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concept of illness dse

concept of illness dse

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Published by rommel f irabagon

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Published by: rommel f irabagon on Sep 15, 2009
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12/22/2012

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SOUTHEAST ASIAN COLLEGE INCDEPARTMENT OF NURSINGNCM 202 FIRST LONG EXAMNAME____________________________________ SCORE:_________________ DATE_________________________ SECTION:______________Multiple Choice.Directions: Choose the best answer. Write the letter of your choice on the last page. All answers should bein capital lettersSTRICTLY NO ERASURES.
1.
The process of inflammation, involves thefollowing, except:
a.
 Attraction of leukocytes to the site of injuryb.Inhibition of chemical mediatorsc.Exudation of fluid from vesselsd.Restoration of injured tissue to its normalstructure and function
2.
 A nursing student sustained multiplelacerations on her arm, knowing the phasesof cell migration to the site of injury, which of the following inflammatory cells is first toappear after injury?
a.
Neutrophilsb. Eosinophils
c.
Platelets
d.
macrophages
3.
Stimuli which are not very severe may leadto an altered steady state of the cell in theform of;
a.
Chronic inflammationb. Hypersensitivity
c.
 Acute inflammation
d.
Cellular adaptation
4.
Chronic inflammation may be brought aboutby the following conditions except one;
a.
 Autoimmune diseaseb. Persistent infection
c.
Prolonged exposure to toxic agentsd. no exception5.Which of the following cells is considered tobe the most important cell/s in chronicinflammation?
a.
Lymphocytesb. eosinophils
c.
Neutrophilsd.macrophages
6.
 An increase of tissue volume due toaddition of new cells is____________.
a.
 Anaplasiab. dysplasia
c.
Metaplasiad. Hyperplasia7.In athletes, the increase in muscle mass islargely due to_______________.
a.
Hypertrophy]b. metaplasia
c.
 Atrophyd. anaplasia8.In most instances, metaplasia is the resultof _____________________ a.chronic irritationb.developmental defectc.somatic mutationd.viral infection9.The two primary afferent nociceptorsrespond maximally to_______________ a.intense painful stimulib.light touchc.moving stimulid.vibration10.Which nociceptor is responsible for secondpain?a.A- beta fibersb.A-delta fibersc.C- fibersd.All of the above
11.
Patients having non-pharmacologic/alternative pain interventions for pain (eg. Aromatherapy, reflexology) benefit from thismodality mainly because of its__________ a.proven effectivenessb.placebo effectc.both a and bd.neither of the above12.Having been recently hired as anemergency room (ER) nurse you cameacross a patient experiencing bouts of abdominal pain, as a nurse what will beyour role in this case?a.Relieve pain by administering pain relievinginterventions
 
