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507 Hypersensitivity

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0% found this document useful (0 votes)
13 views37 pages

507 Hypersensitivity

Uploaded by

goodfathela
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Midterm Exam: NR507/ NR 507 (New 2025/ 2026

Update) Advanced Pathophysiology | with over 200


Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Hypersensitivity: Type 1

-Mediated IgE

-inflammation due to mast cell degranultion


-anaphylactic, asthma, hay fever

treatment: epinephrine

Hypersensitivity: Type 2

-Cytotoxic reaction: tissue specific

-binds to the antigen ON THE CELL SURFACE


-macrophages are primary effectors cells involved

cause tissue damage or alter function

Hypersensitivity 2

-Graves Disease (hyperthyroidism) -alters function not destroy

-blood transfusions reaction- transfused erythrocytes are destroyed by agglutination or lysis

-drug allergies
-hemolytic anemia

Hypersensitivity: type 3

-Not organ specific


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
-antibody binds to soluble antigen OUTSIDE THE CELL SURFACE that was released into the
blood or bodily fluids, and the complex is then deposited in the tissues

Hypersensitivity: Type 3

-rheumatoid arthritis

-Systemic Lupus Erythematosus (SLE)


-Raynaud's

Hives (urticaria)

Hypersensitivity Type 1

First responders to innate the immune system


Neutrophils

Allergic contact dermatitis

Hypersensitivity Type IV

Type 2 cytotoxic hypersensitivity mediated by:

-IgG IgM
-macrophages are primary effort cells
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
-

Serum Sickness

type 3 hypersensitivity

Hypersensitivity IV,

-is more of a delayed immune response.

-mediated T-cells attack tissue directly (no antibodies)

Autoimmune

-diseases in which the body makes antibodies directed against its own tissues

Primary immunodeficiency

-Genetic; inherited

-result of single gene defects


-B and T cell deficiencies

secondary immunodeficiency

-acquired
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Common cause of secondary immunodeficiency

Malnutrition

Most patients diagnosed with SLE will have a positive ?

antinuclear antibody (ANA)

SLE (lupus)

-Facial rash
-vasculitis

- tissue inflammation

Renal disease associated with autoimmunity?

Glomerulonephritis

Sjogren's syndrome

Inflammation in salivary and lacrimal glands


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
SLE

Autoantibodies and auto-active t-cells against DNA and nucleoprotein

Sjögren's syndrome immune changes:


Autoantibodies and auto-reactive t-cells against apoptotic cells

rheumatoid arthritis manifestations:

Joint inflammation, stiffness, pain, loss of range of motion

Rheumatoid Arthritis immune changes:

T-cells and B cells against joint associated antigens

MS manifestations

Formation of sclerotic plaque in the brain, leads to Muscle weakness and ataxia

MS immune changes

T-cells against brain antigens

___ measures the average size of RBCs


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
MCV

Anemia occur by...

-impaired RBC production


-excessive blood loss

- increased RBC production

microlytic anemia is characterized by hyper chromic RBS:

Hereditary spherocytosis

Anemia

-"without blood"

4.7-6.1mcl

Normal for men RBC

4.5-5.2mcL

Normal for women RBC


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
13.5-17.5

Normal hemoglobin for men

12.0-15.5 g/dL
Normal hemoglobin for women

RBC

The number of erythrocytes in 1 cubic mm of whole blood

Hemoglobin (Hgb)

The oxygen-carrying pigment of red cells

Hematocrit (Hct)

The volume of cells as a % of total volume of cells and plasma in whole blood

42-45%

Normal for HCT for men

37-48%
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Normal HCT for women

Mean Cell Volume (MCV)

Measures the average size of the RBC

80-100 fL

Normal MCV

RDW (red cell distribution width)


Estimate of the uniformity of individual cell size

11.5- 14.5%

Normal RDW

Microcytic (MVC <80fL)


Iron deficiency

Microcytic (MVC <80fL) less than

Sideroblastic
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Microcytic (MVC <80fL)

Thalassemia

Microcytic (MVC <80fL)

Anemia of chronic disease

Normocytic (MVC 80-99)

Anemia of inflammation and chronic disease

Normocytic (MVC 80-99)

