p.157
Dermatologic Disorders
What is the medical term for contact dermatitis?
Contact Dermatitis (kon-takt der-ma-ti-tis).
p.63
Musculoskeletal Disorders
What are common diagnostic findings in osteomyelitis?
Increased temperature, pain, and inflammation over the affected bone; elevated WBC and ESR.
What imaging techniques can show masses in the kidneys, ureters, or bladder?
KUB (Kidneys, Ureters, Bladder) or Ultrasound (US).
What are some symptoms associated with hypopituitarism?
Low blood glucose, delayed sexuality, and stunted growth of sexual organs.
p.59
Musculoskeletal Disorders
What laboratory finding is associated with Gouty Arthritis?
High serum uric acid levels.
What are common physical characteristics of Cushing’s Syndrome?
Moon face, buffalo hump, and truncal obesity.
p.9
Gastrointestinal Disorders
What physical findings may indicate Laënnec’s Cirrhosis?
Ascites and edema in the lower extremities.
p.77
Nervous System Disorders
What is spinal shock?
A period of time after spinal cord injury (SCI) in which there is no motor or sensory transmission.
What condition is characterized by hyperpituitarism?
Excess growth hormone production.
p.75
Nervous System Disorders
What are the diagnostic findings associated with spinal cord injury?
Loss of sensation, movement, or both after trauma to the neck, thorax, lumbar, or sacral area.
p.75
Nervous System Disorders
What is the medical term for spinal cord injury?
Spinal Cord Injury (spi-nal kord in-jur-e).
p.139
Respiratory Disorders
What are common symptoms of respiratory disorders like sarcoidosis?
Fever, myalgia, night sweats, anorexia, weight loss, fatigue.
p.178
Mental Health Disorders
What is a common behavior in Obsessive-Compulsive Disorder (OCD)?
Performing rituals a specific number of times and in a specific sequence.
p.66
Musculoskeletal Disorders
What are common diagnostic findings in musculoskeletal disorders?
Tenderness, pain, or deformity over an area of injury.
What is hydronephrosis?
Obstruction of urine outflow from the kidney.
What is azotemia?
A condition characterized by elevated levels of nitrogenous waste products in the blood.
p.7
Gastrointestinal Disorders
What cholesterol level is considered high in the context of obesity?
Total cholesterol > 200 mg/dL.
p.162
Dermatologic Disorders
What are the characteristics of a herpes simplex lesion?
Painful, itchy, vesicular lesion on the lips or in the nose, may also occur in the genital area.
p.3
Gastrointestinal Disorders
What is a common symptom of Gastroesophageal Reflux Disease (GERD)?
Chest pain or severe burning occurring within an hour of eating.
p.2
Gastrointestinal Disorders
What are common triggers for epigastric burning or discomfort?
Tobacco use, alcohol ingestion, stress, or NSAID use.
p.15
Gastrointestinal Disorders
What are common diagnostic findings in bowel obstruction?
High-pitched bowel sounds, abdominal distention, and pain.
What is a common clinical finding in children with hypopituitarism?
Short stature accompanied by weakness.
What are common diagnostic findings in individuals with alcoholism?
Smell of alcohol on breath, ataxia, slurred speech, and inappropriate affect.
p.7
Gastrointestinal Disorders
What degenerative condition is often linked to obesity?
Degenerative joint disease.
What diagnostic test is used for detecting antibodies in scleroderma?
ELISA for ANA and other antibodies.
What are the three classic symptoms of Diabetes Mellitus Type 2?
Polyuria, polyphagia, and polydipsia.
p.6
Gastrointestinal Disorders
What are common symptoms of gastrointestinal disorders?
Indigestion, anorexia, weight loss, nausea and vomiting, anemia, melena.
p.188
Gastrointestinal Disorders
What are common clinical findings in gastrointestinal disorders related to hepatitis?
Lethargy, malaise, headache, anorexia, low-grade fever, right upper quadrant pain, jaundice.
p.65
Musculoskeletal Disorders
What are common diagnostic findings for a sprain?
Pain, swelling, and heat around a recently injured joint.
p.177
Mental Health Disorders
What is a phobia?
An irrational fear of an object, place, situation, thing, or person that causes avoidance behaviors.
What condition is characterized by the symptoms of urinary difficulty in older men?
Benign Prostatic Hyperplasia.
What are common symptoms of renal colic?
Flank pain that radiates downward, nausea, vomiting, and costovertebral tenderness.
p.140
Respiratory Disorders
What are common diagnostic findings for mesothelioma?
Cough, shortness of breath (SOB), and history of asbestos exposure.
p.64
Musculoskeletal Disorders
What are common diagnostic findings in Paget's Disease?
Enlarged bone mass and deformity of the femur, skull, vertebrae, or pelvis.
p.179
Nervous System Disorders
How do clients typically respond to the loss of function in Conversion Disorder?
They seem indifferent to the loss of function.
What laboratory findings indicate acute renal failure?
Elevated creatinine and blood urea nitrogen (BUN).
p.10
Gastrointestinal Disorders
What are elevated levels of ALT and AST indicative of?
Potential liver dysfunction or damage.
What are common symptoms of urologic disorders related to bladder issues?
Urgency, frequency, and stress incontinence.
What are the sudden onset symptoms of anaphylaxis?
Wheezing, edema of airway, hypotension, tachycardia, feeling of impending doom, and anxiety.
p.82
Nervous System Disorders
What is a characteristic feature of atonic seizures?
Sudden loss of muscle tone causing a 'drop attack.'
What does SIADH stand for?
Syndrome of Inappropriate Antidiuretic Hormone.
p.156
Dermatologic Disorders
What does asymmetry in a skin lesion suggest?
It may indicate a potential skin cancer.
What is a key symptom of epididymitis?
Painful inflammation of the back of the testes.
p.12
Gastrointestinal Disorders
What factors can worsen the pain in pancreatitis?
Extension of the legs or ingestion of food.
p.5
Gastrointestinal Disorders
What does low H&H indicate in the context of Peptic Ulcer Disease?
It indicates low hemoglobin and hematocrit levels, often due to bleeding.
p.76
Nervous System Disorders
What is a key symptom of autonomic dysreflexia in spinal cord injuries above T6?
Sudden onset of headache.
What are common symptoms of Otitis Media?
Fever and pain in the ear.
p.140
Respiratory Disorders
What is mesothelioma?
A type of cancer associated with asbestos exposure.
p.1
Gastrointestinal Disorders
What is Celiac Disease?
A gastrointestinal disorder characterized by an immune reaction to gluten.
p.184
Nervous System Disorders
What does schizophrenia mean?
It means 'split mind,' indicating a chasm between the client and the environment.
p.64
Musculoskeletal Disorders
What urine marker is elevated in Paget's Disease?
Increased urine hydroxyproline.
p.60
Musculoskeletal Disorders
What symptoms may accompany exacerbations of Rheumatoid Arthritis?
Fatigue and flu-like symptoms.
p.67
Musculoskeletal Disorders
What does 'pulselessness' indicate in an injured area?
Lack of blood flow to the area.
What are common symptoms of a Urinary Tract Infection (UTI)?
Urinary frequency, urgency, and dysuria.
p.156
Dermatologic Disorders
What does the term 'irregular borders' refer to in the context of skin lesions?
It refers to the uneven edges of a lesion, which can be a warning sign for skin cancer.
p.70
Nervous System Disorders
What are the glucose and protein levels typically found in CSF during meningitis?
Low glucose and high protein.
p.12
Gastrointestinal Disorders
What other enzymes are elevated in pancreatitis?
Amylase, lipase, and glucose.
p.137
Respiratory Disorders
What are common diagnostic findings for lung cancer?
Persistent cough, weight loss, and history of or current cigarette smoking.
What is Addison’s Disease?
A disorder where the adrenal glands do not produce enough hormones, particularly cortisol.
What is the medical term for Benign Prostatic Hyperplasia?
Benign Prostatic Hyperplasia (BPH).
p.1
Gastrointestinal Disorders
What are common diagnostic or clinical findings in gastrointestinal disorders?
Bloating, diarrhea, rashes, anemia, malnutrition, and failure to thrive.
What can precipitate acute renal failure?
Severe hypotension, use of diagnostic contrast dyes, or structural damage to nephrons.
p.179
Nervous System Disorders
What is Conversion Disorder?
A mental health disorder where anxiety manifests as paralysis, blindness, or other physical symptoms without a medical explanation.
p.4
Gastrointestinal Disorders
What are common symptoms of gastrointestinal disorders?
Burning, chest pain, heartburn, dysphagia, GERD, and a feeling of fullness.
p.136
Respiratory Disorders
What is Legionnaires’ Disease?
A type of pneumonia caused by Legionella bacteria.
p.179
Nervous System Disorders
What type of symptoms are associated with Conversion Disorder?
Physical symptoms such as paralysis or blindness.
p.67
Musculoskeletal Disorders
What type of injuries typically require a neurovascular assessment?
Crush injuries or fractures.
p.58
Musculoskeletal Disorders
What are common symptoms of osteoarthritis?
Pain and stiffness in the weight-bearing joints and the vertebral column.
What is a key feeling associated with anaphylaxis?
Feeling of impending doom.
p.61
Musculoskeletal Disorders
What is the significance of estrogen-replacement therapy in relation to bone density?
Women who have never used estrogen-replacement therapy are at higher risk for loss of bone density.
p.164
Dermatologic Disorders
What are the characteristic crusts associated with Impetigo?
Honey-colored crusts on the lips, mouth, nose, hands, or perineum.
p.183
Mental Health Disorders
What does rapid cycling in Bipolar Disorder indicate?
A more severe illness, defined as four episodes per year.
p.182
Mental Health Disorders
What recurrent thoughts may be experienced by individuals with depression?
Recurrent thoughts of death or suicide.
p.135
Respiratory Disorders
What are common diagnostic findings in respiratory disorders associated with influenza?
Fever, myalgia, respiratory and gastrointestinal symptoms.
What is Diabetes Insipidus?
A disorder characterized by excessive thirst and excretion of large amounts of dilute urine.
p.92
Nervous System Disorders
What are the diagnostic findings associated with Amyotrophic Lateral Sclerosis?
Fasciculations and atrophy of muscle groups with progressive weakness.
p.129
Respiratory Disorders
What types of dysfunction can occur later in individuals with Cystic Fibrosis?
Respiratory, gastrointestinal, and reproductive dysfunction.
p.175
Mental Health Disorders
What does PTSD stand for?
Posttraumatic Stress Disorder.
p.171
Dermatologic Disorders
What type of burns are characterized by superficial and partial-thickness damage?
Superficial and Partial-Thickness Burns.
What is Hypothyroidism?
A condition where the thyroid gland is underactive and does not produce enough thyroid hormones.
p.8
Gastrointestinal Disorders
What is a key diagnostic finding of an abdominal hernia?
An abdominal area that bulges out, especially when intra-abdominal pressure increases.
What is a characteristic facial appearance in scleroderma?
Taut face without wrinkles.
What are the three key clinical findings associated with acute renal failure?
Azotemia, anuria, or oliguria.
p.136
Respiratory Disorders
What are common diagnostic findings in Legionnaires’ Disease?
Dry cough, myalgia, and abnormal lung sounds.
p.136
Respiratory Disorders
What type of exposure is associated with Legionnaires’ Disease?
Exposure to contaminated water droplets.
What is hyperpituitarism?
A condition involving excess production of hormones by the pituitary gland.
p.64
Musculoskeletal Disorders
What serum marker is increased in Paget's Disease?
Increased serum ALP (alkaline phosphatase).
p.188
Gastrointestinal Disorders
What laboratory findings are elevated in hepatitis?
Elevated ALT and AST levels.
p.179
Nervous System Disorders
What is a key characteristic of the symptoms in Conversion Disorder?
There is no medical explanation for the symptoms.
p.67
Musculoskeletal Disorders
What does the term 'paresthesia' refer to in the context of neurovascular assessment?
Abnormal sensations, such as tingling or numbness.
p.10
Gastrointestinal Disorders
What does edema in the lower extremities indicate?
Possible fluid retention or circulatory issues.
p.188
Gastrointestinal Disorders
What type of pain is associated with hepatitis?
Right upper quadrant pain.
p.64
Musculoskeletal Disorders
What other markers are increased in urine and serum in Paget's Disease?
Increased urine and serum calcium.
p.58
Musculoskeletal Disorders
What joints are primarily affected by osteoarthritis?
Weight-bearing joints and the vertebral column.
p.164
Dermatologic Disorders
What type of lesions are associated with Impetigo?
Shallow vesicles that rupture easily.
What is the full name of the disease associated with these findings?
Acquired Immunodeficiency Disease.
What is Hyperthyroidism?
A condition where the thyroid gland is overactive and produces excessive thyroid hormones.
p.86
Nervous System Disorders
What are the periods of motor function changes in Multiple Sclerosis?
Exacerbating and remitting periods of degenerating motor function.
p.106
Cardiovascular System Disorders
What type of bacteria is associated with the development of Rheumatic Endocarditis?
Beta-hemolytic streptococci.
p.88
Nervous System Disorders
What is a key symptom of Trigeminal Neuralgia?
Severe knife-like facial pain unilaterally in response to movement, touch, or cool breeze.
What are common diagnostic findings in urologic disorders?
Hypertension, oliguria, and smoky, frothy urine.
What changes in health status can occur in patients with Systemic Lupus Erythematosus?
Change in vision and renal status.
p.14
Gastrointestinal Disorders
What are common diagnostic findings in pancreatic cancer?
Weight loss, anorexia; increased amylase, lipase, and bilirubin.
p.59
Musculoskeletal Disorders
What is a common symptom of Gouty Arthritis?
Acute pain and swelling in a joint, usually the great toe (unilaterally).
What are some diagnostic findings associated with excess growth hormone?
Abnormal lipid levels and high blood glucose levels.
p.71
Nervous System Disorders
What is a common result of a blow to the head?
Changes in level of consciousness (LOC).
What does an otoscopic examination reveal in cases of Otitis Media?
A reddened and swollen tympanic membrane.
p.140
Respiratory Disorders
What exposure history is significant in diagnosing mesothelioma?
History of asbestos exposure.
p.4
Gastrointestinal Disorders
What does GERD stand for?
Gastroesophageal reflux disease.
p.112
Cardiovascular System Disorders
What is a common symptom of Peripheral Arterial Disease (PAD)?
Intermittent claudication in the calves associated with activity.
What is the serum sodium level change in Addison's Disease?
Decreased serum sodium (Na+).
p.5
Gastrointestinal Disorders
What type of pain is associated with Peptic Ulcer Disease?
Gnawing, burning pain in the midepigastric area 2–4 hours after meals or in the left epigastric area with meals.
p.166
Dermatologic Disorders
What movement may indicate the presence of Pediculosis Capitis?
Movement of insects in the hair.
What is the medical term for Kaposi’s Sarcoma?
Kaposi’s Sarcoma (kap-o-sez sar-ko-ma).
p.176
Mental Health Disorders
What physical symptoms accompany Panic Disorder?
Palpitations, numbness of the arms, chest discomfort, and dizziness.
p.13
Gastrointestinal Disorders
What type of pain is associated with cholecystitis?
Right upper quadrant pain that radiates to the right scapula.
p.68
Musculoskeletal Disorders
What is replaced during a Total Hip Replacement?
The femoral head and placement of an acetabular cup.
p.19
Gastrointestinal Disorders
What laboratory finding is often elevated in cases of appendicitis?
Increased white blood cell count (↑ WBC).
p.17
Gastrointestinal Disorders
What does a positive stool test indicate in the context of gastrointestinal disorders?
It indicates the presence of blood in the stool.
What does the Syndrome of Inappropriate Antidiuretic Hormone (SIADH) cause?
Excessive release of antidiuretic hormone leading to water retention and hyponatremia.
What is Cushing’s Syndrome?
A condition caused by excessive cortisol production, leading to various symptoms including weight gain and high blood pressure.
p.91
Nervous System Disorders
What is a common diagnostic finding in Bell's Palsy?
Unilateral drooping of the face.
p.185
Nervous System Disorders
What are common difficulties associated with Attention Deficit-Hyperactivity Disorder (ADHD)?
Difficulty focusing, finishing projects, listening to instructions, and sitting still.
p.159
Dermatologic Disorders
In which populations may cellulitis be more prevalent?
Those with diabetes or peripheral vascular disease.
What is a common symptom of Primary Open-Angle Glaucoma?
Bilateral, usually painless loss of vision.
What changes might occur in patients with bladder cancer?
Changes in voiding patterns.
What is a diagnostic finding associated with Diabetes Insipidus?
Low specific gravity of urine <1.005.
What are common urinary symptoms in men approaching their fifth decade of life?
Difficulty starting or maintaining urinary stream, dribbling of urine, urgency, and frequency.
p.63
Musculoskeletal Disorders
What does a positive bone biopsy indicate in the context of osteomyelitis?
It indicates the presence of infection.
What is the typical urinary output for someone with Diabetes Insipidus?
Excess of 5–15 liters daily.
p.14
Gastrointestinal Disorders
What may help in the prevention of pancreatic cancer?
Increased vitamin D intake.
What can cause hydronephrosis?
Lithiasis, tumor, or outflow obstruction from the bladder.
p.8
Gastrointestinal Disorders
What happens when gentle pressure is applied to an abdominal hernia?
It can cause reduction or popping back of the abdominal contents.
What electrolyte imbalance is often seen in Cushing’s Syndrome?
Decreased potassium (K+).
p.76
Nervous System Disorders
What other symptoms accompany headache in autonomic dysreflexia?
Nasal stuffiness, high blood pressure, and flushed skin above the level of injury.
p.62
Musculoskeletal Disorders
What symptoms are often present in adults with osteomalacia?
Bone pain and muscle weakness.
p.139
Respiratory Disorders
What is a notable clinical finding in sarcoidosis?
Progressive lung noncompliance.
p.69
Musculoskeletal Disorders
What symptoms are associated with lumbar musculoskeletal disorders?
Pain and numbness radiating down the sciatic nerve in the leg.
What electrolyte imbalances are typically seen in acute renal failure?
Elevated potassium (K+) and decreased sodium (Na+) in serum.
p.162
Dermatologic Disorders
Where can herpes simplex lesions occur?
On the lips, in the nose, and in the genital area.
p.127
Respiratory Disorders
What is a key diagnostic finding for Chronic Bronchitis?
A history of a chronic productive cough lasting more than 3 months for over 2 consecutive years.
p.22
Gastrointestinal Disorders
What symptom may indicate the presence of hemorrhoids?
Frank blood on the stool.
p.16
Gastrointestinal Disorders
What is a key diagnostic finding in Ulcerative Colitis?
Daily passage of six or more bloody mucus stools associated with abdominal pain.
p.69
Musculoskeletal Disorders
What condition is indicated by the term 'Herniated Nucleus Pulposus'?
A condition where the inner gel-like core of a spinal disc protrudes through a tear in the outer layer.
p.169
Dermatologic Disorders
What are the characteristics of lesions associated with Tinea?
Reddened lesions that have a scaly appearance.
What is a key diagnostic finding for renal artery stenosis?
Onset of severe hypertension in the absence of glomerular disease, renal failure, or pheochromocytoma.
What history is significant in diagnosing urologic disorders?
History of diabetic nephropathy, hypertension, glomerulonephritis, or autoimmune diseases like systemic lupus erythematosus (SLE).
p.69
Musculoskeletal Disorders
What are common symptoms of cervical musculoskeletal disorders?
Pain and numbness in the arm or headaches on the affected side.
What is a common skin appearance in Addison's Disease?
Tanned appearance to skin.
p.178
Mental Health Disorders
What is the purpose of the rituals performed by individuals with OCD?
To decrease unpleasant thoughts.
p.3
Gastrointestinal Disorders
When does discomfort from GERD typically worsen?
When lying down after meals and may occur during the night.
What are the characteristic skin findings in persons with AIDS?
Red-to-purple macules, papules, and nodules.
p.156
Dermatologic Disorders
What is the significance of a skin lesion with a diameter greater than 6 mm?
It may be a sign of skin cancer.
p.172
Dermatologic Disorders
What are the characteristics of full-thickness burns?
Tough, leathery, or charred skin surface that is brown, tan, red, or black.
What are late symptoms of urologic disorders?
Signs of urinary obstruction, pain in the lumbar or hip area, weight loss, and weakness.
p.94
Nervous System Disorders
What is encephalitis?
Inflammation of the brain.
What is rhabdomyolysis?
A condition involving the breakdown of muscle tissue that can lead to kidney damage.
p.80
Nervous System Disorders
What is a common characteristic of Absence Seizures in children?
The child appears to be daydreaming and has no recall of the event.
What is Diabetes Mellitus Type 1?
An autoimmune condition where the pancreas produces little to no insulin.
p.159
Dermatologic Disorders
What is the medical term for cellulitis?
Cellulitis (sel-u-li-tis).
p.163
Dermatologic Disorders
What is a common clinical finding in paronychia?
Erythema around the base of the nailbed.
What does urinalysis show in glomerulonephritis?
RBCs, casts, and protein.
p.93
Nervous System Disorders
What is a key symptom of Guillain-Barré Syndrome?
Paralysis of the legs, ascending to the upper body.
What is retinal detachment?
A condition where the retina separates from the back of the eye, leading to visual disturbances.
p.89
Nervous System Disorders
What type of voice is often observed in patients with Parkinson's Disease?
Soft and monotonous voice.
What occurs approximately 3 1/2 months after a solid organ, bone marrow, or stem cell transplant?
Damage to the epithelial cells of the skin, GI tract, and hepatocytes due to an immune attack.
p.104
Cardiovascular System Disorders
What type of chest pain is associated with pericarditis?
Substernal radiating chest pain that increases with deep inspiration or lying flat.
p.18
Gastrointestinal Disorders
What is a common history noted in patients with gastrointestinal disorders?
History of constipation and poor bowel habits.
What symptoms do adults with hyperpituitarism experience?
Arthritis, visual changes, and enlarged hands and feet.
p.77
Nervous System Disorders
How long can spinal shock last?
From a day to several months.
p.184
Nervous System Disorders
What are the 4 As associated with mental health disorders?
Autism, avolition, anhedonia, and associative looseness.
p.81
Nervous System Disorders
What is a characteristic motion observed in myoclonic seizures?
Brief, sudden jerking motion bilaterally.
p.182
Mental Health Disorders
What cognitive symptoms may indicate depression?
Inability to concentrate.
What are common diagnostic findings in the Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?
High blood pressure, low serum osmolality, bounding pulse, seizures.
p.187
Mental Health Disorders
What are common behaviors associated with Borderline Personality Disorder?
Substance abuse, impulsive behavior, and self-destructive behavior for attention.
p.70
Nervous System Disorders
What is a common diagnostic finding in meningitis related to neck movement?
Nuchal rigidity and pain when moving the legs or flexing the neck.
p.183
Mental Health Disorders
What is a key characteristic of Bipolar Disorder?
Cycling through periods of depression and mania.
What additional symptoms may occur with labyrinthitis?
Fever, elevation in WBCs, nausea, and vomiting.
What is azotemia?
A condition characterized by elevated levels of nitrogenous waste products in the blood.
p.172
Dermatologic Disorders
How does the skin appear in full-thickness burns?
The skin does not blanch and is painless.
What are common clinical findings associated with urologic disorders?
Edema, hypertension, hematuria, and arrhythmias.
What is a common causative drug class for urologic disorders?
Cholesterol-lowering agents.
p.138
Respiratory Disorders
What is histoplasmosis?
A respiratory disorder characterized by cough and fever.
p.105
Cardiovascular System Disorders
What are common diagnostic findings in myocarditis?
Fever, chest pain, and activity intolerance.
p.83
Nervous System Disorders
What are some diagnostic findings associated with Simple Partial Seizures?
Lip smacking, picking at clothing, or chewing behaviors of which the client is unaware.
p.180
Mental Health Disorders
What is a key characteristic of Dissociative Amnesia?
Inability to remember stressful events.
p.128
Respiratory Disorders
What does a decreased O2 saturation indicate in the context of respiratory disorders?
