Post

-Rn1stsemest
er.

Subj
:Adv
anceconcepti
nNur
sing.

Uni
t:1,
Int
roduct
iont
onur
singpr
ocess.

Pr
epar
edbyAbdul
lah(BsNunder
graduat
e).

1._
___
___
issy
stemat
icr
ati
onalmet
hodofpl
anni
ngandpr
ovi
dingi
ndi
vi
dual
izednur
singcar
e.

A.Nur
singpr
ocess B.Nur
sing C.Nur
singcar
e D.Pl
annedCar
e

2.___i
sassessmentdur
inganycr
isi
se.
g.r
api
dassessmentofper
son’
sai
rway
,br
eat
hing
stat
us.

A.I
nit
ialassessment B.Ti
me-
lapsedassess

C.Emer
gencyAssessment D.Focusedassess

3._
___i
stheactof“
Doubl
eChecki
ng”orv
eri
fyi
ngdat
atoconf
ir
mthatt
heyar
eaccur
ate.

A.Val
idat
ingdat
a B.Col
lect
ingDat
a C.Recor
dingdat
a D.Or
gani
zingdat
a

4.Pot
ent
ialf
orenhancedor
gani
zedi
nfantbehav
iori
s.

A.Ri
skDi
agnose B.Act
ualDi
agnose C.Sy
ndr
omedi
agnose. D.Wel
lnessdi
agnose

5._
___
___
__i
sthepr
ocessofdesi
gni
ngnur
singst
rat
egi
est
opr
event
,reduce,
orel
imi
nat
ea

cl
ient
’sheal
thpr
obl
ems.

A.Assessment B.Di
agnoses C.Pl
anni
ng D.I
nter
vent
ions

6.Pl
anned,
ongoi
ng,
pur
posef
ulact
ivi
tyi
nwhi
chcl
ient
sandheal
thcar
epr
ofessi
onal
s

det
ermi
newhet
herort
owhatdegr
eet
hecl
ientgoal
shav
ebeenmet
.

A.Assessment B.Di
agnoses. C.Pl
anni
ng D.Ev
aluat
ion
7.Thepat
ientadmi
tt
edt
othehospi
tali
scompl
aini
ngofchestpai
n.Thedat
abecl
assi
fi
edas:

A.Subj
ect
ivedat
a B.Obj
ect
ivedat
a C.Secondar
ydat
a D.Noneoft
heabov
e

8.pr
imar
yheal
thcar
esy
stem mai
nlyf
ocuseson:

A.Pr
event
ionB.Di
agnosi
s C.Tr
eat
ment D.Rehabi
li
tat
ion

9.I
n__
___
___
__wear
emaki
nggoal
stoachi
eveourt
arget
s

A.Assessment B.Di
agnosi
s C.Pl
anni
ng. D.Ev
aluat
ion

10.I
mpl
ement
ati
oni
sal
socal
led…………

A.Assessment B.Ev
aluat
ion. C.Nur
singI
nter
vent
ion D.Pl
anni
ng

11.Ev
aluat
ioni
sthe_
___
___
__componenti
nNur
singCar
ePl
an.

A.Fi
rst B.Second. C.Thi
rd. D.Last

12.I
n__
___
___
___t
heper
soni
sper
for
mingpoor
lywhenobser
ved.

A.Hi
ghsel
fest
eem B.Lowsel
fest
eem C.Ego D.Al
loft
heabov
e

13.Car
bohy
drat
es,
li
pidsandpr
otei
nsar
econsi
der
edas,

A.Mi
cronut
ri
ent
s. B.Macr
onut
ri
ent
s C.Bot
hA&B D.Noneoft
heabov
e

14.Cal
cium,
Sodi
um,
Zinc,
Iodi
near
e,

A.Macr
onut
ri
ent
s B.Mi
cronut
ri
ent
s C.Mi
ner
als D.Bot
hA&B
15)Namet
hecal
ibr
atedcy
li
ndert
hathol
dsmedi
cat
ion.

A)Pl
unger B)Hub C)Needl
e D)Bar
rel

16)Kl
eenEnemai
sadmi
nist
eredwhenaper
soni
shav
ing

A.Vomi
ti
ng B.Fev
er C.Const
ipat
ed D.Di
arr
hea

17)I
tist
heal
ter
nat
ingcont
ract
ionandr
elaxat
ionoft
hei
ntest
inesmoot
hmuscl
es.

A.Segment
ati
on B.Per
ist
alsi
s C.Absor
pti
on D.Noneoft
hese

18)Ar
ethoseact
ivi
ti
escar
ri
edoutmut
ual
lyorast
eam wor
k?

A)DependentI
nter
vent
ions. B)I
ndependent

C)col
labor
ati
ve. D)None

19)Vomi
ti
ngsi
ckper
sonwi
llbestt
reat
edbyt
hismet
hod

A)Buccal B)Or
al C)I
V D)I
D

20)OneKGi
showmanypounds

A)2l
b B)2.
2lb C)2.
5lb D)3l
b

21)BDMedi
cat
ionshoul
dbegi
ven

A)Onceaday B)Twi
ceaday C)FourTi
mesadayD)ev
eryday

22)Twopi
ntofbl
oodi
s…….
.
B)A)
250ml B)500ml C)1000ml D)100ml

23)Pai
n,headache&f
eel
ingsofwor
ryar
eexampl
esofki
ndofdat
a.

A)Subj
ect
ive B)Obj
ect
ive C)bot
h D)none

24)Bel
ief
sorat
ti
tudesaboutt
hewor
thofaper
son,
obj
ect
,ideaoract
ioni
scal
led

A.Conf
li
ct B.Di
lemma. C.Val
ue. D.Bot
haandb

25)
…………….
.i
sani
nter
nalf
eel
ingt
hatsomet
hingi
str
ue

A)
Conf
li
ct. B)
Dil
emma C)
Val
ue D)Bel
ief
s

26)Obser
vabl
eandmeasur
abl
einf
ormat
ioni
sknownas_
___
___
___
___
___
__.

A.Obj
ect
ivedat
a B.Subj
ect
ivedat
a C.Vi
sibl
edat
a

D.Obscur
eddat
a

27)Thi
sist
hest
epoft
henur
singpr
ocesswher
eyoudot
hePES.

A.Pl
anni
ng B.I
mpl
ement
ati
on. C.Assessment

D.Di
agnosi
s

28)Whi
choft
hef
oll
owi
ngi
sobj
ect
ivedat
a

A)Vomi
t B)Pai
nOf5/
10 C)Vomi
t D)Tempof101F e.Bot
hc.
d

29)Ar
olei
sdef
inedas…………………….
.

A)Theexpect
edbehav
iorofaper
son

B)Ast
ate,
condi
ti
on,
orsi
tuat
ion.
C)Anof
fi
cialposi
ti
on

D)noneoft
hese

30)Ar
ethoseact
ivi
ti
escar
ri
edouti
ndependent
lybyaNur
sear
e…………?

A)DependentI
nter
vent
ions. B)I
ndependent

C)col
labor
ati
ve D)None

31)……………….
.t
henameassi
gnedbyt
hemanuf
act
urerwhof
ir
stdev
elopst
hedr
ug

A)Tr
adeName B)Gener
icName C)chemi
calNameD)Mar
ketName

32)
……………i
ssel
ect
edbyt
hedr
ugcompanysel
li
ngt
hedr
ugandi
scopy
right
ed

A)Tr
adeName B)Gener
icName

C)chemi
calName. D)Act
ualName

33)Thi
snamei
sofsi
gni
fi
cancet
othephar
maci
st.

A)Tr
adeName B)Gener
icName

C)chemi
calName D)Mar
ketName

34)Di
spi
ri
nGener
icnamei
s……….

A)Aspr
o b)Acet
ylsal
icy
li
caci
d. C)
Aspi
ri
n D)
Dispr
o

35)Doset
hatshoul
dbeadmi
nist
eredi
mmedi
atel
yis

A)Rout
ine B)St
ateDose C)Asneeded D)Si
ngl
edose
36)Doseonas-
neededbasi
sis

A)Rout
ine B)St
ateDose C)SOS D)Si
ngl
edose

37)I
nsul
ini
sgi
venv
iawhi
chr
out
e….

A)I
V B)I
M C)SC D)I
D

38)Dr
ugi
nject
edi
ntoskel
etalmuscl
ear
e

A)I
V B)I
M C)SC D)I
D

39)BCGVacci
nei
sgi
vent
hroughwhi
chr
out
e

A)I
V B)I
M C)SC D)I
D

40)Subst
ancesusedt
ocount
eractt
heef
fect
sofpoi
son

A)
Anal
gesi
cs B)Ant
idot
es C)phot
ogenesD)
Ant
ibi
oti
cs

41)Subst
ancesusedTopr
eventorr
eli
eveal
ler
gies

A)
Anal
gesi
cs. B)Ant
idot
es C)Ant
ihi
stami
nesD)
Ant
ibi
oti
cs

42)ADr
opi
srepr
esent
edby

A)D B)Dp C)Gt

t D)Dr
p
43)Poundi
srepr
esent
edby

A)P B)PD C)l

b D)p

44)OneOuncei
s

A)5ml B)10ml C)30ml D)50ml

45)1TSFi
s

A)5ml B)15ml C)30ml D)50ml

46)Onef
ullgl
assi
s

A)1000ml B)150ml C)240ml D)500ml

47)TheA,
D,E,
andKv
itami
nsar
e

A)wat
erSol
ubl
e B)Fatsol
ubl
e C)Bot
h C)Fat
s

48)………….
.i
nor
gani
cel
ement
sfoundi
nal
lbodyf
lui
dsandt
issues

A)wat
er B)Mi
ner
als C)Fat
s D)
Vit
ami
ns

49)or
gani
ccompoundsneededbyt
hebodyi
nsmal
lamount
s

A)wat
er. B)Mi
ner
als C)Fat
s D)
Vit
ami
ns
50)……ar
esugar
sandst
arches;
pri
mar
yfunct
ioni
stosuppl
yener
gy

A)wat
er. B)Mi
ner
als C)CHO. D)
Vit
ami
ns

<•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=Theend•
=•=•
=•=•
=•=•
=••
=•=•
=•=•
>
 Post
-Rn1stsemest
er.

Subj
:Adv
anceconcepti
nNur
sing.

Uni
t:3,
adv
ancenur
singmanagementf
orcar
diov
ascul
ar

Di
seases.

Pr
epar
edbyAbdul
lah(BsNunder
graduat
e).

1.I
nthe16t
hcent
ury
,Wi
ll
iam Har
veydi
scov
eredev
idencet
hat
.

A)t
hecar
diov
ascul
arsy
stem t
ranspor
tsbl
oodandai
r.

B)t
hecar
diov
ascul
arsy
stem i
sanopensy
stem.

C)ar
ter
iesandv
einsar
eli
nkedbycapi
ll
ari
es.

D)bl
oodi
sreci
rcul
atedi
nst
eadofconsumed.

E)t
hel
iv
ermanuf
act
uresbl
ood.

Answer
:D

2)Capi
ll
ari
esar
ebestdescr
ibedas

A)mi
croscopi
cvessel
sinwhi
chbl
oodexchangesmat
eri
alwi
tht
hei
nter
sti
ti
alf
lui
d.

B)t
hickwal
ledv
essel
sthatconv
eybl
oodawayf
rom t
hehear
t.

C)t
hinwal
ledv
essel
sthatconv
eybl
oodt
owar
dthehear
t.

D)t
hickwal
ledv
essel
sthatcar
rybl
oodr
ichi
noxy
gen.

E)t
hinwal
ledv
essel
sthatcar
rybl
ooddef
ici
enti
noxy
gen.

Answer
:A

3.Themostaccur
atedef
ini
ti
onofar
ter
yisav
esselt
hat
.

A)car
ri
eshi
ghl
yoxy
genat
edbl
ood.
B)cont
ainssmoot
hmuscl
eini
tswal
l.

C)t
ranspor
tsbl
oodawayf
rom t
hehear
t.

D)t
ranspor
tsbl
oodt
owar
dthehear
t.

E)cont
ainsi
nter
nalv
alv
es.

Answer
:C

4)Thepur
poseofhav
ingv
alv
esi
nthecar
diov
ascul
arsy
stem i
sto.

A)pr
ovi
desoundssot
hathear
theal
thcanbemoni
tor
ed.

B)ensur
ethatbl
oodf
lowsi
nonedi
rect
ion.

C)pr
eventbl
oodf
rom f
lowi
ngt
ooqui
ckl
y.

D)r
egul
atebl
oodpr
essur
e.

E)pr
ovi
det
hef
orcef
orci
rcul
ati
on.

Answer
:B

5)Whi
choft
hef
oll
owi
ngwi
lli
ncr
easef
lowi
nav
esselt
hemost
?

A)decr
easel
engt
hby1uni
t

B)i
ncr
easer
adi
usby1uni
t

C)decr
easev
iscosi
tyby1uni
t

D)Al
lhav
ethesameef
fectonf
low.

Answer
:B

6.Whenaquant
it
yisexpr
essedas"
4cm/
sec,
"whati
sbei
ngdescr
ibedi
sthe

A)f
lowr
ate. B)v
eloci
tyoff
low.

C)pr
essur
e. D)pr
essur
egr
adi
ent
.
 E)v
olume.

Answer
:B

7.Thesacar
oundt
hehear
tist
he

A)per
it
oneum.

B)pl
eur
alsac

.
C)per
icar
dium.

D)my
ocar
dium.

E)epi
car
dium.

Answer
:C

8.Thef
unct
ionoft
heper
icar
dial
flui
dist
o

A)pr
ovi
deoxy
gent
othehear
t.

B)r
educef
ri
cti
onbet
weent
hehear
tandt
heper
icar
dium.

C)pr
ovi
def
uelt
othehear
t.

D)r
emov
ewast
epr
oduct
sfr
om t
hehear
t.

E)st
orecal
cium f
ort
hehear
t.

