The cellular response indicative of injury due to faulty metabolism is
Hydropic swelling
Lactate production
Metaplasia
Intracellular accumulations
intracellular accumulation
After surgery to remove a lung tumor
...
The cellular response indicative of injury due to faulty metabolism is
Hydropic swelling
Lactate production
Metaplasia
Intracellular accumulations
intracellular accumulation
After surgery to remove a lung tumor, your patient is scheduled for chemotherapy, which will
Selectively kill tumor cells
Stimulate immune cells to fight the cancer
Have minimal side effects
Kill rapidly dividing cells
kill rapidly dividing cells
All these cellular responses are potentially reversible except
Necrosis
Metaplasia
Atrophy
Hyperplasia
Necrosis
A 17-year-old college-bound student receives a vaccine against an organism that causes meningitis. This is an example of
Primary prevention
Secondary prevention
Tertiary prevention
Disease treatment
primary prevention
Which is not normally secreted in response to stress?
Norepinephrine
Cortisol
Epinephrine
Insulin
insulin
A disease that is native to a particular region is called
Epidemic
Endemic
Pandemic
Ethnographic
Endemic
Cancer grading is based on
Tumor size
Local invasion
Cell differentiation
Metastasis
cell differentiation
Your patient is scheduled for a staging procedure. She wants to know what that means. The correct response is which of the following?
It is a procedure for determining the extent of tumor spread
It is a histologic examination of tissues to determine the degree of tumor differentiation
Is based on exploratory surgery
It is biochemical testing of tumor cells to determine the genetic basis of the tumor
It is a procedure for determining the extent of tumor spread
The stage during which the patient functions normally, although the disease processes are well established, is referred to as
Latent
Subclinical
Prodromal
Convalescence
subclinical
After bronchoscopy and histologic examination of a suspected tumor, your patient is diagnosed with primary bronchial carcinoma. Thus, the tumor
Is benign
Is malignant
Is secondary to cancer elsewhere in the body
Has spread
Is malignant
Tumor markers (Select all that apply.)
a. are found only in the blood.
b. are produced by normal cells.
c. help determine cancer origin.
d. help identify progression of cancer.
e. include prostatic-specific antigen.
ANS: B, C, D, E
Tumor markers are substances associated with tumor cells that may be helpful in identifying their tissue of origin and progression and proliferation of cancer cells. Most tumor markers are not very specific for cancer since normal cells in the tissue of origin also produce them. Tumor markers include prostatic-specific antigen. Some tumor cell markers are released into the circulation, but others must be identified through biopsy of metastatic tissue.
Deficits in immune system function occur in cancer as a result of (Select all that apply.)
a. chemotherapy.
b. cancer cells.
c. cancer metastasis to bone marrow.
d. immunotherapy.
e. malnutrition.
ANS: A, B, C, E
Cancer cells secrete substances that suppress the immune system. Bone marrow suppression may be because of invasion of blood-forming cells in the bone marrow, poor nutrition, and chemotherapeutic agents. By contrast, immunotherapy is a method of harnessing the immune system in the treatment of cancer.
The cellular change that is considered preneoplastic is
Anaplasia
Dysplasia
Metaplasia
Hyperplasia
dysplasia
Apoptosis is the process of
Atrophy
Death
Proliferation
Mutation
Death
After suffering a heart attack, a middle aged man is counseled to take a cholesterol lowering medication. This is an example of
Primary prevention
Secondary
Tertiary
Disease treatment
Tertiary prevention
Many of the responses to stress are attributed to activation of the sympathetic nervous system and are mediated by
Norepinephrine
Cortisol
Glucagon
ACTH
norepinephrine
Selye's three phases of the stress response include all of the following except
Allostasis
Resistance
Alarm
Exhaustion
Allostasis
Side effect of chemotherapy include (select all that apply)
Anemia
Nausea
Leukocytosis
Bleeding
Infection
Anemia
Nausea
Bleeding
Infection
A patient with high blood pressure who is otherwise healthy is counseled to restrict sodium intake. This is an example of
Primary prevention
Secondary prevention
Tertiary prevention
Disease treatment
Secondary prevention
Necrotic death of brain tissue usually produces _____ necrosis.