It indicates potential respiratory distress or impairment.
p.134
Respiratory Disorders
What is pleural effusion?
An accumulation of fluid in the pleural space.
p.108
Cardiovascular System Disorders
What is a positive Homans’ sign indicative of?
It is a diagnostic finding associated with Deep Vein Thrombosis.
p.88
Nervous System Disorders
What is the medical term for Trigeminal Neuralgia?
Tri-jem-in-al nu-ral-je-a.
p.122
Cardiovascular System Disorders
What does an ABG show in respiratory acidosis?
pH of less than 7.45, P CO2 of greater than 45 mm Hg, and HCO3 within range or rising to compensate.
p.113
Cardiovascular System Disorders
What is a common choice faced by patients with Buerger’s Disease?
The choice between continuing to smoke or losing their legs.
What is a key diagnostic finding in Diabetes Mellitus Type 2?
Elevated serum glucose levels.
p.178
Mental Health Disorders
What does OCD stand for?
Obsessive-Compulsive Disorder.
p.156
Dermatologic Disorders
What are the characteristics of a skin lesion that may indicate skin cancer?
Asymmetry, irregular borders, color changes, and a diameter greater than 6 mm.
p.166
Dermatologic Disorders
What can be observed on the hair shaft in cases of Pediculosis Capitis?
White or translucent eggs adhered to the hair shaft near the skin.
What causes urgency and frequency in urologic disorders?
Autonomic and structural anomalies of the bladder.
What are the exclusions when diagnosing renal artery stenosis?
Glomerular disease, renal failure, or pheochromocytoma.
p.60
Musculoskeletal Disorders
What laboratory findings are elevated in Rheumatoid Arthritis?
Elevated ESR; presence of RF and CCP antibodies.
p.19
Gastrointestinal Disorders
What is a key diagnostic finding for appendicitis?
Rebound tenderness at McBurney point.
p.70
Nervous System Disorders
What does turbid CSF indicate in the context of meningitis?
It indicates the presence of infection or inflammation.
p.160
Dermatologic Disorders
What are the characteristic skin findings in psoriasis?
Patches of papules or plaques with silvery scale and erythematous underlying skin.
What characteristic appearance does the scrotum have in cases of epididymitis?
The scrotum is erythematous.
p.68
Musculoskeletal Disorders
What components are replaced during a Total Knee Replacement?
The femoral and tibial ends of the knee and the knee cap by a button.
p.92
Nervous System Disorders
What type of disease is Amyotrophic Lateral Sclerosis?
A degenerative neuromuscular disease.
p.157
Dermatologic Disorders
What is a common characteristic of contact dermatitis?
Patterned skin eruption after contact with an irritant or allergen.
What are common symptoms of Ménière’s Disease?
Ear fullness, tinnitus, and vertigo.
What is Diabetes Mellitus Type 2?
A condition characterized by insulin resistance and relative insulin deficiency.
What additional symptoms may occur with Ménière’s Disease?
Sweating, nausea, and vomiting.
What are the classic symptoms of Diabetes Mellitus Type 1?
Polyuria, polydipsia, and polyphagia.
p.78
Nervous System Disorders
What does ICP stand for in the context of cerebral aneurysms?
Increased intracranial pressure.
What additional symptoms may accompany vision loss in Primary Open-Angle Glaucoma?
Mild aching in the eyes or headaches.
What is glomerulonephritis?
A condition characterized by inflammation of the glomeruli in the kidneys.
p.90
Nervous System Disorders
What are common diagnostic findings in Alzheimer's Disease?
Short-term memory loss, forgetfulness, confusion, and inability to recognize loved ones or self.
p.93
Nervous System Disorders
What is the medical term for Guillain-Barré Syndrome?
Guillain-Barré Syndrome (ge-yan ba-ra sin-drom).
What are common diagnostic findings in Urologic Disorders related to Polycystic Kidney Disease?
Hypertension, headaches, and hematuria.
p.6
Gastrointestinal Disorders
What symptom may indicate relief in gastrointestinal pain?
Pain relieved by antacids.
p.10
Gastrointestinal Disorders
What is ascites?
Accumulation of fluid in the abdominal cavity.
What is chronic renal failure?
A condition where the kidneys lose their ability to function over time.
p.61
Musculoskeletal Disorders
In which demographic is loss of bone density primarily observed?
Females who weigh less than 140 lb at menopause.
p.12
Gastrointestinal Disorders
What type of pain is associated with pancreatitis?
Severe midline abdominal pain that radiates to the flank, spine, and back.
p.112
Cardiovascular System Disorders
What color changes may occur in the legs due to Peripheral Arterial Disease?
Color changes, hair loss, and dry, flaky skin.
p.61
Musculoskeletal Disorders
What does the mnemonic ABONE stand for?
A = age, B = bulk, ONE = one never on estrogen.
Is rheumatoid arthritis present in patients with Sjögren’s Syndrome?
No, it is noted in the absence of rheumatoid arthritis.
p.156
Dermatologic Disorders
What color changes in a skin lesion might indicate skin cancer?
Variations in color within the lesion.
What is Hyperpituitarism?
A condition characterized by excessive secretion of hormones from the pituitary gland.
p.133
Respiratory Disorders
What are common symptoms of pneumonia?
Productive cough, chills, dyspnea, and pain on inspiration.
p.114
Cardiovascular System Disorders
What triggers the symptoms of Raynaud's Disease?
Contact with cold objects or cold temperatures.
p.171
Dermatologic Disorders
What is a key diagnostic finding in superficial and partial-thickness burns?
Redness of the skin resembling sunburn.
What are common symptoms of Mastoiditis?
Pain behind the ear, fever, and chills.
p.159
Dermatologic Disorders
What are the diagnostic findings associated with cellulitis?
Patchy erythema and edema in the extremities in the absence of DVT.
p.182
Mental Health Disorders
What are common feelings associated with depression?
Persistent sadness, hopelessness, and feelings of guilt.
p.60
Musculoskeletal Disorders
What is a common deformity associated with Rheumatoid Arthritis?
Swan neck deformity or ulnar deviation of the metacarpophalangeal joints.
How is Diabetes Mellitus Type 2 pronounced?
di-a-be-tez mel-i-tus type 2.
What are common diagnostic findings in Sjögren’s Syndrome?
Blurred vision, thick secretions, decreased sense of taste, dysphagia, xerostomia, and dry nasal membranes.
What condition is characterized by hypertension and headaches?
Polycystic Kidney Disease.
p.182
Mental Health Disorders
What are some changes in sleep patterns associated with depression?
Insomnia or excessive sleep.
What may be the TSH levels in Hashimoto’s Thyroiditis?
TSH may be normal or elevated.
p.67
Musculoskeletal Disorders
What is the significance of 'coolness to the touch' in an injured area?
It may indicate compromised blood circulation.
What is the most common type of vision loss associated with aging?
A gradual, age-related loss of central, near, or color vision.
p.94
Nervous System Disorders
What are some common causes of encephalitis?
Viruses (e.g., West Nile virus), parasites, toxins, bacteria, vaccines, or fungi.
What does frothy urine indicate in the context of Nephrotic Syndrome?
The presence of protein and lipids.
What happens to immunoglobulins in Nephrotic Syndrome?
They are lost in urine, leading to decreased levels.
p.128
Respiratory Disorders
What are the common symptoms of a pneumothorax?
Sudden sharp pain in the chest area and shortness of breath (SOB).
p.165
Dermatologic Disorders
What are the characteristic lesions associated with scabies?
Grayish brown pruritic threadlike lesions with a black dot at the end.
p.158
Dermatologic Disorders
What is a key diagnostic finding in eczema?
Presence of a vesicular rash that may occur on any skin surface, including under the eyes.
p.163
Dermatologic Disorders
Who is likely to develop paronychia?
Persons who frequently have their hands in water, nailbiters, or thumb suckers.
p.167
Dermatologic Disorders
At what age group is Acne Vulgaris most commonly observed?
Usually in adolescents, but can occur in adults.
p.131
Respiratory Disorders
What does SARS stand for?
Severe Acute Respiratory Syndrome.
p.113
Cardiovascular System Disorders
What happens to circulation in the legs due to Buerger’s Disease?
Thrombi develop, occluding circulation.
p.117
Cardiovascular System Disorders
What are common diagnostic findings in leukemia?
Low-grade fever, lymphadenopathy, bleeding tendency, infections, and anemia.
p.169
Dermatologic Disorders
What shapes can Tinea lesions form?
Circular areas, reddened raised areas, or deep bloodless crevasses between toes.
p.176
Mental Health Disorders
What are common symptoms of Panic Disorder?
Sudden feeling of impending doom, going crazy, unreality, and fear.
p.20
Gastrointestinal Disorders
What are common diagnostic findings in Crohn's Disease?
Diarrhea, weight loss, and cobblestone appearance in the small bowel.
What do Weber’s and Rinne’s tests indicate in the context of labyrinthitis?
They indicate conductive or sensorineural hearing loss.
p.5
Gastrointestinal Disorders
What are common diagnostic findings in Peptic Ulcer Disease?
Weight loss and presence of melena.
What indicates a change in the CD4/CD8 ratio?
A ratio outside the normal range of 0.9–1.9.
What does a measurable viral load indicate in immune disorders?
It suggests active viral replication and potential immunodeficiency.
p.94
Nervous System Disorders
What is a common consequence of encephalitis?
Increased intracranial pressure (ICP).
p.170
Dermatologic Disorders
What are the characteristics of the growths associated with Verruca?
Pink or light pink growths that cluster on skin structures.
p.175
Mental Health Disorders
What is a key symptom of Posttraumatic Stress Disorder (PTSD)?
Acute anxiety and distress related to flashbacks or memories of a traumatic event.
p.84
Nervous System Disorders
What are some behaviors associated with Complex Partial Seizures?
Staring, running away, picking at clothing, or standing still with lip smacking.
p.174
Mental Health Disorders
What is a key characteristic of Generalized Anxiety Disorder?
Excessive worry or anxiety that cannot be controlled.
p.95
Nervous System Disorders
What laboratory findings indicate Malignant Hyperthermia?
Increased creatinine and BUN levels.
p.173
Dermatologic Disorders
What is a key diagnostic finding in a client with rosacea?
The client's skin appears flushed.
p.173
Dermatologic Disorders
What factors exacerbate the condition of rosacea?
Sun exposure, eating or drinking hot foods or liquids, and alcohol.
p.174
Mental Health Disorders
What impact does Generalized Anxiety Disorder have on daily life?
It causes interference with normal activities of daily living.
What is a key diagnostic finding in Diabetes Mellitus Type 1?
Increased serum glucose levels that persist.
What is a significant tonometry measurement for diagnosing Acute Angle-Closure Glaucoma?
Measurements may exceed 50 mm Hg.
What is the condition called that involves an immune attack initiated by transplanted tissue?
Graft-Versus-Host Disease.
p.73
Nervous System Disorders
What can head injuries cause in terms of intracranial pressure (ICP)?
They may cause increased ICP and changes in level of consciousness (LOC).
p.78
Nervous System Disorders
What is a notable ocular symptom of a cerebral aneurysm?
Dilation of the pupil on the affected side.
p.101
Cardiovascular System Disorders
What are common symptoms associated with Atrial Fibrillation?
Palpitations, skipping heartbeats, or vertigo.
What are common diagnostic findings in immune disorders?
Lymphadenopathy, night sweats, and presence of rare opportunistic illnesses.
What is the serum potassium level change in Addison's Disease?
Increased serum potassium (K+).
p.4
Gastrointestinal Disorders
What symptom might indicate a hiatal hernia?
Dysphagia (difficulty swallowing).
p.10
Gastrointestinal Disorders
What does an increase in bilirubin levels suggest?
Possible liver disease or dysfunction.
p.172
Dermatologic Disorders
What colors can the skin surface of full-thickness burns be?
Brown, tan, red, or black.
p.114
Cardiovascular System Disorders
What is a key diagnostic finding in Raynaud's Disease?
Vasospasm and vasoconstrictive ischemia of the tips of the nose, fingers, hands, feet, and toes.
p.68
Musculoskeletal Disorders
What is the purpose of Total Joint Replacement?
To replace damaged joints with metal components.
p.79
Nervous System Disorders
What is a key diagnostic finding in Tonic-Clonic Seizures?
Presence of an aura followed by loss of consciousness.
p.171
Dermatologic Disorders
What skin changes occur after contact with a thermal source in superficial and partial-thickness burns?
Redness and mottling of the skin with blister formation.
p.98
Cardiovascular System Disorders
What is a common symptom of a myocardial infarction?
Severe chest pain that refers to the jaw, upper arms, neck, and scapula, described as 'crushing.'
p.106
Cardiovascular System Disorders
What are common symptoms that develop 2–3 weeks after strep throat in cases of Rheumatic Endocarditis?
Fever, chest pain, dyspnea, cough, arthritic symptoms, chorea, and ankle edema.
p.116
Cardiovascular System Disorders
What symptoms may a client with prehypertension experience?
The client may have no symptoms or, in severe cases, headache and nosebleed.
p.181
Mental Health Disorders
What is a key characteristic of mania?
Excessive excitement and restlessness.
p.86
Nervous System Disorders
What does an MRI reveal in a patient with Multiple Sclerosis?
Demyelination of the white matter of the brain.
What are common symptoms of pyelonephritis?
Chills, fever, tenderness over the costovertebral angle, dysuria.
What are common symptoms of Acute Angle-Closure Glaucoma?
Unilateral redness and pain in the eye, headache, nausea, and vomiting.
How does head movement affect symptoms in Ménière’s Disease?
Movement of the head makes symptoms worse.
p.90
Nervous System Disorders
What is a key characteristic of Alzheimer's Disease?
Inability to recognize loved ones or self.
What is tinnitus?
A ringing or buzzing noise in the ears.
p.182
Mental Health Disorders
How does depression affect daily activities?
It leads to decreased interest in daily activities.
p.58
Musculoskeletal Disorders
What causes pain and stiffness in osteoarthritis?
Wear and tear or obesity.
What are common symptoms of Hashimoto’s Thyroiditis?
Goiter, insomnia, anxiety, muscle and joint aches, weight changes, hair loss, and fertility problems.
What antibodies are present in Sjögren’s Syndrome?
Antiribonucleoprotein serum antibodies and positive rheumatoid factor.
p.176
Mental Health Disorders
What feeling might someone with Panic Disorder experience?
A sudden feeling of impending doom.
p.21
Gastrointestinal Disorders
What are two diagnostic findings associated with peritonitis?
Rebound tenderness and rigidity over the abdominal wall.
What is Hypopituitarism?
A condition where the pituitary gland does not produce sufficient hormones.
p.102
Cardiovascular System Disorders
What are potential symptoms of a client with cardiovascular system disorders?
The client may be lightheaded, unconscious, and pulseless.
p.79
Nervous System Disorders
What characterizes the movements during Tonic-Clonic Seizures?
Alternating cycles of stiffness and jerking movements.
p.105
Cardiovascular System Disorders
What is myocarditis?
An inflammation of the heart muscle.
p.116
Cardiovascular System Disorders
What BP readings classify a client as prehypertensive?
Greater than 119 mm Hg systolic or greater than 79 mm Hg diastolic.
What does Rinne’s test indicate in otosclerosis?
Bone conduction is normal.
p.130
Respiratory Disorders
What can cause decreased O2 saturation in patients?
Sepsis, near-drowning, or aspiration of gastric contents.
p.134
Respiratory Disorders
What are common diagnostic findings in pleural effusion?
Dyspnea, diminished breath sounds over the affected area, pleural friction rub.
p.78
Nervous System Disorders
What are the sudden onset symptoms of a cerebral aneurysm?
Severe headache, increased intracranial pressure (ICP), change in level of consciousness (LOC), motor dysfunction, and pupil dilation on the affected side.
What visual phenomenon may patients with Primary Open-Angle Glaucoma experience?
Seeing halos around objects.
What laboratory finding is often elevated in pyelonephritis?
Elevated WBCs (white blood cells).
p.130
Respiratory Disorders
What is a key characteristic of Acute Respiratory Distress Syndrome (ARDS)?
Decreased oxygen saturation.
p.113
Cardiovascular System Disorders
What is Buerger’s Disease?
A disease affecting young men who smoke, leading to thrombi in the legs that occlude circulation.
p.104
Cardiovascular System Disorders
What is a common diagnostic finding in pericarditis?
Pericardial friction rub.
p.78
Nervous System Disorders
What change in consciousness may occur with a cerebral aneurysm?
Change in level of consciousness (LOC).
What is the medical term for hypothyroidism?
Hypothyroidism (hi-po-thi-royd-izm).
p.109
Cardiovascular System Disorders
What type of murmur is associated with Aortic Stenosis?
A loud, harsh midsystolic, crescendo–decrescendo murmur.
What type of balance problems can occur with Acoustic Neuroma?
Problems with maintaining equilibrium.
p.17
Gastrointestinal Disorders
What is a significant change that may suggest colon cancer?
A change in bowel habits.
What are common diagnostic findings in Nephrotic Syndrome?
Elevated LDL cholesterol and triglycerides, proteinuria, frothy urine, decreased immunoglobulins, and massive edema.
p.103
Cardiovascular System Disorders
What are the diagnostic findings associated with loss of consciousness in cardiovascular disorders?
No peripheral pulses or blood pressure.
What is a common diagnostic finding in otosclerosis?
Progressive hearing loss, especially with low or soft tones.
p.92
Nervous System Disorders
What is the full name of ALS?
Amyotrophic Lateral Sclerosis.
p.98
Cardiovascular System Disorders
What additional symptoms accompany severe chest pain in myocardial infarction?
Shortness of breath, elevated blood pressure, and sweating.
p.91
Nervous System Disorders
What inability is associated with Bell's Palsy?
Inability to blink the eye.
p.124
Respiratory Disorders
What are common diagnostic findings in bronchiectasis?
Dyspnea, cyanosis, and expectoration of large amounts of foul-smelling mucus.
What are common clinical findings in hypothyroidism?
Lethargy, mental slowness, and heavy menstrual periods in women.
p.185
Nervous System Disorders
What age groups can be affected by Attention Deficit-Hyperactivity Disorder (ADHD)?
Both children and adults.
p.120
Cardiovascular System Disorders
What is the range of PCO2 in metabolic acidosis?
35–45 mm Hg or decreasing to compensate.
p.97
Cardiovascular System Disorders
When does the chest pain associated with Angina Pectoris typically occur?
Usually associated with activity, cold weather exercise, or smoking.
p.108
Cardiovascular System Disorders
What does unilateral edema indicate in the context of Deep Vein Thrombosis?
It suggests the presence of a thrombus in a deep vein.
p.167
Dermatologic Disorders
What is the medical term for Acne Vulgaris?
Acne Vulgaris (ak-ne vul-ga-ris).
p.141
Respiratory Disorders
What are common symptoms of respiratory disorders?
Fatigue, weight loss, anorexia, night sweats, low-grade fever, productive cough, hemoptysis, chest pain, anxiety.
p.131
Respiratory Disorders
What are rhonchi and crackles indicative of?
They are indicative of respiratory disorders.
p.121
Cardiovascular System Disorders
What is the range of PCO2 in Metabolic Alkalosis?
35–45 mm Hg or rising to compensate.
p.131
Respiratory Disorders
What can worsen respiratory symptoms after exposure to the coronavirus?
Severe Acute Respiratory Syndrome (SARS).
What is the medical term for hyperthyroidism?
Hyperthyroidism (hi-per-thi-royd-izm).
p.74
Nervous System Disorders
Which gene mutation is associated with Huntington's Disease?
Mutation of the IT15 gene.
p.117
Cardiovascular System Disorders
What is lymphadenopathy?
Swelling of lymph nodes, often associated with infections or malignancies like leukemia.
p.103
Cardiovascular System Disorders
What is a critical condition characterized by irregular heartbeats that can lead to loss of consciousness?
Ventricular Fibrillation.
When do symptoms of Mastoiditis typically occur?
Usually after an ear or sinus infection.
p.83
Nervous System Disorders
Is consciousness lost during Simple Partial Seizures?
No, consciousness is not lost.
p.89
Nervous System Disorders
What is a common facial expression associated with Parkinson's Disease?
Mask-like facial expression.
What is a common difficulty experienced by individuals with cataracts?
Difficulty driving at night due to excessive glare.
What is pyelonephritis?
A type of kidney infection.
p.108
Cardiovascular System Disorders
What are common clinical findings in Deep Vein Thrombosis?
Redness or warmth in an area of pain in the leg, and unilateral edema in the arm or leg.
What happens to the external auditory canal in Otitis Externa?
The canal may swell shut.
p.85
Nervous System Disorders
What does the term 'cerebrovascular accident' refer to?
A medical condition involving impaired blood flow to the brain, often resulting in neurological deficits.
What are common symptoms of hyperthyroidism?
Restlessness, irritability, and heat intolerance.
What findings are observed during an ophthalmoscopic examination in diabetic retinopathy?
Cotton-wool spots and tortuous, dilated vessels.
p.168
Dermatologic Disorders
What are the two severe skin conditions associated with drug reactions?
Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis.
p.168
Dermatologic Disorders
What is the pronunciation of Stevens-Johnson Syndrome?
ste -venz- jon -son sin -drom.
What might a male experience alongside dysuria in urologic disorders?
Discharge from the urethra.
What is a significant risk factor for urologic disorders?
History of unprotected sex.
p.95
Nervous System Disorders
What are the clinical findings associated with Malignant Hyperthermia?
Temperature increase and muscle rigidity following exposure to anesthetics.
What does Weber’s test show in a patient with otosclerosis?
Lateralization to the most affected ear.
p.130
Respiratory Disorders
What does ARDS stand for?
Acute Respiratory Distress Syndrome.
p.124
Respiratory Disorders
What laboratory findings may be observed in bronchiectasis?
Decreased RBC count and weight loss.
p.107
Cardiovascular System Disorders
When does atypical chest pain occur in cardiomyopathy?
With rest and not relieved with nitrates.
p.161
Dermatologic Disorders
What type of lesions are associated with Herpes Zoster?
Painful vesicular lesions.
p.93
Nervous System Disorders
How can Guillain-Barré Syndrome affect breathing?
It may affect the ability to breathe on one’s own.
p.115
Cardiovascular System Disorders
What are common symptoms of an aortic aneurysm?
Abdominal pain, nausea, or fullness relieved by position change.
p.96
Cardiovascular System Disorders
What symptom may indicate cardiovascular system disorders in a client with risk factors?
Shortness of breath with activity.
p.107
Cardiovascular System Disorders
What does edema of the ankles indicate in the context of cardiovascular disorders?
It may indicate cardiomyopathy.
p.168
Dermatologic Disorders
What symptoms may indicate a reaction to sulfa drugs, antibiotics, or antiepileptics?
Flu-like symptoms or macular rash.
p.110
Cardiovascular System Disorders
How is a venous stasis ulcer described?
As 'wet' and exuding a large amount of serous fluid.
p.132
Respiratory Disorders
What is hemoptysis?
Coughing up blood, which can be a symptom of Pulmonary Embolism.
p.141
Respiratory Disorders
What does a productive cough indicate?
The presence of mucus or phlegm in the respiratory tract.
p.72
Nervous System Disorders
What can a depressed area in the skull signify?
It may signify severe head trauma or a skull fracture.
What are visual abnormalities associated with retinal detachment?
Flashing lights or sparks, floaters, loss of peripheral vision, and eventual loss of vision.
p.107
Cardiovascular System Disorders
What are common symptoms of cardiomyopathy?
Dyspnea, fatigue, edema of the ankles, and possible atypical chest pain.
What does the visual field experience during retinal detachment?
It may feel like a curtain falling over the visual field.
p.84
Nervous System Disorders
What is a key characteristic of Complex Partial Seizures?
Socially awkward behavior.
p.85
Nervous System Disorders
What are some diagnostic findings associated with Nervous System Disorders?
Inability to form words, drooping of the face, or inability to see out of one eye.
p.97
Cardiovascular System Disorders
What is a common symptom of Angina Pectoris?
