. it is caused by an anaerobic, spore-forming bacillus
b. the exotoxin causes strong skeletal muscle spasms
c. death may result from respiratory failure
d. signs of infection include fever, vomiting, stiff neck, and paralysis
Verified Answer -D
In cases of Guillain-Barré syndrome, what does the pathophysiology
include?
a. damage and loss of function in the motor neurons of the spinal
cord and medulla
b. encephalopathy with disorientation, headache, and coma
c. infection and inflammation of the motor cortex
,d. inflammation and demyelination of peripheral nerves, leading to
ascending paralysis
Verified Answer -D
How does a depressed skull fracture cause brain damage?
a. A bone fragment penetrates and tears brain tissue.
b. A section of the skull is missing, leaving the brain unprotected.
c. A section of skull bone is displaced below the level of the skull,
causing pressure on the brain.
d. Many fracture lines are present causing instability.
e. The contrecoup injury is the cause of brain damage.
Verified Answer -C
Following a head injury, what is the most likely cause of secondary
damage to the brain?
a. hematoma or infection
b. laceration by foreign objects
c. hypoxia or acidosis
d. tearing of blood vessels as the brain rotates across the inside of the
skull
Verified Answer -A
An epidural hematoma is located between the:
a. dura mater and the arachnoid mater
b. dura mater and the skull
c. arachnoid mater and the pia mater
, d. pia mater and the brain
Verified Answer -B
What does the term otorrhea mean?
a. bleeding from the nose
b. CSF leaking from the ear
c. torn meninges but no skull fracture
d. hemorrhage from the ear
Verified Answer -B
Why may secondary damage occur shortly after a spinal cord injury?
a. presence of unstable fractures or dislocations of vertebrae
b. catecholamine release in the area causing local vasoconstriction
c. decreased or labile systemic blood pressure
d. a, b
e. a, b, c
Verified Answer -E
Following a spinal injury at C5, what is the expected effect during
the period of spinal shock?
a. spastic paralysis below the level of the injury
b. urinary incontinence
c. possible periods of apnea
d. normal blood pressure
Verified Answer -C
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