Coagulative
Caseous
Liquefactive
Fat
Liquefactive
3 year old boy who exhibits prolonged bleeding after minor trauma and a prolonged aPTT, nut a normal platelet count, is likely to be diagnosed with
Hemophilia
Liver dysfunction
Disseminated intravascular coagulation
Thrombocytopenia
Hemophilia
Dysfunction of which organ would lead to clotting factor deficiency?
Liver
Kidney
Spleen
Pancreas
Liver
A low mean corpuscular hemoglobin concentration (MCHC) and mean corpuscular volume (MCV) are characteristic of which type of anemia?
Vitamin b12 deficiency
Folate deficiency
Iron deficiency
Erythropoietin deficiency
Iron deficiency
The principle Ig mediator of type 1 hypersensitivity reactions is
IgA
IgG
IgM
IgE
IgE
Most of the carbon dioxide in the blood is transported as
Carboxyhemoglobin
Bicarbonate ion
Dissolved carbon dioxide
Carbonic acid
Bicarbonate ion
The Philadelphia chromosome is a balanced chromosome translocation that forms a new gene called
Bcr-abl
Rob
p53
ARA-c
Bcr-abl
Which form of leukemia demonstrates the presence of the Philadelphia chromosome?
CML (chronic myeloid leukemia)
Risk factors for atherosclerosis include
Female gender
Hyperlipidemia
High protein diet
Low fiber diet
Hyperlipidemia
Regarding iron deficiency anemia, what laboratory features are typically decreased? (Select all that apply)
MCV
MCH
MCHC
WBC
Thrombocytes
MCV
MCH
MCHC
What is necessary for a red blood cell production
Phosphate
Iron
Magnesium
Calcium
Iron
A child with a history of recent strep throat infection develops glomerulonephritis. This is most likely a type _____ hypersensitivity reaction.
I
II
III
IV
III
The primary functions of the circulatory system are (select all that apply)
Transport oxygen
Transport nutrients
Remove metabolic waste
Reabsorb leaking fluid
Return leukocytes to the circulation
Transport oxygen
Transport nutrients
Remove metabolic waste
A patient is diagnosed with CML. The patient may experience which of these symptoms (select all that apply)
Fatigue
Weight loss
Abdominal discomfort
Joint pain
Sweats
Fatigue
Weight loss
Abdominal discomfort
Sweats
Which group of clinical findings describes the typical presentation of ALL (acute lymphoid leukemia)?
Pain in long bones, infection, fever, bruising
Vertebral fracture, hypercalcemia, bone pain
Elevated wbc count found on routine exam, asymptomatic
Painless enlarged cervical lymph node, fever, weight loss
Pain in long bones, infection, fever, bruising
Patients with immunodeficiency disorders are usually first identified because they
Run high fevers
Have unusually high wbc counts
Develop brain infections
Develop recurrent infections
develop recurrent infections
Widespread activation of the clotting cascade secondary to massive trauma is called
Hemophilia B
Disseminated intravascular coagulation (DIC)
Hageman disease
Idiopathic thrombocytopenia purpura
Disseminated intravascular coagulation (DIC)
What laboratory finding is usually found in aplastic anemia
Leukocytosis
Thrombocytopenia
Neutrophilia
Pancytopenia
Pancytopenia
The prothrombin time (PT) and INR (international normalized ratio) measures the integrity of
Platelet function
Extrinsic pathway
Intrinsic pathway
Fibrinolysis
Extrinsic pathway
Peripheral edema is a result of
Arterial insufficiency
Venous thrombosis
Hypertension
Atherosclerosis
Venous thrombosis
A cause of thrombocytopenia includes
Hypoxemia
Reduced erythropoietin
Chemotherapy
Secondary polycythemia
chemotherapy
Metaplasia is
replacement of one differentiated cell type with another
The cellular change that is considered preneoplastic is
dysplasia.
Which is not normally secreted in response to stress?
insulin
After bronchoscopy and histologic examination of a suspected tumor, your patient is diagnosed with primary bronchial carcinoma. Thus, the tumor
is malignant
Many of the responses to stress are attributed to activation of the sympathetic nervous system and are mediated by
norepinephrine
An increase in organ size and function due to increased workload is termed
hypertrophy
Tumor markers (Select all that apply.)
a. are found only in the blood.
b. are produced by normal cells.
c. help determine cancer origin.
d. help identify progression of cancer.
e. include prostatic-specific antigen.
B, C, D, E
CONTINUED...
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