Chest pain referred to the jaw, neck, upper arms, and scapulae.
p.124
Respiratory Disorders
What abnormal lung sounds are associated with bronchiectasis?
Rhonchi heard on auscultation.
p.131
Respiratory Disorders
What are common diagnostic findings in respiratory disorders related to coronavirus exposure?
Cough, rhonchi, crackles, and worsening respiratory symptoms.
p.73
Nervous System Disorders
What are the types of head injuries mentioned?
Arterial or venous in nature.
p.161
Dermatologic Disorders
Where do the lesions of Herpes Zoster typically occur?
Unilaterally along sensory nerve pathways.
How is pain elicited in cases of Otitis Externa?
By applying pressure on the tragus.
p.96
Cardiovascular System Disorders
What are some risk factors for heart disease?
History of elevated blood lipids, smoking, poor dietary habits, sedentary lifestyle, and obesity.
Which cells are primarily affected in Graft-Versus-Host Disease?
Epithelial cells of the skin, GI tract, and hepatocytes.
p.109
Cardiovascular System Disorders
What are common symptoms of Aortic Stenosis?
Low blood pressure, fatigue, dizziness, and chest pain.
p.110
Cardiovascular System Disorders
Where do venous stasis ulcers typically occur?
On the lower extremities.
What are the two types of hearing loss mentioned?
Conductive and Sensorineural Hearing Loss.
p.100
Cardiovascular System Disorders
What are arrhythmias?
Irregular heartbeats that can occur during cardiogenic shock.
p.88
Nervous System Disorders
What triggers the pain in Trigeminal Neuralgia?
Movement of the musculature of the face, a touch, or cool breeze.
p.165
Dermatologic Disorders
Where on the body are scabies lesions commonly found?
Between fingers, toes, axillae, groin, buttocks, and abdominal areas.
What laboratory findings are associated with hypothyroidism?
Increased TSH and decreased T3 and T4 levels.
p.167
Dermatologic Disorders
What are common clinical findings of Acne Vulgaris?
Whiteheads, blackheads, or cysts on the face, neck, upper back, chest, and shoulders.
What visual changes may occur in individuals with poorly controlled diabetes?
Gradual central visual field changes that can progress to flashing lights and cessation of vision.
p.111
Cardiovascular System Disorders
How do varicose veins affect body image?
They cause changes in body image.
p.118
Cardiovascular System Disorders
What bleeding tendency is associated with Multiple Myeloma?
Increased bleeding tendency.
p.134
Respiratory Disorders
What is a pleural friction rub?
A sound produced by the rubbing of inflamed pleural layers.
p.74
Nervous System Disorders
What type of behavior progresses alongside the physical symptoms in Huntington's Disease?
Progressive psychotic behavior.
p.168
Dermatologic Disorders
What is the pronunciation of Toxic Epidermal Necrolysis?
toks -ik ep -i- der -mal ne- krol -i-sis.
What are common diagnostic findings associated with Acoustic Neuroma?
Hearing loss, headache, facial numbness, balance problems, and tinnitus.
What visual phenomenon might a client with Acute Angle-Closure Glaucoma experience?
Seeing halos in the visual field around lights.
p.132
Respiratory Disorders
What are the rapid onset symptoms of Pulmonary Embolism?
Dyspnea, chest pain, anxiety, feeling of impending doom, and hemoptysis.
What infections are commonly seen in patients with Multiple Myeloma?
Infections due to compromised immune function.
p.100
Cardiovascular System Disorders
What is tachycardia?
A condition of having a fast heart rate, often seen in cardiogenic shock.
p.99
Cardiovascular System Disorders
What organ enlargement can occur due to Congestive Heart Failure?
Hepatomegaly and splenomegaly.
p.72
Nervous System Disorders
What is the medical term for a skull fracture?
Skull fracture (skul frak-chur).
p.117
Cardiovascular System Disorders
What is a bleeding tendency in the context of leukemia?
Increased susceptibility to bleeding due to low platelet counts.
p.134
Respiratory Disorders
What does diminished breath sounds over the affected area indicate?
Possible presence of pleural effusion.
What is the definition of hearing loss in the context of sensory disorders?
Acquired or congenital inability to discriminate sound, resulting in impaired hearing.
p.121
Cardiovascular System Disorders
What does an ABG show in cases of Metabolic Alkalosis?
pH greater than 7.45, PCO2 in the range of 35–45 mm Hg or rising to compensate, and HCO3 of greater than 26 mEq/L.
p.110
Cardiovascular System Disorders
What is a key characteristic of a venous stasis ulcer?
It occurs on the lower extremities in the presence of edema and brown, leathery skin.
p.72
Nervous System Disorders
What type of injury is characterized by crepitus, CSF leak, or a depressed area in the skull?
Severe head trauma resulting in an open-skull injury.
p.118
Nervous System Disorders
At what age range do symptoms of Multiple Myeloma typically affect individuals?
Fifth to seventh decades of life.
p.74
Nervous System Disorders
What is Huntington's Disease characterized by?
Jerking movements and progressive psychotic behavior.
p.117
Cardiovascular System Disorders
What is the significance of low-grade fever in leukemia?
It may indicate an underlying infection or the body's response to the disease.
p.78
Nervous System Disorders
What motor dysfunction might be observed in a patient with a cerebral aneurysm?
Motor dysfunction on the affected side.
p.115
Cardiovascular System Disorders
What physical finding may indicate an aortic aneurysm?
A pulsating mass in the abdomen.
What history may be relevant in diagnosing hearing loss?
History of ototoxic drug use.
p.99
Cardiovascular System Disorders
What are common clinical findings in Congestive Heart Failure?
Edema in the extremities, shortness of breath, crackles, and pleural effusion.
Which tests are used to assess hearing loss?
Weber’s and Rinne’s tests.
p.132
Respiratory Disorders
What is the medical term for Pulmonary Embolism?
Pulmonary Embolism (pul-mo-ne-re em-bo-lizm).
p.117
Cardiovascular System Disorders
What type of anemia is often seen in leukemia patients?
A type of anemia caused by a decrease in red blood cell production.
p.100
Cardiovascular System Disorders
What are the sudden onset symptoms following a myocardial infarction (MI)?
Low blood pressure, poor perfusion, tachycardia, and arrhythmias.
p.99
Cardiovascular System Disorders
What does elevated BNP indicate in cardiovascular disorders?
It is a diagnostic marker often associated with heart failure.
p.109
Cardiovascular System Disorders
Where is the Aortic Stenosis murmur heard loudest?
At the second right intercostal space (ICS).
p.123
Cardiovascular System Disorders
What is the HCO3- range in Respiratory Alkalosis?
22–26 mEq/L or decreasing to compensate.
What is a common symptom of urologic disorders in males?
Dysuria or blood in the urine or ejaculate.
p.72
Nervous System Disorders
What does CSF leak indicate in the context of head trauma?
It may indicate a skull fracture.
p.104
Cardiovascular System Disorders
How does the pain from pericarditis change with body position?
It is somewhat relieved by sitting upright and leaning forward.
p.132
Respiratory Disorders
What feeling might accompany the symptoms of Pulmonary Embolism?
A feeling of impending doom.
p.74
Nervous System Disorders
What are the initial symptoms of Huntington's Disease?
Onset of jerking movements of the upper extremities, face, and neck.
p.109
Cardiovascular System Disorders
Where does the Aortic Stenosis murmur radiate?
To the side of the neck and down the left sternal border or apex.
p.126
Respiratory Disorders
What type of respiratory acidosis is associated with emphysema?
Chronic respiratory acidosis.
p.115
Cardiovascular System Disorders
What technique is used to detect a bruit associated with an aortic aneurysm?
Auscultation with the bell of the stethoscope adjacent to the umbilicus.
p.73
Nervous System Disorders
How can the onset of increased ICP from head injuries vary?
It can be rapid, insidious, chronic, or become fatal.
p.122
Cardiovascular System Disorders
What happens to HCO3 in respiratory acidosis?
It remains within range or rises to compensate.
p.73
Nervous System Disorders
What are the two types of hematomas associated with head injuries?
Epidural and subdural hematoma.
p.100
Cardiovascular System Disorders
What does poor perfusion indicate in the context of cardiovascular disorders?
Inadequate blood flow to tissues, often leading to organ dysfunction.
p.118
Cardiovascular System Disorders
What type of anemia is associated with Multiple Myeloma?
Anemia affecting patients.
p.117
Cardiovascular System Disorders
What does a bone marrow biopsy reveal in leukemia?
Many immature white blood cells (WBCs).
p.65
Musculoskeletal Disorders
What is a common cause of the symptoms described in a sprain?
A) Infection
B) Overuse
C) Recent injury
D) Arthritis
E) Tumor
C) Recent injury
Explanation: The symptoms of pain, swelling, and heat around a joint are typically indicative of a sprain, which is caused by a recent injury to the ligaments surrounding the joint.
p.106
Cardiovascular System Disorders
Which type of bacteria is associated with the development of Rheumatic Endocarditis?
A) Staphylococcus aureus
B) Escherichia coli
C) Beta-hemolytic streptococci
D) Streptococcus pneumoniae
E) Clostridium difficile
C) Beta-hemolytic streptococci
Explanation: Rheumatic Endocarditis is linked to infections caused by beta-hemolytic streptococci, which can lead to various clinical findings after strep throat.
p.65
Musculoskeletal Disorders
Which joint is most commonly associated with the findings of pain, swelling, and heat in a sprain?
A) Wrist
B) Knee
C) Elbow
D) Ankle
E) Shoulder
D) Ankle
Explanation: The ankle is specifically mentioned as the joint where pain, swelling, and heat are commonly observed in cases of sprain, highlighting its vulnerability to injury.
What is azotemia?
A) A condition of low blood pressure
B) A buildup of nitrogenous waste in the blood
C) A type of kidney stone
D) A decrease in urine output
E) A form of kidney infection
B) A buildup of nitrogenous waste in the blood
Explanation: Azotemia refers to the accumulation of nitrogenous waste products in the blood, often indicating impaired kidney function, which is a key diagnostic finding in urologic disorders.
p.133
Respiratory Disorders
What is a common symptom of pneumonia?
A) Fever
B) Productive cough
C) Skin rash
D) Joint pain
E) Nausea
B) Productive cough
Explanation: A productive cough is a hallmark symptom of pneumonia, indicating the presence of mucus or phlegm in the lungs, which is often associated with this respiratory disorder.
p.106
Cardiovascular System Disorders
Which of the following is NOT a symptom of Rheumatic Endocarditis?
A) Chorea
B) Ankle edema
C) Fever
D) Skin rash
E) Dyspnea
D) Skin rash
Explanation: While fever, chorea, ankle edema, and dyspnea are symptoms associated with Rheumatic Endocarditis, a skin rash is not typically listed among the clinical findings.
p.133
Respiratory Disorders
Which of the following is a key diagnostic finding for pneumonia?
A) Elevated blood pressure
B) Productive cough
C) Increased appetite
D) Weight loss
E) Dry skin
B) Productive cough
Explanation: A productive cough is a key diagnostic finding for pneumonia, as it indicates the presence of mucus in the respiratory tract, which is characteristic of this condition.
p.65
Musculoskeletal Disorders
What is the primary symptom that indicates a sprain?
A) Severe headache
B) Joint stiffness
C) Pain around the joint
D) Muscle weakness
E) Skin discoloration
C) Pain around the joint
Explanation: Pain around the joint is a primary symptom of a sprain, often accompanied by swelling and heat, which are key indicators of ligament injury.
p.169
Dermatologic Disorders
What is a common appearance of lesions associated with Tinea?
A) Smooth and shiny
B) Reddened and scaly
C) Dark and crusty
D) Yellow and flaky
E) Clear and blistered
B) Reddened and scaly
Explanation: Tinea is characterized by reddened lesions that have a scaly appearance, which is a key diagnostic feature of this dermatologic disorder.
p.164
Dermatologic Disorders
What is the appearance of the crusts in impetigo?
A) Green and slimy
B) White and flaky
C) Honey-colored
D) Dark brown and scabby
E) Transparent and watery
C) Honey-colored
Explanation: The crusts formed in impetigo are specifically described as honey-colored, which is a key diagnostic feature of the condition.
What does elevated creatinine and BUN indicate?
A) Normal kidney function
B) Liver dysfunction
C) Impaired kidney function
D) Dehydration
E) Heart failure
C) Impaired kidney function
Explanation: Elevated creatinine and blood urea nitrogen (BUN) levels are indicative of impaired kidney function, commonly seen in conditions like acute renal failure.
What is a common name for Otitis Externa?
A) Ear infection
B) Swimmer's ear
C) Earwax buildup
D) Tinnitus
E) Meniere's disease
B) Swimmer's ear
Explanation: Otitis Externa is often referred to as 'swimmer's ear' due to its common occurrence in individuals who swim frequently, leading to water trapped in the ear canal.
p.105
Cardiovascular System Disorders
What is a common symptom of myocarditis?
A) Nausea
B) Fever
C) Skin rash
D) Headache
E) Joint pain
B) Fever
Explanation: Fever is one of the diagnostic or clinical findings associated with myocarditis, indicating inflammation of the heart muscle.
p.164
Dermatologic Disorders
Which of the following is NOT a typical location for impetigo lesions?
A) Lips
B) Nose
C) Hands
D) Perineum
E) Scalp
E) Scalp
Explanation: Impetigo lesions are typically found on the lips, mouth, nose, hands, or perineum, but the scalp is not a common location for this condition.
p.133
Respiratory Disorders
What symptom might indicate pain associated with pneumonia?
A) Pain on inspiration
B) Pain in the legs
C) Pain in the abdomen
D) Pain during urination
E) Pain in the back
A) Pain on inspiration
Explanation: Pain on inspiration is a specific symptom that can occur in pneumonia, often due to inflammation or irritation of the pleura surrounding the lungs.
What symptom is typically associated with Otitis Externa?
A) Hearing loss
B) Pain in the external auditory canal
C) Ringing in the ears
D) Dizziness
E) Nasal congestion
B) Pain in the external auditory canal
Explanation: A key diagnostic finding for Otitis Externa is pain in the external auditory canal, which can be exacerbated by pressure on the tragus.
p.95
Nervous System Disorders
What is a key diagnostic finding in Malignant Hyperthermia?
A) Decreased heart rate
B) Temperature increase and muscle rigidity
C) Low blood pressure
D) Increased appetite
E) Nausea and vomiting
B) Temperature increase and muscle rigidity
Explanation: A significant diagnostic finding in Malignant Hyperthermia is the increase in body temperature and muscle rigidity following exposure to anesthetics, which are critical indicators of this condition.
p.88
Nervous System Disorders
What triggers the pain in Trigeminal Neuralgia?
A) Loud noises
B) Movement of facial musculature
C) Eating hot foods
D) Bright lights
E) Physical exertion
B) Movement of facial musculature
Explanation: In Trigeminal Neuralgia, pain can be triggered by the movement of facial muscles, light touch, or exposure to cool breezes, making it a particularly sensitive condition.
p.164
Dermatologic Disorders
In which age group is impetigo most commonly found?
A) Infants only
B) Adults
C) Elderly
D) Usually in children
E) Teenagers
D) Usually in children
Explanation: Impetigo is most commonly seen in children, highlighting its prevalence in this age group due to factors like close contact and play.
What does an otoscopic examination reveal in cases of Otitis Media?
A) Clear tympanic membrane
B) Reddish and swollen tympanic membrane
C) Perforated tympanic membrane
D) Normal ear structure
E) Fluid-filled middle ear
B) Reddish and swollen tympanic membrane
Explanation: During an otoscopic examination for Otitis Media, the tympanic membrane is typically found to be reddened and swollen, indicating inflammation.
p.129
Respiratory Disorders
What is the earliest sign of Cystic Fibrosis at birth?
A) Respiratory distress
B) Meconium ileus
C) Gastrointestinal bleeding
D) Reproductive dysfunction
E) Skin rash
B) Meconium ileus
Explanation: Meconium ileus at birth is identified as the earliest sign of Cystic Fibrosis, indicating a blockage in the intestines that can be a critical diagnostic finding.
p.19
Gastrointestinal Disorders
What laboratory finding is commonly elevated in cases of appendicitis?
A) Hemoglobin
B) Platelets
C) WBC count
D) Glucose
E) Creatinine
C) WBC count
Explanation: An increased white blood cell (WBC) count is a common laboratory finding in appendicitis, reflecting the body's response to inflammation or infection.
p.138
Respiratory Disorders
What are common diagnostic findings for respiratory disorders like histoplasmosis?
A) Nausea and vomiting
B) Cough and fever
C) Skin rash and itching
D) Joint pain and swelling
E) Headache and dizziness
B) Cough and fever
Explanation: Cough and fever are common clinical findings associated with respiratory disorders such as histoplasmosis, indicating the presence of an infection in the respiratory system.
p.138
Respiratory Disorders
What is histoplasmosis?
A) A type of skin infection
B) A respiratory disorder caused by a fungus
C) A viral infection affecting the liver
D) A bacterial infection of the stomach
E) A neurological disorder
B) A respiratory disorder caused by a fungus
Explanation: Histoplasmosis is a respiratory disorder caused by the fungus Histoplasma capsulatum, which primarily affects the lungs and can lead to various symptoms, including cough and fever.
p.161
Dermatologic Disorders
What is another name for Herpes Zoster?
A) Chickenpox
B) Shingles
C) Cold sores
D) Ringworm
E) Psoriasis
B) Shingles
Explanation: Herpes Zoster is commonly known as shingles, which is the reactivation of the varicella-zoster virus that causes chickenpox.
p.169
Dermatologic Disorders
What is the clinical significance of the appearance of Tinea lesions?
A) They indicate a viral infection
B) They are a sign of an allergic reaction
C) They suggest a fungal infection
D) They are indicative of a bacterial infection
E) They represent a skin cancer
C) They suggest a fungal infection
Explanation: The characteristics of Tinea lesions, such as their reddened and scaly appearance, suggest a fungal infection, which is the nature of Tinea.
p.133
Respiratory Disorders
What does dyspnea refer to in the context of pneumonia?
A) A type of cough
B) Difficulty breathing
C) Chest pain
D) Fever
E) Excessive sweating
B) Difficulty breathing
Explanation: Dyspnea refers to difficulty breathing, which is a common clinical finding in patients with pneumonia, indicating compromised respiratory function.
What is the most common type of vision loss associated with aging?
A) Sudden loss of peripheral vision
B) Gradual loss of central, near, or color vision
C) Complete blindness
D) Loss of night vision
E) Flashes of light in vision
B) Gradual loss of central, near, or color vision
Explanation: The text indicates that the most commonly observed vision loss in older adults is a gradual, age-related decline in central, near, or color vision, which is a key characteristic of macular degeneration.
Which type of vision is primarily affected by macular degeneration?
A) Peripheral vision
B) Night vision
C) Central vision
D) Color vision
E) All types of vision
C) Central vision
Explanation: Macular degeneration primarily affects central vision, leading to difficulties in seeing fine details and colors, which is highlighted in the provided information.
p.105
Cardiovascular System Disorders
Which of the following symptoms is NOT typically associated with myocarditis?
A) Chest pain
B) Activity intolerance
C) Fever
D) Blurred vision
E) Fatigue
D) Blurred vision
Explanation: Blurred vision is not a typical symptom of myocarditis, while fever, chest pain, and activity intolerance are common clinical findings.
p.135
Respiratory Disorders
What are common diagnostic findings associated with influenza?
A) Fever and myalgia
B) Skin rash and itching
C) Joint pain and swelling
D) Headache and dizziness
E) Nausea and vomiting
A) Fever and myalgia
Explanation: Common diagnostic findings for influenza include fever and myalgia, along with respiratory and gastrointestinal symptoms, which are key indicators of the illness.
p.116
Cardiovascular System Disorders
What symptoms may a client with hypertension experience?
A) Severe fatigue and dizziness
B) No symptoms or headache and nosebleed
C) Constant coughing and wheezing
D) Nausea and vomiting
E) Blurred vision and chest pain
B) No symptoms or headache and nosebleed
Explanation: Clients with hypertension may often have no symptoms, but in severe cases, they may experience headaches and nosebleeds, which are indicative of elevated blood pressure.
p.65
Musculoskeletal Disorders
What are common diagnostic findings associated with a sprain?
A) Numbness and tingling
B) Pain, swelling, and heat around the joint
C) Fever and chills
D) Skin rash and itching
E) Loss of appetite
B) Pain, swelling, and heat around the joint
Explanation: The typical clinical findings for a sprain include pain, swelling, and heat around the recently injured joint, particularly in the ankle area, indicating inflammation and injury.
p.169
Dermatologic Disorders
Where might Tinea lesions commonly appear between the toes?
A) Blisters
B) Crevasses that can be deep and bloodless
C) Smooth patches
D) Red bumps
E) Yellow crusts
B) Crevasses that can be deep and bloodless
Explanation: Tinea can cause lesions that appear as deep and bloodless crevasses between the toes, which is a specific manifestation of this dermatologic disorder.
p.169
Dermatologic Disorders
What is the medical term for Tinea?
A) Eczema
B) Psoriasis
C) Ringworm
D) Dermatitis
E) Acne
C) Ringworm
Explanation: Tinea is commonly referred to as ringworm, which is a term used to describe various fungal infections that affect the skin.
p.106
Cardiovascular System Disorders
How long after strep throat do symptoms of Rheumatic Endocarditis typically appear?
A) 1 week
B) 2–3 weeks
C) 4–5 weeks
D) 6–8 weeks
E) Immediately after infection
B) 2–3 weeks
Explanation: Symptoms of Rheumatic Endocarditis generally develop 2–3 weeks after the initial strep throat infection, indicating a delayed response to the bacterial infection.
What is oliguria?
A) Increased urine output
B) Normal urine output
C) Decreased urine output
D) Complete absence of urine
E) Urine output with blood
C) Decreased urine output
Explanation: Oliguria refers to a condition characterized by decreased urine output, which can be a sign of acute renal failure or other urologic disorders.
p.186
Mental Health Disorders
Which of the following symptoms is associated with ataxia in alcoholism?
A) Increased energy
B) Impaired coordination
C) Heightened alertness
D) Enhanced memory
E) Improved focus
B) Impaired coordination
Explanation: Ataxia refers to impaired coordination, which is a common symptom observed in individuals with alcoholism, affecting their ability to control movements.
p.88
Nervous System Disorders
What is a key characteristic of Trigeminal Neuralgia?
A) Bilateral facial pain
B) Severe knife-like facial pain unilaterally
C) Dull, throbbing headache
D) Pain only in the neck
E) Numbness in the arms
B) Severe knife-like facial pain unilaterally
Explanation: Trigeminal Neuralgia is characterized by severe, knife-like facial pain that occurs unilaterally, often triggered by movement of facial muscles, touch, or even a cool breeze.
p.188
Gastrointestinal Disorders
What is a common systemic symptom of Hepatitis?
A) Fever
B) Cough
C) Rash
D) Chest pain
E) Numbness
A) Fever
Explanation: A low-grade fever is a common systemic symptom associated with Hepatitis, along with other symptoms like malaise and headache.
What are common symptoms of Otitis Media?
A) Nausea and vomiting
B) Fever and pain in the ear
C) Headaches and dizziness
D) Cough and sore throat
E) Skin rash and itching
B) Fever and pain in the ear
Explanation: Otitis Media is characterized by fever and pain in the ear, which are key symptoms indicating the presence of this condition.
p.21
Gastrointestinal Disorders
What might you observe in bowel sounds during peritonitis?
A) Increased bowel sounds
B) Normal bowel sounds
C) Decreased bowel sounds
D) Hyperactive bowel sounds
E) Absent bowel sounds
C) Decreased bowel sounds
Explanation: In cases of peritonitis, decreased bowel sounds are often noted, reflecting reduced intestinal activity due to inflammation.
p.129
Respiratory Disorders
What are the later complications of Cystic Fibrosis?