b.Monitor adverse effects of thepharmacologic agent administeredc.Assess the effectiveness of the treatmentd.All of the above
13.
 A staff nurse was suddenly summoned bythe attending physician of a patient havingcancer-related pain, because the patientexhibited signs of difficulty of breathing.What could be the pharmacologic agentresponsible for this effect?a.NSAIDSb.Opioidsc.COX inhibitorsd.None of the above14.Which of the following pharmacologicagents used in pain management, causesgastrointestinal distress?a.Opioidsb.NSAIDSc.COX inhibitorsd.All of the above15.A patient in the ER gave a history of periumbilical pain migrating to the rightlower abdominal quadrant minutes beforecoming to the hospital. The painexperienced by the patient is classifiedas______________ a.acute painb.chronic painc.referred paind.a and c16.Which of the following is considered to bethe neurotransmitter responsible fotransmitting pain?a.serotoninb.acetylcholinec.substance Pd.GABA
17.
The following are causes of cellular injury,except:a.hypoxiab.nutritional imbalancec.infectiond.none of the above18.__________________ is a study odisordered function of the human body.a.Pathophysiologyb.Pathologyc.Both is correctd.Neither is correct19.A patient was diagnosed to have Hepatitis Ainfection, which of the following chemicalbarrier/substance is produced by the bodyin response to this kind of infection?a.Antigenb.Interferonc.Lysozymed.tears20.Liver macrophages are also knownas_____________.a.Kupffer cellsb.Osteoclastsc.Langerhan’s cellsd.Microglial cells21. Which is correct regarding pain transmission?
a.
Prolonged stimuli + injury
activationof nociceptors and release of substanceP
signals enter the ventral root of spinal cord
sends fibers via the lateralspinothalamic tract
thalamus
 b.
Prolonged stimuli + injury
inhibition of nociceptor and neurotransmitter release
signals enter the dorsal root of thespinal cord
sends fibers via the lateralspinothalamic tract
hypothalamus
c.
Prolonged stimuli + injury
activationof nociceptors and release of substanceP
signals enter the dorsal root of thespinal cord
sends fibers via the lateralspinothalamic tract
thalamusd.All is correct22.Which of the following cells are responsiblefor the production of immunoglobulins?a.B-cellsb.T-cellsc.Natural killer cellsd.Monocytes23.A pregnant mother on her last trimester wasgiven Tetanus toxoid injection, which type of immunity is conferred to the baby?a.Active acquired immunityb.Passive acquired immunityc.Natural immunityd.None of the above24.Which type of immunoglobulin is able to passthrough the placenta?
a.
IgAc. IgG
 b.
IgMd. IgE25.A nurrse was ordered to do a Tuberculin test,what type of hypersensitivity does a positivereaction to tuberculin fall?a.cell-mediatedb.anaphylacticc.Ab mediatedd.Immune complex26.The following are characteristics of painexcept one;
 
a.Intensityb.Timingc.Locationd.No exception27.The following are accepted routes of administration for pharmacologic agents againstpain;a.Parenteralb.Enteralc.Transdermald.All of the above28.________________ are plasma proteinsproduced by the body in response to an invadingforeign agent.
a.
Immunoglobulinc. Antibody
 b.
 Antigend. a and c29.As a staff nurse, before giving pharmacologicagents against pain, what are the necessarypremedication assessment:a.A thorough medical history, including historyof allergiesb.Reassessing the pain status of the patientc.Both is correctd.Neither is correct30.The primary afferent nociceptors are foundin___________________ a.skinb.deep somatic and visceral organsc.both is correctd.none is correct31.During inflammation DOLOR is dueto__________________ a.vascular dilatation and release of chemicalmediatorsb.increased pressure exerted by theaccumulation of interstitial fluid and tomediators such as bradykininc.increased blood flow to the site oinflammationd.all of the above32. Lesser gastrointestinal tract irritation is anadvantage of which pharmacologic agent againstpain?a. Cyclooxygenase pathway inhibitorsb. Opioidsc. NSAIDSd. all of the above33._________________ is a defensive reactionintended to control, neutralize or even eliminateinvading foreign agents and prepare the site of injury for repair.a. Tissue injuryb. inflammationc. Hypersensitivityd. Immunity34.Which type of Immunoglobulin ispredominantly found in body fluids, includingcolostrums?a. IgAb. IgMc. IgDd. IgE35. A staff nurse appointed at the out-patientdepartment encountered a patient on follow-upcheck up for acute parotitis, this kind of infectionwould lead to what type of immunity?a. Active passive immunityb. Active acquired immunityc. natural immunityd. hypersensitivity36. The following may cause atrophy, except;a. decrease in useb. Malnutritionc. decrease in blood supplyd. no exception37. Which among the following is considered anatural type of immunity;a. Vaccination with tetanus toxoidb. Acidic environment of vaginac. Immunization with immunoglobulinsd. Ab formation after mumps infection38. Which of the following pain categories andtheir example is correctly matched?a. Location: post-herpetic neuralgiab. Pain as to onset or duration- osteoarthritisc. Etiology- chest paind. none is correct39. Which of the following is not a factor affectingpain response?a. ageb. Gender c. Past pain experiencesd. all is correct40. Which of the following is a type of instrumentused for assessing pain status of a patient?a. Audio analogue scaleb. both is correctc. Faces pain scaled. none is correct41. Cellular injury can be caused by thefollowing, except;a. 10° C or lessb. Excess Vitamin Ac. Lyed. No exception

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