Hereditary spherocytosis

Normocytic (MVC 80-99)

G6PD deficiency

Normocytic (MVC 80-99)


Paroxysmal nocturnal hemglobinuria
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Macrocytic (MVC >100) greater than

B12 deficiency (pernicious anemia)

Macrocytic (MVC >100) greater than

Folate deficiency

Hypochromic anemia -(MCHC) less than normal hemoglobin

RBCs pale in color

Normochromic anemia -(MCHC) normal hemoglobin

Neither pale or dark

Hyperchromic anemia - (MCHC) more than normal hemoglobin

Dark rue or red

Manifestations of anemia

fatigue, pallor, weakness, dyspnea, dizziness, tachycardia


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
iron deficiency anemia

-microcytic, hypochromic

-can cause excessive bleeding

-treatment: iron supplements

-insufficient iron levels or the inability of the cells mitochondria to utilize iron effectively

Ferritin

Measurement that reflects the body's total iron stores

microcytic hypochromic anemia


-iron deficiency anemia

-sideroblastic

-thalassemia

Microcytic Normochromic

Anemia of inflammation and chronic disease

Microcytic Hyperchromic

Hereditary spherocytosis
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Lack of intrinsic factor causes

pernicious anemia

Folic acid is essential for the body because


It plays a role in maturing of RBCs

Liver disease causes

Non-megaloblastic anemia

Macrocytic Anemia's

-MCV larger than 100.

-megaloblastic and non-megaloblastic

megaloblastic anemia (macrocytic)

Folate deficiency and vitamin b-12 deficiency

Non-megaloblastic anemia (macrocytic)

-Liver disease, myelodsplastic syndrome, hemorrhage


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Manifestations of Macrocytic Anemia's

-fatigue

-dyspnea -loss of appetite and weight

-diarrhea

-pallor

B12 definitely (pernicious anemia)

-Autoimmune destruction of intrinsic factor

-peripheral neuropathy

- treatment: injections

risk: vegetarians, elderly, h-pylori infection

Folate deficiency anemia

-lack of folate leading to premature RBC death... caused by dietary deficiency

-ferritin level normal

-alcoholics, pregnancy, anticonvulsant meds

folic acid foods

peas beans veggies liver seeds orange juice fortified bread cereal rice

pernicious anemia labs


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
-Normal or low -folate

-MCHC is normal

-elevated MCV

Folate deficiency labs

macrocytic. (increased MCV)

low RBC count.

decreased folate.

hemolytic anemia
-destruction of lysis of RBCs due to enzymes or toxins produced by infectious agent , chemical
release medication, effects of drugs

Incorrect blood transfusions -type 2 hypersensitivity

hemolytic anemia labs

RBC normal size, reticulocyte count is high

Aplastic anemia labs


RBC normal, reticulocyte count low
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Blood loss anemia

-Acute: GI bleed, trauma, labor

-Chronic: GI bleed, deplete iron stores can result in iron deficiency anemia

aplastic anemia

"Without" =plasa of cell growth

- chemical- chemo

-viral: hepatitis

-tumor

-antibiotics and other meds: PCN, phenytoin, diuretics, anti diabetic, sulfa

-congenital defects: fanconi's anemia

___ used to diagnose aplastic anemia

-Blood test and bone marrow biopsy

-granulocyte count less than 500

-platelet count less than 20,000

-absolute reticulocyte count less than or equal to 40x 109/L

Post hemorrhage: lab

Reticulocyte count is high


MCHC normal
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

sickle cell anemia

-a genetic disorder that causes abnormal hemoglobin, resulting in some red blood cells assuming
an abnormal sickle shape

sickle cell anemia


-autosomal recessive gene disorder

-two abnormal genes, one form each parent

Patho of sickle cell

-Involves a single amino-acid change on the beta-chain

-4 genes involved in encoding synthesis of the alpha protein chains for Hb. Genes located on
chromosome 16

Hemoglobinopathies

sickle cell and thalassemia

Thalassemia

-Autosomal recessive genetic disorder

-abnormal Hb gene from each parent like sickle cell


-many possible genetic mutations
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
-single or muitlple amino changes on alpha and beta chains