Answer
:B

9.Atani
nter
cul
ateddi
sc,

A)thecel
lmembr
anesoft
wocar
diacmuscl
efi
ber
sar
ecompl
etel
ysepar
atedbya
sy
napse.

B)t
hemy
ofi
bri
lsar
eloosel
yat
tachedt
othemembr
aneoft
hedi
sc.

C)t
wocar
diacmuscl
ecel
lsar
econnect
edbygapj
unct
ions.

D)t
-t
ubul
esuni
tet
hemembr
anesoft
headj
oini
ngcel
ls.
E)Al
loft
heanswer
sar
ecor
rect
.

Answer
:C

10.I
nthehear
t,v
alv
esar
elocat
ed

A)j
ustbet
weent
heat
ri
aandt
hev
ent
ri
cles.

B)j
ustbet
weent
hev
ent
ri
clesandt
hear
ter
ies.

C)j
ustbet
weent
hegr
eatv
einsandt
heat
ri
a.

D)bet
weenat
ri
aandv
ent
ri
clesandbet
weenv
ent
ri
clesandar
ter
ies.

E)j
ustbet
weent
her
ightandl
eftv
ent
ri
cles.

Answer
:D

11.Whi
chv
alv
eshav
echor
daet
endi
neae?

A)aor
ti
candpul
monar
yval
ves

B)bi
cuspi
d(mi
tr
al)andt
ri
cuspi
dval
ves

C)v
alv
esi
nvei
ns

D)semi
lunarv
alv
es

E)cor
onar
yval
ves.

Answer
:B

12)Thet
erm my
ogeni
cindi
cat
est
hatt
hehear
tmuscl
eist
hesour
ceof
.

A)t
hecont
ract
il
efor
cef
orpumpi
ng.

B)ahor
monet
hati
ndi
rect
lyr
egul
atesbl
oodv
olume

C)t
heel
ect
ri
calsi
gnalt
hatt
ri
gger
shear
tcont
ract
ion.

D)r
ecept
orst
hatt
ri
ggerbl
oodpr
essur
eref
lexes.

E)st
em cel
lst
hatr
epai
rdamagedhear
tti
ssue.
 Answer
:C

13.Thefl
atteni
ngoft
heact
ionpot
ent
ial
sofmyocar
dialcontr
acti
lecel
ls,cal
ledt
he
pl
ateauphase,isduetoacombi
nati
onof___
___
__K+permeabili
tyand____
_ _
__Ca2+
per
meabi l
it
y.

A)i
ncr
easi
ng,
incr
easi
ng

B)decr
easi
ng,
decr
easi
ng

C)i
ncr
easi
ng,
decr
easi
ng

D)decr
easi
ng,
incr
easi
ng

Answer
:D

14.Theacti
onpotenti
alsofmyocardi
alaut
orhyt
hmi
ccel
ls,
areduet
oacombi
nat
ionof
i
ncr
easingNa2+___
___
_ _anddecreasi
ngK+_ __
____
_.

A)i
nfl
ux,
eff
lux B)ef
fl
ux,
inf
lux C)i
nfl
ux,
inf
lux

D)ef
fl
ux,
eff
lux

Answer
:A

15.Theendoft
hepl
ateauphasei
sduet
othe_
___
___
_ofCa2+channel
sand_
___
___
_of
K+channel
s.

A)openi
ng,
openi
ng

B)cl
osi
ng,
closi
ng

C)openi
ng,
closi
ng

D)cl
osi
ng,
openi
ng.

Answer
:D

16.At
ypi
calact
ionpot
ent
ialofamy
ocar
dialcont
ract
il
ecel
llast
s__
___
___mi
ll
isecond(
s).

A)l
esst
han1 B)1-
5 C)50-
100
 D)atl
east200 E)atl
east500

Answer
:D

.
..
..
.

17.Bl
oodissometimesret
ainedinthehear
torlungsduet
omal
funct
ioni
ngact
ivi
tyof
hear
t-
pumpingwhichcanleadt
of at
alcondi
ti
oniscall
ed

a.Angi
naat
tack

b.Hear
tfai
lur
e

c.Car
diacar
rest

dCongest
ivehear
tfai
lur
e

18.Hear
tbeatcanbedet
ect
edi
npul
seonl
yby

av
eins

b.capi
ll
ari
es

c.ar
ter
ies

d.l
ymphat
icv
essel
s

19.Pr
olongedhi
ghbl
oodpr
essur
eweakenst
hehear
tmuscl
esbydamagi
ngt
hel
ini
ngof

a.bl
oodv
essel
s

b.hear
tat
tack

c.l
ungs

d.l
iv
er

20.I
nanav
eragehumanbei
ng,
hear
tcont
ract
sest
imat
ed

a.3.
2bi
ll
iont
imes

b.2.
2bi
ll
iont
imes
c.2.
5bi
ll
iont
imes

d.5.
2bi
ll
iont
imes

21.Thedoubl
emembr
anoussacwhi
chencl
osesahumanhear
tiscal
ledas

a.Epi
car
dium

b.My
ocar
dium

c.Endocar
dium

d.Per
icar
dialcav
ity

22.Cor
onar
yar
ter
ydi
sease(
CAD)canbedet
ermi
nedbyt
hist
est

(
a)Car
diaccat
her
izat
ion

(
b)El
ect
rocar
diogr
am

(
c)Tr
eadmi
llst
resst
est

(
d)al
loft
hese

Answer
:(d)

23.Themodi
fi
abl
eri
skf
act
orassoci
atedwi
thcor
onar
yar
ter
ydi
seasei
s

(
a)Age

(
b)Obesi
ty

(
c)Her
edi
ty

(
d)Gender

Answer
:(b)

24.Thi
sisoneoft
hesy
mpt
omsofCor
onar
yar
ter
ydi
sease
 (
a)Sl
eeppr
obl
ems

(
b)Headache

(
c)Di
arr
hoea

(
d)Pai
nordi
scomf
orti
nthechest
,lowerj
aworar
ms

Answer
:(d)

25.I
fastenti
snotusedi
naf ewcaseswhohav
ecor onar
yangi
opl
astydone,
theart
ery
t
endstonar
rowdownorgetblockedagai
nin6months.Thisi
smoreli
kel
ytohappenif
:

(
a)onesmokes

(
b)onehasunst
abl
eangi
nabef
oret
hepr
ocedur
e

(
c)onehasdi
abet
es

(
d)al
loft
hese

Answer
:(d)

26.Cor
onar
yangi
opl
ast
y,par
tofCAD’
str
eat
menti
nvol
ves:

(
a)Anewpar
tofar
ter
yrepl
acest
hebl
ockedsect
ion

(
b)t
oexpandar
ter
y,medi
cat
ioni
sused

(
c)i
nfl
ati
onofat
inybal
looni
nsi
deanar
ter
y

(
d)Noneoft
hese

Answer
:(c)

27.Doct
orspl
aceast
enti
nsi
det
hear
ter
ydur
ingangi
opl
ast
y.Ast
enti
sa

(
a)Anewf
ragmentoft
hear
ter
y

(
b)Awi
remesht
ube

(
c)Acot
tont
ube

(
d)Asl
ow-
rel
easemedi
cinecapsul
e
Answer
:(b)

28.The_
___
___
___br
anchesi
ntoCi
rcumf
lexar
ter
yandl
eftant
eri
ordescendar
yar
ter
y

(
a)Lef
tmai
ncor
onar
yar
ter
y

(
b)r
ightmar
ginalar
ter
y

(
c)Post
eri
ordescendar
yar
ter
y

(
d)Noneoft
hese

Answer
:(a)

29.Oneoft
hesei
snotasy
mpt
om ofacut
ecor
onar
ysy
ndr
ome

(
a)STSegmentel
evat
ionmy
ocar
diali
nfar
cti
on

(
b)NonSTsegmentel
evat
ionmy
ocar
diali
nfar
cti
on

(
c)unst
abl
eangi
na

(
d)Noepi
sodesofdy
spnea

Answer
:(d)

30.I
schemi
ais

(
a)r
est
ri
cti
onofbl
oodsuppl
ytot
issues

(
b)Ov
erf
lowofbl
oodt
oti
ssues

(
c)I
nadequat
edeoxy
genat
edbl
oodcar
ryi
ngv
eins

(
d)t
hemedi
calt
ermf
orshor
tnessofbr
eat
h

Answer
:(a)

31.Thi
sist
her
oleoft
hecor
onar
yar
ter
y
(
a)t
ocar
rybl
oodawayf
rom t
hehear
tmuscl
es

(
b)t
osuppl
ybl
oodt
ohear
tmuscl
es

(
c)t
osuppl
ybl
oodt
oal
lpar
tsoft
hebody

(
d)noneoft
hese

Answer
:(b)

32.Whi
choft
hef
oll
owi
ngi
sthemostcommonsy
mpt
om ofmy
ocar
diali
nfar
cti
on?

a.Chestpai
n

b.Dy
spnea

c.Edema

d.Pal
pit
ati
ons

33.Whendocor
onar
yar
ter
iespr
imar
il
yrecei
vebl
oodf
low?

a.Dur
ingi
nspi
rat
ion

b.Dur
ingdi
ast
ole

c.Dur
ingexpi
rat
ion

d.Dur
ingsy
stol
e

34.Whi
choft
hef
oll
owi
ngi
ll
nessesi
sthel
eadi
ngcauseofdeat
hint
heUS?

a.Cancer

b.Cor
onar
yar
ter
ydi
sease

c.Li
verf
ail
ure

d.Renalf
ail
ure

36.Whi
choft
hef
oll
owi
ngcondi
ti
onsmostcommonl
yresul
tsi
nCAD?

a.At
her
oscl
erosi
s

b.DM
 c.MI

d.Renalf
ail
ure

36.At
her
oscl
erosi
simpedescor
onar
ybl
oodf
lowbywhi
choft
hef
oll
owi
ngmechani
sms?

a.Pl
aquesobst
ructt
hev
ein

b.Pl
aquesobst
ructt
hear
ter
y

c.Bl
oodcl
otsf
orm out
sidet
hev
esselwal
l

d.Har
denedv
essel
sdi
lat
etoal
l
owt
hebl
oodt
ofl
owt
hrough

37.Whi
choft
hef
oll
owi
ngr
iskf
act
orsf
orcor
onar
yar
ter
ydi
seasecannotbecor
rect
ed?

a.Ci
gar
ett
esmoki
ng

b.DM

c.Her
edi
ty

d.HPN

38.Exceedi
ngwhichofthefol
lowi
ngser
um chol
est
eroll
evel
ssi
gni
fi
cant
lyi
ncr
easest
he
r
iskofcoronar
yart
erydi
sease?

a.100mg/
dl

b.150mg/
dl

c.175mg/
dl

d.200mg/
dl

39.Whi
chofthefol
lowingact
ionsi
sthef
ir
stpr
ior
it
ycar
eforacl
ientexhi
bit
ingsi
gnsand
sy
mptomsofcoronar
yar t
erydi
sease?

a.Decr
easeanxi
ety

b.Enhancemy
ocar
dialoxy
genat
ion

c.Admi
nist
ersubl
ignualni
tr
ogl
ycer
in

d.Educat
ethecl
ientabouthi
ssy
mpt
oms

40.Medi
calt
reat
mentofcor
onar
yar
ter
ydi
seasei
ncl
udeswhi
choft
hef
oll
owi
ng
pr
ocedur
es?

a.Car
diaccat
het
eri
zat
ion
 b.Cor
onar
yar
ter
yby
passsur
ger
y

c.Or
almedi
cat
ionadmi
nist
rat
ion

d.Per
cut
aneoust
ransl
umi
nalcor
onar
yangi
opl
ast
y

41.Pr
olongedoccl
usi
onoft
her
ightcor
onar
yar
ter
ypr
oducesani
nfar
cti
oni
nwhi
chofhe
f
oll
owingareasoft
heheart
?

a.Ant
eri
or

b.Api
cal

c.I
nfer
ior

d.Lat
eral

42.Whi
choft
hef
oll
owi
ngar
ter
iespr
imar
il
yfeedst
heant
eri
orwal
loft
hehear
t?

a.Ci
rcumf
lexar
ter
y

b.I
nter
nalmammar
yar
ter
y

c.Lef
tant
eri
ordescendi
ngar
ter
y

d.Ri
ghtcor
onar
yar
ter
y

43.Whi
choft
hef
oll
owi
ngl
andmar
ksi
sthecor
ectonef
orobt
aini
nganapi
calpul
se?

a.Lef
tint
ercost
alspace,
midaxi
ll
aryl
ine

b.Lef
tfi
ft
hint
ercost
alspace,
midcl
avi
cul
arl
ine

c.Lef
tsecondi
nter
cost
alspace,
midcl
avi
cul
arl
ine

d.Lef
tsev
ent
hint
ercost
alspace,
midcl
avi
cul
arl
ine

44.Whi
chofthefoll
owi
ngsyst
emsisthemostli
kel
yorigi
nofpai
nthecl
ientdescr
ibesas
kni
feli
kechestpai
nthati
ncr
easesi
nint
ensi
tywi
thinspi
rat
ion?

a.Car
diac

b.Gast
roi
ntest
inal

c.Muscul
oskel
etal

d.Pul
monar
y

45.Amur
muri
shear
datt
hesecondl
efti
nter
cost
alspaceal
ongt
hel
eftst
ernalbor
der
.
 Whi
chv
alv
ear
eai
sthi
s?

a.Aor
ti
c

b.Mi
tr
al

c.Pul
moni
c

d.Tr
icuspi
d

46.Whi
choft
hef
oll
owi
ngbl
oodt
est
sismosti
ndi
cat
iveofcar
diacdamage?

a.Lact
atedehy
drogenase

b.Compl
etebl
oodcount

c.Tr
oponi
nI

d.Cr
eat
ineki
nase

47.Whati
sthepr
imar
yreasonf
oradmi
nist
eri
ngmor
phi
net
oacl
ientwi
thmy
ocar
dial
i
nfar
cti
on?