A) Only respiratory issues
B) Only gastrointestinal issues
C) Respiratory, gastrointestinal, and reproductive dysfunction
D) Neurological issues
E) Musculoskeletal issues
C) Respiratory, gastrointestinal, and reproductive dysfunction
Explanation: Later complications of Cystic Fibrosis include a combination of respiratory, gastrointestinal, and reproductive dysfunction, highlighting the multi-system impact of the disease.
p.186
Mental Health Disorders
What might shaking indicate in an abstinent individual with a history of alcoholism?
A) Increased relaxation
B) Withdrawal symptoms
C) Enhanced mood
D) Improved physical health
E) Heightened confidence
B) Withdrawal symptoms
Explanation: Shaking in an abstinent individual with a history of alcoholism is often a sign of withdrawal symptoms, indicating the body's reaction to the absence of alcohol.
p.116
Cardiovascular System Disorders
What blood pressure readings classify a client as prehypertensive?
A) Greater than 139 mm Hg systolic or greater than 89 mm Hg diastolic
B) Greater than 119 mm Hg systolic or greater than 79 mm Hg diastolic
C) Greater than 100 mm Hg systolic or greater than 60 mm Hg diastolic
D) Greater than 160 mm Hg systolic or greater than 100 mm Hg diastolic
E) Greater than 120 mm Hg systolic or greater than 80 mm Hg diastolic
B) Greater than 119 mm Hg systolic or greater than 79 mm Hg diastolic
Explanation: A client is classified as prehypertensive if their blood pressure readings exceed 119 mm Hg systolic or 79 mm Hg diastolic, indicating a risk for developing hypertension.
p.88
Nervous System Disorders
Which of the following best describes the nature of pain in Trigeminal Neuralgia?
A) Constant and dull
B) Sharp and intermittent
C) Mild and throbbing
D) Aching and persistent
E) Knife-like and severe
E) Knife-like and severe
Explanation: The pain associated with Trigeminal Neuralgia is described as severe and knife-like, highlighting its intensity and the distress it causes to those affected.
p.112
Cardiovascular System Disorders
What is a common symptom of Peripheral Arterial Disease (PAD)?
A) Constant pain in the legs
B) Intermittent claudication in the calves
C) Swelling in the feet
D) Numbness in the fingers
E) Chest pain during rest
B) Intermittent claudication in the calves
Explanation: Intermittent claudication in the calves, which occurs during activity, is a hallmark symptom of Peripheral Arterial Disease, indicating reduced blood flow to the legs.
p.169
Dermatologic Disorders
Which of the following describes the shape of lesions that may form due to Tinea?
A) Linear and straight
B) Circular or raised areas
C) Triangular and flat
D) Irregular and jagged
E) Oval and smooth
B) Circular or raised areas
Explanation: Lesions associated with Tinea may form circular areas or raised areas, indicating the typical presentation of this condition.
What can precipitate acute renal failure?
A) High protein diet
B) Severe hypotension
C) Excessive hydration
D) Regular exercise
E) Low sodium intake
B) Severe hypotension
Explanation: Acute renal failure can be precipitated by severe hypotension, along with other factors such as the use of diagnostic contrast dyes or structural damage to nephrons, which compromise kidney function.
p.106
Cardiovascular System Disorders
What is a common respiratory symptom associated with Rheumatic Endocarditis?
A) Sneezing
B) Cough
C) Nasal congestion
D) Sore throat
E) Wheezing
B) Cough
Explanation: Cough is one of the respiratory symptoms that can develop in patients with Rheumatic Endocarditis, along with other systemic symptoms following a strep throat infection.
p.129
Respiratory Disorders
Which of the following is NOT a dysfunction associated with Cystic Fibrosis?
A) Respiratory dysfunction
B) Gastrointestinal dysfunction
C) Reproductive dysfunction
D) Cardiovascular dysfunction
E) None of the above
D) Cardiovascular dysfunction
Explanation: Cystic Fibrosis is primarily associated with respiratory, gastrointestinal, and reproductive dysfunctions, but cardiovascular dysfunction is not typically linked to this condition.
What happens to the external auditory canal in cases of Otitis Externa?
A) It becomes inflamed and may swell shut
B) It becomes dry and flaky
C) It produces excessive earwax
D) It becomes permanently enlarged
E) It develops a fungal infection
A) It becomes inflamed and may swell shut
Explanation: In Otitis Externa, the external auditory canal can become swollen and may even swell shut, leading to significant discomfort and blockage.
p.186
Mental Health Disorders
What type of affect might be observed in someone with alcoholism?
A) Appropriate affect
B) Inappropriate affect
C) Neutral affect
D) Elevated affect
E) Flat affect
B) Inappropriate affect
Explanation: Individuals with alcoholism may display inappropriate affect, which refers to emotional responses that are not suitable for the context, often seen in various mental health disorders.
Which of the following is NOT a characteristic of Otitis Externa?
A) Pain in the external auditory canal
B) Swelling of the canal
C) Presence of pus
D) Hearing loss
E) Itching in the ear
D) Hearing loss
Explanation: While Otitis Externa can cause discomfort and swelling, hearing loss is not a primary characteristic of this condition; it is more associated with middle ear infections.
p.135
Respiratory Disorders
Which of the following symptoms is NOT typically associated with influenza?
A) Respiratory symptoms
B) Gastrointestinal symptoms
C) Fever
D) Severe abdominal pain
E) Myalgia
D) Severe abdominal pain
Explanation: While influenza can cause gastrointestinal symptoms, severe abdominal pain is not typically associated with influenza, making it the correct choice among the options.
p.116
Cardiovascular System Disorders
What is the medical term for high blood pressure?
A) Hypotension
B) Hypertension
C) Prehypertension
D) Ischemia
E) Arrhythmia
B) Hypertension
Explanation: The medical term for high blood pressure is hypertension, which is a significant cardiovascular disorder that can lead to various health complications.
p.164
Dermatologic Disorders
What is a common characteristic of impetigo?
A) Red, scaly patches on the skin
B) Honey-colored crusts on the lips, mouth, nose, hands, or perineum
C) Blisters filled with clear fluid
D) Dark spots on the skin
E) Thickened nails
B) Honey-colored crusts on the lips, mouth, nose, hands, or perineum
Explanation: Impetigo is characterized by honey-colored crusts that typically appear on the lips, mouth, nose, hands, or perineum, especially in children, making it a distinctive clinical finding.
p.164
Dermatologic Disorders
What happens to the vesicles associated with impetigo?
A) They remain intact indefinitely
B) They turn into warts
C) They rupture easily
D) They become hard and crusty without rupture
E) They disappear without treatment
C) They rupture easily
Explanation: The shallow vesicles associated with impetigo are known to rupture easily, leading to the formation of the characteristic honey-colored crusts.
p.133
Respiratory Disorders
Which of the following symptoms is NOT typically associated with pneumonia?
A) Chills
B) Dyspnea
C) Pain on inspiration
D) Headache
E) Productive cough
D) Headache
Explanation: While chills, dyspnea, pain on inspiration, and a productive cough are common symptoms of pneumonia, a headache is not specifically associated with this respiratory disorder.
p.160
Dermatologic Disorders
Which of the following is NOT a typical feature of psoriasis?
A) Silvery scales
B) Erythematous skin
C) Blisters
D) Papules or plaques
E) Chronic skin condition
C) Blisters
Explanation: Blisters filled with clear fluid are not a typical feature of psoriasis; instead, psoriasis is characterized by silvery scales, erythematous skin, and the presence of papules or plaques.
What condition is associated with the gradual loss of vision mentioned in the clue?
A) Glaucoma
B) Cataracts
C) Macular Degeneration
D) Retinal Detachment
E) Diabetic Retinopathy
C) Macular Degeneration
Explanation: The text specifically refers to macular degeneration as the condition linked to the gradual, age-related loss of vision, particularly affecting central, near, or color vision.
p.188
Gastrointestinal Disorders
What laboratory findings are typically elevated in Hepatitis?
A) Elevated white blood cell count
B) Elevated ALT and AST levels
C) Elevated blood glucose levels
D) Elevated cholesterol levels
E) Elevated creatinine levels
B) Elevated ALT and AST levels
Explanation: In Hepatitis, the levels of ALT (alanine aminotransferase) and AST (aspartate aminotransferase) are typically elevated, indicating liver inflammation or damage.
What does Weber’s test show in a patient with otosclerosis?
A) Lateralization to the unaffected ear
B) No lateralization
C) Lateralization to the most affected ear
D) Equal hearing in both ears
E) Lateralization to the right ear only
C) Lateralization to the most affected ear
Explanation: In otosclerosis, Weber’s test shows lateralization to the most affected ear, indicating that the hearing loss is more pronounced in that ear.
p.187
Mental Health Disorders
Which of the following is a self-destructive behavior noted in individuals with Borderline Personality Disorder?
A) Regular exercise
B) Suicide attempts for attention
C) Healthy eating habits
D) Long-term planning
E) Financial stability
B) Suicide attempts for attention
Explanation: Self-destructive behaviors, such as suicide attempts aimed at gaining attention, are characteristic of Borderline Personality Disorder, highlighting the emotional instability often experienced by individuals with this condition.
p.183
Mental Health Disorders
What does rapid cycling in Bipolar Disorder indicate?
A) A mild form of the disorder
B) A more severe illness
C) A complete recovery
D) A lack of episodes
E) A preference for depressive episodes
B) A more severe illness
Explanation: Rapid cycling, defined as experiencing four episodes per year, indicates a more severe form of Bipolar Disorder, suggesting a greater level of instability in mood.
p.160
Dermatologic Disorders
What does the underlying skin look like in psoriasis?
A) Smooth and unblemished
B) Erythematous
C) Dark and leathery
D) Flaky and dry
E) Yellow and scaly
B) Erythematous
Explanation: In psoriasis, the underlying skin is erythematous, meaning it appears red and inflamed, which is a significant diagnostic feature of the disorder.
Which of the following is NOT a symptom of Otitis Media?
A) Ear pain
B) Fever
C) Hearing loss
D) Skin rash
E) Swelling of the tympanic membrane
D) Skin rash
Explanation: A skin rash is not a symptom of Otitis Media. The condition primarily presents with ear pain, fever, and swelling of the tympanic membrane.
p.186
Mental Health Disorders
What does slurred speech indicate in the context of alcoholism?
A) Increased intelligence
B) Impaired cognitive function
C) Enhanced communication skills
D) Improved social interactions
E) Heightened emotional responses
B) Impaired cognitive function
Explanation: Slurred speech is a sign of impaired cognitive function, often seen in individuals under the influence of alcohol or those suffering from alcoholism.
What is a common characteristic of macular degeneration?
A) It occurs suddenly
B) It affects only young individuals
C) It leads to complete blindness
D) It is age-related
E) It is reversible
D) It is age-related
Explanation: The text emphasizes that macular degeneration is commonly associated with aging, indicating that it is a gradual process rather than a sudden occurrence.
p.137
Respiratory Disorders
What is a common symptom associated with lung cancer?
A) Persistent cough
B) Frequent headaches
C) Skin rash
D) Joint pain
E) Abdominal cramps
A) Persistent cough
Explanation: A persistent cough is a key diagnostic finding associated with lung cancer, indicating potential respiratory issues that warrant further investigation.
p.162
Dermatologic Disorders
What is a common characteristic of a herpes simplex lesion?
A) Painful, itchy, vesicular lesion
B) Dry, scaly patches
C) Red, raised bumps
D) Flat, brown spots
E) Thickened, discolored nails
A) Painful, itchy, vesicular lesion
Explanation: Herpes simplex is characterized by painful, itchy, vesicular lesions, commonly found on the lips, nose, or genital area, which are key diagnostic features.
p.187
Mental Health Disorders
What type of disorder is Borderline Personality Disorder classified as?
A) Mood disorder
B) Anxiety disorder
C) Personality disorder
D) Psychotic disorder
E) Neurodevelopmental disorder
C) Personality disorder
Explanation: Borderline Personality Disorder is classified as a personality disorder, which is characterized by enduring patterns of behavior, cognition, and inner experience that deviate from cultural expectations.
What is the medical term for cataracts?
A) Glaucoma
B) Myopia
C) Astigmatism
D) Cataracts
E) Hyperopia
D) Cataracts
Explanation: The medical term for cataracts is simply 'cataracts,' which refers to the clouding of the lens in the eye that leads to vision problems.
p.137
Respiratory Disorders
Which of the following findings is NOT typically associated with lung cancer?
A) Persistent cough
B) Weight loss
C) Increased energy levels
D) History of smoking
E) Shortness of breath
C) Increased energy levels
Explanation: Increased energy levels are not typically associated with lung cancer; rather, symptoms like persistent cough, weight loss, and shortness of breath are more common.
p.118
Cardiovascular System Disorders
At what age range do individuals typically begin to show clinical findings of Multiple Myeloma?
A) 20-30 years
B) 30-40 years
C) 40-50 years
D) 50-70 years
E) 70-90 years
D) 50-70 years
Explanation: Clinical findings of Multiple Myeloma commonly affect individuals in their fifth to seventh decades of life, indicating that the age range is typically between 50 and 70 years.
p.101
Cardiovascular System Disorders
What is a common symptom of Atrial Fibrillation?
A) Chest pain
B) Palpitations
C) Shortness of breath
D) Nausea
E) Fatigue
B) Palpitations
Explanation: Palpitations, or the sensation of skipping heartbeats, are a common symptom associated with Atrial Fibrillation, indicating irregular heart rhythms.
p.106
Cardiovascular System Disorders
What symptoms develop 2–3 weeks after strep throat in cases of Rheumatic Endocarditis?
A) Nausea and vomiting
B) Fever, chest pain, dyspnea, cough, arthritic symptoms, chorea, and ankle edema
C) Headache and dizziness
D) Skin rash and itching
E) Abdominal pain and diarrhea
B) Fever, chest pain, dyspnea, cough, arthritic symptoms, chorea, and ankle edema
Explanation: These symptoms are characteristic findings that develop in patients with Rheumatic Endocarditis following an infection with beta-hemolytic streptococci, typically occurring 2–3 weeks after strep throat.
p.160
Dermatologic Disorders
What is a characteristic clinical finding of psoriasis?
A) Blisters filled with clear fluid
B) Patches of papules or plaques with silvery scale
C) Red, itchy bumps all over the body
D) Dark, thickened skin in folds
E) Yellowing of the skin and eyes
B) Patches of papules or plaques with silvery scale
Explanation: Psoriasis is characterized by patches of papules or plaques that have a silvery scale, along with underlying erythematous skin, which are key diagnostic features of the condition.
Otitis Media is usually associated with which conditions?
A) Diabetes and hypertension
B) Colds and allergies
C) Asthma and eczema
D) Heart disease and stroke
E) Gastrointestinal disorders
B) Colds and allergies
Explanation: Otitis Media is often associated with upper respiratory conditions such as colds and allergies, which can contribute to the development of ear infections.
p.19
Gastrointestinal Disorders
What is a key diagnostic finding for appendicitis?
A) Rebound tenderness at McBurney point
B) Decreased heart rate
C) Elevated blood pressure
D) Increased appetite
E) Normal WBC count
A) Rebound tenderness at McBurney point
Explanation: Rebound tenderness at McBurney point is a classic clinical finding associated with appendicitis, indicating irritation of the peritoneum due to inflammation.
What is a common symptom of cataracts?
A) Difficulty hearing
B) Difficulty driving at night due to excessive glare
C) Loss of taste
D) Numbness in limbs
E) Frequent headaches
B) Difficulty driving at night due to excessive glare
Explanation: One of the diagnostic findings for cataracts is difficulty driving at night, which is often caused by excessive glare from headlights and other light sources.
p.187
Mental Health Disorders
What is a common behavior associated with Borderline Personality Disorder?
A) Excessive optimism
B) Impulsive, 'needy' behavior
C) Extreme introversion
D) Consistent self-discipline
E) Avoidance of social situations
B) Impulsive, 'needy' behavior
Explanation: Individuals with Borderline Personality Disorder often exhibit impulsive and needy behaviors, which are key diagnostic indicators of the disorder.
Which of the following is NOT a characteristic of cataracts?
A) Difficulty seeing in bright light
B) Opacity of the lens
C) Sudden vision loss
D) Difficulty driving at night
E) Blurred vision
C) Sudden vision loss
Explanation: While cataracts can cause gradual vision impairment, they typically do not result in sudden vision loss, which may indicate other conditions.
p.105
Cardiovascular System Disorders
Which of the following is a clinical finding in myocarditis?
A) High blood pressure
B) Chest pain
C) Weight gain
D) Increased appetite
E) Shortness of breath during sleep
B) Chest pain
Explanation: Chest pain is a significant clinical finding in myocarditis, reflecting the inflammation and irritation of the heart muscle.
p.137
Respiratory Disorders
What weight-related symptom may indicate lung cancer?
A) Sudden weight gain
B) Weight loss
C) Stable weight
D) Weight fluctuations
E) Increased appetite
B) Weight loss
Explanation: Unexplained weight loss is a concerning symptom that can be associated with lung cancer, often indicating a more advanced stage of the disease.
p.162
Dermatologic Disorders
What type of symptoms are associated with herpes simplex?
A) Only fever
B) Painful and itchy lesions
C) Nausea and vomiting
D) Joint pain
E) Hair loss
B) Painful and itchy lesions
Explanation: The symptoms of herpes simplex include painful and itchy lesions, which are significant clinical findings that help in diagnosing the condition.
p.141
Respiratory Disorders
Which of the following is NOT a common symptom of Tuberculosis (TB)?
A) Fatigue
B) Night sweats
C) Increased appetite
D) Hemoptysis
E) Low-grade fever
C) Increased appetite
Explanation: Increased appetite is not a symptom associated with Tuberculosis (TB). Instead, symptoms like fatigue, night sweats, hemoptysis, and low-grade fever are commonly observed.
p.165
Dermatologic Disorders
What is a characteristic appearance of lesions caused by scabies?
A) Red, raised bumps
B) Grayish brown pruritic threadlike lesions with a black dot at the end
C) Yellow crusty patches
D) White, flaky skin
E) Blisters filled with clear fluid
B) Grayish brown pruritic threadlike lesions with a black dot at the end
Explanation: Scabies is characterized by grayish brown pruritic threadlike lesions, often with a black dot at the end, typically found in areas such as between fingers, toes, and other skin folds.
p.84
Nervous System Disorders
What is a common behavior observed during Complex Partial Seizures?
A) Excessive talking
B) Staring
C) Laughing uncontrollably
D) Rapid eye movement
E) Sudden physical strength
B) Staring
Explanation: One of the diagnostic or clinical findings of Complex Partial Seizures includes staring, which is a key behavior that can indicate the occurrence of this type of seizure.
What is the typical tonometry measurement for Primary Open-Angle Glaucoma?
A) 10 mm Hg
B) 15 mm Hg
C) 20 mm Hg
D) 25 mm Hg
E) 30 mm Hg
C) 20 mm Hg
Explanation: A tonometry measurement of around 20 mm Hg is indicative of Primary Open-Angle Glaucoma, as elevated intraocular pressure is a key factor in this disorder.
p.108
Cardiovascular System Disorders
Which of the following findings would most likely accompany a diagnosis of Deep Vein Thrombosis?
A) Increased heart rate
B) Redness or warmth in the affected area
C) Elevated blood pressure
D) Shortness of breath
E) Nausea
B) Redness or warmth in the affected area
Explanation: Redness or warmth in the area of pain is a typical clinical finding in Deep Vein Thrombosis, indicating inflammation and possible clot formation.
What are common serum electrolyte changes in acute renal failure?
A) Elevated Na+ and decreased K+
B) Decreased Na+ and elevated K+
C) Normal Na+ and K+
D) Elevated Na+ and K+
E) Decreased Na+ and K+
B) Decreased Na+ and elevated K+
Explanation: In acute renal failure, serum levels typically show elevated potassium (K+) and decreased sodium (Na+), which are critical indicators of kidney dysfunction.
What is the primary diagnostic finding in Otitis Media?
A) Normal hearing test results
B) Swollen lymph nodes
C) Reddened and swollen tympanic membrane
D) Fluid in the lungs
E) Elevated blood pressure
C) Reddened and swollen tympanic membrane
Explanation: The primary diagnostic finding in Otitis Media is a reddened and swollen tympanic membrane, which indicates inflammation and infection in the middle ear.
p.188
Gastrointestinal Disorders
Which of the following is NOT a common symptom of Hepatitis?
A) Lethargy
B) Jaundice
C) Anorexia
D) High blood pressure
E) Right upper quadrant pain
D) High blood pressure
Explanation: High blood pressure is not a common symptom of Hepatitis, while lethargy, jaundice, anorexia, and right upper quadrant pain are typical clinical findings associated with the condition.
What does Rinne’s test indicate in a patient with otosclerosis?
A) Bone conduction is impaired
B) Air conduction is impaired
C) Bone conduction is normal
D) Both air and bone conduction are impaired
E) Hearing is normal
C) Bone conduction is normal
Explanation: In otosclerosis, Rinne’s test for bone conduction is typically normal, indicating that the bone conduction pathway is functioning properly, while air conduction may be affected.
p.113
Cardiovascular System Disorders
What is Buerger’s Disease primarily associated with?
A) High cholesterol levels
B) Diabetes
C) Smoking in young men
D) Obesity
E) Hypertension
C) Smoking in young men
Explanation: Buerger’s Disease is specifically noted as a disease that affects young men who smoke, highlighting the strong association between smoking and the development of this condition.
Which symptom may be evident in patients with otosclerosis?
A) Severe vertigo
B) Tinnitus
C) Sudden deafness
D) Ear infections
E) Nasal congestion
B) Tinnitus
Explanation: Tinnitus, or ringing in the ears, may be evident in patients with otosclerosis, adding to the auditory symptoms associated with the condition.
p.118
Cardiovascular System Disorders
What is a common diagnostic finding in patients with Multiple Myeloma?
A) Pathologic fractures from severe osteoporosis
B) Increased muscle mass
C) Elevated blood pressure
D) Hyperactivity
E) Decreased heart rate
A) Pathologic fractures from severe osteoporosis
Explanation: One of the diagnostic findings in Multiple Myeloma is pathologic fractures resulting from severe osteoporosis, particularly affecting individuals in their fifth to seventh decades of life.
p.183
Mental Health Disorders
How many episodes per year define rapid cycling in Bipolar Disorder?
A) Two
B) Three
C) Four
D) Five
E) Six
C) Four
Explanation: Rapid cycling in Bipolar Disorder is specifically defined as having four episodes per year, which is a significant indicator of the severity of the illness.
p.113
Cardiovascular System Disorders
Which demographic is most commonly affected by Buerger’s Disease?
A) Elderly women
B) Young men who smoke
C) Children
D) Middle-aged individuals
E) Pregnant women
B) Young men who smoke
Explanation: Buerger’s Disease predominantly affects young men who smoke, making this demographic particularly vulnerable to the condition.
p.187
Mental Health Disorders
What is a potential consequence of the impulsive behavior seen in Borderline Personality Disorder?
A) Improved social skills
B) Increased job stability
C) Substance abuse
D) Enhanced emotional regulation
E) Long-term friendships
C) Substance abuse
Explanation: Impulsive behavior in individuals with Borderline Personality Disorder can lead to substance abuse, as they may engage in risky behaviors to cope with their emotional distress.
p.139
Respiratory Disorders
What are common clinical findings associated with sarcoidosis?
A) Fever and myalgia
B) Nausea and vomiting
C) Joint pain and swelling
D) Skin rash and itching
E) Headache and dizziness
A) Fever and myalgia
Explanation: Common clinical findings in sarcoidosis include fever, myalgia, night sweats, anorexia, weight loss, and fatigue, indicating systemic involvement of the disease.
p.112
Cardiovascular System Disorders
When do symptoms of Peripheral Arterial Disease typically occur?
A) Early in the disease
B) After a heart attack
C) Late in the disease
D) Only during sleep
E) Immediately after exercise
C) Late in the disease
Explanation: Symptoms of Peripheral Arterial Disease often occur late in the disease progression, making early detection challenging.
p.175
Mental Health Disorders
What type of disorder is Posttraumatic Stress Disorder classified as?
