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Pathophysiology Week 7 Practice Quiz
Terms in this set (86)
A unique characteristic feature of fibromyalgia is the presence of
tender point pain.
One of the most common causes of acute pain is
Systemic lupus erythematosus (SLE) is a rheumatic disease attributed to
A malignant bone-forming tumor is referred to as a(n)
The final stage of gout, characterized by crystalline deposits in cartilage, synovial membranes, and soft tissue, is called
Following a bone fracture, the most likely event to occur is
development of a blood clot beneath the periosteum.
Rheumatoid arthritis involves joint inflammation caused by
The disorders characterized by softening and then enlargement of bones is referred to as
The most common presenting sign/symptom with rheumatic fever is
deposits of urate crystals in tissues
Pain in fibromyalgia involves
changes in pain transmission in the spinal cord
People who have osteoporosis are at risk for
A compound, transverse fracture is best described as a bone that is
broken and protruding through the skin.
Pain that waxes and wanes and is exacerbated by physical exertion is likely related to
Inflammation of the sacs that overlie bony prominences is called
The chief pathologic features of osteoarthritis are
degeneration of articular cartilage, destruction of the bone under the cartilage, and thickening of the synovium.
A patient presenting with a severe, pounding headache accompanied by nausea and photophobia is likely experiencing a ________ headache.
The most common symptom of multiple myeloma is
Systemic disorders include
Assessment of an extremity six hours after surgical alignment and casting demonstrates pulselessness and pallor. The priority action to take is to
initiate action to have the cast split or removed.
Before making a diagnosis of Alzheimer disease
other potential causes of dementia must be ruled out
An example of inappropriate treatment for head trauma would be
It is recommended that women of childbearing age take folic acid daily for prevention of
neural tube defects.
Autonomic dysreflexia is characterized by
hypertension and bradycardia.
________ edema occurs when ischemic tissue swells because of cellular energy failure.
The first indication of brain compression from increasing intracranial pressure (ICP) may be
sluggish pupil response to light.
It is useful to conceptualize pain physiology according to the four stages because each stage provides an opportunity for
The ________ is the level of painful stimulation required to be perceived.
A college student living in a dormitory reports a stiff neck and headache and is found to have a fever of 102°F. This information is most consistent with
It is true that Bell palsy is a
paralysis of the muscles innervated by the facial nerve
In older women, osteoporosis is thought to be primarily because of
A patient who experiences early symptoms of muscle twitching, cramping, and stiffness of the hands may be demonstrating signs of
amyotrophic lateral sclerosis.
A level of ____ on the Glasgow Coma Scale indicates likely fatal damage.
Modulation of pain signals is thought to be mediated by the release of
Most sensory afferent pain fibers enter the spinal cord by way of the ________ nerve roots.
_________ is a form of spina bifida in which a saclike cyst filled with CSF protrudes through the spinal defect but does not involve the spinal cord.
Which neurologic disorder is commonly referred to as Lou Gehrig disease?
Amyotrophic lateral sclerosis
Seizures that involve both hemispheres at the outset are termed
The physiologic mechanisms involved in the pain phenomenon are termed
A severe complication of elevated intracranial pressure is
A patient diagnosed with diabetes, smokes a pack of cigarettes daily and eats very few green leafy vegetables. After experiencing a fractured toe, this patient is at risk for
The person at highest risk of a greenstick fracture from falling off a tall ladder is age
A fracture in which bone breaks into two or more fragments is referred to as
Anticholinesterase inhibitors may be used to manage
"Tell me again the name of that chemical that makes crystals when my gout flares up," asks the client. The nurse's best response is
A laboratory test result that helps confirm the diagnosis of systemic lupus erythematosus (SLE) is
positive antinuclear antibodies.
The earliest manifestation of scleroderma is
The pathophysiology of rheumatoid arthritis involves
immune cells accumulating in pannus and destroying articular cartilage.
Which disorder usually causes skeletal pain and involves significant bone demineralization from vitamin D deficiency?
Healing of a fractured bone with a poor alignment is called
Rheumatoid arthritis is commonly associated with the presence of rheumatoid factor autoantibodies in the bloodstream. This indicates that rheumatoid arthritis is likely to be
an autoimmune process.
Enteropathic arthritis is associated with
inflammatory bowel disease
Rickets is characterized by soft, weak bones resulting from a deficiency of
Dopamine precursors and anticholinergics are all used in the management of Parkinson disease, because they
increase dopamine activity in the basal ganglia.
The gate control theory of pain transmission predicts that activity in touch receptors will
decrease pain signal transmission in the spinal cord.
Which group of clinical findings indicates the poorest neurologic functioning?
Assumes decorticate posture with light touch, no verbal response
Rupture of a cerebral aneurysm should be suspected if the patient reports
sudden, severe headache.
________ occurs when a brainstem impaired patient exhibits a persistent rhythmic or jerky movement in one or both eyes.
The dementia of Alzheimer disease is associated with structural changes in the brain, including
deposition of amyloid plaques in the brain.
Secondary injury after head trauma refers to
brain injury due to the body's response to tissue damage
Cerebral aneurysm is most frequently the result of
Leakage of CSF from the nose or ears is commonly associated with
basilar skull fracture.
Risk factors for hemorrhagic stroke include
Pain with passive stretching of a muscle is indicative of
noncontractile tissue injury.
It is true that encephalitis is usually
because of a viral infection in brain cells.
Parkinson disease is associated with
a deficiency of dopamine in the substantia nigra
The classic manifestations of Parkinson disease include
rest tremor and skeletal muscle rigidity
The physiologic change most likely to lead to an increase in intracranial pressure is
Ankylosing spondylitis causes
intervertebral joint fusion
A bone disorder that results from insufficient vitamin D is referred to as
Bone healing may be impaired by
The most common type of osteomyelitis is
What type of fracture generally occurs in children?
The displacement of two bones in which the articular surfaces partially lose contact with each other is called
It is true that scleroderma involves
inflammation and fibrosis of connective tissue
The disease that is similar to osteomalacia and occurs in growing children is
The stroke etiology with the highest morbidity and mortality is
Pain is thought of as
a subjective experience that is difficult to measure objectively
It is true that epidural bleeding is
characterized by a lucid interval immediately after injury
Complete healing of a bone fracture occurs when
the callus has been completely replaced with mature bone
Which statement is true about the incidence of multiple sclerosis?
The age of onset ranges from 20 to 50 years.
Ascending paralysis with no loss of sensation is characteristic of
Subarachnoid hemorrhage is usually managed with volume expansion and blood pressure support to enhance cerebral perfusion. This is necessary because subarachnoid hemorrhage predisposes to
The initial treatment of an individual experiencing a seizure is concentrated on
maintaining an airway.
Slow pain sensation is transmitted primarily by
unmyelinated C fibers
Clinical manifestations of a stroke within the right cerebral hemisphere include
left-sided muscle weakness and neglect.
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