Pathophysiology 2. Exam 2 - Quiz Questions with Solutions
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Course
Walden university advanced pathophysiology
Institution
Walden University Advanced Pathophysiology
Pathophysiology 2. Exam 2 - Quiz Questions with Solutions
A) HCV
Which of the hepatitis viruses most commonly progresses to chronic infection and chronic hepatitis?
A) HCV
B) HAV
C) HBV
D) HEV
D) Pancreatitis
A 35 yo woman is admitted to the ED because of severe upper right quadrant...
Pathophysiology 2. Exam 2 - Quiz
Questions with Solutions
A) HCV - answer Which of the hepatitis viruses most commonly progresses to chronic
infection and chronic hepatitis?
A) HCV
B) HAV
C) HBV
D) HEV
D) Pancreatitis - answer A 35 yo woman is admitted to the ED because of severe upper
right quadrant pain and fever. The woman has clay colored stools. Her BMI is 51 kg/m2
(normal range: 18.5-25 kg/m2). PE shows a positive Murphy sign. HR is 105 beats/min,
BP is 102/65 mmHg. CT scan shows a mass at the sphincter of Oddi. This woman is at
risk for developing which of the following acute problems?
A) Peptic ulcer disease
B) Esophageal cancer
C) Gastritis
D) Pancreatitis
C) Plasma levels of ammonia will rise - answerA chronic alcoholic is urged to abstain
from alcohol, because of which of the following consequences of liver failure?
A) Severe hyperglycemia will develop
B) Plasma oncotic pressure will rise
C) Plasma levels of ammonia will rise
D) Absorption of all nutrients will be impaired
C) Dry mouth - answerA patient is prescribed an anticholinergic drug, with a potential
side effect on salivary production, to treat her chronic obstructive pulmonary disease.
Which of the following is the most likely side effect experienced by the patient?
A) Spitting
B) Weight gain
C) Dry mouth
D) Bitter taste
C) Osmotic diarrhea - answerA 14 wk old baby is admitted to the ED with chronic
watery diarrhea. The mother is breast-feeding and reports that the problem has existed
, since birth. History reveals the daily traveled 600 mi to visit the baby's grandparents one
month ago but otherwise have not traveled. THe mother said that her pediatrician did
blood tests two days ago, which all came back normal. Current tests show that the
baby's stool has a low pH but is otherwise unremarkable. It is decided to switch to IV
nutrition and shortly thereafter the diarrhea stops. What is the most likely cause or
mechanism for the diarrhea?
A) Secretory diarrhea
B) Traveler's diarrhea
C) Osmotic diarrhea
D) Infectious diarrhea
A) Colorectal cancer - answerThe multistep theory of carcinogenesis can be applied to
what form of cancer?
A) Colorectal cancer
B) Breast cancer
C) Head and neck cancer
D) Lung cancer
B) Ulcerative colitis - answerA 64 yo male presents with complaints of urgent bowel
movement. He recalls that he had similar problems several years ago but denies such
complications for the past year. He typically voids 2 to 3 times per day. He has noticed
several times small amounts of blood in his stool, which he recognized because it was
bright red. He sometimes has diarrhea at night, but the stool can also be hard, in which
case it is very painful to pass. He has tried over-the-counter hemorrhoid creams w/o
relief. For many years he has eaten a high fiber diet. He has not noticed blood in his
urine or in his mouth after brushing his teeth. There is no sign of right upper quadrant
tenderness or ascites. The whites of his eyes are not tinted. His vital signs, CBC, serum
electrolytes, clotting tests, and renal profile are unremarkable. From the following, which
is the most likely diagnosis to be considered.
A) Diverticulosis
B) Ulcerative colitis
C) Constipation
D) Acute liver disease
D) Gastroesophageal reflux disease - answerA 43 yo woman complains about an
intermittent radiating pain in the left chest for 3 wks. She also mentions a chronic cough.
The pain is more prominent when lying down on her back compared to sitting. At night,
she sleeps better with multiple pillows. Sx occur shortly after eating spicy food. PE
reveals a white coating on the tongue. Body temp is 37.2 degrees C, BP 118/83 mmHg,
HR 80 beats/min, and RR 16 breaths/min. Heart and lung sounds are normal. The
following tests were ordered and all came back normal: ECG, exercise stress test,
WBC, and CK-MB1 serum levels. Which of the following conditions is the most likely
initial working diagnosis?
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