Manifestations of Sickle cell

-Involves single Amino acid change on the betachai


-Increased RBC hemoglobin S concentration, dehydration, acidosis, hypoxemia

-have a cute painful episodes

Manifestation of thalassemia

-May have possible genetic mutations

- ineffective erythropoiesis
-occurs and people from south east Asia and China

Patho of heart failure

*less cardiac output

-Heart tries to compensate for not pumping an adequate amt of blood

-Increased heart rate

-Blood vessels dilate


-Heart hypertrophy

-Right side triggered by MI or lung dx

-Vascular resistance
-Greater O2 demand

-Cells become hypoxic


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Heart failure overtime causes....resulting in increase preload

-decreased contractility

-decreased stoke volume


-increase left ventricular end-diastolic volume (LVEDV)

Long-standing cause of heart failure

Hypertension

Flow of the heart:

Inferior/Superior vena cava, right atrium, tricuspid valve, right ventricle, pulmonary semi lunar
valve, pulmonary arteries, (deox), lungs, pulmonary veins, left atrium, mitral valve, left ventricle,
aortic semi lunar valve, aorta, (oxy)

Flow of the heart

a. Right Atrium, Right Ventricle, Pulmonary Arteries, Lungs, Pulmonary Veins, Left Atrium, Left
Ventricle, Aorta

right sided heart failure manifestations


1. Jungular Vein Distention

2. Ascending Dependent Edema


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
3. Weight Gain

4. Hepatomegaly (Liver Enlargement

5. cor pulmonale

right sided heart failure

Right sided heart failure can occur due to left sided heart failure due to the back up of the fluid
from the left side of the heart

Preload

-volume of blood in ventricles at end of diastole

-determined by:

1. Amount of venous blood returning to the ventricles door and diastole

2. The amount of blood in the left Ventricle after systole


-can cause a backflow of blood causing heart failure

Afterload

-the amount of resistance to ejection of blood from the ventricle

-Elevated afterload results in increased ventricular workload and hypertrophy of the myocardium

Stroke volume
-The amount of blood ejected from the heart in one contraction. (Systole)
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Cardiac Output (CO)

measurement of the amount of blood ejected per minute from either ventricle of the heart

-CO= SV x HR
-4-8L/min

Heart failure definition

The heart is an able to generate an adequate cardiac output such as the inadequate perfusion of
tissues or increase diastolic filling pressure of the ventricle or both

Left side HF (systolic) HFrEF : congestive heart failure

-Heart failure with reduced ejection fraction


-decreased contractility, increased preload, and increased afterload

-S3 gallop

ejection fraction

-measurement of the volume percentage of left ventricular contents ejected with each contraction

-if effected, the blood is unable to pump blood out of the ventricles resulting in increased preload

Ejection fraction of ___% can't provide adequate cardiac output


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
40

cor pulomale

Right ventricular failure secondary to pulmonary HTN

Right sided heart failure diastolic caused by:

-HTN, myocardial hypertrophy, myocardial infarction

-decreased compliance of the left side and abnormal diastolic relaxation

-increased afterload will cause an increased right ventricular contraction force and will
eventually not be able to move the blood (blood will remain in the right atrium)

Right HF involves..
-Right ventricle

-super vena cava (preload)

-pulmonary artery afterload

Left HF involves

-Left ventricle
-pulmonary vein (preload)

-aorta (afterload)
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Stage A HF

Patient at risk for heart failure who have not yet developed structural heart changes (those with
diabetes, those with coronary disease without prior infarct)

Stage B HF
Patients with structural heart disease reduce ejection fraction (left ventricular hypertrophy
chamber enlargement) who have not yet developed symptoms of heart failure

-structural heart damage, but no damage

Stage C HF

Patients you have developed clinical heart failure

-symptomatic

Stage D HF

Patients with refractory heart failure that require advance intervention

-example the need for bio

-ventricular pacemaker left ventricular assist device or a heart transplant

Class I HF
No limitation of physical activity
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Class II HF

-Slight limitation of physical activity

-Patient is comfortable at rest but ordinary physical activity results and symptoms of HF