a.Tosedat
ethecl
ient

b.Todecr
easet
hecl
ient
’spai
n

c.Todecr
easet
hecl
ient
’sanxi
ety

d.Todecr
easeoxy
gendemandont
hecl
ient
’shear
t

48.Whichoft
hef
oll
owngcondi
ti
onsi
smostcommonl
yresponsi
blef
ormy
ocar
dial
i
nfar
cti
on?

a.Aneur
ysm

b.Hear
tfai
lur
e

c.Cor
onar
yar
ter
ythr
ombosi
s

d.Renalf
ail
ure

49.Whatsupplement
almedi
cat
ioni
smostf
requent
lyor
der
edi
nconj
uct
ionwi
th
f
urosemi
de(Lasix)
?

a.Chl
ori
de

b.Di
goxi
n

c.Pot
assi
um
 d.Sodi
um

50.Af
termyocar
diali
nfarct
ion,ser
um glucoselev
elsandf
reef
att
yaci
dsar
ebot
h
i
ncr
ease.Whatt
ypeofphy si
ologicchangesarethese?

a.El
ect
rophy
siol
ogi
c

b.Hemat
ologi
c

c.Mechani
cal

d.Met
abol
ic

51.Whi
choft
hef
oll
owi
ngcompl
i
cat
ionsi
sindi
cat
edbyat
hir
dhear
tsound(
S3)
?

a.Vent
ri
cul
ardi
lat
ion

b.Sy
stemi
chy
per
tensi
on

c.Aor
ti
cval
vemal
funct
ion

d.I
ncr
easedat
ri
alcont
ract
ions

52.Af
terananter
iorwal
lmy ocar
diali
nfarct
ion,
whi
choft
hef
oll
owi
ngpr
obl
emsi
s
i
ndi
catedbyauscul
tat
ionofcrackl
esinthelungs?

a.Lef
t-
sidedhear
tfai
l
ure

b.Pul
moni
cval
vemal
funct
ion

c.Ri
ght
-si
dedhear
tfai
lur
e

d.Tr
icuspi
dval
vemal
funct
ion

53.Whi
chofthefoll
owingdi
agnost
ict
ool
sismostcommonl
yusedt
odet
ermi
net
he
l
ocat
ionofmyocar
dialdamage?

a.Car
diaccat
het
eri
zat
ion

b.Car
diacenzy
mes

c.Echocar
diogr
am

d.El
ect
rocar
diogr
am

54.Whati
sthef
ir
sti
nter
vent
ionf
oracl
ientexper
ienci
ngmy
ocar
diali
nfar
cti
on?

a.Admi
nist
ermor
phi
ne

b.Admi
nist
eroxy
gen
 c.Admi
nist
ersubl
ingualni
tr
ogl
ycer
in

d.Obt
ainanel
ect
rocar
diogr
am

55.Whatisthemostappr
opr
iat
enur
singr
esponset
oamy
ocar
diali
nfar
cti
oncl
ientwho
i
sfear
fulofdy
ing?

a.“
Tel
lmeabouty
ourf
eel
ingr
ightnow.
”

b.“
Whent
hedoct
orar
ri
ves,
ever
ythi
ngwi
llbef
ine.
”

c.“
Thi
sisabadsi
tuat
ion,
buty
ou’
l
lfeelbet
tersoon.
”

d.“
Pleasebeassur
edwe’
redoi
ngev
ery
thi
ngwecant
omakey
ouf
eelbet
ter
.”

56.Whi
chofthefol
lowi
ngcl
assesofmedicat
ionsprotect
sthei
schemi
cmy
ocar
dium by
bl
ocki
ngcat
echol
aminesandsympathet
icner
vestimul
ation?

a.Bet
a-adr
ener
gicbl
ocker
s

b.Cal
cium channelbl
ocker
s

c.Nar
cot
ics

d.Ni
tr
ates

57.Whati
sthemostcommoncompl
icat
ionofamy
ocar
diali
nfar
cti
on?

a.Car
diogeni
cshock

b.Hear
tfai
lur
e

c.Ar
rhy
thmi
as

d.Per
icar
dit
is

58.Wi
thwhi
choft
hef
oll
owi
ngdi
sor
der
sisj
ugul
arv
eindi
stent
ionmostpr
omi
nent
?

a.Abdomi
nalaor
ti
caneur
ysm

b.Hear
tfai
lur
e

c.My
ocar
diali
nfar
cti
on

d.Pneumot
hor
ax

59.Whatposi
ti
onshoul
dthenurseplacet
heheadoft
hebedi
ntoobt
aint
hemost
accurater
eadi
ngofjugul
arv
eindi
stenti
on?

a.Hi
gh-
fowl
er’
s
 b.Rai
sed10degr
ees

c.Rai
sed30degr
ees

d.Supi
neposi
ti
on

60.Whi
choft
hef
oll
owi
ngpar
amet
ersshoul
dbecheckedbef
oreadmi
nist
eri
ngdi
goxi
n?

a.Api
calpul
se

b.Bl
oodpr
essur
e

c.Radi
alpul
se

d.Respi
rat
oryr
ate

61.Toxi
cit
yfrom whi
choft
hef
oll
owi
ngmedi
cat
ionsmaycauseacl
ientt
oseeagr
een
hal
oaroundli
ghts?

a.Di
goxi
n

b.Fur
osemi
de

c.Met
opr
olol

d.Enal
apr
il

62.Whi
chof
thef
oll
owi
ngsy
mpt
omsi
smostcommonl
yassoci
atedwi
thl
eft
-si
dedhear
t
f
ail
ure?

a.Cr
ackl
es

b.Ar
rhy
thmi
as

c.Hepat
icengor
gement

d.Hy
pot
ensi
on

63.I
nwhichofthef
oll
owi
ngdi
sor
der
swoul
dthenur
seexpectt
oassesssacr
aleddema
i
nbedri
ddencli
ent
?

a.DM

b.Pul
monar
yembol
i

c.Renalf
ail
ure

d.Ri
ght
-si
dedhear
tfai
lur
e

64.Whi
choft
hef
oll
owi
ngsy
mpt
omsmi
ghtacl
ientwi
thr
ight
-si
dedhear
tfai
lur
eexhi
bit
?
 a.Adequat
eur
ineout
put

b.Pol
yur
ia

c.Ol
igur
ia

d.Pol
ydi
psi
a

65.Whichoft
hefoll
owingclassesofmedicat
ionsmaximizescar
diacper
for
mancei
n
cl
ientswit
hheatfai
lur
ebyincreasingvent
ri
cul
arcontract
il
it
y?

a.Bet
a-adr
ener
gicbl
ocker
s

b.Cal
cium channelbl
ocker
s

c.Di
uret
ics

d.I
not
ropi
cagent
s

66.Sti
mul
ati
onoft
hesy
mpat
het
icner
voussy
stem pr
oduceswhi
choft
hef
oll
owi
ng
r
esponses?

a.Br
ady
car
dia

b.Tachy
car
dia

c.Hy
pot
ensi
on

d.Decr
easedmy
ocar
dialcont
ract
il
it
y

67.Whi
chofthefol
lowingcondi
ti
onsi
smostcl
osel
yassoci
atedwi
thwei
ghtgai
n,nausea,
andadecr
easei
nurineoutput?

a.Angi
napect
ori
s

b.Car
diomy
opat
hy

c.Lef
t-
sidedhear
tfai
lur
e

d.Ri
ght
-si
dedhear
tfai
lur
e

68.Whati
sthemostcommoncauseofabdomi
nalaor
ti
caneur
ysm?

a.At
her
oscl
erosi
s

b.DM

c.HPN

d.Sy
phi
li
s
 69.I
nwhi
choft
hef
oll
owi
ngar
easi
sanabdomi
nalaor
ti
caneur
ysm mostcommonl
y
l
ocat
ed?

a.Di
stalt
othei
li
acar
ter
ies

b.Di
stalt
other
enalar
ter
ies

c.Adj
acentt
otheaor
ti
cbr
anch

d.Pr
oxi
malt
other
enalar
ter
ies

70.Apul
sat
ingabdomi
nalmassusual
lyi
ndi
cat
eswhi
choft
hef
oll
owi
ngcondi
ti
ons?

a.Abdomi
nalaor
ti
caneur
ysm

b.Enl
argedspl
een

c.Gast
icdi
stent
ion

d.Gast
ri
ti
s

71.Whati
sthemostcommonsy
mpt
om i
nacl
ientwi
thabdomi
nalaor
ti
caneur
ysm?

a.Abdomi
nalpai
n

b.Di
aphor
esi
s

c.Headache

d.Upperbackpai
n

72.Whi
chofthefol
lowi
ngsymptomsusual
lysi
gni
fi
esr
api
dexpansi
onandi
mpendi
ng
r
upt
ureofanabdominalaor
ti
caneur
ysm?

a.Abdomi
nalpai
n

b.Absentpedalpul
ses

c.Angi
na

d.Lowerbackpai
n

73.Whati
sthedef
ini
ti
vet
estusedt
odi
agnoseanabdomi
nalaor
ti
caneur
ysm?

a.Abdomi
nalX-
ray

b.Ar
ter
iogr
am

c.CTscan
 d.Ul
tr
asound

74.Whichofthefoll
owingcompli
cat
ionsi
sofgr
eat
estconcer
nwhencar
ingf
ora
pr
eoperat
iveabdominalaneur
ysm cl
i
ent?

a.HPN

b.Aneur
ysm r
upt
ure

c.Car
diacar
ryt
hmi
as

d.Di
mini
shedpedalpul
ses

75.Whi
choft
hef
oll
owi
ngbl
oodv
essell
ayer
smaybedamagedi
nacl
ientwi
than
aneurysm?

a.Ext
erna

b.I
nter
na

c.Medi
a

d.I
nter
naandMedi
a

76.Whenassessi
ngacli
entf
oranabdomi
nalaor
ti
caneur
ysm,
whi
char
eaoft
he
abdomenismostcommonl ypal
pated?

a.Ri
ghtupperquadr
ant

b.Di
rect
lyov
ert
heumbi
li
cus

c.Mi
ddl
elowerabdoment
othel
eftoft
hemi
dli
ne

d.Mi
dli
nel
owerabdoment
other
ightoft
hemi
dli
ne

77.Whi
choft
hef
oll
owi
ngcondi
ti
onsi
sli
nkedt
omor
ethan50%ofcl
ient
swi
thabdomi
nal
aor
ti
caneur
ysms?

a.DM

b.HPN

c.PVD

d.Sy
phi
li
s

78.Whi
choft
hef ol
lowi
ngsoundsisdisti
nct
lyhear
donauscul
tat
ionov
ert
heabdomi
nal
r
egi
onofanabdominalaort
icaneur
ysm cl
ient
?
 a.Br
uit

b.Cr
ackl
es

c.Dul
l
ness

d.Fr
ict
ionr
ubs

79.Whi
choft
hef
oll
owi
nggr
oupsofsy
mpt
omsi
ndi
cat
edar
upt
uredabdomi
nalaneur
ysm?

a.Lowerbackpai
n,i
ncr
easedBP,
decr
easedRBC,
incr
easedWBC

b.Sev
erel
owerbackpai
n,decr
easedBP,
decr
easedRBC,
incr
easedWBC

c.Sev
erel
owerbackpai
n,decr
easedBP,
decr
easedRBC,
decr
easedWBC

d.I
nter
mit
tentl
owerbackpai
n,decr
easedBP,
decr
easedRBC,
incr
easedWBC

80.Whi
chofthefol
lowi
ngcomplicat
ionsofanabdomi
nalaor
ti
crepai
risi
ndi
cat
edby
det
ecti
onofahematomaintheper
inealarea?

a.Her
nia

b.St
age1pr
essur
eul
cer

c.Ret
roper
it
onealr
upt
ureatt
her
epai
rsi
te

d.Rapi
dexpansi
onoft
heaneur
ysm

81.Whi
chher
edi
tar
ydi
seasei
smostcl
osel
yli
nkedt
oaneur
ysm?

a.Cy
sti
cfi
brosi
s

b.Lupuser
ythemat
osus

c.Mar
fan’
ssy
ndr
ome

d.My
ocar
diali
nfar
cti
on

82.Whi
choft
hef
oll
owi
ngt
reat
ment
sist
hedef
ini
ti
veonef
orar
upt
uredaneur
ysm?

a.Ant
ihy
per
tensi
vemedi
cat
ionadmi
nist
rat
ion

b.Aor
togr
am

c.Bet
a-adr
ener
gicbl
ockeradmi
nist
rat
ion

d.Sur
gicali
nter
vent
ion

83.Whi
choft
hef
oll
owi
nghear
tmuscl
edi
seasesi
sunr
elat
edt
oot
hercar
diov
ascul
ar
di
sease?

a.Car
diomy
opat
hy

b.Cor
onar
yar
ter
ydi
sease

c.My
ocar
diali
nfar
cti
on

d.Per
icar
dialEf
fusi
on

84.Whi
choft
hef
oll
owi
ngt
ypesofcar
diomy
opat
hycanbeassoci
atedwi
thchi
ldbi
rt
h?

a.Di
lat
ed

b.Hy
per
trophi
c

c.My
ocar
dit
is

d.Rest
ri
cti
ve

85.Sept
ali
nvol
vementoccur
sinwhi
cht
ypeofcar
diomy
opat
hy?

a.Congest
ive

b.Di
lat
ed

c.Hy
per
trophi
c

d.Rest
ri
cti
ve

86.Whichoft
hef
oll
owi
ngr
ecur
ri
ngcondi
ti
onsmostcommonl
yoccur
sincl
ient
swi
th
car
diomyopat
hy?

a.Hear
tfai
lur
e

b.DM

c.MI

d.Per
icar
dialef
fusi
on

87.Whati
sthet
erm usedt
odescr
ibeanenl
argementoft
hehear
tmuscl
e?

a.Car
diomegal
y

b.Car
diomy
opat
hy

c.My
ocar
dit
is

d.Per
icar
dit
is
 88.Dy
spnea,
cough,expector
ati
on,weakness,
andedemaar
ecl
assi
csi
gnsand
sy
mptomsofwhichofthefoll
owingcondi
ti
ons?

a.Per
icar
dit
is

b.Hy
per
tensi
on

c.Obl
it
erat
ive

d.Rest
ri
cit
ve

89.Whi
choft
hef
oll
owi
ngcar
diaccondi
ti
onsdoesaf
our
thhear
tsound(
S4)i
ndi
cat
e?

a.Di
lat
edaor
ta

b.Nor
mal
lyf
unct
ioni
nghear
t

c.Decr
easedmy
ocar
dialcont
ract
il
it
y

d.Fai
lur
eoft
hev
ent
ri
clet
oej
ectal
lthebl
ooddur
ingsy
stol
e

90.Whichoft
hef
oll
owi
ngcl
assesofdr
ugsi
smostwi
del
yusedi
nthet
reat
mentof
car
diomyopat
hy?

a.Ant
ihy
per
tensi
ve

b.Bet
a-adr
ener
gicbl
ocker
s

c.Cal
cium channelbl
ocker
s

d.Ni
tr
ates.