A) Mood disorder
B) Anxiety disorder
C) Personality disorder
D) Psychotic disorder
E) Neurodevelopmental disorder
B) Anxiety disorder
Explanation: PTSD is classified as an anxiety disorder, as it involves intense feelings of anxiety and distress related to traumatic experiences.
What is a potential final visual experience in retinal detachment?
A) Enhanced clarity of vision
B) Complete darkness
C) A curtain falling over the visual field
D) A rainbow effect
E) Double vision
C) A curtain falling over the visual field
Explanation: In advanced cases of retinal detachment, individuals may experience a sensation similar to a curtain falling over their visual field, indicating severe vision loss.
Which of the following symptoms is NOT typically associated with Acoustic Neuroma?
A) Facial numbness
B) Hearing loss
C) Skin rash
D) Balance problems
E) Tinnitus
C) Skin rash
Explanation: Skin rash is not a symptom associated with Acoustic Neuroma, while facial numbness, hearing loss, balance problems, and tinnitus are commonly reported.
p.21
Gastrointestinal Disorders
What is a common diagnostic finding in peritonitis?
A) Increased bowel sounds
B) Rebound tenderness and rigidity over the abdominal wall
C) Elevated blood pressure
D) Decreased heart rate
E) Normal abdominal wall sensitivity
B) Rebound tenderness and rigidity over the abdominal wall
Explanation: Rebound tenderness and rigidity over the abdominal wall are key clinical findings associated with peritonitis, indicating irritation of the peritoneum.
p.186
Mental Health Disorders
What is a common diagnostic finding in individuals with alcoholism?
A) Elevated blood pressure
B) Smell of alcohol on breath
C) Rapid heartbeat
D) Increased appetite
E) High body temperature
B) Smell of alcohol on breath
Explanation: A characteristic diagnostic finding in individuals with alcoholism is the smell of alcohol on their breath, which indicates recent consumption of alcohol.
p.161
Dermatologic Disorders
What is a characteristic clinical finding associated with Herpes Zoster?
A) Red, scaly patches
B) Dew drops on a red leaf
C) Thickened skin
D) White, flaky skin
E) Blisters on the palms
B) Dew drops on a red leaf
Explanation: The phrase 'dew drops on a red leaf' describes the appearance of the painful vesicular lesions that occur in Herpes Zoster, highlighting a distinctive clinical finding.
What does an ophthalmologic examination reveal in patients with cataracts?
A) Clear lens
B) Opacity of the lens
C) Increased eye pressure
D) Retinal detachment
E) Normal vision
B) Opacity of the lens
Explanation: During an ophthalmologic examination, cataracts are characterized by the opacity of the lens, which indicates clouding that affects vision.
p.183
Mental Health Disorders
What is a key characteristic of Bipolar Disorder?
A) Persistent sadness
B) Cycling through periods of depression and mania
C) Constant high energy
D) Only experiencing anxiety
E) Lack of sleep
B) Cycling through periods of depression and mania
Explanation: Bipolar Disorder is characterized by alternating episodes of depression and mania, which is a defining feature of the condition.
p.137
Respiratory Disorders
Which of the following is a significant risk factor for lung cancer?
A) Regular exercise
B) History of or current cigarette smoking
C) High fruit consumption
D) Living at high altitudes
E) Low exposure to sunlight
B) History of or current cigarette smoking
Explanation: A history of or current cigarette smoking is a well-established risk factor for lung cancer, significantly increasing the likelihood of developing this disease.
p.132
Respiratory Disorders
Which of the following symptoms is NOT typically associated with pulmonary embolism?
A) Chest pain
B) Anxiety
C) Hemoptysis
D) Nausea
E) Feeling of impending doom
D) Nausea
Explanation: While chest pain, anxiety, hemoptysis (coughing up blood), and a feeling of impending doom are common symptoms of pulmonary embolism, nausea is not typically listed among the primary clinical findings.
p.118
Cardiovascular System Disorders
Which of the following is NOT a clinical finding associated with Multiple Myeloma?
A) Bleeding tendency
B) Infections
C) Anemia
D) Hypertension
E) Pathologic fractures
D) Hypertension
Explanation: Hypertension is not typically associated with Multiple Myeloma, while bleeding tendency, infections, anemia, and pathologic fractures are common clinical findings in affected individuals.
p.135
Respiratory Disorders
What type of symptoms does influenza typically present?
A) Only respiratory symptoms
B) Only gastrointestinal symptoms
C) A combination of respiratory and gastrointestinal symptoms
D) Only neurological symptoms
E) Only dermatological symptoms
C) A combination of respiratory and gastrointestinal symptoms
Explanation: Influenza typically presents with a combination of respiratory symptoms, fever, myalgia, and gastrointestinal symptoms, making it a multifaceted illness.
p.113
Cardiovascular System Disorders
What is the primary treatment approach for Buerger’s Disease?
A) Medication to lower blood pressure
B) Smoking cessation
C) Increased physical activity
D) Surgery to remove thrombi
E) Dietary changes
B) Smoking cessation
Explanation: The primary treatment for Buerger’s Disease is smoking cessation, as quitting smoking is essential to halt the progression of the disease and prevent further complications.
p.141
Respiratory Disorders
What is a common respiratory symptom of Tuberculosis (TB)?
A) Productive cough
B) Shortness of breath
C) Wheezing
D) Chest tightness
E) Nasal congestion
A) Productive cough
Explanation: A productive cough is a common symptom of Tuberculosis (TB), indicating the presence of mucus or phlegm in the respiratory tract.
What is tinnitus?
A) A type of headache
B) A ringing or buzzing in the ears
C) A loss of balance
D) A facial numbness
E) A vision impairment
B) A ringing or buzzing in the ears
Explanation: Tinnitus refers to the perception of ringing or buzzing in the ears, which is a common symptom in patients with Acoustic Neuroma.
p.131
Respiratory Disorders
What condition is associated with severe respiratory symptoms after coronavirus exposure?
A) Chronic Obstructive Pulmonary Disease (COPD)
B) Asthma
C) Severe Acute Respiratory Syndrome (SARS)
D) Pulmonary Fibrosis
E) Pneumonia
C) Severe Acute Respiratory Syndrome (SARS)
Explanation: Severe Acute Respiratory Syndrome (SARS) is a condition characterized by severe respiratory symptoms that can worsen after exposure to the coronavirus, highlighting its serious nature.
What additional symptoms often accompany mastoiditis?
A) Nausea and vomiting
B) Fever and chills
C) Headaches and dizziness
D) Cough and sore throat
E) Skin rash
B) Fever and chills
Explanation: In addition to pain behind the ear, mastoiditis commonly presents with fever and chills, indicating an infection that may require medical attention.
p.176
Nervous System Disorders
What is a common symptom of Panic Disorder?
A) Chronic fatigue
B) Sudden feeling of impending doom
C) Constant headaches
D) Persistent cough
E) Loss of appetite
B) Sudden feeling of impending doom
Explanation: A sudden feeling of impending doom is a hallmark symptom of Panic Disorder, often accompanied by other physical symptoms such as palpitations and dizziness.
What is a common diagnostic finding in otosclerosis?
A) Increased sensitivity to loud sounds
B) Progressive hearing loss, especially with low or soft tones
C) Complete deafness
D) Hearing loss only in high frequencies
E) Normal hearing in both ears
B) Progressive hearing loss, especially with low or soft tones
Explanation: A hallmark of otosclerosis is progressive hearing loss, particularly affecting low or soft tones, which is a key diagnostic indicator of the condition.
p.161
Dermatologic Disorders
What type of lesions are associated with Herpes Zoster?
A) Flat warts
B) Painful vesicular lesions
C) Erythematous macules
D) Papules
E) Ulcers
B) Painful vesicular lesions
Explanation: Herpes Zoster is characterized by painful vesicular lesions that occur unilaterally along sensory nerve pathways, which is a key diagnostic feature of the condition.
p.161
Dermatologic Disorders
Where do the lesions of Herpes Zoster typically occur?
A) Bilaterally on the face
B) Along sensory nerve pathways
C) On the soles of the feet
D) Over the entire body
E) In the mouth
B) Along sensory nerve pathways
Explanation: The lesions of Herpes Zoster typically occur unilaterally along sensory nerve pathways, which is a defining characteristic of this viral infection.
p.132
Respiratory Disorders
What is a common symptom of a pulmonary embolism?
A) Chronic cough
B) Rapid onset of dyspnea
C) Persistent fever
D) Weight gain
E) Skin rash
B) Rapid onset of dyspnea
Explanation: A rapid onset of dyspnea (shortness of breath) is a key symptom associated with pulmonary embolism, indicating a sudden obstruction in the pulmonary arteries.
p.188
Gastrointestinal Disorders
Which of the following symptoms indicates a potential liver issue in Hepatitis?
A) Right upper quadrant pain
B) Leg cramps
C) Chest tightness
D) Frequent urination
E) Skin rash
A) Right upper quadrant pain
Explanation: Right upper quadrant pain is indicative of potential liver issues, which is a common symptom in patients with Hepatitis.
Which symptom may worsen with sneezing or coughing in patients with Acoustic Neuroma?
A) Tinnitus
B) Facial numbness
C) Headache
D) Balance problems
E) Vision changes
C) Headache
Explanation: Patients with Acoustic Neuroma may experience headaches that can worsen with sneezing or coughing, indicating increased intracranial pressure or irritation.
p.135
Respiratory Disorders
Which of the following is a common symptom of influenza?
A) Myalgia
B) Hair loss
C) Vision changes
D) Numbness
E) Swelling of the limbs
A) Myalgia
Explanation: Myalgia, or muscle pain, is a common symptom of influenza, along with fever and respiratory symptoms, highlighting the systemic effects of the virus.
What visual phenomenon might patients with Primary Open-Angle Glaucoma experience?
A) Blurred vision
B) Halos around objects
C) Double vision
D) Complete blindness
E) Tunnel vision
B) Halos around objects
Explanation: Patients with Primary Open-Angle Glaucoma may see halos around objects, which is a common visual disturbance associated with this condition.
p.127
Respiratory Disorders
What term is often associated with Chronic Bronchitis?
A) Pink puffer
B) Blue bloater
C) Wheezer
D) Cougher
E) Smoker
B) Blue bloater
Explanation: The term “blue bloater” is commonly associated with Chronic Bronchitis, referring to the typical appearance of patients who may exhibit cyanosis and obesity due to chronic respiratory issues.
p.185
Nervous System Disorders
What is a key characteristic of Attention Deficit-Hyperactivity Disorder (ADHD)?
A) Difficulty in social interactions
B) Difficulty focusing and finishing projects
C) Excessive sleeping
D) Strong memory retention
E) Lack of emotional responses
B) Difficulty focusing and finishing projects
Explanation: ADHD is characterized by difficulties in focusing, completing tasks, and listening to instructions, which are essential symptoms of the disorder.
p.173
Dermatologic Disorders
What condition is characterized by flushed skin that worsens with sun exposure, hot foods, and alcohol?
A) Eczema
B) Psoriasis
C) Rosacea
D) Acne
E) Dermatitis
C) Rosacea
Explanation: The symptoms described, including flushed skin that exacerbates with sun exposure, hot foods, and alcohol, are indicative of rosacea, a common dermatologic disorder.
Which of the following is NOT a symptom of Primary Open-Angle Glaucoma?
A) Mild aching in the eyes
B) Headaches
C) Sudden vision loss
D) Painless vision loss
E) Halos around objects
C) Sudden vision loss
Explanation: Sudden vision loss is not a symptom of Primary Open-Angle Glaucoma; instead, the vision loss is typically gradual and painless.
p.117
Cardiovascular System Disorders
What does a bone marrow biopsy reveal in cases of leukemia?
A) Normal WBC count
B) Many immature WBCs
C) High levels of platelets
D) Increased red blood cells
E) Absence of WBCs
B) Many immature WBCs
Explanation: A bone marrow biopsy in leukemia typically shows many immature white blood cells (WBCs), indicating abnormal cell production and proliferation.
p.120
Cardiovascular System Disorders
What pH level indicates metabolic acidosis according to the ABG findings?
A) Greater than 7.45
B) Between 7.35 and 7.45
C) Less than 7.35
D) Exactly 7.40
E) Greater than 7.50
C) Less than 7.35
Explanation: A pH of less than 7.35 is indicative of metabolic acidosis, highlighting a state of acidemia in the body.
p.125
Respiratory Disorders
What is a potential indicator of severity in asthma?
A) Increased heart rate
B) Decreased O2 saturation
C) Elevated blood pressure
D) Increased respiratory rate
E) High fever
B) Decreased O2 saturation
Explanation: A decrease in O2 saturation is a critical indicator of the severity of an asthma attack, reflecting impaired gas exchange due to airway obstruction.
Which additional symptoms may accompany Ménière’s Disease?
A) Sweating, nausea, and vomiting
B) Fever and chills
C) Coughing and sneezing
D) Fatigue and weakness
E) Skin rashes and itching
A) Sweating, nausea, and vomiting
Explanation: In addition to ear fullness, tinnitus, and vertigo, patients with Ménière’s Disease may experience sweating, nausea, and vomiting, particularly during episodes of vertigo.
What triggers pain in the external auditory canal during Otitis Externa?
A) Exposure to cold air
B) Pressure on the tragus
C) Loud noises
D) Bright lights
E) Sudden movements
B) Pressure on the tragus
Explanation: Pain in Otitis Externa is often elicited by applying pressure on the tragus, which indicates inflammation and sensitivity in the ear canal.
p.105
Cardiovascular System Disorders
What does activity intolerance in myocarditis indicate?
A) Increased stamina
B) Heart failure
C) Improved cardiovascular health
D) Normal heart function
E) Enhanced physical performance
B) Heart failure
Explanation: Activity intolerance in myocarditis often indicates compromised heart function, which can lead to heart failure and reduced ability to perform physical activities.
p.113
Cardiovascular System Disorders
What is a major consequence of Buerger’s Disease?
A) Increased heart rate
B) Thrombi developing in the legs
C) High blood pressure
D) Stroke
E) Heart attack
B) Thrombi developing in the legs
Explanation: A significant clinical finding in Buerger’s Disease is the development of thrombi in the legs, which can occlude circulation and lead to severe complications.
p.181
Mental Health Disorders
What is a key characteristic of mania?
A) Excessive sadness
B) Delusions of grandeur
C) Severe anxiety
D) Social withdrawal
E) Lack of energy
B) Delusions of grandeur
Explanation: Mania is characterized by excessive excitement and restlessness, with delusions of grandeur being a prominent feature, indicating an inflated sense of self-importance.
p.187
Mental Health Disorders
Which of the following behaviors is NOT typically associated with Borderline Personality Disorder?
A) Impulsive actions
B) Stable relationships
C) Self-destructive behavior
D) Intense emotional responses
E) Fear of abandonment
B) Stable relationships
Explanation: Individuals with Borderline Personality Disorder often struggle with unstable relationships, which is contrary to the notion of stable relationships.
p.183
Mental Health Disorders
Which of the following is NOT a symptom of Bipolar Disorder?
A) Mania
B) Depression
C) Anxiety
D) Cycling moods
E) Rapid cycling
C) Anxiety
Explanation: While anxiety can co-occur with Bipolar Disorder, it is not a defining symptom of the disorder itself, which primarily involves cycling between manic and depressive episodes.
p.137
Respiratory Disorders
What is the medical term for lung cancer?
A) Pulmonary fibrosis
B) Bronchitis
C) Lung carcinoma
D) Pneumonia
E) Asthma
C) Lung carcinoma
Explanation: The medical term for lung cancer is lung carcinoma, which refers to the malignant growth of cells in the lungs.
p.131
Respiratory Disorders
What are common diagnostic findings in respiratory disorders after exposure to the coronavirus?
A) Fever and rash
B) Cough, rhonchi, and crackles
C) Nausea and vomiting
D) Headache and dizziness
E) Joint pain and swelling
B) Cough, rhonchi, and crackles
Explanation: Common diagnostic findings in respiratory disorders following exposure to the coronavirus include cough, rhonchi, and crackles, indicating significant respiratory involvement.
p.114
Cardiovascular System Disorders
Which body parts are primarily affected by Raynaud’s Disease?
A) Head and neck
B) Arms and legs
C) Tips of the nose, fingers, hands, feet, and toes
D) Abdomen and back
E) Chest and shoulders
C) Tips of the nose, fingers, hands, feet, and toes
Explanation: Raynaud’s Disease specifically affects the tips of the nose, fingers, hands, feet, and toes, leading to ischemic symptoms when exposed to cold.
p.126
Respiratory Disorders
What term is used to describe a patient with emphysema who has a pink complexion?
A) Blue bloater
B) Pink puffer
C) Yellow jaundice
D) Red face
E) Pale patient
B) Pink puffer
Explanation: The term 'pink puffer' refers to patients with emphysema who often have a pink complexion due to their increased respiratory effort and hypoxic respiratory drive.
p.168
Dermatologic Disorders
What symptoms may indicate a reaction to sulfa drugs, antibiotics, or antiepileptics?
A) Nausea and vomiting
B) Flu-like symptoms or macular rash
C) Severe headaches
D) Joint pain
E) Abdominal cramps
B) Flu-like symptoms or macular rash
Explanation: Flu-like symptoms or a macular rash occurring after starting sulfa drugs, antibiotics, or antiepileptics are key diagnostic findings that may indicate a serious reaction, such as Stevens-Johnson Syndrome or Toxic Epidermal Necrolysis.
p.167
Dermatologic Disorders
At what age group is Acne Vulgaris most commonly observed?
A) Infants
B) Adolescents
C) Middle-aged adults
D) Seniors
E) Newborns
B) Adolescents
Explanation: Acne Vulgaris typically occurs in adolescents, although it can also affect adults, making it a common dermatologic disorder during teenage years.
p.179
Mental Health Disorders
What is a key characteristic of Conversion Disorder?
A) The client is highly distressed about their symptoms
B) Symptoms are accompanied by clear medical explanations
C) The client appears indifferent to the loss of function
D) It primarily affects cognitive functions
E) It is always temporary and resolves quickly
C) The client appears indifferent to the loss of function
Explanation: A defining feature of Conversion Disorder is that the client seems indifferent to the significant loss of function, which can include paralysis or blindness, despite the absence of a medical explanation for these symptoms.
Which cells are primarily damaged in Graft-Versus-Host Disease?
A) Neurons
B) Epithelial cells
C) Muscle cells
D) Adipocytes
E) Osteocytes
B) Epithelial cells
Explanation: In Graft-Versus-Host Disease, the immune attack primarily targets the epithelial cells of the skin, gastrointestinal tract, and hepatocytes, leading to significant clinical findings.
What type of glaucoma is characterized by bilateral vision loss and specific tonometry measurements?
A) Angle-Closure Glaucoma
B) Normal-Tension Glaucoma
C) Primary Open-Angle Glaucoma
D) Secondary Glaucoma
E) Congenital Glaucoma
C) Primary Open-Angle Glaucoma
Explanation: Primary Open-Angle Glaucoma is characterized by bilateral, usually painless vision loss and specific tonometry measurements, making it a distinct type of glaucoma.
p.188
Gastrointestinal Disorders
Which symptom is associated with jaundice in Hepatitis?
A) Increased appetite
B) Yellowing of the skin and eyes
C) Severe abdominal pain
D) Weight gain
E) Increased energy levels
B) Yellowing of the skin and eyes
Explanation: Jaundice is characterized by the yellowing of the skin and eyes, which occurs due to the accumulation of bilirubin in the blood, a common finding in Hepatitis.
p.95
Nervous System Disorders
What happens to creatinine and BUN levels in Malignant Hyperthermia?
A) They decrease
B) They remain unchanged
C) They increase
D) They fluctuate
E) They normalize
C) They increase
Explanation: In Malignant Hyperthermia, both creatinine and BUN (Blood Urea Nitrogen) levels increase, indicating potential muscle damage and metabolic disturbances associated with the condition.
What is the primary cause of excessive glare experienced by individuals with cataracts?
A) Increased eye pressure
B) Clouding of the lens
C) Retinal degeneration
D) Corneal abrasion
E) Macular degeneration
B) Clouding of the lens
Explanation: The excessive glare experienced by individuals with cataracts is primarily due to the clouding of the lens, which scatters light and affects visual clarity.
p.113
Cardiovascular System Disorders
What does the phrase 'Your cigarettes or your legs' imply in the context of Buerger’s Disease?
A) Smoking is beneficial for leg health
B) Smoking cessation is crucial to prevent leg complications
C) Smoking has no effect on circulation
D) Leg exercises can replace the need to quit smoking
E) Smoking only affects the lungs
B) Smoking cessation is crucial to prevent leg complications
Explanation: The phrase 'Your cigarettes or your legs' emphasizes the critical choice faced by individuals with Buerger’s Disease, indicating that continued smoking can lead to severe leg complications, including potential loss of circulation.
p.132
Respiratory Disorders
What feeling might a patient experience during a pulmonary embolism?
A) Euphoria
B) Impending doom
C) Relaxation
D) Indifference
E) Drowsiness
B) Impending doom
Explanation: Patients experiencing a pulmonary embolism often report a feeling of impending doom, which is a psychological response to the acute distress caused by the condition.
p.126
Respiratory Disorders
What is a common physical characteristic associated with emphysema?
A) Flat chest
B) Barrel or pigeon chest
C) Scoliosis
D) Kyphosis
E) Asymmetrical shoulders
B) Barrel or pigeon chest
Explanation: Emphysema is often characterized by physical changes such as barrel or pigeon chest, which result from the over-inflation of the lungs and loss of elasticity.
p.125
Respiratory Disorders
Which symptom indicates a rapid onset of asthma?
A) Gradual chest pain
B) Sudden difficulty in expiration
C) Persistent cough for weeks
D) Chronic fatigue
E) Fever and chills
B) Sudden difficulty in expiration
Explanation: Asthma often presents with a rapid onset of symptoms, particularly difficulty in expiration, which is a hallmark of an asthma attack.
What symptom may indicate a loss of peripheral vision?
A) Seeing colors more vividly
B) Seeing floaters
C) Increased sensitivity to light
D) Blurred vision
E) Difficulty reading small text
B) Seeing floaters
Explanation: The presence of floaters can be a symptom of retinal detachment, which may also lead to a loss of peripheral vision as the condition progresses.
p.101
Cardiovascular System Disorders
What does Atrial Fibrillation cause in terms of heart rhythm?
A) Regular R-R intervals
B) Irregular R-R intervals
C) Consistent heart rate
D) Slow heart rate
E) Rapid heart rate
B) Irregular R-R intervals
Explanation: Atrial Fibrillation is characterized by irregular R-R intervals, which indicates an erratic heart rhythm that can lead to various symptoms.
p.171
Dermatologic Disorders
What is a common diagnostic finding in superficial and partial-thickness burns?
A) Blue discoloration of the skin
B) Redness resembling sunburn
C) Yellowing of the skin
D) Dark brown patches
E) Flaky skin texture
B) Redness resembling sunburn
Explanation: Superficial and partial-thickness burns typically present with redness of the skin that resembles sunburn, indicating damage to the skin layers.
p.125
Respiratory Disorders
What sensation might a patient with asthma describe?
A) Feeling of warmth
B) Chest is tight
C) Lightheadedness
D) Nausea
E) Abdominal pain
B) Chest is tight
Explanation: Patients with asthma often report a sensation of tightness in the chest, which is related to airway constriction.
p.3
Gastrointestinal Disorders
Which of the following might occur during the night in patients with GERD?
A) Increased appetite
B) Chest pain or severe burning
C) Frequent headaches
D) Muscle cramps
E) Skin rashes
B) Chest pain or severe burning
Explanation: Patients with GERD may experience chest pain or severe burning during the night, which can disrupt sleep and indicate the severity of the condition.
p.174
Mental Health Disorders
What is a key characteristic of Generalized Anxiety Disorder (GAD)?