Class 111 HF

-There is marked limitation of physical activity

-the patient is comfortable at rest but less than ordinary activity causes symptoms of HF

Class IV HF

The patient is unable to carry on any physical activity without symptoms of HF or they have
symptoms of HF at rest

Transition of stages of HF:

-Once a stage has been reached the person can ever go back to the prior stage

-the damage of the heart cannot be reversed

Transition of classes in HF

The patient may move between classes one and four as symptoms can be improved through
treatment wand medications
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Manifestations of Right HF

-Jugular vein distention

-heptatosplenomegal
-peripheral Edema

-cor pulmonale

tricuspid valve damage

Left HF manifestations

-Increase left ventricular afterload


-decrease ejection fraction

-increased left ventricular preload

-pulmonary edema

-Dyspnea

CAD

Long-standing atherosclerosis

aortic stenosis murmur


Mid-systolic crescendo-decrescendo heard loudest at the base and radiating to the neck
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Aortic regurgitation murmur

-Diastolic rumbling murmur heard at the apex of the heart

-An early high-pitched diastolic murmur hired at the left lower sternal border

-A systolic crescendo-descrescendo murmur heard at the left upper sternal border

Mitral Stenosis murmur

Low pitch murmur auscultated at the hearts Apex

Mitral regurgitation murmur


Pansystolic, often loud, blowing, best heard at apex, radiates well to left axilla

aortic stenosis

-calcification of aortic valve cusps that restricts forward flow of blood during systole

-narrowing of the aorta

-S4 gallop

-fainting, chest pressure


-left ventricular hypertrophy

mitral regurgitation

-Reflux of blood from left ventricle into left atrium during systole
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
-dyspnea, Jugular vein distention

aortic regurgitation

-flow of blood backward from the aorta into the heart; caused by a weak heart valve
-severe SOB

chest x-ray shows signs of pulmonary edema and cardiomegaly

mitral stenosis

-narrowing of the mitral valve opening usually caused by scarring from rheumatic fever

-SOB on activity, tachycardia, JVD, crackles


-EKG shows a-fib and left atrial hypertrophy

Obstructive Disease

characterized by an increase in resistance to airflow from the trachea and larger bronchi to the
terminal and respiratory bronchioles

Reduction of FEV1/FVC ratio

Chronic asthma
OBSTRUCTIVE
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
PFT Diagnosis used for chronic bronchitis

-FEV1 will be decreased (obstructive)

-increased TLC

simple spirometry measures

-Exhaled flow rates that include: -title volume

-vital capacity

-FEV1

forced vital capacity


-the maximum amount of air that can be removed from the lungs during forced expiration

-normal lungs should exhale 80% of the FVC

Restrictive Disease spirometry results

-FEV1, FVC, TLC are reduced

-FEV1/FVC ratio is normal

Steps to analyze pulmonary function test

1.Determine the pattern


2.Determine the severity

3.Bronchodilator response
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

FEV1/FVC ratio

Determines if it's obstructive of restrictive

FEV1/FVC ratio of ___% or less determines obstructive

-70%

FEV1/FVC ratio of greater than ___% determines restrictive

70%

TLC is greater than __% in restrictive

-80%

-80-120% represents a normal range

Obstructive pattern measurements:


-FVC- decreased or normal

-FEV1 - decreased

-FEV1/FVC ratio: less than 70%


-TLC: greater than 120 represents hyperinflation
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain

Restrictive pattern measurements

FVC: decreased

-FEV1: decreased

-FEV1/FVC ratio: normal or greater 70%


-TLC: 80%

Determining the severity: mild

>70%

Determining the severity: moderate

60-70%

Determining the severity: Moderately Severe

50-60%

Determining the severity: severe

35-50%

Determining the severity: Very severe


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
<35%

Causes air trap in the Longs after full expirationobstructive disorders definition

COPD and asthma


-Characterized by extraction of airflow during expiration

-Shortness of breath when exhaling air

-Causes air trap in the Longs after full expiration

Types of COPD: irreversible

chronic bronchitis and emphysema

Restrictive disorders definition

-Characterized by reduction in lung volume

-Results in difficulty in taking air into the lungs

-Due to stiffness and lung compliance or chest wall structural abnormalities

-Includes interstitial lung disease, sclerosis, neuromuscular causes and significant obesity

Chronic bronchitis will decrease ?