<•
•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
•=•
=•=•
=•=•
•=•
=•=•
=•=•
=•=•
=•=•
=•>
 Post
-Rn1stsemest
er.

Subj
:Adv
anceconcepti
nNur
sing.

Uni
t:4,
adv
ancenur
singmanagementf
orRespi
rat
orydi
sor
der
s.

Pr
epar
edbyAbdul
lah(BsNunder
graduat
e).

1.Thesyst
em t
hatf
aci
li
tat
etheent
ryofoxygeni
ntot
hebodyandexcr
eti
onofcar
bon
di
oxi
defrom t
hebodyi
sknownas_____
____
____
_ _
_.

A.Ur
inar
ysy
stem

B.Gast
roi
ntest
inalsy
stem

C.Pul
monar
yvent
il
ati
on

D.Respi
rat
orysy
stem

2.Exchangeofgasesbet
weent
hebl
oodandt
hel
ungsi
scal
led_
___
___
___
___
__

A.Ext
ernalr
espi
rat
ion

B.I
nter
nalr
espi
rat
ion

C.Ti
ssuer
espi
rat
ion

D.Respi
rat
ion

3.Exchangeofgasesbet
weent
hebl
oodandt
hecel
lsi
scal
led_
___
___
___
___
___
___

A.Ext
ernalr
espi
rat
ion

B.Tot
alRespi
rat
ion

C.I
nter
nalr
espi
rat
ion

D.Compl
eteRespi
rat
ion

4.Whi
choft
hef
oll
owi
ngi
snotupperr
espi
rat
oryt
ractor
gan?
 A.Nose

B.Phar
ynx

C.Lar
ynx

D.Tr
achea

5.Thel
argesur
facear
eaof_
___
___
___
__maxi
mizeswar
ming,
humi
dif
icat
ionandf
il
ter
ing
ofi
nspi
redai
r.

A.Nose

B.Tr
achea

C.Lar
ynx

D.Br
onchi

6.The____
____
___isatube12t o14cm l
ongt
hatext
endsf
rom t
hebaseoft
heskul
lto
t
hel
eveloft
he6thcerv
icalver
tebr
a.

A.Tr
achea

B.Phar
ynx

C.Lar
ynx

D.Esophagus

7.Thely
mphat
ict
issueoft
he_
___
___
___
___
tonsi
lspr
oducesant
ibodi
esi
nresponset
o
mi
crobes.

A.Phar
yngealandl
ary
ngealt
onsi
ls

B.Phar
yngealt
onsi
ls

C.Lar
yngealTonsi
ls

D.Noneofabov
e

8.Thet
racheai
scomposedof_
___
___
___
__i
ncompl
ete(
C-shaped)r
ingsofhy
ali
ne
car
ti
lagesl
yi
ngoneabov
etheot
her
.

A.15t
o22

B.18-
24

C.16t
o20

D.10-
20

9.Thepr
ogr
essi
vesubdi
vi
sionofbr
onchii
s

A.Br
onchi
oles,
alv
eol
arduct
s,t
ermi
nalbr
onchi
oles,
respi
rat
orybr
onchi
oles,
andal
veol
i.

B.Br
onchi
oles,
ter
minalbr
onchi
oles,
respi
rat
orybr
onchi
oles,
alv
eol
arduct
sandal
veol
i.

C.Al
veol
arduct
s,br
onchi
oles,
ter
minalbr
onchi
oles,
respi
rat
orybr
onchi
oles,
andal
veol
i.

D.Ter
minalbr
onchi
oles,
respi
rat
orybr
onchi
oles,
bronchi
oles,
respi
rat
orybr
onchi
olesand
al
veol
i

10.Themai
nmuscl
esofr
espi
rat
ioni
nnor
malqui
etbr
eat
hingar
e__
___
___
__andt
he
_
___
_ _
_____

A.Pect
oral
isandmaj
orpect
oral
i
s

B.I
nter
cost
almuscl
esanddi
aphr
agm

C.Muscl
esofneckandshoul
der

D.Muscl
esofneckandabdomen

11.Whi
choft
hef
oll
owi
ngi
snotapar
tofur
inar
ysy
stem?

A.Ki
dney
s

B.Ur
eter
s

C.Bl
adder

D.Adr
enalgl
ands
 12.Theextr
avolumeofai
rthatcanbei
nhal
edi
ntot
hel
ungsdur
ingmaxi
mali
nspi
rat
ion
i
sknownas_ __
____
_____

A.I
nspi
rat
oryr
eser
vev
olume(
IRV)

B.Ti
dalv
olume(
TV)

C.I
nspi
rat
orycapaci
ty(
1C)

D.Funct
ionalr
esi
dualcapaci
ty(
FRC)

1.Mostpat
ient
swi
thCOPDhav
eahi
stor
yof
:

a.Ci
gar
ett
esmoki
ng

b.Excessi
veal
coholconsumpt
ion

c.Seasonalal
ler
gies

d.I
nject
iondr
uguse

2.Unt
reat
edobst
ruct
ivesl
eepapneamayr
esul
tinal
loft
hef
oll
owi
ngexcept
:

a.Excessi
veday
timesl
eepi
ness

b.Sexualdy
sfunct
ion

c.COPD

d.I
ncr
easedr
iskf
orcar
diov
ascul
ardi
sease

3.Lowbi
rt
hwei
ghti
sli
nkedt
oincr
easedr
iskofdev
elopi
ng:

a.Seasonalal
ler
gies

b.Si
nusi
ti
s

c.Chi
ldhoodast
hma

d.Br
onchi
ti
s

4.Ahi
storyofsmoki
ng,
abnor
malper
manentenl
argementoft
heal
veol
i,
cough,
and
dy
spneasuggest:

a.Ast
hma

b.Emphy
sema
 c.Chr
oni
cbr
onchi
ti
s

d.Obst
ruct
ivesl
eepapnea

5.Al
loft
hef
oll
owi
ngar
eincr
easer
iskofdev
elopi
ngl
ungcancerexcept
:

a.Smoki
ng

b.Exposur
etor
adonorasbest
os

c.Exposur
etocoalpr
oduct
sorr
adi
oact
ivesubst
ancessuchasur
ani
um

d.Hi
stor
yofseasonalal
ler
gies

6.Whi
choft
hef
oll
owi
ngst
atementaboutl
ymphangi
olei
omy
omat
osi
sisnott
rue?

a.I
tisar
arel
ungdi
seaset
hataf
fect
smanymor
ewoment
hanmen

b.I
tinv
olvest
hegrowt
hofsmoot
hmuscl
ecel
lsi
nthel
ungs,
pul
monar
ybl
oodv
essel
s,
l
ymphati
cs,andpl
eur
ae

c.I
tisofunknownet
iol
ogy

d.I
tisconsi
der
edaneopl
ast
icdi
sease

7.Tr
eat
mentf
ori
nfl
uenzagener
all
yincl
udesal
loft
hef
oll
owi
ngexcept
:

a.Ampi
cil
li
nandt
etr
acy
cli
ne

b.Restandampl
efl
uids

cOsel
tami
vi
randzanami
vi
r

D.Ov
er-
the-
count
ermedi
cat
ionst
orel
iv
efev
er,
myal
gias,
andheadache

8.Pneumoni
amaybecausedbyanyoft
hef
oll
owi
ngexcept
:

a.Beest
ing

b.Bact
eri
a

c.Vi
ruses

d.My
copl
asmas
 9.Themostcommoncausesofpneumoni
ainchi
ldr
enunderage5ar
e:

a.Fungi

b.Vi
ruses

c.Bact
eri
a

d.My
copl
asmas

10.Concernaboutthepossi
bil
it
yofpandemi
ctuber
cul
osi
shasbeenf
uel
edbyar
isei
nal
l
oft
hefoll
owingexcept:

a.H1N1

b.Thenumberofr
epor
tedcasesi
ntheU.
S.

c.MDRTBandXDRTB

d.AI
DS

11.Occupat
ionalexposur
etoasbest
osi
sassoci
atedwi
thi
ncr
easedr
iskofdev
elopi
ng:

a.AI
DS

b.Mesot
hel
ioma

c.Cy
sti
cfi
brosi
s

d.Aspi
rat
ionpneumoni
a

12.Act
ionst
opr
eventacut
ebr
onchi
ti
smayi
ncl
udeal
loft
hef
oll
owi
ngexcept
:

a.Fr
equenthandwashi
ng

b.Annualf
lushot

c.Wear
ingapr
otect
ivemaskwhi
l
eusi
ngpai
ntorsol
vent
s

d.Taki
nghi
ghdosesofv
itami
nC

13.Al
loft
hef
oll
owi
ngar
etr
ueabouthi
stopl
asmosi
sexcept
:
 a.Sy
mpt
omsappearsuddenl
yandar
emoder
atet
osev
ere

b.I
tiscausedbyi
nhal
ingt
hespor
esofaf
ungust
hatar
isef
rom soi
l

c.Manycasesar
easy
mpt
omat
ic

d.Sy
mpt
omsar
isewi
thi
n24hour
sofexposur
e

14.Wor
ker
swhohandl
eunpr
ocessedcot
tonar
eatr
iskofdev
elopi
ng:

a.Cocci
diomy
cosi
s

b.By
ssi
nosi
s

c.Per
tussi
s

d.Sar
coi
dosi
s

15.Al
loft
hef
oll
owi
ngst
atement
saboutpul
monar
ysar
coi
dosi
sar
etr
ueexcept
:

a.I
tcausesdy
spnea,
drycough,
andchestpai
n

b.
Afr
icanAmer
icansandScandi
nav
iansar
edi
spr
opor
ti
onat
elyaf
fect
ed

cI
tist
reat
edwi
thant
ivi
ralagent
s

d.
Manycasesr
esol
vewi
thouti
nter
vent
ion

16.Cy
sti
cfi
brosi
spat
ient
ssuf
ferpul
monar
yinf
ect
ionsofal
loft
hef
oll
owi
ngpat
hogens
except:

a.Pseudomonasaer
ugi
nosa

b.Haemophi
lusi
nfl
uenzae

c.St
aphy
lococcusaur
eus

d.Candi
daal
bicans

17.Al
loft
hef
oll
owi
ngar
etr
ueaboutacut
erespi
rat
orydi
str
esssy
ndr
ome(
ARDS)except
:

a.I
tgener
all
yar
isesi
nper
sonswi
thser
iouscomor
bidi
ti
es

cI
tmaybel
if
ethr
eat
eni
ng

b.I
tisacommoncompl
icat
ionofanest
hesi
a
d.SomeARDSpat
ient
ssuf
ferper
manentl
ungdamage

18.Hant
avi
ruspul
monar
ysy
ndr
omear
isesf
rom cont
actwi
thanyoft
hef
oll
owi
ngexcept
:

a.I
nfect
edr
odent
s

b.I
nfect
edr
odentur
ineordr
oppi
ngs

c.I
nfect
edr
odentsal
iv
a

d.I
nfect
edpeopl
e

19.Sy
mpt
omsofper
tussi
sincl
udeal
loft
hef
oll
owi
ngexcept
:

a.Runnynoseandmi
ldf
ever

b.Sev
erecoughi
ng

c.Choki
ngi
ninf
ant
s

d.Rash

20.Si
l
icosi
sisadi
sor
derchar
act
eri
zedbyal
loft
hef
oll
owi
ngexcept
:

a.Dy
spnea

b.Sev
erecough,
tachy
pneaandweakness

c.Fev
er,
nightsweat
sandchestpai
n

d.Par
aly
sisoft
hel
owerext
remi
ti
es

•
=•=•
•==|
=•|
==|
=|=|
=•|
==|
=||
=|=|
=|°
°||
=|°
|°|
°

1.Ast
hmai
scausedduet
oinf
lammat
ionof_
___
___
___
___
_

a)br
onchiandbr
onci
oles

b)al
veol
i

c)t
rachea

d)phar
ynx
Answer
:a

2.Whi
choft
hef
oll
owi
ngdi
seasescanbef
oundi
nwor
ker
swor
kingi
nami
ll
?

a)Emphy
sema

b)Occupat
ionalr
espi
rat
orydi
sor
der
s

c)Br
onchi
ti
s

d)Ast
hma

Answer
:b,

3.Lowoxy
gensuppl
ytot
issuesi
ssci
ent
if
ical
lyknownas_
___
___
_

a)br
onchi
ti
s

b)emphy
sema

c)asphy
xia

d)hy
poxi
a

Answer
:d

4.Ci
gar
ett
esmoki
ngcauses_
___
___
___
___
_

a)br
onchi
ti
s

b)f
ibr
osi
s

c)emphy
sema

d)ast
hma

Answer
:c

5.Swel
li
ngandi
tchi
ngi
nbr
onchi
isasy
mpt
om of_
___
___
___

a)br
onchi
ti
s

b)ast
hma
 c)f
ibr
osi
s

d)asphy
xia

Answer
:a

6.Emphy
semai
smar
kedby_
___
__

a)i
nfl
ammat
ionofnasalpassage

b)t
wist
ingoft
rachea

c)f
il
li
ngofmucousi
nlungs

d)damageofal
veol
arwal
ls

Answer
:d

7.Whatchangesmaybeobser
vedduet
oincr
easei
ncar
bondi
oxi
deandhy
drogeni
ons
body
?

