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Unit 1,2,3,4 & 5 mn 551 n551 (latest update) questions and verified answers 100% correct grade a
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Unit 1,2,3,4 & 5 mn 551 n551 (latest update) questions and verified answers 100% correct grade a
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Unit 1 MN 551 Patho, Unit2 MN551 patho, Unit3Patho, Unit 4 Patho, UnitPatho MN551, Unit 6 Patho, Unit 7 MN 551 Patho, UNIT 8 MN 551 patho, Un
Patho 551, MN 553 unit 1
1. As part of the intake protocol at an eating disorders clinic, an interview
precedes a physical examination. Which of the following questions would a
clinician be justified in excluding from an intake interview for a 16-year-old
female referred by her pediatrician for the treatment of anorexia nervosa?:
"Have you had any episodes of shortness of breath in the recent past?"
2. A 43-year-old male patient has presented to the emergency department
with vomiting that he claims is of sudden onset. The patient also states that
the emesis has often contained frank blood in the hours prior to admission.
Which of the following potential contributing factors would the care team first
suspect?: Alcohol consumption
3. Cheryl has celiac disease. Which diet should you place her on?: Gluten
free diet
4. The mother of a 19-week-old infant has brought her baby to a nurse
practitioner for assessment because of the baby's persistent weight loss and
diarrhea. An intestinal biopsy has confirmed a diagnosis of celiac disease,
and the child's mother is anxious to know what caused the disease. Which of
the following aspects of the etiology of celiac disease would underlie the
explanation that the nurse practitioner provides?: An inappropriate T-cell
mediated response results in increased levels of antibodies and an inflammatory
response.
5. For several years, a 39-year-old female has been averaging two to three
bottles of wine each night after her children go to sleep, and has included
several ounces of brandy in recent years as well. Despite negative
consequences to her career and the dissolution of her marriage, her drinking
continued and now has culminated in a diagnosis of cirrhosis. Which of the
following physical manifestations of the health problem would her care team
anticipate?: Ascites 6. A 29-year-old female has been admitted to the
emergency department following a suicide attempt by overdose of
acetaminophen. What changes in the patient's liver and diagnostic results
would the care team most likely anticipate?: Centrilobular necrosis evidenced
by increased ALT and AST levels 7. Which of the following patients is most
clearly displaying the signs and symptoms of IBD?: A 51-year-old male who
states that his stomach pain is in his lower abdomen, "comes and goes," and "feels
more like a cramp than a dull ache." 8. A 79-year-old male resident of a long-
term care facility has contracted Clostridium difficile and is experiencing
consequent diarrhea. Auscultation of the man's abdomen indicates
hyperactive bowel sounds. What processes in the man's small intestine are
,most likely accompanying his current status?: Inflammation is accompanied by
an increase in peristaltic movements of his small intestine.
9. David has an acute exacerbation of Crohn's disease. Which of the following
lab tests would you expect to be decreased?: Vitamins A, B complex and C
levels 10. A male patient complaining of chronic cramping, bloating, and
diarrhea has been determined to have a deficiency in brush border enzymes
within his small intestine. Which of the following meals or snacks is most
likely to exacerbate the patient's signs and symptoms?: Roast beef and a
baked potato 11. A 20-year-old male who is addicted to crystal
methamphetamine has been admitted to the hospital with a diagnosis of
protein-calorie malnutrition after many months of inadequate food intake.
Which of the following treatment plans would the care team most likely
favor?: Incremental feeding combined with vitamin and mineral supplementation
12. A 48-year-old woman has been diagnosed with extrahepatic cholestasis
following a thorough history, ultrasound, and blood work. Which of the
following symptoms most likely caused her to seek medical treatment, and
what consequences of her health problem would the medical team
anticipate?: Pruritus with consequences of deficient levels of fat-soluble vitamins
13. A 24-year-old woman undergoing a premarital screening test is found to
have elevated levels of AST, ALT, and IgG, but no antibody-specific markers
for viral hepatitis. A liver biopsy reveals inflammation and cellular damage.
Which of the following treatments is most likely to be effective for her?:
Corticosteroids and immunosuppressant drugs
14. A 71-year-old male has been recently diagnosed with a stage III tumor of
colorectal cancer and is attempting to increase his knowledge about his
diagnosis. Which of the following statements about colorectal cancer
demonstrates a sound understanding of the disease?: "While diet is thought to
play a role in the development of colorectal cancer, the ultimate causes are largely
unknown."
15. A female neonate has been in respiratory distress since delivery and is
unresponsive to oxygen therapy. Endoscopy has confirmed a diagnosis of
esophageal atresia and tracheoesophageal fistula (EA/TEF). Which of the
following explanations should the care team provide to the infant's parents?:
"We will have to perform surgery to correct the hole in her throat to make sure that
she is able to swallow and breathe normally."
,16. As a result of oral ingestion of the microorganisms, an individual has
contracted H. pylori. Which of the following health problems is the individual
now at increased risk for?: Gastric adenocarcinoma
17 A 40-year-old female has been categorized as being obese, with a BMI of
33.2. Which of the following health problems is the patient at a significantly
increased risk for compared with individuals with a BMI below 25?:
Osteoarthritis 18. A gastroenterologist is teaching a group of nurse practitioner
students about the enteric nervous system in preparation for a consultation
on a patient who has suffered a spinal cord injury. Which of the physician's
teaching points is most accurate?: "The enteric nervous system is made up of
the myenteric and submucosal plexuses; these are located in the wall of the GI
tract."
19. A 43-year-old male who is 5 feet 10 inches tall and weighs 216 pounds
has been informed by his nurse practitioner that his body mass index (BMI)
is 31. Which of the following clinical conclusions based on these data would
his nurse be most justified in rejecting?: The patient is borderline obese but is
not yet at the point of significantly increased risks to health.
20. A nurse practitioner is providing care for a male patient with a long-
standing hiatal hernia. Which of the following statements most accurately
captures an aspect of the pathophysiology of hiatal hernias?: If esophageal
acid clearance is impaired, esophagitis can result.
21. Which of the following patients on a hospital medical unit is most clearly
demonstrating the signs and symptoms of liver failure?: A 44-year-old man
with low hemoglobin levels, low platelet levels, and spider angiomas
22. A 42-year-old female patient with a long-standing history of chronic
nausea and vomiting but a near-insatiable appetite has had her symptoms
attributed to an enzyme deficiency. Further diagnostic testing indicates that
she has inadequate pancreatic enzyme levels and that her large appetite is
due to a lack of enzyme control of food intake inhibition. In which of the
following enzymes is the woman most likely deficient?: Cholecystokinin
23. Which of the following measures would likely be rejected as part of a
first-line weight loss plan for a patient with a BMI of 30.2, type 2 diabetes, and
hypertension?: Gastric bypass
24. While on tour, a 32-year-old male musician has presented to the
emergency department of a hospital after a concert complaining of severe
and sudden abdominal pain. He admits to a history of copious alcohol use in
recent years, and his vital signs include a temperature of 38.8°C (101.8°F),
, blood pressure of 89/48 mm Hg, and heart rate of 116 beats per minute. Blood
work indicates that his serum levels of C-reactive protein, amylase, and lipase
are all elevated. Which of the following diagnoses would the care team first
suspect?: Acute pancreatitis
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