FEV1
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Emphysema has a late effect of__?

Hypoxia and hypercapnia

A patient with chronic bronchitis is likely to experience__?


Respiratory acidosis due to inability to exhale CO2

Presentation of COPD on X-ray

A flatten diaphragm, distended lung fields, and increased thoracic diameter

GOLD criteria for COPD: stage 1: mild FEV1 % predicted

80-100%

GOLD criteria for COPD: stage 2: moderate FEV1 % predicted

50%-80%

GOLD criteria for COPD: stage 3: severe FEV1 % predicted

30-50%

GOLD criteria for COPD: stage 4: very severe FEV1 % predicted


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Less than 30%

Emphysema

-hyperinflation of air sacs with destruction of alveolar walls (damage occurs in the airway, but
the aveloi

-air trapping
-purses lip breathing

-barrel chest

Chronic Bronchitis definition

-Bronchial inflammation hypersecretion of mucus and chronic productive cough that persist for
at least three consecutive months for at least two successful years

Result of chronic bronchitis


-Excessive mucus production accumulation

-hypertrophy of bronchial smooth muscles

- hypertrophy and hyperplasia of chronic bronchial mucus producing cells

-airflow obstruction

-and decreased alveolar ventilation

-(irreversible)
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Manifestations of chronic bronchitis

-Productive and purulent cough

-copious sputum production

-Dyspnea

- wheezing
-rhonchi

-cyanosis of the skin and mucous membranes

-and peripheral edema

Patho of chronic bronchitis

Inspired irritants result in airway inflammation with infiltration of neutrophils, macrophages, and
lymphocytes into the bronchial wall.

chronic low oxygen

-The kidneys compensate by increasing secretion of a erythropoietin the primary hormone results
for simulating red blood cell production

-As a result of increased red blood cells production the patient with chronic bronchitis exhibits in
elevated hematocrit can develop secondary polycythemia Vera.
-This increase in red blood cells causes strain on the pulmonary and cardiovascular system
causing pulmonary hypertension due to vasoconstriction
-causes right sided heart failure or cor pulmonale

Asthma s/s common to both instrinsic and extrinsic:


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Wheezing

Extrinsic asthma is

-Triggered by an allergic reaction


-elevated IgE

-more common in children

Intrinsic asthma is

-triggered by non-allergic factors

-no elevation in IgE


-more common in adults less than 40 years of age

Wheezing occurs at

-The end of expiration

-improves after bronchodilator use

Asthma occurs at __% FEV1/FVC

70

Gold standard test for asthma


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Methacholine Challenge test

Treatment of asthma

- Avoidance of triggers
- Short-acting ß2-agonists (SABA)

- Inhaled corticosteroids (ICS)

- Long-acting ß2-agonists (LABA)

- Leukotriene antagonists (modifiers) (LTRA)

Classic for asthma


Decrease total long capacity and residual volume

Interstitial Lung Disease... associated with smoking

-pulmonary langerhans cell histiocytosis

-desquamative interstitial pneumonia

-respiratory brochiolitis-interstitial lung disease

Breath sounds IlD

Fine crackles
Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Most diagnosed interstitial lung disease

-radiation pnemonitis

-pneumonconioses

-hypersensitivity pneumonitis

Microcytic-hypochromic

iron deficiency

sideroblastic

thalassemia

Microcytic normochromic

Anemia of inflammation and chronic disease

Microcytic hyperchromic

Spherocytosis

Hypertension directly effects which load?

Afterload

Which condition can lower preload?


Midterm Exam: NR507/ NR 507 (New 2025/ 2026
Update) Advanced Pathophysiology | with over 200
Questions and Verified Answers| 100% Correct
Elaborations | A Grade – Chamberlain
Hemorrhage

left side of heart

Aorta, pulmonary vein, left atrium, mitral valve, aortic valve, left ventricle

Right sided of the heart:

Super vena cava (preload), pulmonary artery, right atrium, pulmonary valve, tricuspid valve,
inferior vena cava, right ventricle

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