wk 3 patho knowledge check.docx

wk 3 patho knowledge check
Take Test: Module 2 Knowledge CheckTest InformationDescriptionInstructionsMultiple
AttemptsNot allowed. This test can only be taken once.Force CompletionThis test can be
saved and resumed later. Question Completion Status:QUESTION 1CC: “I have been having
terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI:
Mr. Hammond is a 57-year-old African American male who presents to the Emergency
Department with a chief complaint of chest pain that radiates down his left arm. He states
that he started having pain several hours ago and says the pain “it feels like an elephant is
sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse.
He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness.
He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped
the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31
mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-
Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial
infarction.1 of 2 Questions:Why is HDL considered the “good” cholesterol?— Font family —-
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MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6
(24pt)7 (36pt)Path: pWords:02 points QUESTION 2CC: “I have been having terrible chest
and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond
is a 57-year-old African American male who presents to the Emergency Department with a
chief complaint of chest pain that radiates down his left arm. He states that he started
having pain several hours ago and says the pain “it feels like an elephant is sitting on my
chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any
previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given
0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid
panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low
Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density
Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.2
of 2 Questions:Explain the role inflammation has in the development of atherosclerosis.—
Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading
2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic
Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New

RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4
(14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:03 points QUESTION 3A 45-year-old woman
with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER)
with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying
down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she
had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed
with acute pericarditis.Question:What does the Advanced Practice Registered Nurse (APRN)
recognize as the result of the pleural friction rub?— Font family —- Font size —- Format –
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(24pt)7 (36pt)Path: pWords:01 points QUESTION 4A 15-year-old adolescent male comes
to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly
localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy”
for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the
flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says
the Tamiflu didn’t seem to work. States had a slight sore throat a couple weeks ago and
attributed it to the flu. Physical exam revealed thin young man who appears to be
uncomfortable but not acutely ill. Posterior pharynx reddened and tonsils 3+ without
exudate. + anterior and posterior cervical lymphadenopathy. Tachycardic and a new onset
2/6 high-pitched, crescendo-decrescendo systolic ejection murmur auscultated at the left
sternal border. Rapid strep +. The patient was diagnosed with acute rheumatic heart
disease (RHD).Question:Explain how a positive strep test has caused the patient’s
symptoms.— Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading
(14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 points QUESTION 5The APRN sees a 74-
year-old obese female patient who is 2 days post-op after undergoing left total hip
replacement. The patient has had severe post op nausea and vomiting and has been unable
to go to physical therapy. Her mucus membranes are dry. The patient says she feels like the
skin on her left leg is too tight. Exam reveals a swollen, tense, and red colored calf. The
patient has a duplex ultrasound which reveals the presence of a deep venous thrombosis
(DVT).Question:Describe the factors that could have contributed to the development of a
DVT in this patient explain how each of the factors could cause DVT.— Font family —- Font
size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font
family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier
(24pt)7 (36pt)Path: pWords:01 points QUESTION 6A 45-year-old woman is 10 days status
post partial small bowel resection for Crohn Disease and has been recuperating at home.
She suddenly develops severe shortness of breath, becomes weak, and her blood pressure

drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on
room air. The APRN suspects the patient experienced a massive pulmonary
embolus.Question:Explain why a large pulmonary embolus interferes with oxygenation.—
(14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 points QUESTION 7A 45-year-old woman
is 10 days status post partial small bowel resection for Crohn Disease and has been
recuperating at home. She suddenly develops severe shortness of breath, becomes weak,
and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The
pulse oximetry is 89% on room air. While waiting for the Emergency Medical Service (EMS)
to arrive, the APRN places EKG leads and the EKG demonstrates right ventricular
strain.Question:Explain why a large pulmonary embolism causes right ventricular strain.—
(14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:01 points QUESTION 8A 12-year-old girl is
brought to the Emergency Room (ER) by her mother with complaints of shortness of breath,
wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had
just come from a fall festival where the entire family enjoyed a hayride. The symptoms
began shortly after they left the festival but got better a couple hours after they returned
home. The symptoms began again about 6 hours later and seem to be worse. The mother
states there is no history of allergies or frequent respiratory infections. The child is up to
date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner
explained to the mother that her child was exhibiting symptoms of asthma, and probably
had an early asthmatic response and a late asthmatic response.Question 1 of 2:Explain early
asthmatic responses and the cells responsible for the responses.— Font family —- Font size
—- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –
Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier
(24pt)7 (36pt)Path: pWords:02 points QUESTION 9A 12-year-old girl is brought to the
Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing,
tachypnea, tachycardia, and a non-productive cough. The mother states they had just come
from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly
after they left the festival but got better a couple hours after they returned home. The
symptoms began again about 6 hours later and seem to be worse. The mother states there is
no history of allergies or frequent respiratory infections. The child is up to date on all
vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the
mother that her child was exhibiting symptoms of asthma, and probably had an early
asthmatic response and a late asthmatic response.Question 2 of 2:Explain late asthmatic

responses and the cells responsible for the responses.— Font family —- Font size —-
Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –
Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier
(24pt)7 (36pt)Path: pWords:02 points QUESTION 10A 64-year-old man with a 40
pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the
APRN if this means he has COPD.Question 1 of 2:Explain the pathophysiology of emphysema
and how it relates to COPD.— Font family —- Font size —- Format –HeadingSub Heading
1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook
AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes
New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3
(12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:02 points QUESTION 11A 64-year-
old man with a 40 pack/year history of cigarette smoking has been diagnosed with
emphysema. He asks the APRN if this means he has COPD.Question 2 of 2:Explain the
pathophysiology of chronic bronchitis and how it relates to COPD.— Font family —- Font
size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font
family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier
(24pt)7 (36pt)Path: pWords:02 points QUESTION 12Mr. Jones is a 78-year-old gentleman
who presents to the clinic with a chief complaint of fever, chills and cough. He also reports
some dyspnea. He has a history of right sided CVA, COPD, dyslipidemia, and HTN. Current
medications include atorvastatin 40 mg po qhs, lisinopril, and fluticasone/salmeterol. He
reports more use of his albuterol rescue inhaler.Vital signs Temp 101.8 F, pulse 108,
respirations 21. PaO2 on room air 86% and on O2 4 L nasal canula 94%. CMP WNL, WBC
18.4. Physical exam reveals thin, anxious gentleman with mild hemiparesis on left side due
to CVA. HEENT WNL except for diminished gag reflex and uneven elevation of the uvula, CV-
HR 108 RRR without murmurs, rubs, or click, no bruits. Resp-coarse rhonchi throughout
lung fields. CXR reveals consolidation in right lower lobe. He was diagnosed with
community acquired pneumonia (CAP).Question:Patient was hypoxic as evidenced by the
low PaO2. Explain the pathologic processes that caused this patient’s hypoxemia.— Font
family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted
Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier
(24pt)7 (36pt)Path: pWords:01 points QUESTION 13A 64-year-old woman with
moderately severe COPD comes to the pulmonary clinic for her quarterly checkup. The
APRN reviewing the chart notes that the patient has lost 5% of her body weight since her
last visit. The APRN questions the patient and patient admits to not having much of an
appetite and she also admits to missing some meals because it “takes too much work” to
cook and consume dinner.Question:The APRN recognizes that COPD has a deleterious effect
on patients. Explain why patients with COPD are at risk for malnutrition.— Font family —-

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(24pt)7 (36pt)Path: pWords:01 points Click Save and Submit to save and submit. Click
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wk 3 patho knowledge check.docx