a)Decr
easei
nbr
eat
hingr
ate

b)I
ncr
easei
nbr
eat
hingr
ate

c)Nochangei
nbr
eat
hingr
ate

d)I
ncr
easei
nlungv
olume

Answer
:b

8.Suf
focat
ioni
scausedduet
o__
___
__

a)i
ncr
easei
ncar
bondi
oxi
de

b)decr
easei
noxy
gen

c)decr
easei
nhy
drogeni
ons

d)i
ncr
easei
noxy
gen

Answer
:a

9.Whatcausesi
ncr
easei
nrespi
rat
oryr
ate?
 a)I
ncr
easei
nbodyt
emper
atur
e

b)Decr
easei
ncar
bondi
oxi
de

c)Decr
easei
nbl
oodpr
essur
e

d)I
ncr
easedoxy
gen

Answer
:a

10.Fi
brosi
smaybecausedduet
o__
___
__

a)ci
gar
ett
esmoki
ng

b)snor
ti
ng

c)i
nfl
ammat
ionofal
veol
i

d)dustpar
ti
cles

Answer
:d

1.Pneumotaxiccentr
ewhi
chcanmoder
atet
hef
unct
ionsoft
her
espi
rat
oryr
hyt
hm cent
rei
s
pr
esentat_
_ _
_______
__

a)Pons

b)Spi
nalcor
d

c)Lef
themi
spher
e

d)Thal
amus

Answer
:a

2.Whi
choft
hef
oll
owi
ngi
sthecof
act
orofcar
boni
canhy
drase?

a)Zn

b)Fe

c)Mg
d)Cu

3.Br
eat
hingr
atei
nhumani
scont
rol
ledby_
___
___
___
___

a)Medul
laobl
ongat
a

b)Cer
ebel
lum

c)Hy
pot
hal
amus

d)Thal
amus

Answer
:a

4.Humansbr
eat
hebynegat
ivepr
essur
e.

a)Tr
ue

b)Fal
se

Answer
:a

5.Thepr
imar
yst
imul
usf
orr
espi
rat
orycent
rei
s__
___
___
___

a)Car
bondi
oxi
deandhy
drogeni
ons

b)Oxy
gengasl
eveli
nbl
ood

c)Oxy
gengasl
eveli
nhemogl
obi
n

d)Consci
ousf
eel
ingf
orneedofoxy
gen

Answer
:a

6.Ther
espi
rat
orycent
resendsoutner
vei
mpul
sest
o__
___
___
__

a)Cont
rolcent
eri
nbr
ain

b)Di
aphr
agm andr
ibcage

c)Car
oti
dandaor
ti
cbodi
es
 d)Muscl
esoft
hebodyt
hatr
egul
atet
heuseofoxy
gen

Answer
:b

7.Emphy
semai
sa_
___
___
___
___
_

a)Neur
aldi
sease

b)Di
gest
ivedi
sor
der

c)Pul
monar
ydi
sease

d)Renaldi
sease

Answer
:c

8.Congest
ionofl
ungsi
noneoft
hemai
nsy
mpt
omsi
n__
___
___

a)Hear
tfai
lur
e

b)Angi
na

c)Hy
pot
ensi
on

d)At
her
oscl
erosi
s

Answer
:d

9.SARSi
s__
___
___

a)Anacut
efor
m ofast
hma

b)Causedbyv
ari
antofCor
onav
irus

c)Causedbyav
ari
antofPneumococcuspneumoni
ae

d)Af
fect
snonv
eget
ari
ansf
ast
er

Answer
:b

10.Al
veol
ibecomeenlargedanddamagedwi
thr
educedsur
facear
eai
nheav
ysmoker
s.
Thi
scondi
ti
oniscall
ed__
__ _
_ _
___
_
 a)Emphy
sema

b)Si
li
cosi
s

c)Ast
hma

d)Br
onchi
ti
s

Answer
:a

11.Ascentofhi
ghmount
ainsmaycauseal
ti
tudesi
cknessi
nmen.Pr
imecausef
ort
hisi
s

a)Decr
easedpr
opor
ti
onofoxy
geni
ntheai
r

b)Decr
easedpar
ti
alpr
essur
eofoxy
gen

c)Decr
easedef
fi
ciencyofhemogl
obi
n

d)ExcessCO2i
nbl
ood

Answer
:b

12.I
ncr
easedast
hmat
icat
tacksi
ncer
tai
nseasonsar
erel
atedt
o__
___
___

a)Lowt
emper
atur
es

b)I
nhal
ati
onofseasonalpol
lens

c)Eat
ingf
rui
tspr
eser
vedi
ncont
ainer
s

d)Hotandhumi
denv
ironment

Answer
:b

13.Whichofthefol
lowingi
sadi
sor
deri
nwhi
chcel
ldi
vi
siont
akespl
acewi
thoutany
cont
rolandcausestumor?

a)Br
onchicancer

b)Br
onchi
olescancer

c)Lungcancer

d)Emphy
sema
 Answer
:c

14.St
rept
hroati
sav
irali
nfect
ion.

a)Tr
ue

b)Fal
se

Answer
:b

15.Tuber
cul
osi
scannotbet
reat
edbyant
ibi
oti
cs.

a)Tr
ue

b)Fal
se

Answer
:a

16.Whyismoni
tor
ingr
espi
rat
oryst
atusanur
singpr
ior
it
ywhenacl
ientwi
thCOPDi
s
r
ecei
vingoxy
gen?

A.Hy
per
vent
il
ati
onl
eadi
ngt
orespi
rat
oryal
kal
osi
sandl
ossofconsci
ousnessi
sar
isk.

B.Asuddeni
ncr
easei
nar
ter
ial
oxy
gencanpr
eci
pit
atedi
aphr
agmat
icspasms.

C.Decr
easedar
ter
ialoxy
geni
sthest
imul
usf
orbr
eat
hingi
nacl
ientwi
thCOPD.

D.Oxy
genadmi
nist
rat
ioncant
ri
ggerr
efl
exbr
onchospasm.

17.Whi
chl
abor
ator
yresul
tsar
econsi
stentwi
thl
ong-
ter
m COPD?Mar
kal
lthatappl
y.

A.Er
ythr
ocy
tosi
s B.Hy
poxemi
a C.Hy
per
capni
a

D.Leukopeni
a

18.Acl
ientwi
thCOPDcompl
ainsofheadachesanda“
raci
ng”hear
t;hei
sal
sor
est
less

andsomewhatconf
used.Whi
chpr
obl
em woul
dthenur
sesuspect
?

A.Respi
rat
oryaci
dosi
s B.Respi
rat
oryal
kal
osi
s
 C.Met
abol
icaci
dosi
s D.Met
abol
ical
kal
osi
s

19.Acli
entwithahist
oryofCOPDcompl ai
nsofi ncr
easedshort
nessofbreathandhas
wheezingnoteduponauscult
ati
on.Thecl
ienti
sadmi nist
eredanebul
izertr
eatmentof
Albut
erolandAtr
ovent.Whicheval
uati
onwouldindi
cat eather
apeut
icresponsetothi
s
tr
eatment?

A.I
ncr
easei
nwheezi
nguponauscul
tat
ion

B.Pi
nkf
rot
hysput
um

C.Decr
easei
nshor
tnessofbr
eat
h

D.Decr
easei
nhear
trat
e.

20.Acl
ienthasbeenprescr
ibedt
heophy
ll
ine(Theo-
24)f
orCOPD.Di
schar
gei
nst
ruct
ions
shoul
dincl
udetheint
eract
ionofwhichoft
hefoll
owing:

A.Ni
cot
inet
ransder
malpat
ches

B.Fosi
nopr
il(
Monopr
il
)

C.Adv
airDi
skus250/
50

D.Cl
opi
dogr
el(
Plav
ix)

21.Acli
entwit
hadiagnosi
sofchronicobstr
ucti
vepul
monarydi
sease(COPD)i
sbeing
di
schargedfr
om thehospi
tal
.Whichofthefol
lowingi
sappropr
iat
epat
ientt
eachi
ngbef
ore
di
scharge?

A.“
Makesur
etouseahumi
dif
ieri
nyourr
oom whi
ley
ousl
eep.
”

B.“
Appl
ypowdert
oal
lcr
evi
cest
opr
eventy
eastwhi
let
aki
ngor
alst
eroi
ds.
”

C.“
Tur
ntheoxy
genupt
onomor
ethan6Li
fyouar
eshor
tofbr
eat
h.”

D.“
Usey
ouri
nhal
ersev
erydayasdi
rect
edev
eni
fsy
mpt
omsar
enotpr
esent
.”

22.Anel
der
lypost
oper
ati
vecl
ienthasahi
stor
yofchr
oni
cobst
ruct
ivepul
monar
ydi
sease.
Basedonthi
shi
stor
y,t
henur
sei
sespeci
all
yconcer
nedwi
thmoni
tor
ingt
hecl
ientf
orwhi
ch
probl
em?

A.Aspi
rat
ion B.Del
ir
ium C.Decr
easedgasexchange

D.Posi
ti
oni
ngdi
ff
icul
ty

23.Acli
enthasCOPDandabar
relchest
.Whi
chf
indi
ngwoul
dthenur
seexpectwhen
assessi
ngthechest
?

A.Par
adoxi
calchestmov
ement

B.Pr
esenceofaf
ri
cti
onr
ub

C.Decr
easedr
espi
rat
oryexcur
sion

D.Absentbr
eat
hsounds

24.Whichst
atementmadebyacli
entwi
thCOPDafterbeingt
aughtaboutt
heuseof
pur
sed-l
ipbr
eathi
ngindi
cat
estheneedf
oraddi
ti
onali
nst
ructi
on?

A.“
Iwi
llmakesur
etopuf
fmycheeksoutwhenIbr
eat
heoutt
hroughmymout
h.”

B.“
Iwi
llsetmyl
ipsf
orbr
eat
hingoutl
ikeIam goi
ngt
owhi
stl
e.”

C.“
Breat
hingoutshoul
dtakemet
wiceasl
ongasbr
eat
hingi
n.”

D.“
Iwi
llnev
erhol
dmybr
eat
hwhent
ryi
ngt
oli
ftsomet
hingheav
y.”

25.Whi
chwoul
dbeanexpect
edef
fectofr
esi
sti
vebr
eat
hingt
rai
ningi
nacl
ientwi
th
COPD?

A.Ener
gyconser
vat
ion

B.I
ncr
easedoxy
gensat
urat
ion

C.Decr
easedhy
per
car
bia

D.I
ncr
easedr
espi
rat
orymuscl
est
rengt
h

26.Acl
ientwi
thpneumoni
aisr
ecei
vi
ngsuppl
ement
aloxy
gen,
2L/
minv
ianasalcannul
a.
Thecli
ent’shistor
yincl
udeschroni
cobstr
ucti
vepul
monarydisease(COPD)andcoronar
y
art
erydi
sease.Becauseoft hesefi
ndi
ngs,t
henursecl
osel
ymoni tor
stheoxygenf
lowandthe
cl
ient
’srespirat
orystat
us.Whichcompli
cati
onmayari
seifthecli
entrecei
vesahi
ghoxygen
concent
ration?

A.Apnea B.Angi
nalpai
n C.Respi
rat
oryal
kal
osi
s

D.Met
abol
icaci
dosi
s

27.Anel
derl
ycl
ientisonanantichol
iner
gicmetered-
doseinhal
er(
MDI
)forchr
oni
c
obst
ructi
vepul
monarydisease.Thenursewouldsuggestaspacerto

A.Enhancet
headmi
nist
rat
ionoft
hemedi
cat
ion

B.I
ncr
easecl
ientcompl
iance

C.I
mpr
oveaer
osoldel
iv
eryi
ncl
i
ent
swhoar
enotabl
etocoor
dinat
etheMDI

D.Pr
eventexacer
bat
ionofCOPD

28.Thenurseenterst
her oom ofacli
entdi
agnosedwit
hCOPD.Thecli
ent
’sski
nispi
nk,
andrespi
rati
onsare8permi nute.Thecl
ient’
soxygeni
srunni
ngat6l
it
ersperminut
e.What
shoul
dbet henurse’
sfir
stacti
on?

A.Cal
ltheheal
thcar
epr
ovi
der
.

B.Putt
hecl
ienti
nFowl
er’
sposi
ti
on.

C.Lowert
heoxy
genr
ate.

D.Taket
hev
italsi
gns.

29.Acl i
entwithchroni
cobstruct
ivepul
monarydisease(COPD)andahist
oryofcor
onar
y
art
erydiseaseisrecei
vingaminophyll
ine,
25mg/hour
.Whi choneofthef
oll
owingfi
ndi
ngsby
thenursewoul dr
equireimmediateint
ervent
ion?

A.Decr
easedbl
oodpr
essur
eandr
espi
rat
ion

B.Fl
ushi
ngandheadache

C.Rest
lessnessandpal
pit
ati
ons
 D.I
ncr
easedhear
trat
eandbl
oodpr
essur
e

30.I
nrest
ri
cti
vedi
sease(
e.g.pul
monar
yfi
brosi
s),
___
_.I
nobst
ruct
ivedi
sease
(
e.g.
asthmaorCOPD),_
___.

A.RVi
sincr
eased;
TLCi
sdecr
eased.

B.RVi
sdecr
eased;
TLCi
sincr
eased.

C.TLCi
sincr
eased;
RVi
sdecr
eased.