A) Excessive happiness
B) Excessive worry or anxiety that cannot be controlled
C) Lack of interest in daily activities
D) Sudden mood swings
E) Impulsive behavior
B) Excessive worry or anxiety that cannot be controlled
Explanation: A defining feature of Generalized Anxiety Disorder is the presence of excessive worry or anxiety that is uncontrollable and interferes with normal daily activities.
p.171
Dermatologic Disorders
What skin change may occur after contact with a thermal source?
A) Mottling of the skin with blister formation
B) Complete loss of skin
C) Formation of warts
D) Development of eczema
E) Increased hair growth
A) Mottling of the skin with blister formation
Explanation: After contact with a thermal source, the skin may show redness and mottling, along with blister formation, which are characteristic signs of superficial and partial-thickness burns.
p.158
Dermatologic Disorders
Where can a vesicular rash from eczema occur?
A) Only on the arms
B) Only on the legs
C) On any skin surface, including under the eyes
D) Only on the scalp
E) Only on the back
C) On any skin surface, including under the eyes
Explanation: The vesicular rash associated with eczema can appear on any skin surface, which includes sensitive areas such as under the eyes, highlighting its widespread nature.
p.95
Nervous System Disorders
What is the color of urine typically observed in Malignant Hyperthermia?
A) Clear
B) Yellow
C) Brown
D) Red
E) Green
C) Brown
Explanation: The urine in cases of Malignant Hyperthermia is often brown in color, which can be a result of muscle breakdown and the release of myoglobin into the urine.
p.105
Cardiovascular System Disorders
What is myocarditis?
A) Inflammation of the heart muscle
B) A type of heart valve disease
C) A congenital heart defect
D) A type of arrhythmia
E) A heart attack
A) Inflammation of the heart muscle
Explanation: Myocarditis is defined as the inflammation of the heart muscle, which can lead to various symptoms including fever, chest pain, and activity intolerance.
p.125
Respiratory Disorders
What is a common diagnostic finding in asthma during auscultation?
A) Inspiratory crackles
B) Expiratory wheeze
C) Rhonchi
D) Stridor
E) Pleural friction rub
B) Expiratory wheeze
Explanation: Expiratory wheeze is a characteristic finding in asthma, indicating airway obstruction and difficulty during expiration.
p.3
Gastrointestinal Disorders
What is a common symptom of Gastroesophageal Reflux Disease (GERD)?
A) Severe headaches
B) Chest pain or severe burning after eating
C) Nausea without vomiting
D) Frequent urination
E) Joint pain
B) Chest pain or severe burning after eating
Explanation: A hallmark symptom of GERD is chest pain or severe burning that occurs within an hour of eating, indicating the reflux of stomach acid into the esophagus.
p.181
Mental Health Disorders
What type of disorder is characterized by excessive excitement and poor judgment?
A) Anxiety disorder
B) Mood disorder
C) Personality disorder
D) Psychotic disorder
E) Eating disorder
B) Mood disorder
Explanation: Mania is classified as a mood disorder, characterized by excessive excitement, restlessness, and poor judgment.
p.3
Gastrointestinal Disorders
When does discomfort from GERD typically worsen?
A) After exercising
B) When lying down after meals
C) During cold weather
D) After drinking water
E) In the morning
B) When lying down after meals
Explanation: Discomfort from GERD is often exacerbated when lying down after meals, as this position can facilitate the reflux of stomach contents into the esophagus.
p.167
Dermatologic Disorders
What are common clinical findings associated with Acne Vulgaris?
A) Redness and swelling
B) Whiteheads, blackheads, or cysts
C) Flaky skin
D) Blisters and rashes
E) Scarring and pigmentation changes
B) Whiteheads, blackheads, or cysts
Explanation: Acne Vulgaris is characterized by the presence of whiteheads, blackheads, or cysts, particularly on the face, neck, upper back, chest, and shoulders, commonly affecting adolescents but can also occur in adults.
p.166
Dermatologic Disorders
What is a common symptom of Pediculosis Capitis?
A) Redness of the skin
B) Itching of the scalp
C) Blistering on the skin
D) Dryness of the scalp
E) Hair loss
B) Itching of the scalp
Explanation: Itching of the scalp is a primary symptom associated with Pediculosis Capitis, indicating the presence of lice infestation.
p.181
Mental Health Disorders
What is a common consequence of poor judgment during a manic episode?
A) Improved decision-making
B) Increased social interactions
C) Risky behaviors
D) Heightened focus
E) Enhanced creativity
C) Risky behaviors
Explanation: Poor judgment during a manic episode often leads to risky behaviors, as individuals may engage in actions without considering the potential consequences.
p.16
Gastrointestinal Disorders
Which symptom is commonly associated with Ulcerative Colitis?
A) Severe headaches
B) Abdominal pain
C) Chest pain
D) Joint pain
E) Skin rash
B) Abdominal pain
Explanation: Abdominal pain is commonly associated with Ulcerative Colitis, often occurring alongside the passage of bloody mucus stools, highlighting the inflammatory nature of the disorder.
What are common symptoms associated with labyrinthitis?
A) Nausea and vomiting
B) Skin rash
C) Joint pain
D) Chest pain
E) Frequent urination
A) Nausea and vomiting
Explanation: Common symptoms of labyrinthitis include nausea and vomiting, along with other signs such as vertigo and tinnitus, indicating disturbances in the inner ear.
p.127
Respiratory Disorders
How long must a chronic productive cough last to diagnose Chronic Bronchitis?
A) 1 month
B) 6 months
C) 1 year
D) 3 months
E) 2 years
D) 3 months
Explanation: To diagnose Chronic Bronchitis, the chronic productive cough must last for more than 3 months for over 2 consecutive years, which is a defining feature of the disorder.
p.185
Nervous System Disorders
In which age group can ADHD be diagnosed?
A) Only in children
B) Only in adults
C) In both children and adults
D) Only in teenagers
E) Only in the elderly
C) In both children and adults
Explanation: ADHD can be diagnosed in both children and adults, as it is a disorder that can persist into adulthood, affecting various aspects of life.
p.163
Dermatologic Disorders
What is paronychia?
A) A type of skin cancer
B) Inflammation of the nailbed
C) A fungal infection of the skin
D) A viral infection affecting the nails
E) A condition caused by poor circulation
B) Inflammation of the nailbed
Explanation: Paronychia refers to the inflammation around the nailbed, often characterized by erythema and swelling, commonly resulting from frequent exposure to water or habits like nail biting.
What initiates the immune attack in Graft-Versus-Host Disease?
A) Bacterial infection
B) Transplanted tissue
C) Viral infection
D) Autoimmune response
E) Environmental factors
B) Transplanted tissue
Explanation: The immune attack in Graft-Versus-Host Disease is initiated by the transplanted tissue, which recognizes the recipient's body as foreign, leading to damage of the recipient's cells.
p.167
Dermatologic Disorders
What is the medical term for common acne?
A) Acne Rosacea
B) Acne Conglobata
C) Acne Vulgaris
D) Acne Fulminans
E) Acne Mechanica
C) Acne Vulgaris
Explanation: The medical term for common acne is Acne Vulgaris, which is the most prevalent form of acne affecting individuals, particularly during adolescence.
p.88
Nervous System Disorders
In which area of the body does Trigeminal Neuralgia primarily manifest?
A) Arms
B) Legs
C) Face
D) Back
E) Abdomen
C) Face
Explanation: Trigeminal Neuralgia primarily manifests in the face, causing severe pain in response to various stimuli, which is a hallmark of this disorder.
p.175
Mental Health Disorders
What is a key characteristic of Posttraumatic Stress Disorder (PTSD)?
A) Chronic fatigue
B) Acute anxiety and distress related to flashbacks
C) Excessive happiness
D) Sudden weight gain
E) Increased sociability
B) Acute anxiety and distress related to flashbacks
Explanation: A defining feature of PTSD is the acute anxiety and distress that individuals experience, particularly in relation to flashbacks or memories of a traumatic event.
p.162
Dermatologic Disorders
What is the medical term for herpes simplex?
A) Herpes simplex virus type 1 and type 2
B) Varicella-zoster virus
C) Human papillomavirus
D) Cytomegalovirus
E) Epstein-Barr virus
A) Herpes simplex virus type 1 and type 2
Explanation: Herpes simplex refers to infections caused by herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2), which are responsible for the characteristic lesions.
p.175
Mental Health Disorders
Which of the following best describes the nature of flashbacks in PTSD?
A) They are pleasant memories
B) They are unrelated to past events
C) They are vivid recollections of traumatic events
D) They occur only during sleep
E) They are a sign of happiness
C) They are vivid recollections of traumatic events
Explanation: Flashbacks in PTSD are characterized by vivid and distressing recollections of traumatic events, which can lead to significant anxiety and distress.
p.132
Respiratory Disorders
Which of the following is a potential cause of chest pain in pulmonary embolism?
A) Muscle strain
B) Blockage in the pulmonary arteries
C) Gastroesophageal reflux
D) Pneumonia
E) Asthma
B) Blockage in the pulmonary arteries
Explanation: Chest pain in pulmonary embolism is often caused by a blockage in the pulmonary arteries, which can lead to reduced blood flow and increased pressure in the lungs.
p.108
Cardiovascular System Disorders
What does unilateral edema in the arm or leg suggest?
A) Heart attack
B) Deep Vein Thrombosis
C) Stroke
D) Hypertension
E) Arrhythmia
B) Deep Vein Thrombosis
Explanation: Unilateral edema in the arm or leg is a common clinical finding in Deep Vein Thrombosis, indicating possible clot formation that obstructs normal blood flow.
p.112
Cardiovascular System Disorders
What skin condition may be observed in patients with Peripheral Arterial Disease?
A) Oily skin
B) Dry, flaky skin
C) Acne
D) Eczema
E) Psoriasis
B) Dry, flaky skin
Explanation: Patients with Peripheral Arterial Disease may experience dry, flaky skin on their legs, which is a result of inadequate blood flow and circulation.
p.175
Mental Health Disorders
What triggers acute anxiety in individuals with PTSD?
A) Positive life changes
B) Flashbacks or memories of a traumatic event
C) Regular daily activities
D) Social gatherings
E) Exercise
B) Flashbacks or memories of a traumatic event
Explanation: In individuals with PTSD, acute anxiety is often triggered by flashbacks or memories of traumatic events, leading to distressing emotional responses.
What are common symptoms of Ménière’s Disease?
A) Ear fullness, tinnitus, and vertigo
B) Headaches and migraines
C) Hearing loss and ear infections
D) Nasal congestion and sneezing
E) Chest pain and shortness of breath
A) Ear fullness, tinnitus, and vertigo
Explanation: Ménière’s Disease is characterized by symptoms such as ear fullness, tinnitus (ringing in the ears), and vertigo (a sensation of spinning), which are key diagnostic indicators of the condition.
What is a common finding during an ophthalmoscopic examination in diabetic retinopathy?
A) Clear cornea
B) Cotton-wool spots
C) Normal retinal vessels
D) Increased intraocular pressure
E) Retinal hemorrhage
B) Cotton-wool spots
Explanation: During an ophthalmoscopic examination of patients with diabetic retinopathy, cotton-wool spots are commonly observed, along with tortuous and dilated vessels, indicating damage to the retinal tissue.
When does mastoiditis typically occur?
A) After a head injury
B) After an ear or sinus infection
C) After a cold
D) After a dental procedure
E) After exposure to loud noises
B) After an ear or sinus infection
Explanation: Mastoiditis usually develops following an ear or sinus infection, highlighting the connection between these conditions and the inflammation of the mastoid process.
p.13
Gastrointestinal Disorders
What clinical sign is associated with cholecystitis?
A) Murphy’s sign
B) McBurney's point tenderness
C) Rovsing's sign
D) Psoas sign
E) Blumberg's sign
A) Murphy’s sign
Explanation: Murphy’s sign is a clinical finding indicative of cholecystitis, where the patient experiences pain upon palpation of the gallbladder.
What condition can progress to flashing lights and cessation of vision in diabetics?
A) Glaucoma
B) Retinal detachment
C) Cataracts
D) Macular degeneration
E) Conjunctivitis
B) Retinal detachment
Explanation: In individuals with poorly controlled diabetes, the progression of diabetic retinopathy can lead to retinal detachment, which may manifest as flashing lights and ultimately result in cessation of vision.
p.107
Cardiovascular System Disorders
What diagnostic imaging technique is mentioned for assessing cardiomyopathy?
A) X-ray
B) CT scan
C) Ultrasound
D) MRI
E) PET scan
D) MRI
Explanation: MRI is used to show enlargement of the heart muscle or chambers, which is a key diagnostic finding in cardiomyopathy.
p.136
Respiratory Disorders
What is a common symptom of Legionnaires’ Disease?
A) Fever
B) Dry cough
C) Skin rash
D) Abdominal pain
E) Headache
B) Dry cough
Explanation: A dry cough is one of the diagnostic findings associated with Legionnaires’ Disease, indicating respiratory involvement in the condition.
p.162
Dermatologic Disorders
Where can herpes simplex lesions commonly occur?
A) Only on the hands
B) On the scalp
C) In the genital area and on the lips or nose
D) On the soles of the feet
E) Inside the mouth only
C) In the genital area and on the lips or nose
Explanation: Herpes simplex lesions may occur on the lips, in the nose, and also in the genital area, indicating the virus's ability to affect multiple regions of the body.
p.112
Cardiovascular System Disorders
What color changes might occur in the legs due to Peripheral Arterial Disease?
A) Bright red
B) Blue or purple
C) Yellow or green
D) Color changes with hair loss
E) No color changes at all
D) Color changes with hair loss
Explanation: Peripheral Arterial Disease can lead to color changes in the legs, often accompanied by hair loss and dry, flaky skin, indicating poor circulation.
What is a common symptom of Primary Open-Angle Glaucoma?
A) Sudden vision loss
B) Bilateral, usually painless loss of vision
C) Severe eye pain
D) Color blindness
E) Night blindness
B) Bilateral, usually painless loss of vision
Explanation: A characteristic symptom of Primary Open-Angle Glaucoma is bilateral, usually painless loss of vision, which distinguishes it from other types of vision disorders.
p.127
Respiratory Disorders
What is a key diagnostic finding for Chronic Bronchitis?
A) A history of asthma attacks
B) A chronic productive cough lasting more than 3 months for over 2 consecutive years
C) A history of lung cancer
D) A sudden onset of shortness of breath
E) A persistent dry cough for more than 6 months
B) A chronic productive cough lasting more than 3 months for over 2 consecutive years
Explanation: Chronic Bronchitis is characterized by a history of a chronic productive cough lasting more than 3 months for more than 2 consecutive years, which is a crucial diagnostic criterion for this respiratory disorder.
p.108
Cardiovascular System Disorders
Which of the following is NOT a clinical finding associated with Deep Vein Thrombosis?
A) Redness in the leg
B) Warmth in the area of pain
C) Edema unilaterally in the arm or leg
D) Chest pain
E) Positive Homans’ sign
D) Chest pain
Explanation: Chest pain is not a clinical finding associated with Deep Vein Thrombosis; rather, it may indicate other conditions such as pulmonary embolism. The other options are direct signs of DVT.
p.181
Mental Health Disorders
Which of the following best describes the state of a person experiencing mania?
A) Calm and collected
B) Overly excited and restless
C) Withdrawn and silent
D) Indifferent and apathetic
E) Anxious and fearful
B) Overly excited and restless
Explanation: A person experiencing mania is typically in a state of excessive excitement and restlessness, which distinguishes this condition from other mental health disorders.
p.141
Respiratory Disorders
Which of the following symptoms is associated with systemic effects of Tuberculosis (TB)?
A) Chest pain
B) Anorexia
C) Anxiety
D) All of the above
E) None of the above
D) All of the above
Explanation: Symptoms such as chest pain, anorexia, and anxiety are all associated with the systemic effects of Tuberculosis (TB), indicating its impact on overall health.
p.84
Nervous System Disorders
Which of the following is NOT a behavior associated with Complex Partial Seizures?
A) Running away
B) Picking at clothing
C) Lip smacking
D) Dancing
E) Standing still
D) Dancing
Explanation: Dancing is not a behavior typically associated with Complex Partial Seizures. Instead, behaviors such as running away, picking at clothing, and lip smacking are common during these seizures.
p.107
Cardiovascular System Disorders
What are common symptoms of cardiomyopathy?
A) Nausea and vomiting
B) Dyspnea, fatigue, and edema of the ankles
C) Fever and chills
D) Headaches and dizziness
E) Skin rashes and itching
B) Dyspnea, fatigue, and edema of the ankles
Explanation: Common symptoms of cardiomyopathy include dyspnea (shortness of breath), fatigue, and edema (swelling) of the ankles, which are indicative of heart-related issues.
p.158
Dermatologic Disorders
Which of the following is often a comorbid illness associated with eczema?
A) Diabetes
B) Hypertension
C) Asthma
D) Osteoporosis
E) Heart disease
C) Asthma
Explanation: Asthma is frequently noted as a comorbid illness in individuals with eczema, indicating a potential link between these two conditions.
What are common symptoms of Acute Angle-Closure Glaucoma?
A) Unilateral redness and pain in the eye
B) Itchy eyes
C) Blurred vision in both eyes
D) Double vision
E) Sudden loss of smell
A) Unilateral redness and pain in the eye
Explanation: Acute Angle-Closure Glaucoma is characterized by unilateral redness and pain in the eye, along with other symptoms such as headache, nausea, and vomiting.
p.167
Dermatologic Disorders
Which areas of the body are most commonly affected by Acne Vulgaris?
A) Hands and feet
B) Face, neck, upper back, chest, and shoulders
C) Abdomen and thighs
D) Scalp and ears
E) Elbows and knees
B) Face, neck, upper back, chest, and shoulders
Explanation: Acne Vulgaris commonly manifests in areas such as the face, neck, upper back, chest, and shoulders, highlighting its typical distribution on the body.
What is the medical term for the condition involving the separation of the retina from its underlying tissue?
A) Retinal degeneration
B) Retinal detachment
C) Retinal edema
D) Retinal ischemia
E) Retinal hemorrhage
B) Retinal detachment
Explanation: The correct medical term for the condition where the retina separates from its underlying tissue is retinal detachment, which can lead to serious vision problems if not treated promptly.
What visual phenomenon might a client with Acute Angle-Closure Glaucoma experience?
A) Seeing stars
B) Halos around lights
C) Complete darkness
D) Color blindness
E) Tunnel vision
B) Halos around lights
Explanation: Clients with Acute Angle-Closure Glaucoma may see halos in their visual field around lights, which is a significant symptom of this condition.
p.136
Respiratory Disorders
Which of the following symptoms indicates a potential respiratory issue in Legionnaires’ Disease?
A) Abdominal cramps
B) Abnormal lung sounds
C) Joint pain
D) Skin lesions
E) Vision changes
B) Abnormal lung sounds
Explanation: Abnormal lung sounds are a key clinical finding in Legionnaires’ Disease, indicating respiratory distress.
What is a common symptom of Acoustic Neuroma?
A) Vision loss
B) Hearing loss
C) Nausea
D) Memory loss
E) Skin rash
B) Hearing loss
Explanation: Hearing loss is a prominent symptom associated with Acoustic Neuroma, indicating the impact of this condition on auditory function.
p.181
Mental Health Disorders
Which of the following is NOT a symptom of mania?
A) Poor judgment
B) Excessive excitement
C) Restlessness
D) Severe depression
E) Delusions of grandeur
D) Severe depression
Explanation: Severe depression is not a symptom of mania; rather, mania is characterized by excessive excitement, restlessness, and poor judgment.
What visual abnormality is characterized by seeing flashing lights or sparks?
A) Retinal detachment
B) Glaucoma
C) Cataracts
D) Macular degeneration
E) Diabetic retinopathy
A) Retinal detachment
Explanation: Seeing flashing lights or sparks is a common symptom associated with retinal detachment, indicating a potential serious condition affecting vision.
p.114
Cardiovascular System Disorders
What is a primary characteristic of Raynaud’s Disease?
A) Increased heart rate
B) Vasospasm and vasoconstrictive ischemia in extremities
C) High blood pressure
D) Swelling in the legs
E) Chest pain
B) Vasospasm and vasoconstrictive ischemia in extremities
Explanation: Raynaud’s Disease is characterized by vasospasm and vasoconstrictive ischemia, particularly in the tips of the nose, fingers, hands, feet, and toes when exposed to cold temperatures.
p.117
Cardiovascular System Disorders
What is a common diagnostic finding in leukemia?
A) High-grade fever
B) Lymphadenopathy
C) Elevated blood pressure
D) Increased heart rate
E) Decreased respiratory rate
B) Lymphadenopathy
Explanation: Lymphadenopathy, or swollen lymph nodes, is a common clinical finding in leukemia, indicating the involvement of the lymphatic system in the disease process.
p.139
Respiratory Disorders
Which symptom is NOT typically associated with sarcoidosis?
A) Night sweats
B) Weight loss
C) Progressive lung noncompliance
D) Increased appetite
E) Shortness of breath (SOB)
D) Increased appetite
Explanation: Increased appetite is not a symptom associated with sarcoidosis; rather, symptoms include anorexia, weight loss, and fatigue.
p.158
Dermatologic Disorders
What is a common diagnostic finding in eczema?
A) Presence of a scaly rash
B) Presence of a vesicular rash
C) Presence of a pustular rash
D) Presence of a macular rash
E) Presence of a papular rash
B) Presence of a vesicular rash
Explanation: Eczema is characterized by the presence of a vesicular rash that can occur on any skin surface, including sensitive areas like under the eyes, making it a key diagnostic feature.
p.118
Cardiovascular System Disorders
What type of infection is commonly seen in patients with Multiple Myeloma?
A) Viral infections only
B) Bacterial infections only
C) Fungal infections only
D) All types of infections
E) No infections
D) All types of infections
Explanation: Patients with Multiple Myeloma are prone to infections due to compromised immune function, making them susceptible to all types of infections.
p.165
Dermatologic Disorders
What symptom is commonly associated with scabies?
A) Numbness
B) Pruritus (itching)
C) Pain
D) Burning sensation
E) Dryness
B) Pruritus (itching)
Explanation: Pruritus, or intense itching, is a hallmark symptom of scabies, often leading to discomfort and secondary skin infections due to scratching.
Which of the following is NOT a symptom of retinal detachment?
A) Flashing lights
B) Floaters
C) Loss of peripheral vision
D) Sudden increase in appetite
E) Curtain effect over vision
D) Sudden increase in appetite
Explanation: A sudden increase in appetite is not related to retinal detachment, while the other options are common symptoms associated with this condition.
p.168
Dermatologic Disorders
What serious conditions are associated with reactions to certain medications?
A) Psoriasis and eczema
B) Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis
C) Acne and rosacea
D) Dermatitis and hives
E) Fungal infections and warts
B) Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis
Explanation: Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis are severe dermatologic conditions that can occur as a reaction to medications such as sulfa drugs, antibiotics, or antiepileptics.
p.165
Dermatologic Disorders
What is the medical term for the condition caused by the infestation of the skin by mites?
A) Eczema
B) Psoriasis
C) Scabies
D) Dermatitis
E) Folliculitis
C) Scabies
Explanation: Scabies is the medical term for the condition caused by the infestation of the skin by Sarcoptes scabiei mites, leading to characteristic lesions and itching.
p.174
Mental Health Disorders
How long must symptoms occur for a diagnosis of Generalized Anxiety Disorder?
A) At least 1 month
B) At least 3 months
C) At least 6 months
D) At least 12 months
E) At least 2 years
C) At least 6 months
Explanation: For a diagnosis of Generalized Anxiety Disorder, symptoms must have been present for at least 6 months, indicating a chronic condition rather than a temporary state of anxiety.
p.16
Gastrointestinal Disorders
How many stools per day are indicative of Ulcerative Colitis?
A) One or two
B) Three to five
C) Six or more
D) Ten or more
E) None
C) Six or more
Explanation: The diagnostic criteria for Ulcerative Colitis includes the daily passage of six or more stools, particularly when they are bloody and contain mucus, indicating significant gastrointestinal distress.
p.179
Mental Health Disorders
Which of the following is NOT a symptom of Conversion Disorder?