D.TLCi
sdecr
eased;
RVi
sincr
eased.

31.I
npati
ent
swithchroni
cobstr
ucti
vepulmonar
ydisease(
COPD)
,theequalpr
essur
e
poi
ntcanbefoundcl
osertotheal
veolusatanyl
ungvolume.

A.Yes B.Notr
eal
ly C.Ver
yrar
ely D.Notatal
l

32.Sl
owlyadapt
ingpul
monar
yst
ret
chf
iber
sar
eusef
uli
npat
ient
swi
thCOPDorai
rway
obst
ructi
onbecausethey
:

A.Al
lowf
oral
ongeri
nspi
rat
oryphase.

B.Al
lowf
oral
ongerexpi
rat
oryphase.

C.Causeashor
teri
nspi
rat
oryphase

D.Causeashor
terexpi
rat
oryphase

E.I
ncr
easet
heant
eri
or-
post
eri
orchestwal
ldi
mensi
on

33.Apati
entpresent
swithacuteexacerbat
ionofchronicbronchi
ti
sassoci
atedwith
COPD.Ift
her
eisevidenceofbacter
iali
nfecti
on(e.g.
,purul
entsputum),whi
chofthefol
lowing
ant
ibi
oti
cswouldNOTber ecommendedf ort
reat
ment ?

A.Cl
indamy
cin(
Cleoci
n)

B.TMP-
SMX(
Bact
ri
m)

C.Lev
ofl
oxaci
n(Lev
aqui
n)
 D.Doxy
cycl
ine(
Vibr
amy
cin)

34.Whati
sthemostcommoncauseoft
hechr
oni
cobst
ruct
ivepul
monar
ydi
sease
(
COPD)?

A.Br
onchi
ect
asi
s

B.Chr
oni
cbr
onchi
ti
s

C.Ci
gar
ett
esmoki
ng

D.Emphy
sema

E.Ast
hma

35.ACOPDpati
entpr
esent
swit
hast
eri
xis.Sev
erehy
per
car
biai
ssuspect
ed.Whatot
her
sy
mptomsmightt
hepati
enthav
e?

A.Ret
ini
ti
spi
gment
osa

B.Conj
unct
ivalsuf
fusi
on

C.Tempor
alar
ter
it
is

D.Ret
inaldet
achment

E.St
rabi
smus

36.
Whati
sther
easonf
ori
nfl
ati
ngt
racheost
omycuf
foft
hepat
ient
?

a.I
tal
lowst
otal
k b.I
tpr
event
saspi
rat
ion

cI
tismor
ecomf
ort
abl
e d.I
tpr
event
sski
nbr
eakdown

eI
tpr
event
sski
nbr
eakdown

37.Whatist
henameoft
her
idgeofcar
ti
lageoft
racheawhi
chdi
vi
dest
olef
tandr
ight
mai
nbr onchi
?

a.Angl
eofVi
ll
i
 b.Medi
ast
inum

cEpi
glot
ti
s

d.Car
ina

38.Howl
ongaf
tert
uber
cul
inski
ntest
,thenur
sewi
llassesst
heski
n?

a.Af
ter1week b.Af
ter1day c.Af
te48hour
s

d.Af
ter1hour

39.Whydoest
hev
italcapaci
tyi
slowdur
ingpr
egnancy
?

a.Chestexpansi
ondecr
easesasabdomi
nalsi
zei
ncr
eases

b.Chestexpansi
ondecr
easesasabdomi
nalsi
zedecr
eases.

c.Chestexpansi
oni
ncr
easesasabdomi
nalsi
zedecr
eases.

d.Chestexpansi
oni
ncr
easesasabdomi
nalsi
zei
ncr
eases.

40.Whi
chi
sthecommonsi
deef
fectofi
nject
ionami
nophy
ll
ine?

a.Doubl
evi
sion b.Tachy
car
dia c.Vomi
ti
ng

d.Hy
pot
ensi
on

41.Whichoft
hef
oll
owi
ngpul
seoxi
met
ryr
eadi
ngi
ndi
cat
espat
ienthasi
nef
fect
ivet
issue
per
fusi
on?

a.95t
o100% b.85t
o90% c.95t
o100mmHg

d.85t
o90mmHg

42.Whati
stheexpect
edact
ionofsal
but
amolnebul
izat
ion?

a.Ant
ibi
oti
c b.St
imul
ant
s. C.Br
onchodi
alat
or

d.St
imul
ant
s.
 43.Whi
chisthefol
lowingi
sthecommonsi
deef
fectoft
hef
ir
stgener
ati
onant
ihi
stami
ne
coughsyrupl
ikebenadr
y l
?

a.Depr
essi
on b.
Drowsi
ness c.Di
arr
hea

d.Const
ipat
ion

44.Whati
sthenor
malETCO2v
alueofani
ntubat
edpat
ient
?

a.5t
o10mm ofHg. b.22t
o26mm ofHg.

c.
35t
o45mm ofHg. d.
15t
o20mm ofHg

45.Whi
choft
hef
oll
owi
ngi
sacl
assi
csy
mpt
om ofpl
eur
isyassoci
atedwi
thpneumoni
a?

a.Pai
nonbr
eat
hing b.Tachy
car
dia c.Cy
anot
icnai
ls

d.Hy
per
pyr
exi
a

46.Whati
sthenor
malPaCO2l
evelofar
ter
ialbl
ood?

a.80t
o100mm ofHg. b.22t
o26mm ofHg.

c.
35t
o45mm ofHg. d.7.
35t
o7.
45

47.Whi
chki
ndofv
ent
il
atori
nvent
edf
ir
st?

a.Sy
nchr
oni
zedI
nter
mit
tentv
ent
il
ator
.

b.Vol
umecont
rolv
ent
il
ator
.

c.Posi
ti
vepr
essur
event
il
ator

d.Negat
ivepr
essur
event
il
ator

48.Howl
ongt
henur
seappl
iessuct
ionwhi
ledoi
ngpat
ient
'st
racheost
omysuct
ion?

a.1t
o3sec. b.15t
o20sec. c.10t
o12sec.

d.5t
o7sec.
 49.Howdoy
oucal
cul
atemi
nut
evol
umeormi
nut
event
il
ati
onofar
espi
rat
ionofcl
ient
?

a.Respi
rat
oryr
atemul
ti
pli
edbyst
rokev
olume

b.Respi
rat
oryr
atemul
ti
pli
edbyt
idalv
olume.

c.Respi
rat
oryr
atemul
ti
pli
edbyi
nspi
rat
orypr
essur
e.

d.Respi
rat
oryr
atemul
ti
pli
edbyLungcapaci
ty.

50.Howshoul
dthenur
seposi
ti
ont
hepat
ientunder
goi
ngt
hor
acent
esi
s?

a.Supi
ne b.KneeChest c.Pr
one d.Si
tt
ing

51.Whi
chofthefol
lowi
ngassessmenti
ndi
cat
es,
pat
ient
'sgoi
ngt
oanaphy
laxi
sand
r
equi
resimmedi
atetr
eatment?

a.CoolSki
n b.Headache c.Br
eat
hingDi
ff
icul
ty

d.Sor
eThr
oat

52.Whi
choft
henur
singact
ioni
simpor
tantbef
orepat
ienthav
ingchestx-
ray
?

a.Sedat
ion b.Ni
lperor
al c.Swal
lowcont
rastdy
e

d.Remov
emet
alneckl
ace

53.I
nwhatr
ateoxy
genwi
lladmi
nist
ert
oachr
oni
cemphy
semapat
ient
?

a.7Li
ter
s/mi
nut
e. b.10Li
ter
s/mi
nut
e.

c.5Li
ter
s/mi
nut
e. d.2Li
ter
s/mi
nut
e.

54.Whi
chi
sthebestt
imet
ocol
l
ectsput
um sampl
e?

a.Bef
oreameal b.Onawakeni
ng c.Af
terameal

d.Bef
orebedt
ime
 55.Whati
sthedanger
ouscompl
icat
ionofpr
olongeduseofmechani
calv
ent
il
ator
s?

a.Hy
pot
ensi
on b.Respi
rat
oryal
kal
osi
s

c.Car
diacar
rest

d.Vent
il
atorassoci
atedpneumoni
aorVAP

56Acl
ientwit
hbacteri
alpneumoni
aistobestart
edonanti
biot
icther
apy.Whichoft
he
f
oll
owi
ngdiagnosti
ctestmustbecomplet
edbeforebegi
nni
ngantibi
oti
ctherapy
?

a.Ur
ineanal
ysi
s b.Sput
um cul
tur
e c.Chestr
adi
ogr
aph d.RBCcount

57.Whenshoul
dthenur
secol
lectt
hesampl
eforsput
um anal
ysi
s?

a.Att
heev
eni
ng

b.Justaf
tert
hebr
eakf
ast

c.Ear
lymor
ning

d.Af
teraer
osolt
her
apy

58.Whi
char
ter
yist
hemostpr
efer
edonef
orar
ter
ialpunct
ureofABGanal
ysi
s?

a.Femor
al

b.Radi
al

c.Br
achi
al

d.I
nter
nali
li
ac

59.Whi
cht
estshoul
dbedonebef
oredoi
ngar
ter
ialpunct
ureatr
adi
alar
ter
y?

aAl
len’
stest

b.Romber
g’st
est
 c.Queckenst
edt
’st
est

d.Cal
ori
ctest

60.I
dent
if
ythecor
rectnur
singi
nter
vent
ionf
orapat
ientaf
terbr
onchoscopy
?

a.I
ncr
easef
lui
dint
ae

b.Moni
torur
ineout
pur

c.
Giv
eor
alf
lui
donl
yaf
tert
her
etur
nofgagr
efl
ex

d.Mai
ntai
nNPOf
or1day

61.Apati
entwit
hshort
nessofbreat
hisbeingt
est
edf
orl
ungcancer
.Whi
choft
he
f
oll
owingdi
agnosti
ctestwi
llbemostconcl
usi
ve?

a.ChestX-
ray b.MRI c.Sput
um cul
tur
e d.Bi
opsy

62.I
nacl
ientwi
thchestt
ube,
lackoff
luct
uat
ionofwat
eri
nawat
ersealchamberoccur
s
duet
o?

a.Ki
nki
ngoft
ube b.Reexpansi
onofl
ung c.Bot
haandb

d.Noneoft
hese

63.Howt
oensur
ethati
nter
cost
aldr
ainaget
ubei
sfunct
ioni
ng?

a.Cont
inuousbubbl
ingi
nwat
ersealbot
tl
e

b.Cont
inuousbubbl
ingf
rom suct
iont
ube

c.Osci
ll
ati
onofwat
ercol
umni
ndr
ainagebot
tl
e

d.Nobubbl
ingi
nthedr
ainagebot
tl
e

64.DVTr
ender
saper
sonatar
iskof
?
 a.Pul
monar
yembol
ism b.Shock c.St
roke d.Hear
tat
tac

65.Respi
rat
orydr
ivei
nCOPDpat
ienti
s?

a.Oxy
gen b.Car
bondi
oxi
de c.PO2 d.pHoft
hebl
ood.

66.Whi
choft
hef
oll
owi
ngcondi
ti
onl
eadst
orespi
rat
oryaci
dosi
s?

a.Hy
per
vent
il
ati
on

b.Emphy
sema

c.Pai
n

d.RenalPai
n

67.Whi
choft
hef
oll
owi
ngcondi
ti
onl
eadst
orespi
rat
oryal
kal
osi
s?

a.Br
onchi
ect
asi
s

b.Fev
er

c.Vomi
ti
ng

d.Col
ost
omy

68.Whi
choft
hef
oll
owi
ngi
ster
medasr
espi
rat
oryf
unct
ioni
ndi
cat
or?

a.PO2

b.PCO2

c.Sat
urat
ion

d.Bi
car
bonat
eion

69.ABGshowspH7.45,
PCO232mmHg,
bicar
bonat
elev
el22mEq/
L.Whi
choft
he
f
oll
owingcondi
ti
oni
sexpect
ed?

a.Met
abol
icaci
dosi
s,compensat
ed

b.Met
abol
ical
kal
osi
s,uncompensat
ed
 c.Respi
rat
oryal
kal
osi
s,compensat
ed

d.Respi
rat
oryaci
dosi
s,uncompensat
ed

70.I
nhy
per
capni
athePCO2i
sgr
eat
ert
hant
hatof
?

a.35mmHg

b.45mmHg

c.40mmHg

d.50mmH

•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•Theend•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
=•>
 Post
-Rn1stsemest
er.

Subj
:Adv
anceconcepti
nNur
sing.

Uni
t:5,
Adv
anceNur
singmanagementf
orGast
roi
ntest
inal
disor
der
s..

Pr
epar
edbyAbdul
l
ah(BsNunder
graduat
e).

Que1.Whi
chi
sthel
ongestsegmentoft
hedi
gest
ivesy
stem i
nthehumanbody
?

(
a)Pancr
eat
icduct

(
b)Smal
lint
est
ine

(
c)Lar
gei
ntest
ine

d)Esophagus

Ans-(
b)Smal
lint
est
ine

Que2.Whi
choft
hef
oll
owi
ngEnzy
mei
nthehumanbodyst
art
sthedi
gest
ionofpr
otei
ns?

(
a)Tr
ypsi
n

(
b)Lact
ose

(
c)Pepsi
n

(
d)Noneoft
hese

Ans-(
c)Pepsi
n

Que3.Whi
choneofthefol
lowinggl
andsisresponsibl
eforpr
oduci
ngi
nsul
in,
themai
n
hor
moneinthebodyr
esponsibl
eforsugarmetabol
ism?

(
a)Pancr
eas
(
b)Pi
tui
tar
ygl
ands

(
c)Sal
iv
arygl
ands

(
d)I
ntest
inalgl
ands

Ans-
(a)Pancr
eas

Que4.Themaj
ori
tyoft
hewat
erf
rom t
hei
ndi
gest
ibl
efoodi
sabsor
bedi
nthe_
___
___
?