A) Paralysis
B) Blindness
C) Indifference to symptoms
D) Severe anxiety about symptoms
E) Other unexplained physical symptoms
D) Severe anxiety about symptoms
Explanation: In Conversion Disorder, clients typically do not exhibit severe anxiety about their symptoms; rather, they often appear indifferent to the significant loss of function.
p.104
Cardiovascular System Disorders
What is the medical term for inflammation of the pericardium?
A) Myocarditis
B) Endocarditis
C) Pericarditis
D) Aneurysm
E) Angina
C) Pericarditis
Explanation: Pericarditis refers to the inflammation of the pericardium, the fibrous sac surrounding the heart, and is characterized by specific clinical findings and symptoms.
p.135
Respiratory Disorders
Influenza is primarily characterized by which of the following symptoms?
A) Chronic cough
B) Fever and respiratory symptoms
C) Joint stiffness
D) Skin lesions
E) Weight loss
B) Fever and respiratory symptoms
Explanation: Influenza is primarily characterized by fever and respiratory symptoms, along with myalgia and gastrointestinal symptoms, which are indicative of the viral infection.
p.116
Cardiovascular System Disorders
Which of the following is NOT a characteristic of prehypertension?
A) Blood pressure readings greater than 119 mm Hg systolic
B) Blood pressure readings greater than 79 mm Hg diastolic
C) Symptoms are always present
D) Risk factor for developing hypertension
E) May have no symptoms
C) Symptoms are always present
Explanation: Prehypertension may not present any symptoms, which distinguishes it from more severe forms of hypertension where symptoms may occur.
p.112
Cardiovascular System Disorders
Which of the following is NOT a symptom associated with Peripheral Arterial Disease?
A) Intermittent claudication
B) Dry, flaky skin
C) Hair loss on the legs
D) Constant swelling
E) Color changes in the legs
D) Constant swelling
Explanation: While intermittent claudication, dry, flaky skin, hair loss, and color changes are symptoms of Peripheral Arterial Disease, constant swelling is not typically associated with this condition.
What balance issue is commonly reported in individuals with Acoustic Neuroma?
A) Dizziness
B) Blurred vision
C) Nausea
D) Tinnitus
E) Hearing loss
A) Dizziness
Explanation: Balance problems, including dizziness, are frequently reported in individuals with Acoustic Neuroma due to its effect on the vestibular system.
What is a common symptom of mastoiditis?
A) Pain in the lower back
B) Pain behind the ear
C) Pain in the chest
D) Pain in the knee
E) Pain in the abdomen
B) Pain behind the ear
Explanation: Mastoiditis is characterized by pain behind the ear, often accompanied by fever and chills, typically following an ear or sinus infection.
p.16
Gastrointestinal Disorders
What is a key diagnostic finding in Ulcerative Colitis?
A) Daily passage of three or fewer stools
B) Daily passage of six or more bloody mucus stools
C) Presence of abdominal swelling
D) Weight gain
E) Increased appetite
B) Daily passage of six or more bloody mucus stools
Explanation: A key diagnostic finding for Ulcerative Colitis is the daily passage of six or more bloody mucus stools, which is often accompanied by abdominal pain, indicating inflammation in the gastrointestinal tract.
p.182
Mental Health Disorders
Which of the following is a common symptom of depression?
A) Increased energy levels
B) Persistent sadness
C) Heightened interest in daily activities
D) Improved concentration
E) Excessive happiness
B) Persistent sadness
Explanation: Persistent sadness is one of the hallmark symptoms of depression, indicating a prolonged state of emotional distress that characterizes the disorder.
p.101
Cardiovascular System Disorders
Which of the following might a patient with Atrial Fibrillation experience?
A) Constant dizziness
B) Skipping heartbeats
C) Severe headaches
D) High blood pressure
E) Chest tightness
B) Skipping heartbeats
Explanation: Patients with Atrial Fibrillation often report sensations of skipping heartbeats, which is a direct result of the irregular heart rhythm.
p.126
Respiratory Disorders
What is a common blood gas finding in patients with emphysema?
A) Decreased PaCO2
B) Normal PaCO2
C) Increased PaCO2
D) Decreased oxygen saturation
E) Increased oxygen saturation
C) Increased PaCO2
Explanation: Patients with emphysema typically exhibit increased levels of carbon dioxide (PaCO2) in the blood, indicating chronic respiratory acidosis due to impaired gas exchange.
p.84
Nervous System Disorders
What may happen to a person experiencing Complex Partial Seizures?
A) They may become overly energetic
B) They may lose consciousness
C) They may experience extreme hunger
D) They may become very talkative
E) They may feel intense pain
B) They may lose consciousness
Explanation: Individuals experiencing Complex Partial Seizures may lose consciousness, which is a significant aspect of this type of seizure and can affect their awareness of surroundings.
p.101
Cardiovascular System Disorders
What sensation might accompany Atrial Fibrillation aside from palpitations?
A) Numbness in limbs
B) Vertigo
C) Increased appetite
D) Blurred vision
E) Excessive sweating
B) Vertigo
Explanation: Vertigo, or a sensation of spinning or dizziness, can be perceived by individuals experiencing Atrial Fibrillation, alongside palpitations.
p.126
Respiratory Disorders
What type of respiratory drive is often seen in emphysema patients?
A) Hypercapnic respiratory drive
B) Hypoxic respiratory drive
C) Normal respiratory drive
D) Central respiratory drive
E) Reflex respiratory drive
B) Hypoxic respiratory drive
Explanation: Emphysema patients often rely on a hypoxic respiratory drive, as their bodies adapt to chronic high levels of carbon dioxide and low levels of oxygen.
p.120
Cardiovascular System Disorders
What is the range of PCO2 in the ABG findings for metabolic acidosis?
A) 25–30 mm Hg
B) 30–35 mm Hg
C) 35–45 mm Hg
D) 45–55 mm Hg
E) 50–60 mm Hg
C) 35–45 mm Hg
Explanation: The PCO2 in the range of 35–45 mm Hg is typical for metabolic acidosis, and it may decrease as a compensatory mechanism.
p.168
Dermatologic Disorders
What is a common clinical finding in patients with Stevens-Johnson Syndrome?
A) Itchy skin
B) Macular rash
C) Blistering on the hands
D) Hair loss
E) Yellowing of the skin
B) Macular rash
Explanation: A macular rash is a common clinical finding in patients with Stevens-Johnson Syndrome, often appearing after the initiation of certain medications, indicating a serious dermatologic reaction.
p.185
Nervous System Disorders
What is a common behavior of individuals with ADHD?
A) Excessive calmness
B) Difficulty sitting still
C) Overly meticulous planning
D) Strong organizational skills
E) Consistent focus on tasks
B) Difficulty sitting still
Explanation: A common behavior associated with ADHD is difficulty sitting still, which reflects the hyperactivity component of the disorder.
p.88
Nervous System Disorders
What is the typical response of patients with Trigeminal Neuralgia to light touch?
A) No response
B) Mild discomfort
C) Severe pain
D) Numbness
E) Itching
C) Severe pain
Explanation: Patients with Trigeminal Neuralgia often experience severe pain in response to light touch, which is a defining characteristic of the disorder.
p.108
Cardiovascular System Disorders
What is a positive Homans’ sign indicative of?
A) Heart failure
B) Deep Vein Thrombosis
C) Pulmonary embolism
D) Aortic aneurysm
E) Myocardial infarction
B) Deep Vein Thrombosis
Explanation: A positive Homans’ sign is a clinical finding that suggests the presence of Deep Vein Thrombosis (DVT), indicating potential clot formation in the deep veins of the leg.
p.132
Respiratory Disorders
What is hemoptysis?
A) Difficulty breathing
B) Coughing up blood
C) Chest tightness
D) Fever
E) Excessive sweating
B) Coughing up blood
Explanation: Hemoptysis refers to the act of coughing up blood, which can occur in cases of pulmonary embolism due to damage to lung tissue or blood vessels.
p.126
Respiratory Disorders
What symptom is commonly associated with emphysema?
A) Coughing up blood
B) Dyspnea
C) Chest pain
D) Fever
E) Wheezing
B) Dyspnea
Explanation: Dyspnea, or difficulty breathing, is a hallmark symptom of emphysema, reflecting the impaired respiratory function associated with the disorder.
p.125
Respiratory Disorders
What type of cough is typically associated with asthma?
A) Productive cough
B) Nonproductive cough
C) Barking cough
D) Croupy cough
E) Hemoptysis
B) Nonproductive cough
Explanation: Asthma is commonly associated with a nonproductive cough, which does not produce mucus or phlegm.
p.117
Cardiovascular System Disorders
Which of the following is NOT a clinical finding associated with leukemia?
A) Low-grade fever
B) Bleeding tendency
C) Anemia
D) Increased appetite
E) Infections
D) Increased appetite
Explanation: Increased appetite is not typically associated with leukemia. Instead, low-grade fever, bleeding tendency, anemia, and infections are common clinical findings.
p.114
Cardiovascular System Disorders
What triggers the symptoms of Raynaud’s Disease?
A) High temperatures
B) Physical exertion
C) Contact with cold objects or cold temperatures
D) Emotional stress
E) High altitudes
C) Contact with cold objects or cold temperatures
Explanation: Symptoms of Raynaud’s Disease are triggered by contact with cold objects or exposure to cold temperatures, leading to vasospasm and ischemia.
p.185
Nervous System Disorders
Which of the following symptoms is associated with ADHD?
A) Emotional lability
B) Constant fatigue
C) Obsessive thoughts
D) Hallucinations
E) Severe anxiety
A) Emotional lability
Explanation: Emotional lability, or rapid and intense emotional changes, is a symptom that can be observed in individuals with ADHD, alongside difficulties in attention and focus.
p.173
Dermatologic Disorders
Which of the following factors is NOT mentioned as worsening the client's skin condition?
A) Sun exposure
B) Cold weather
C) Hot foods or liquids
D) Alcohol
E) Stress
B) Cold weather
Explanation: The provided information specifies that sun exposure, hot foods or liquids, and alcohol worsen the condition, but does not mention cold weather as a factor.
p.108
Cardiovascular System Disorders
What is the primary concern with Deep Vein Thrombosis if left untreated?
A) Stroke
B) Pulmonary embolism
C) Myocardial infarction
D) Heart failure
E) Aortic dissection
B) Pulmonary embolism
Explanation: The primary concern with untreated Deep Vein Thrombosis is the risk of a pulmonary embolism, where a blood clot dislodges and travels to the lungs, potentially causing serious complications.
p.173
Dermatologic Disorders
What is a common diagnostic finding in clients with rosacea?
A) Dry patches
B) Flushed skin
C) Oily skin
D) Blistering
E) Scarring
B) Flushed skin
Explanation: A key diagnostic finding in rosacea is flushed skin, which is a prominent symptom of this dermatologic disorder.
p.166
Dermatologic Disorders
What do the eggs of lice look like when assessed?
A) Bright red
B) White or translucent
C) Dark brown
D) Yellow
E) Green
B) White or translucent
Explanation: The eggs (nits) of lice are typically white or translucent and can be found adhered to the hair shaft near the scalp, which is a characteristic finding in Pediculosis Capitis.
p.165
Dermatologic Disorders
What is the appearance of the lesions at the end of the threadlike lesions in scabies?
A) Red spots
B) White scales
C) Black dot
D) Yellow crust
E) Clear fluid
C) Black dot
Explanation: The lesions associated with scabies often have a black dot at the end of the grayish brown threadlike lesions, which is a distinctive feature of this condition.
p.170
Dermatologic Disorders
What is a common characteristic of verrucas?
A) They are dark brown and raised
B) They are pink or light pink growths that cluster on skin structures
C) They are always found on the palms of the hands
D) They are blue and flat
E) They are only found on the feet
B) They are pink or light pink growths that cluster on skin structures
Explanation: Verrucas are characterized by their pink or light pink appearance and tendency to cluster on skin structures, making them identifiable dermatologic lesions.
What might elevated white blood cell counts (WBCs) indicate in a patient with labyrinthitis?
A) Dehydration
B) Infection or inflammation
C) Allergic reaction
D) Nutritional deficiency
E) Liver dysfunction
B) Infection or inflammation
Explanation: An elevation in white blood cell counts (WBCs) typically indicates an infection or inflammation, which can be associated with conditions like labyrinthitis.
Which of the following organs is NOT typically affected by Graft-Versus-Host Disease?
A) Skin
B) Liver
C) Heart
D) Gastrointestinal tract
E) Bone marrow
C) Heart
Explanation: Graft-Versus-Host Disease primarily affects the skin, liver, and gastrointestinal tract, but the heart is not typically involved in this condition.
p.118
Cardiovascular System Disorders
Which of the following conditions is characterized by a tendency to bleed?
A) Multiple Myeloma
B) Osteoarthritis
C) Hypertension
D) Diabetes Mellitus
E) Asthma
A) Multiple Myeloma
Explanation: A bleeding tendency is one of the clinical findings associated with Multiple Myeloma, highlighting its impact on blood cell production and function.
p.165
Dermatologic Disorders
Where are scabies lesions most commonly found on the body?
A) On the face and neck
B) On the palms and soles
C) Between fingers, toes, axillae, groin, buttocks, and abdominal areas
D) On the scalp
E) On the chest and back
C) Between fingers, toes, axillae, groin, buttocks, and abdominal areas
Explanation: Scabies lesions are typically found in specific areas such as between the fingers, toes, axillae, groin, buttocks, and abdominal areas, which are common sites for infestation.
What visual changes may occur in individuals with poorly controlled diabetes?
A) Sudden loss of peripheral vision
B) Gradual central visual field changes
C) Complete color blindness
D) Immediate double vision
E) Flashes of bright colors only
B) Gradual central visual field changes
Explanation: Individuals with poorly controlled diabetes may experience gradual central visual field changes, which can progress to more severe symptoms such as flashing lights and potential cessation of vision due to retinal detachment.
p.139
Respiratory Disorders
What does 'SOB' stand for in the context of sarcoidosis symptoms?
A) Shortness of breath
B) Sudden onset bronchitis
C) Severe obstructive breathing
D) Systemic organ breakdown
E) Sleep obstructive breathing
A) Shortness of breath
Explanation: 'SOB' stands for shortness of breath, which is a common symptom in patients with sarcoidosis due to progressive lung noncompliance.
p.131
Respiratory Disorders
Which of the following is NOT a symptom associated with respiratory disorders after coronavirus exposure?
A) Cough
B) Rhonchi
C) Crackles
D) Abdominal pain
E) Worsening respiratory symptoms
D) Abdominal pain
Explanation: Abdominal pain is not typically associated with respiratory disorders after coronavirus exposure; the symptoms primarily include cough, rhonchi, crackles, and worsening respiratory symptoms.
p.182
Mental Health Disorders
What feeling is often associated with depression?
A) Euphoria
B) Guilt
C) Indifference
D) Excitement
E) Contentment
B) Guilt
Explanation: Feelings of guilt are commonly reported by individuals experiencing depression, contributing to their overall sense of hopelessness and emotional turmoil.
p.139
Respiratory Disorders
Which of the following is a progressive symptom of sarcoidosis?
A) Fatigue
B) Increased energy
C) Improved lung function
D) Decreased heart rate
E) Enhanced appetite
A) Fatigue
Explanation: Fatigue is a progressive symptom of sarcoidosis, often accompanying other clinical findings such as fever, weight loss, and shortness of breath.
p.182
Mental Health Disorders
Which of the following changes might indicate depression?
A) Increased appetite
B) Decreased interest in daily activities
C) Improved sleep patterns
D) Heightened social interactions
E) Enhanced focus on tasks
B) Decreased interest in daily activities
Explanation: A decreased interest in daily activities is a significant indicator of depression, reflecting a lack of motivation and enjoyment in previously pleasurable activities.
p.178
Mental Health Disorders
What is the primary purpose of the rituals performed by individuals with OCD?
A) To entertain others
B) To decrease unpleasant thoughts
C) To gain social acceptance
D) To improve physical health
E) To enhance creativity
B) To decrease unpleasant thoughts
Explanation: The rituals in OCD are specifically aimed at reducing distressing or unpleasant thoughts, which is central to the experience of individuals with this disorder.
p.172
Dermatologic Disorders
What is a characteristic appearance of full-thickness burns?
A) Smooth and soft skin
B) Tough, leathery, or charred skin surface
C) Red and inflamed skin
D) Blistered and swollen skin
E) Flaky and dry skin
B) Tough, leathery, or charred skin surface
Explanation: Full-thickness burns are characterized by a tough, leathery, or charred skin surface that can appear brown, tan, red, or black, indicating severe damage to the skin layers.
p.117
Cardiovascular System Disorders
What is a potential complication of leukemia related to blood cell production?
A) Increased oxygen levels
B) Bleeding tendency
C) Enhanced immune response
D) Decreased heart rate
E) Improved wound healing
B) Bleeding tendency
Explanation: A bleeding tendency is a potential complication of leukemia due to the impaired production of platelets and other blood cells, leading to increased risk of bleeding.
p.173
Dermatologic Disorders
Which of the following is a common trigger for rosacea symptoms?
A) Cold beverages
B) Spicy foods
C) Exercise
D) Sleeping
E) Swimming
B) Spicy foods
Explanation: Eating hot foods or liquids, which can include spicy foods, is noted as a trigger that worsens rosacea symptoms.
p.168
Dermatologic Disorders
Which of the following medications is NOT commonly associated with Stevens-Johnson Syndrome?
A) Sulfa drugs
B) Antibiotics
C) Antiepileptics
D) Antidepressants
E) Antihistamines
E) Antihistamines
Explanation: Antihistamines are not commonly associated with Stevens-Johnson Syndrome, while sulfa drugs, antibiotics, and antiepileptics are known to trigger this severe reaction.
p.121
Cardiovascular System Disorders
What is the normal range for PCO2 in an ABG?
A) 25–30 mm Hg
B) 30–35 mm Hg
C) 35–45 mm Hg
D) 45–55 mm Hg
E) 55–60 mm Hg
C) 35–45 mm Hg
Explanation: The normal range for PCO2 in an arterial blood gas (ABG) analysis is 35–45 mm Hg, which is crucial for determining respiratory function and acid-base balance.
p.174
Mental Health Disorders
Which of the following is NOT a symptom of Generalized Anxiety Disorder?
A) Excessive worry
B) Difficulty concentrating
C) Uncontrollable anger
D) Restlessness
E) Fatigue
C) Uncontrollable anger
Explanation: While excessive worry, difficulty concentrating, restlessness, and fatigue are symptoms of Generalized Anxiety Disorder, uncontrollable anger is not typically associated with this disorder.
What is a common condition that can occur approximately 3 1/2 months after a solid organ or stem cell transplant?
A) Acute Kidney Injury
B) Graft-Versus-Host Disease
C) Hypertension
D) Myocardial Infarction
E) Atherosclerosis
B) Graft-Versus-Host Disease
Explanation: Graft-Versus-Host Disease (GVHD) is a condition that can occur when the immune system of the transplanted tissue attacks the recipient's epithelial cells, particularly affecting the skin, gastrointestinal tract, and liver, typically around 3 1/2 months post-transplant.
p.127
Respiratory Disorders
Which of the following is NOT a characteristic of Chronic Bronchitis?
A) Chronic productive cough
B) Increased mucus production
C) Shortness of breath
D) Sudden weight loss
E) Frequent respiratory infections
D) Sudden weight loss
Explanation: Sudden weight loss is not a characteristic of Chronic Bronchitis. Instead, patients often experience increased mucus production, chronic cough, and may have frequent respiratory infections.
p.13
Gastrointestinal Disorders
What is a common symptom of cholecystitis?
A) Left upper quadrant pain
B) Right upper quadrant pain that radiates to the right scapula
C) Lower abdominal pain
D) Chest pain
E) Back pain
B) Right upper quadrant pain that radiates to the right scapula
Explanation: Right upper quadrant pain that radiates to the right scapula is a classic symptom of cholecystitis, indicating irritation of the gallbladder.
p.163
Dermatologic Disorders
What is a common cause of erythema around the base of the nailbed?
A) Exposure to sunlight
B) Frequent hand immersion in water
C) Allergic reactions to cosmetics
D) Fungal infections
E) Poor nutrition
B) Frequent hand immersion in water
Explanation: Erythema around the base of the nailbed is often seen in individuals who frequently have their hands in water, such as those in certain occupations, as well as in nailbiters and thumb suckers, leading to conditions like paronychia.
p.114
Cardiovascular System Disorders
What is the medical term for the condition characterized by vasospasm in response to cold?
A) Hypertension
B) Atherosclerosis
C) Raynaud’s Disease
D) Angina
E) Myocardial infarction
C) Raynaud’s Disease
Explanation: Raynaud’s Disease is the medical term used to describe the condition where vasospasm occurs in response to cold, affecting blood flow to extremities.
p.117
Cardiovascular System Disorders
Which of the following symptoms is commonly associated with leukemia?
A) Weight gain
B) Low-grade fever
C) High blood sugar
D) Severe headaches
E) Joint pain
B) Low-grade fever
Explanation: Low-grade fever is a common symptom in leukemia, often resulting from the body's response to infections or the disease itself.
p.84
Nervous System Disorders
Which of the following describes a characteristic behavior of someone having a Complex Partial Seizure?
A) Engaging in complex problem-solving
B) Exhibiting socially awkward behavior
C) Running a marathon
D) Singing loudly
E) Writing extensively
B) Exhibiting socially awkward behavior
Explanation: During Complex Partial Seizures, individuals may display socially awkward behaviors, such as lip smacking or other repetitive actions, which can be indicative of the seizure activity.
p.111
Cardiovascular System Disorders
What are the visible characteristics of varicose veins?
A) Smooth and straight veins
B) Tortuous and bulging veins
C) Dark and flat veins
D) Thin and transparent veins
E) Short and stubby veins
B) Tortuous and bulging veins
Explanation: Varicose veins are characterized by their visible, tortuous, and bulging appearance, which can cause discomfort in the legs and affect body image.
What effect does head movement have on symptoms of Ménière’s Disease?
A) It alleviates symptoms
B) It has no effect
C) It makes symptoms worse
D) It causes hearing loss
E) It leads to increased appetite
C) It makes symptoms worse
Explanation: Movement of the head can exacerbate the symptoms of Ménière’s Disease, leading to increased discomfort and severity of vertigo and other associated symptoms.
p.84
Nervous System Disorders
What is the medical term for Complex Partial Seizures?
A) Simple Partial Seizures
B) Generalized Seizures
C) Psychomotor Seizures
D) Absence Seizures
E) Tonic-Clonic Seizures
C) Psychomotor Seizures
Explanation: Complex Partial Seizures are also referred to as Psychomotor Seizures, highlighting their connection to motor activity and altered consciousness.
Which of the following is NOT a symptom of mastoiditis?
A) Pain behind the ear
B) Fever
C) Chills
D) Hearing loss
E) Skin rash
E) Skin rash
Explanation: While mastoiditis presents with pain behind the ear, fever, chills, and potentially hearing loss, a skin rash is not typically associated with this condition.
p.140
Respiratory Disorders
What does SOB stand for in a clinical context?
A) Shortness of Breath
B) Sudden Onset Breathing
C) Severe Obstructive Breathing
D) Standard Oxygen Breathing
E) Simple Oxygen Balance
A) Shortness of Breath
Explanation: SOB is an abbreviation for Shortness of Breath, a significant symptom often reported in patients with respiratory disorders, including mesothelioma.
p.110
Cardiovascular System Disorders
Where do venous stasis ulcers typically occur?
A) On the face
B) On the lower extremities
C) On the abdomen
D) On the hands
E) On the scalp
B) On the lower extremities
Explanation: Venous stasis ulcers primarily occur on the lower extremities, particularly in areas where venous blood flow is compromised, leading to ulceration.
p.178
Mental Health Disorders
What type of thoughts do individuals with OCD typically seek to manage through their rituals?