(
a)St
omach

(
b)Foodpi
pe

(
c)Pancr
eas

(
d)Lar
geI
ntest
ine

Ans-(
d)Lar
geI
ntest
ine

Que5.Whi
choft
hef
oll
owi
ngpor
ti
onoft
hest
omachopensi
ntot
hesmal
lint
est
ine?

(
a)Car
diacpor
ti
on

(
b)Fundi
cpor
ti
on

(
c)Py
lor
icpor
ti
on

(
d)Bodypor
ti
on

Ans-(
c)Py
lor
icpor
ti
on

Que6.Wher
edot
hemaj
ori
tyoft
hedi
gest
ivepr
ocessesoccur
?

(
a)Smal
lint
est
ine

(
b)Lar
gei
ntest
ine

(
c)St
omach
(
d)Noneoft
heabov
e

Ans-
(a)Smal
lint
est
ine

Que7.Whi
chhy
drol
yti
cenzy
mesr
eacti
nal
owpHenv
ironment
?

(
a)Per
oxi
dases

(
b)Hy
drol
ases

(
c)Amy
lases

(
d)Pr
oteases

Ans-(
d)Pr
oteases

Que8Wher
eisbi
lej
uicef
ormedi
nthehumanbody
?

(
a)Ki
dney

(
b)Sal
iv
aryGl
and

(
c)Li
ver

(
d)Lung

Ans-
(c)Li
ver

Que9.Whi
choft
hef
oll
owi
ngi
snotahumansal
iv
arygl
and?

(
a)Par
oti
d

(
b)Submaxi
ll
ary

(
c)Subl
ingual

(
d)I
nfr
a-or
bit
al

Ans.(
d)I
nfr
a-or
bit
al
Que10.Whi
choft
hef
oll
owi
ngpar
tsoft
hehumanbodysecr
etest
heenzy
me“
Diast
ase”
?

(
a)Or
alCav
ity

(
b)St
omach

(
c)i
leum

(
d)Duodenum

Ans-
(a)Or
alCav
ity

Que11.Whi
choft
hef
oll
owi
ngor
gansi
saf
fect
edbyt
hei
ll
nessci
rr
hosi
s?

(
a)Ki
dney

(
b)Li
ver

(
c)Pancr
eas

(
d)Smal
lint
est
ine

Ans-
(b)Li
ver

Que12.TheRenni
nenzy
mei
ssecr
etedi
nwhi
choft
hef
oll
owi
ngar
easoft
heAl
iment
ary
Canal
?

(
a)St
omach

(
b)Mout
h

(
c)Pancr
eas

(
d)Duodenum

Ans-
(a)St
omach

Que13.Whi
choft
hef
oll
owi
ngi
smadeandst
oredi
nthel
iv
ercel
ls?
(
a)Gal
act
ose

(
b)Lact
ose

(
c)Gl
ycogen

(
d)Ar
abi
nose

Ans-(
c)Gl
ycogen

Que14.Whi
chdi
seasei
scausedbyani
cot
ini
caci
ddef
ici
ency
?

(
a)Anemi
a

(
b)Ost
eomal
aci
a

(
c)Xer
opht
hal
mia

(
d)Pel
lagr
a

Que16.Whati
sthepr
ocedur
efori
ngest
ingf
oodknownas_
___
___
___
_?

(
a)Di
gest
ion

(
b)Assi
mil
ati
on

(
c)I
ngest
ion

(
d)Egest
ion√

Ans-(
c)I
ngest
ion

Que18.Pr
otei
nist
ransf
ormedaf
terdi
gest
ioni
nto

(
a)Gl
ucose

(
b)Sucr
ose

(
c)Fat
(
d)Ami
noAci
d

Ans-
(d)Ami
noaci
ds.

Que19.Whi
chpancr
eat
iccel
lsar
esecr
etedbyI
nsul
i
nhor
mone?

(
a)α–cel
ls

(
b)β–cel
ls

(
c)Del
tacel
ls

(
d)Gammacel
ls

Ans-
(b)β–cel
ls

Que20.Themaj
ori
tyoff
atdi
gest
iont
akespl
acei
n

(
a)Rect
um

(
b)Smal
lint
est
ine

(
c)Duodenum

(
d)St
omach

Ans-
(b)Smal
lint
est
ine,

1.Fol
lowi
ngar
enotassoci
atedwi
thgl
ossody
niaexcept
:

a)
Her
peszost
er b)
Ranul
a c)
Candi
diasi
s d)
Leukopl
aki
a

2.
Macr
ogl
ssi
amaybeseeni
n

a)Gr
ebesy
ndr
ome b)Cohensy
ndr
ome

c)Pr
ader
-Wi
ll
isy
ndr
ome (
d)Beckwi
th-
Moon-
BiedlSy
ndr
ome
3.
Commonestpr
ecancer
ousl
esi
oni
nthemout
h

a)Leukopl
eki
a b)Submucousf
ibr
osi
s

c)Bowen’
sdi
sease d)Sy
phi
li
ti
cgl
ossi
ti
s

4.
Commonestcauseofxer
ost
omi
a

a)Vi
tami
nAdef
ici
ency b)
Kwar
shi
orkar c)
Vir
ali
nfect
ions

d)
Drugs

5.
Dysphagi
aisanear
lysy
mpt
om of

a)a/
crheumat
icf
ever b)a/
cchol
ecy
sti
ti
s

c)Scl
eroder
ma d)Lei
omy
omaoft
heoeosophagus

6.
Char
act
erofPat
erson-
Kel
lysy
ndr
ome:

a)Spont
aneousr
upt
ureofoesophagus b)Hy
pochr
omi
canaemi
a

c)Oesophagealdi
ver
ti
cul
ae d)Gi
ngi
vi
ti
s

7.
Mostcommoncompl
icat
ionofachal
asi
acar
dia

a)Recur
rentpul
monar
yinf
ect
ions b)Oesophagealst
ri
ctur
e

c)Pl
eur
isy d)Pept
icul
cer

8.
Gol
dst
andar
dinv
est
igat
ioni
nthedi
agnosi
sofr
efl
uxoesophagi
ti
sis

a)24hourpHmoni
tor
ing b)Endoscopy
c)Bi
opsy d)Oesophaphagealmanomet
ry

9.
Regar
dingcongeni
talhy
per
trophi
cpy
lor
icst
enosi
s,al
lar
etr
ueexcept
:

a)Met
abol
icaci
dosi
s b)I
nconst
antl
ump

c)Regur
git
ati
onandv
omi
ti
ng d)Hy
pochol
ermi
cal
kal
osi
s

10.
Consi
dert
hef
oll
owi
ngr
egar
dinggast
ri
caci
drel
ease

(
i) Hy
per
gly
caemi
ainhi
bit
sgast
ri
caci
dsecr
eti
on

(
ii
) Somat
ost
ati
nst
imul
atesr
eleaseofpar
acr
ineef
fect

(
ii
i)
Gast
ri
nisapot
entst
imul
atorofgast
ri
caci
dsecr
eti
on

(
iv)
Pri
nci
palf
orm ofgast
ri
ninant
ralmucosai
sit
shepat
adecapept
idef
orm(
G-17)

Oft
heset
hecor
rectst
atement
sar
e

a)i
i,
ii
i,
iv b)i
,
ii
i,
iv c)i
,
ii
,i
ii d)i
,
ii
,i
v

11.pHofgast
ri
caci
d

a)1.
5-2 b)0.
5-2.
5 c)2.
5-3 d)3-
3.5

12.
Wel
l-
mar
kedper
iodi
cit
yofcompl
aint
sisseeni
n

a)Gast
ri
cul
cer b)Duodenalul
cer

c)Mal
lor
y-Wei
sssy
ndr
ome d)
Zol
li
nger
-El
li
sonsy
ndr
ome

13.
TrueaboutHel
icobact
erpy
lor
iisal
lexcept

a)Spl
it
sur
ea&pr
oducesNH3t
osur
viv
e b)Pr
oducesCAst
omach

c)Cag-
Agenei
snotassoci
atedwi
tht
her
iskofduodenalul
cer
d)Wi
thc/
cinf
ect
ion,
ureasebr
eat
htestbecomesnegat
ive

e)Gast
ri
cmucosai
sresi
stantt
ohi
ghl
evel
sofaci
dini
tsabsence

14.
Pept
icul
ceri
sassoci
atedwi
thal
lexcept

a)Hy
per
par
athy
roi
dism b)Ci
rr
hosi
s

c)Z-
Esy
ndr
ome d)Per
nici
ousanaemi
a

15.
Allar
etr
ueaboutduodenalul
cerexcept
:

a)Wel
l-
mar
kedper
iodi
cit
y b)Pai
noccur
s2hour
saf
terf
ood

c)
commoni
n‘O’
bloodgr
oup d)Vomi
ti
ngi
sthemai
nfeat
ure

e)Mel
enamor
ecommont
hanhaemat
emesi
s

16.
CommonestcauseofHaemat
emesi
sis

a)CAduodenum b)CAst
omachc)a/
cly
mphat
icl
eukaemi
a

d)I
diopat
hict
hrombocy
topeni
a e)Por
talhy
per
tensi
on

17.
Whi
choft
hef
oll
owi
ngi
spr
ecancer
ous

a)c/
cgast
ri
ti
s b)Gast
ri
cul
cer

c)Per
nici
ousanaemi
a d)Zol
li
nger
-El
li
sonsy
ndr
ome

18.
Mostcommonsi
teofgast
ri
ccar
cinomai
s

a)Car
dia b)Fundus c)Bodyd)
Pyl
orus

19.
Diar
rhoeai
sapr
esent
ati
oni
nwhi
cht
ypeofgast
ri
cmal
ignancy
-
a)Ul
cer
ati
ve b)Di
ff
usei
nfi
lt
rat
ive c)Local
isedi
nfi
lt
rat
ive d)Fungat
ingmass

20.
Mostsensi
ti
vet
echni
quef
orear
lydi
agnosi
sofCAst
omach

a)Gast
ri
clav
age b)Cl
ini
calhi
stor
y

c)Fi
bro-
opt
icendoscopy d)Phy
sicalexami
nat
ion

21.A26-
yearoldinthefi
rsttr
imesterofpregnancyhasbeenadmit
tedint
hehospi
talwi
th
ret
chi
ng&r epeatedvomiti
ngwithlargehaematemesis.Herpul
serat
eis126/
mtandBPi s80
mm ofHgsy stol
e.Themostl i
kel
ydiagnosisis

a)Mal
lor
y-Wei
sssy
ndr
ome b)Bl
eedi
ngf
rom oesophagealv
ari
ces

c)Pept
icul
cer d)Hi
atusher
nia

22.
Commonestcauseofa/
cint
est
inalobst
ruct
ioni
na30-
year
-ol
dIndi
anl
adyi
s

a)CAcol
on b)TBi
ntest
ine c)For
eignbodyd)Pol
yp

23.
Fal
seaboutCoel
iacdi
sease

a)Occur
sbet
weent
heagesof1and3 b)Jej
unalbi
opsyshowssubv
il
lousat
rophy

c)Abnor
malschi
ll
ingt
est d)Nor
malD-
xyl
oset
est

24.
Xyl
oseabsor
pti
ont
est
sar
eagoodscr
eenf
or

a)Fatabsor
pti
on b)Per
nici
ousanaemi
a

c)Car
bohy
drat
eabsor
pti
on d)Ami
noaci
dabsor
pti
on

25.
Smal
lint
est
inalbi
opsyi
sneededf
ort
hedi
agnosi
sof
a)Coel
iacdi
sease b)Regi
onali
lei
ti
s c)
Argent
aff
inomaofi
ntest
ine

d)Ly
mphomaofi
ntest
ine e)none

26.
Cli
nicalf
eat
uresofWhi
ppl
e’sdi
seasei
ncl
udesal
lexcept

a)Epi
sodi
cinf
lammat
oryar
thr
it
isofl
argej
oint
s b)Opht
hal
mopl
egi
a

c)Ski
npi
gment
ati
on d)Usual
lyaf
fect
sfemal
es e)Ocul
omast
icat
orymy
ocl
onus