A) Pleasant thoughts
B) Unpleasant thoughts
C) Random thoughts
D) Creative thoughts
E) Logical thoughts
B) Unpleasant thoughts
Explanation: Individuals with Obsessive-Compulsive Disorder often perform rituals to manage and decrease unpleasant thoughts, which can cause significant anxiety and distress.
p.140
Respiratory Disorders
Which of the following is a risk factor for developing mesothelioma?
A) Smoking
B) Asbestos exposure
C) High cholesterol
D) Sedentary lifestyle
E) Excessive alcohol consumption
B) Asbestos exposure
Explanation: A history of asbestos exposure is a well-documented risk factor for developing mesothelioma, a serious respiratory disorder.
p.141
Respiratory Disorders
What type of fever is commonly associated with Tuberculosis (TB)?
A) High fever
B) Low-grade fever
C) No fever
D) Intermittent fever
E) Continuous fever
B) Low-grade fever
Explanation: Tuberculosis (TB) is often associated with a low-grade fever, which is a common clinical finding in patients with this condition.
p.166
Dermatologic Disorders
What diagnostic tool can be used to assess Pediculosis Capitis?
A) X-ray
B) MRI
C) Magnifying glass
D) Ultrasound
E) Blood test
C) Magnifying glass
Explanation: A magnifying glass is used to assess the hair shaft for the presence of lice eggs (nits) adhered to the hair, which is a key diagnostic finding in Pediculosis Capitis.
p.176
Nervous System Disorders
Which of the following symptoms is NOT typically associated with Panic Disorder?
A) Palpitations
B) Numbness of the arms
C) Chest discomfort
D) Hallucinations
E) Dizziness
D) Hallucinations
Explanation: Hallucinations are not typically associated with Panic Disorder. The disorder is characterized by physical symptoms like palpitations, numbness, and dizziness, but not by hallucinations.
p.179
Mental Health Disorders
What type of symptoms are associated with Conversion Disorder?
A) Only psychological symptoms
B) Physical symptoms without a medical explanation
C) Symptoms that are always painful
D) Symptoms that are easily diagnosed
E) Symptoms that are always temporary
B) Physical symptoms without a medical explanation
Explanation: Conversion Disorder is characterized by physical symptoms, such as paralysis or blindness, that cannot be explained by any medical condition, highlighting the somatization of anxiety.
p.104
Cardiovascular System Disorders
What is a common diagnostic finding in pericarditis?
A) Heart murmur
B) Pericardial friction rub
C) Elevated blood pressure
D) Decreased heart rate
E) Abnormal ECG
B) Pericardial friction rub
Explanation: A pericardial friction rub is a characteristic sound heard during auscultation in patients with pericarditis, indicating inflammation of the pericardium.
p.128
Respiratory Disorders
What is a common symptom of a pneumothorax?
A) Chronic cough
B) Sudden sharp pain in the chest
C) Fever
D) Nasal congestion
E) Sore throat
B) Sudden sharp pain in the chest
Explanation: A pneumothorax is characterized by sudden sharp pain in the chest area, which is a key diagnostic symptom of this respiratory disorder.
p.140
Respiratory Disorders
What is a common symptom associated with mesothelioma?
A) Fever
B) Cough
C) Skin rash
D) Nausea
E) Headache
B) Cough
Explanation: Cough is one of the common symptoms associated with mesothelioma, a type of cancer linked to asbestos exposure, highlighting its impact on respiratory health.
p.110
Cardiovascular System Disorders
Which of the following best describes the appearance of a venous stasis ulcer?
A) Smooth and shiny
B) Red and inflamed
C) Brown and leathery
D) Black and necrotic
E) Yellow and crusty
C) Brown and leathery
Explanation: The skin surrounding a venous stasis ulcer often appears brown and leathery due to chronic venous insufficiency and associated changes in skin pigmentation.
p.104
Cardiovascular System Disorders
What type of chest pain is associated with pericarditis?
A) Sharp pain that decreases with movement
B) Substernal radiating chest pain that increases with deep inspiration
C) Constant dull pain that is unaffected by position
D) Pain that is relieved by lying flat
E) Pain localized to the left arm
B) Substernal radiating chest pain that increases with deep inspiration
Explanation: Patients with pericarditis typically experience substernal radiating chest pain that worsens with deep inspiration or lying flat, and is somewhat relieved by sitting upright and leaning forward.
p.185
Nervous System Disorders
Which of the following is NOT a symptom of ADHD?
A) Difficulty listening to instructions
B) Emotional lability
C) Hyperactivity
D) Consistent attention to detail
E) Difficulty finishing projects
D) Consistent attention to detail
Explanation: Individuals with ADHD typically struggle with attention to detail, making 'consistent attention to detail' an incorrect choice as a symptom of the disorder.
p.134
Respiratory Disorders
What clinical finding is characterized by a sound produced by the rubbing of inflamed pleural layers?
A) Wheezing
B) Rales
C) Pleural friction rub
D) Stridor
E) Ronchi
C) Pleural friction rub
Explanation: A pleural friction rub is a specific clinical finding that occurs when the inflamed pleural layers rub against each other, often heard during auscultation.
p.173
Dermatologic Disorders
What is the primary symptom that clients with rosacea report?
A) Itching
B) Flushing
C) Peeling
D) Pain
E) Swelling
B) Flushing
Explanation: Clients with rosacea primarily report flushing of the skin, which is a hallmark symptom of the condition.
p.107
Cardiovascular System Disorders
Which of the following is NOT a symptom of cardiomyopathy?
A) Edema of the ankles
B) Dyspnea
C) Fatigue
D) Severe abdominal pain
E) Atypical chest pain
D) Severe abdominal pain
Explanation: Severe abdominal pain is not a symptom associated with cardiomyopathy, while the other options are common clinical findings.
p.177
Nervous System Disorders
What behavior is commonly associated with phobias?
A) Seeking out the feared object
B) Avoidance behaviors
C) Increased social interaction
D) Heightened curiosity
E) Indifference to the fear
B) Avoidance behaviors
Explanation: Individuals with phobias typically exhibit avoidance behaviors, steering clear of the object or situation that triggers their irrational fear.
p.178
Mental Health Disorders
What is the clinical term for the disorder characterized by obsessive thoughts and compulsive behaviors?
A) Generalized Anxiety Disorder
B) Post-Traumatic Stress Disorder
C) Obsessive-Compulsive Disorder
D) Major Depressive Disorder
E) Social Anxiety Disorder
C) Obsessive-Compulsive Disorder
Explanation: The clinical term for the disorder involving obsessive thoughts and compulsive behaviors is Obsessive-Compulsive Disorder (OCD), which is recognized in mental health diagnostics.
p.110
Cardiovascular System Disorders
What is a key characteristic of a venous stasis ulcer?
A) It occurs on the upper extremities
B) It has a dry appearance
C) It is associated with edema and brown, leathery skin
D) It is painless
E) It is caused by arterial insufficiency
C) It is associated with edema and brown, leathery skin
Explanation: A venous stasis ulcer is characterized by its occurrence on the lower extremities, often accompanied by edema and brown, leathery skin, indicating chronic venous insufficiency.
p.178
Mental Health Disorders
What is a common characteristic of Obsessive-Compulsive Disorder (OCD)?
A) Excessive talking
B) Performing rituals a specific number of times
C) Avoiding social situations
D) Experiencing hallucinations
E) Sudden mood swings
B) Performing rituals a specific number of times
Explanation: A hallmark of Obsessive-Compulsive Disorder is the performance of rituals in a specific sequence and number to alleviate unpleasant thoughts, which is a key diagnostic feature of the disorder.
p.131
Respiratory Disorders
What does the presence of rhonchi indicate in a respiratory examination?
A) Clear airways
B) Fluid in the lungs
C) Obstruction or narrowing of airways
D) Normal lung function
E) Infection in the throat
C) Obstruction or narrowing of airways
Explanation: Rhonchi are indicative of obstruction or narrowing of the airways, often associated with conditions like bronchitis or severe respiratory infections.
p.110
Cardiovascular System Disorders
What type of fluid is typically exuded from a venous stasis ulcer?
A) Purulent fluid
B) Serous fluid
C) Hemorrhagic fluid
D) Thick mucus
E) Clear plasma
B) Serous fluid
Explanation: Venous stasis ulcers are described as 'wet' and exude a large amount of serous fluid, which is a clear, yellowish fluid that can accumulate in response to inflammation.
p.171
Dermatologic Disorders
Which type of burn is characterized by superficial and partial-thickness damage?
A) Full-thickness burn
B) Chemical burn
C) Superficial and partial-thickness burns
D) Electrical burn
E) Radiation burn
C) Superficial and partial-thickness burns
Explanation: Superficial and partial-thickness burns are specifically defined by their impact on the outer layers of the skin, leading to redness and blistering.
p.176
Nervous System Disorders
What physical sensations might accompany a panic attack?
A) Increased appetite
B) Numbness of the arms
C) Enhanced vision
D) Decreased heart rate
E) Improved concentration
B) Numbness of the arms
Explanation: Numbness of the arms is one of the physical sensations that can accompany a panic attack, along with palpitations and dizziness.
p.134
Respiratory Disorders
What is a common symptom of pleural effusion?
A) Coughing up blood
B) Dyspnea
C) Chest pain
D) Fever
E) Weight loss
B) Dyspnea
Explanation: Dyspnea, or difficulty breathing, is a common symptom associated with pleural effusion, indicating that the condition affects respiratory function.
p.178
Mental Health Disorders
Which of the following is NOT a typical symptom of Obsessive-Compulsive Disorder?
A) Compulsive hand washing
B) Repetitive checking behaviors
C) Engaging in creative arts
D) Counting rituals
E) Arranging items in a specific order
C) Engaging in creative arts
Explanation: Engaging in creative arts is not a symptom of Obsessive-Compulsive Disorder. Instead, OCD is characterized by compulsive behaviors such as hand washing, checking, counting, and arranging items.
p.111
Cardiovascular System Disorders
What symptoms are commonly associated with varicose veins?
A) Severe headaches
B) Discomfort in the leg
C) Nausea and vomiting
D) Shortness of breath
E) Frequent urination
B) Discomfort in the leg
Explanation: Varicose veins often cause discomfort in the legs, which is one of the primary symptoms associated with this condition.
p.179
Mental Health Disorders
What is the primary psychological factor involved in Conversion Disorder?
A) Depression
B) Somatization of anxiety
C) Bipolar disorder
D) Schizophrenia
E) Obsessive-compulsive disorder
B) Somatization of anxiety
Explanation: Conversion Disorder involves the somatization of anxiety, where psychological distress manifests as physical symptoms, such as paralysis or blindness, without a medical basis.
When does Graft-Versus-Host Disease typically manifest after a transplant?
A) Immediately after transplant
B) 1 month post-transplant
C) 3 1/2 months post-transplant
D) 6 months post-transplant
E) 1 year post-transplant
C) 3 1/2 months post-transplant
Explanation: Graft-Versus-Host Disease usually manifests approximately 3 1/2 months following solid organ, bone marrow, or stem cell transplants, marking a critical period for monitoring transplant recipients.
p.184
Mental Health Disorders
What does the term 'schizophrenia' literally mean?
A) Split personality
B) Split mind
C) Split emotions
D) Split reality
E) Split perception
B) Split mind
Explanation: The term 'schizophrenia' translates to 'split mind,' indicating a disconnection between the individual and their environment, which is a hallmark of the disorder.
p.130
Respiratory Disorders
What can cause a decrease in O2 saturation?
A) Increased physical activity
B) Sepsis, near-drowning, or aspiration of gastric contents
C) High altitude
D) Hyperventilation
E) Normal breathing
B) Sepsis, near-drowning, or aspiration of gastric contents
Explanation: Conditions such as sepsis, near-drowning, or aspiration of gastric contents can lead to decreased oxygen saturation, indicating compromised respiratory function.
p.140
Respiratory Disorders
What type of cancer is mesothelioma?
A) Skin cancer
B) Lung cancer
C) Bone cancer
D) Mesothelial cancer
E) Blood cancer
D) Mesothelial cancer
Explanation: Mesothelioma is a type of cancer that arises from mesothelial cells, which line the lungs, abdomen, and heart, often linked to asbestos exposure.
p.170
Dermatologic Disorders
What color are verrucas typically?
A) Dark brown
B) Yellow
C) Pink or light pink
D) Green
E) Red
C) Pink or light pink
Explanation: The typical color of verrucas is pink or light pink, which helps in their identification as dermatologic lesions.
p.107
Cardiovascular System Disorders
What type of chest pain is associated with cardiomyopathy?
A) Sharp pain relieved by rest
B) Atypical chest pain occurring with rest and not relieved with nitrates
C) Constant severe pain
D) Pain only during exercise
E) No chest pain at all
B) Atypical chest pain occurring with rest and not relieved with nitrates
Explanation: Patients with cardiomyopathy may experience atypical chest pain that occurs at rest and is not relieved by nitrates, which is a significant clinical finding.
p.141
Respiratory Disorders
Which of the following is a potential psychological symptom of Tuberculosis (TB)?
A) Depression
B) Anxiety
C) Euphoria
D) Insomnia
E) Mania
B) Anxiety
Explanation: Anxiety can be a psychological symptom associated with Tuberculosis (TB), as the chronic nature of the disease and its impact on health can lead to increased stress and anxiety in affected individuals.
p.127
Respiratory Disorders
What is the primary symptom of Chronic Bronchitis?
A) Dry cough
B) Chronic productive cough
C) Chest pain
D) Wheezing
E) Fever
B) Chronic productive cough
Explanation: The primary symptom of Chronic Bronchitis is a chronic productive cough, which is a hallmark of the condition and distinguishes it from other respiratory disorders.
What is the medical term for the inflammation associated with mastoiditis?
A) Otitis media
B) Sinusitis
C) Mastoiditis
D) Pharyngitis
E) Laryngitis
C) Mastoiditis
Explanation: The term 'mastoiditis' specifically refers to the inflammation of the mastoid process, which is located behind the ear, and is a direct result of infection.
p.157
Dermatologic Disorders
What is a key characteristic of contact dermatitis?
A) It occurs only in children
B) It is a patterned skin eruption after contact with an irritant or allergen
C) It is caused by viral infections
D) It is a chronic condition that never resolves
E) It only affects the scalp
B) It is a patterned skin eruption after contact with an irritant or allergen
Explanation: Contact dermatitis is specifically characterized by a patterned skin eruption that occurs following exposure to an irritant or allergen, making it a distinct dermatologic disorder.
p.158
Dermatologic Disorders
What is the pronunciation of eczema?
A) eks-ema
B) ek-zema
C) ek-sema
D) ex-ema
E) ez-kema
B) ek-zema
Explanation: Eczema is pronounced as 'ek-zema,' which is important for proper communication in clinical settings.
p.124
Respiratory Disorders
What is a common symptom of bronchiectasis?
A) Chest pain
B) Dyspnea
C) Fever
D) Nausea
E) Headache
B) Dyspnea
Explanation: Dyspnea, or difficulty breathing, is a common symptom associated with bronchiectasis, indicating respiratory distress.
p.167
Dermatologic Disorders
Which of the following is NOT a characteristic of Acne Vulgaris?
A) Presence of cysts
B) Occurrence in adults
C) Development of blisters
D) Formation of blackheads
E) Appearance of whiteheads
C) Development of blisters
Explanation: Acne Vulgaris is characterized by whiteheads, blackheads, and cysts, but does not typically involve the development of blisters, which are associated with other skin conditions.
p.123
Cardiovascular System Disorders
What pH level indicates Respiratory Alkalosis?
A) Less than 7.35
B) Between 7.35 and 7.45
C) Greater than 7.45
D) Exactly 7.00
E) Exactly 7.40
C) Greater than 7.45
Explanation: A pH level greater than 7.45 is indicative of Respiratory Alkalosis, which is characterized by an increase in blood pH due to decreased carbon dioxide levels.
What is the primary cause of the visual changes associated with diabetic retinopathy?
A) Age-related degeneration
B) Poorly controlled diabetes
C) Genetic predisposition
D) Environmental factors
E) Eye injuries
B) Poorly controlled diabetes
Explanation: The visual changes associated with diabetic retinopathy are primarily caused by poorly controlled diabetes, which leads to damage in the retinal blood vessels and subsequent visual impairment.
p.176
Nervous System Disorders
What is a key emotional symptom of Panic Disorder?
A) Joy
B) Anger
C) Fear
D) Apathy
E) Excitement
C) Fear
Explanation: Fear is a key emotional symptom of Panic Disorder, often experienced alongside physical symptoms like palpitations and dizziness.
p.134
Respiratory Disorders
What does diminished breath sounds over the affected area indicate?
A) Increased lung capacity
B) Normal lung function
C) Fluid accumulation in the pleural space
D) Airway obstruction
E) Lung cancer
C) Fluid accumulation in the pleural space
Explanation: Diminished breath sounds over the affected area typically indicate fluid accumulation, such as in pleural effusion, which can impair normal lung function.
p.156
Dermatologic Disorders
Which of the following is NOT a characteristic of a skin lesion that may suggest skin cancer?
A) Asymmetry
B) Irregular borders
C) Uniform color
D) Color changes
E) Diameter greater than 6 mm
C) Uniform color
Explanation: Uniform color is not a characteristic of concerning skin lesions; rather, lesions that show asymmetry, irregular borders, and color changes are more indicative of potential skin cancer.
p.184
Mental Health Disorders
What is a notable biochemical finding in individuals with schizophrenia?
A) Low serotonin levels
B) High dopamine levels
C) Normal cortisol levels
D) Low norepinephrine levels
E) High GABA levels
B) High dopamine levels
Explanation: Individuals with schizophrenia often exhibit high levels of dopamine, which is associated with the symptoms of the disorder.
p.103
Cardiovascular System Disorders
What is a key diagnostic finding in a patient experiencing loss of consciousness?
A) Elevated blood pressure
B) Presence of peripheral pulses
C) No peripheral pulses or blood pressure
D) Normal heart rate
E) Clear mental status
C) No peripheral pulses or blood pressure
Explanation: The absence of peripheral pulses and blood pressure, along with loss of consciousness, indicates a critical cardiovascular condition that requires immediate medical attention.
p.170
Dermatologic Disorders
What is the medical term for verrucas?
A) Papilloma
B) Melanoma
C) Basal cell carcinoma
D) Verruca
E) Squamous cell carcinoma
D) Verruca
Explanation: The medical term for these pink or light pink growths is verruca, which is essential for accurate diagnosis and treatment in dermatology.
Which tests are used to determine the type of hearing loss in labyrinthitis?
A) MRI and CT scan
B) Blood tests
C) Weber’s and Rinne’s tests
D) Vision tests
E) Reflex tests
C) Weber’s and Rinne’s tests
Explanation: Weber’s and Rinne’s tests are clinical assessments used to indicate whether a patient has conductive or sensorineural hearing loss, which are important in diagnosing labyrinthitis.
p.114
Cardiovascular System Disorders
What is the effect of vasospasm in Raynaud’s Disease?
A) Increased blood flow
B) Decreased blood flow leading to ischemia
C) Normal blood flow
D) Blood clot formation
E) Varicose veins
B) Decreased blood flow leading to ischemia
Explanation: The vasospasm in Raynaud’s Disease results in decreased blood flow to the affected areas, leading to ischemia and associated symptoms.
p.115
Cardiovascular System Disorders
What symptom is commonly associated with an aortic aneurysm?
A) Chest pain
B) Abdominal pain
C) Headache
D) Shortness of breath
E) Joint pain
B) Abdominal pain
Explanation: Abdominal pain is a key symptom of an aortic aneurysm, often accompanied by nausea or a feeling of fullness that can be relieved by changing positions.
p.128
Respiratory Disorders
What does 'SOB' stand for in the context of respiratory disorders?
A) Shortness of Breath
B) Sudden Onset Breathing
C) Severe Oxygen Blockage
D) Slow Oxygen Breathing
E) Standard Oxygen Breathing
A) Shortness of Breath
Explanation: 'SOB' is an abbreviation for Shortness of Breath, which is a common symptom associated with respiratory disorders, including pneumothorax.
p.86
Nervous System Disorders
What is a key characteristic of Multiple Sclerosis as indicated in the diagnostic findings?
A) Constant motor function
B) Exacerbating and remitting periods of degenerating motor function
C) Complete paralysis
D) Only sensory loss
E) Sudden onset of symptoms
B) Exacerbating and remitting periods of degenerating motor function
Explanation: Multiple Sclerosis is characterized by periods of exacerbation and remission, leading to fluctuating motor function, which is a significant diagnostic finding.
Which of the following is NOT a symptom of labyrinthitis?
A) Tinnitus
B) Fever
C) Joint pain
D) Vertigo
E) Nausea
C) Joint pain
Explanation: Joint pain is not a symptom of labyrinthitis. Symptoms typically include tinnitus, fever, vertigo, nausea, and vomiting.
Which of the following symptoms is NOT typically associated with Acute Angle-Closure Glaucoma?
A) Nausea
B) Vomiting
C) Itchy eyes
D) Headache
E) Unilateral pain in the eye
C) Itchy eyes
Explanation: Itchy eyes are not a typical symptom of Acute Angle-Closure Glaucoma, whereas nausea, vomiting, headache, and unilateral pain in the eye are common clinical findings.
p.136
Respiratory Disorders
What type of exposure is linked to Legionnaires’ Disease?
A) Contaminated food
B) Contaminated water droplets
C) Insect bites
D) Airborne pollutants
E) Direct contact with infected individuals
B) Contaminated water droplets
Explanation: Legionnaires’ Disease is associated with exposure to contaminated water droplets, which can lead to respiratory infections.
p.124
Respiratory Disorders
What type of mucus is typically expectorated in bronchiectasis?
A) Clear and watery
B) Thick and sticky
C) Large amounts of foul-smelling mucus
D) Blood-tinged
E) Frothy and pink
C) Large amounts of foul-smelling mucus
Explanation: Patients with bronchiectasis often expectorate large amounts of foul-smelling mucus, which is a characteristic clinical finding.
p.121
Cardiovascular System Disorders
In metabolic alkalosis, what compensatory mechanism may occur?
A) Decreased respiratory rate
B) Increased respiratory rate
C) Increased heart rate
D) Decreased blood pressure
E) Increased urine output
A) Decreased respiratory rate
Explanation: In metabolic alkalosis, the body may compensate by decreasing the respiratory rate to retain carbon dioxide, which helps to lower the pH back toward normal.
p.130
Respiratory Disorders
What is Acute Respiratory Distress Syndrome (ARDS)?
A) A chronic lung disease
B) A condition characterized by sudden respiratory failure
C) A type of asthma
D) A mild respiratory infection
E) A genetic disorder affecting the lungs
B) A condition characterized by sudden respiratory failure
Explanation: Acute Respiratory Distress Syndrome (ARDS) is a serious condition that leads to sudden respiratory failure, often triggered by factors such as sepsis or trauma.
p.111
Cardiovascular System Disorders
Which of the following is NOT a characteristic of varicose veins?
A) Visible and tortuous
B) Bulging appearance
C) Smooth and straight
D) Cause discomfort
E) Affect body image
C) Smooth and straight
Explanation: Varicose veins are characterized by their visible, tortuous, and bulging appearance, not by being smooth and straight.
p.86
Nervous System Disorders
What is the pronunciation of Multiple Sclerosis?
A) mul-ti-pl skler-o-sis
B) mul-ti-ple skler-osis
C) mul-ti-ple skler-o-sis
D) mul-ti-pl skler-osis
E) mul-ti-ple skler-osis
C) mul-ti-ple skler-o-sis
Explanation: The correct pronunciation of Multiple Sclerosis is 'mul-ti-ple skler-o-sis', which is important for accurate communication in clinical settings.
p.4
Gastrointestinal Disorders
What is a common symptom associated with Gastroesophageal Reflux Disease (GERD)?
A) Nausea
B) Burning chest pain
C) Diarrhea
D) Constipation
E) Fever
B) Burning chest pain
Explanation: Burning chest pain is a common symptom of GERD, which is characterized by the backward flow of stomach acid into the esophagus, leading to discomfort and heartburn.