27.
Inwhi
chi
sseen“
Gutdy
sfunct
ioni
ntheabsenceofdemonst
rabl
eor
gani
cpat
hol
ogy
”

a)Chol
era b)
Dysent
ery c)
IBS d)
Div
ert
icul
it
iscol
i

28.
Ir
ri
tabl
eBowelSy
ndr
omei
ncl
udesal
lthef
oll
owi
ngexcept

a)Di
arr
hoea b)Const
ipat
ionc)Abdomi
naldi
str
ess d)Under
lyi
ngCA

29.
Whi
chhast
hel
eastchanceofmal
ignancy

a)Adenomat
ouspol
yp b)Vi
ll
ousadenoma

c)Peut
z-Jegher
’ssy
ndr
ome d)
Fami
li
alcol
oni
cpol
yposi
s

30.
Crohn’
sdi
seasei
schar
act
eri
sedbyal
lexcept

a)Pr
edomi
nat
lymal
esar
eaf
fect
ed b)
Pyoder
magangr
enosa

c)Mi
grat
orypol
yar
thr
it
is d)
Ski
plesi
ons

31.
Toxi
cmegacol
onoccur
sinpat
ient
swi
th

a)Chol
era b)Tr
opi
cal
spr
ue c)
Typhoi
dfev
erd)Ul
cer
ati
vecol
it
is
32.
Indi
cat
ionsf
orcol
onoscopyi
ncl
ude

a)LowerGI
Tbl
eedi
ng b)I
nfl
ammat
oryboweldi
sease

c)Remov
alofpol
yporf
orei
gnbodi
es d)Al
l

33.
Amountofst
ercobi
li
nogenexcr
etedi
nthest
ool
/dayi
sabout

a)10-
20mg b)50-
80mg c)100-
200mg d)250-
300mg

34.
Steat
orr
hoeaoccur
sinal
lexcept

a)Coel
iacdi
sease b)Lact
osei
ntol
erance c)Chr
oni
cli
verdi
sease

d)c/
cpancr
eat
it
is d)
Bli
ndl
oopsy
ndr
ome

35.
Cur
rantj
ell
yst
ool
sar
eusual
lyassoci
atedwi
th

a)Appendi
cit
is b)I
ntussuscept
ion

c)Ent
erocol
it
is d)Hi
rschspr
ung’
sdi
sease

36.
Alumi
nium pai
ntst
ooli
schar
act
eri
sti
cof

a)Hi
rschspr
ung’
sdi
sease b)Gast
ri
cCA c)per
iampul
lar
ycancerd)
all

37.
InMur
phy
’st
ri
ad,
theor
derofappear
anceofsy
mpt
omsi
s

a)Pai
nfi
rst
,vomi
ti
ngnext
,fev
erl
ast

b)Vomi
ti
ngf
ir
st,
fev
ernext
,pai
nlast

c)Fev
erf
ir
st,
pai
nnext
,vomi
ti
ngl
ast

d)Pai
nfi
rst
,fev
ernext
,vomi
ti
ngl
ast

38.
Menghi
ni’
sneedl
eisusedi
ndoi
ng
a)Pl
eur
alaspi
rat
ion b)Lumbarpunct
ure c)St
ernalpunct
ure d)Li
verbi
opsy

39.
Tri
adofSchul
tzconsi
stsoft
hef
oll
owi
ngexcept
:

a)Jaundi
ce b)Chol
est
asi
s c)Gangr
enous d)Leukopeni
a

40.
Ant
imi
tochondr
ialant
ibodyoccur
sinabout%ofpat
ient
sofpr
imar
ybi
li
aryci
rr
hosi
s

a)60 b)70 c)85 d)95

41.
FrequencyofEnt
erohepat
icci
rcul
ati
oni
sabout
:

a)1/
day b)5/
day c)10/
day d)20/
day

42.
Amountofur
obi
li
nogenpassedi
nur
ine/
dayi
sabout
:

a)1mg b)4mg c)8mg d)12mg

43.
Char
cot
’st
ri
adi
ncl
udesal
lexcept
:

a)Fl
uct
uat
ingj
aundi
ce b)Recur
rentpai
n

c)Bi
li
ousv
omi
ti
ng d)I
nter
mit
tentf
everwi
thr
igor
s

44.
Tri
adofpor
talhy
per
tensi
oni
ncl
udeal
lexcept
:

a)Asci
tes b)Hepat
omegal
y c)Spl
enomegal
y d)Oesophagealv
ari
ces

45.
InI
ndi
anchi
ldhoodci
rr
hosi
s,t
hemostcommonbi
ochemi
calchangeseeni
sthat
:

a)S.Cul
eveli
ncr
easedwhi
leS.Znl
eveldecr
eased

b)Bot
hS.CuandS.Znl
evel
sdecr
eased
c)S.Cul
eveldecr
easedwhi
leS.Znl
eveli
ncr
eased

d)Bot
hS.Cul
evelandS.Znl
eveli
ncr
eased

46.Par
amet
eri
nLFTsuggest
iveofa/
cpar
enchy
mall
iv
erdamagei
s

a)Decr
easedS.al
bumi
n b)i
ncr
easedal
kal
inephosphat
ase

c)I
ncr
easedSGPT d)i
ncr
easedaci
dphosphat
ase

47.
Char
act
eri
sti
cfeat
ureofasci
tesduet
ouncompl
i
cat
edci
rr
hosi
s:

a)Pr
otei
n<10g/
L b)Pr
otei
n<25g/
Lc)Pr
otei
n>25g/
L d)Pr
otei
n>50g/
L

48.
Asci
tesi
nci
rr
hosi
sofl
iv
eri
sduet
o:

(
i)Por
talhy
per
tensi
on

(
ii
)Hy
poal
bumi
naemi
a

(
ii
i)I
nappr
opr
iat
eADHsecr
eti
on

(
iv)Secondar
yhy
per
aldost
eroni
sm

a)i
,i
i,
ii
iar
ecor
rect b)i
,i
i,
ivar
ecor
rect

c)i
i,
ii
i,
ivar
ecor
rect d)i
,i
ii
,i
var
ecor
rect

49.Thedi
ffer
encebet
weenc/
cact
iveandc/
cper
sist
enthepat
it
is,
thef
ormerhasal
lthe
featur
esexcept
:

a)+v
ehepat
it
isBsur
faceant
igen b)
presenceofr
enalt
ubul
araci
dosi
s

c)Li
verbi
opsyshowi
ngmononucl
eari
nfi
lt
rat
ionar
oundpor
talzones

d)
+veant
inucl
earf
act
or e)
twot
imesel
evat
ionoft
ransami
nases

50.
Inapat
ientwi
thl
iv
erci
rr
hosi
s,haemat
emesi
sandmel
enaoccurduet
o
(
i)
Bleedi
ngoesophagealv
ari
ces(
ii
)Abnor
malcl
ott
ingmechani
sm

(
ii
)Duodenalul
cer
ati
on (
iv)Hepat
icv
eint
hrombosi
s

a)i
,i
i,
ii
i b)i
i,
ii
i,
iv c)i
,i
ii
,i
v d)i
,i
i,
iv

51.
Cli
nicalf
eat
uresoff
ulmi
nanthepat
it
isi
ncl
udeal
loft
hef
oll
owi
ngexcept

a)Ver
yhi
ghser
um bi
li
rubi
n b)
Evi
denceofhepat
icencephal
opat
hy

c)Suddendecr
easei
nsi
zeofl
iv
er

d)I
ncr
easei
npr
othr
ombi
nti
menotr
esponsi
vet
ovi
tami
nK

e)Hi
ghf
ever
,sev
ereabdomi
nalpai
n&v
omi
ti
ngsev
eralday
saf
teri
nit
iat
ionofbedr
est

52.
Sai
nt’
str
iadi
ncl
udesal
loft
hef
oll
owi
ngexcept

a)
Gal
lst
ones b)
Hiat
usher
niac)Di
ver
ti
cul
osi
sd)
Cir
rhosi
soft
hel
iv
er

53.
Leuci
neami
nopept
idasei
sel
evat
edwi
tht
heobst
ruct
ionoft
he

a)Smal
lint
est
ine b)l
argei
ntest
ine c)commonbi
leduct d)por
talv
ein

54.
Incr
easei
nspl
eensi
ze,
ret
icul
ocy
tosi
sandunconj
ugat
edhy
per
bil
ir
ubi
nemi
ais:

a)Haemol
yti
canaemi
a b)Spl
eni
cvei
nthr
ombosi
s

c)Pr
oceedi
ngl
iv
erf
ail
ure d)My
elof
ibr
osi
s

55.
Oni
onski
nspl
eeni
sseeni
n:

a)I
TP b)Thal
assemi
a c)SLE d)Scl
eroder
ma

56.
Spl
eni
cinf
arct
ioni
sassoci
atedwi
th
a)Par
oxy
smalnoct
urnalhaemogl
obi
nur
ia b)c/
cmy
eloi
dleukaemi
a

c)I
nfect
iousmononucl
eosi
s d)Ty
phoi
dfev
er

57.
Mal
absor
pti
onofpancr
eat
icor
igi
nischar
act
eri
sedby

a)I
rondef
ici
encyanaemi
a b)Hi
ghf
aecalf
atcont
ent c)Hi
ghur
inar
yindi
cans

d)
<than20%excr
eti
oni
nur
ineofanor
all
oadofD-
Xyl
ose e)
Lowser
um B12

58.
Ina/
cpancr
eat
it
is,
thef
alsest
atementi
s

a) Ser
um amy
lasel
evel
sar
ewi
thi
nnor
mall
imi
tsi
nabout1/
5thoft
hepat
ient
s

b) Hy
pocal
caemi
aimpl
i
espoorpr
ognosi
s

c) Pai
nisal
way
spr
esent d)pr
ogr
essi
ngt
oaf
atalout
come

59.
Fol
lowi
ngar
esi
gnsofgr
avepr
ognosi
sofa/
cpancr
eat
ici
nsuf
fi
ciencyexcept

a)Age<40y
rs b)WBCcount>10,
000/
mm3

c)Basedef
ici
t>4mg/
L d)Ri
sei
nBUN>5mg%i
n24hr
s

60.
Whi
chv
itami
nisdef
ici
enti
npancr
eat
ici
nsuf
fi
ciency
?

a)Vi
tAb)Vi
tB1 c)Vi
tB12 d)Vi
tC

61.
Lundht
estdet
ermi
nes

a)Tr
ypt
icact
ivi
tyofpancr
eat
icj
uiceb)Unconj
ugat
edbi
li
rubi
n

c)Conj
ugat
edbi
li
rubi
n d)LDLl
eveli
nser
um

62.
Maj
orcr
it
eri
afort
hedi
agnosi
sofcy
sti
cfi
brosi
sofpancr
eas(
CF)i
ncl
udeal
lexcept
a)Sweatchl
ori
deexceedi
ng60meq/
Linchi
ldr
en&80meq/
Linadul
ts

b)Ev
idenceofr
enali
nvol
vement c)Obst
ruct
iveazoosper
mia d)none

63.
InCAofampul
laofv
ater,
theear
li
estsy
mpt
om i
susual
ly

a)Mel
ena b)pai
nradi
ati
ngt
otheback

c)Obst
ruct
ivej
aundi
ce d)di
abet
es

64.
Inf
ect
ionbyal
lthef
oll
owi
ngagent
scanr
esul
tinci
rr
hosi
sofl
iv
erexcept
:

a)Hepat
it
isAv
irus b)Hepat
it
isBv
irus c)Hepat
it
iscv
irus d)Schi
stosomi
asi
s

65.
Inamoebi
cdy
sent
ery
,mosti
mpor
tantf
ordi
agnosi
sis

a)I
sol
ati
onofE.hi
stol
yti
caonexami
nat
ionofst
ool

b)I
sol
ati
onofv
eget
ati
vef
ormsofEHi
nst
ool

c)Det
ermi
nat
ionofpHofst
ool

d)Pr
esenceofpuscel
lsi
nst
ool

66.
Pat
hogenesi
sofchol
erai
sby

a)St
imul
ati
ngsmal
lint
est
inet
osecr
etel
argequant
it
iesoff
lui
d

b)Ul
cer
ati
onofmucosaofi
ntest
ine c)I
nhi
bit
ionofabsor
pti
onoff
lui
ds

d)none

67.
Indi
cat
orofact
iver
epl
icat
ionofhepat
it
isBv
irusi
s

a)HbsAg b)
HbcAg c)
HbeAg d)
none

68.
Menet
ri
er’
sdi
seasei
schar
act
eri
zedby
a)Dy
sphagi
a b)Gi
anthy
per
trophyofgast
ri
crugae

c)Di
ver
ti
cul
osi
soft
hegast
ri
cmucosa d)Aut
osonmaldomi
nanti
nher
it
ance

69.
Mat
cht
hef
oll
owi
ng

A)Cr
ohn’
sdi
sease (
i)Doubl
ebubbl
esi
gn

B)Ul
cer
ati
vecol
it
is (
ii
)Ber
nst
eint
est

C)Duodenalat
resi
a (
ii
i)Leadpi
pecol
on

D)Ref
luxoesophagi
ti
s (
iv)St
ri
ngsi
gn

a)A-i
ii
,B-i
v,C-i
i,
D–i

b)A-
iv,
B-i
ii
,C–i
,D-i
i

c)A–i
ii
,B–i
,C-i
v,D-i
i

d)A–i
v,B–i
,C-i
i,
D-i
ii

70.
Thef
oll
owi
ngcausesdi
stensi
onofabdomen:

a)Hir
schspr
ung’
sdisease b)hy
pokal
aemi
a c)Hy
per
kal
aemi
a
d)hy
pomagnesmia

71.
Lact
asedef
ici
encymaybeseeni
nthef
oll
owi
ngexcept

a)
Rot
avi
rusi
nfect
ion b)
Giar
diasi
s c)
CF d)
chol
era

72.
Highconcent
rat
ionsofS.al
kal
inephosphat
asei
sfoundi
nal
lexcept

a)Obst
ruct
ivej
aundi
ce b)
Paget
’sdi
seaseofbone

c)
Hyper
par
athy
roi
dism d)Met
ast
ati
ctumour
sinbone e)none

73.
Subst
ancer
esponsi
blef
orGI
Tdi
stur
bancesofcar
cinoi
dsy
ndr
ome

a)
Pancr
eozy
min b)Secr
eti
n c)Ser
otoni
n d)
Gast
ri
n
74.Pr
uri
ti
sisseeni
nal
lexcept
:

a)Hodgki
n’sl
ymphoma b)Obst
ruct
ivej
aundi
ce c)Pr
imar
ybi
li
aryci
rr
hosi
s
d)Leadpoi
soning

75.
Usef
uli
nvest
igat
ioni
npat
ient
swi
thj
aundi
ce

a)Or
alchol
ecy
stogr
aphy b)
Per
cut
aneoust
ranshepat
icchol
angi
ogr
aphy

b)ERCP d)I
.Vchol
angi
ogr
aphy e)anyoft
heabov
e

<•
=••
=•=•
=•=•
=•=•
=•=•
=•=•
=•=•
•••
=•=•
=••
=••
•=•
====•
•••
=•===•
•••
••======•
•••
••>

76)Al
loft
hef
oll
owi
ngdr
ugsactbyr
educi
nggast
ri
caci
dsecr
eti
on,
Except
:

a)Omepr
azol
e

b)Famot
idi
ne

c)Pi
renzepi
ne

d)Sucr
alf
ate

77)Thef
oll
owi
ngst
atementaboutOmepr
azol
eist
rue,
Except
:

a)I
tishi
ghl
ypl
asmapr
otei
n-bound

b)I
tsbi
oav
ail
abi
li
tyi
snotaf
fect
edbyf
ood

c)I
tismet
abol
izedbyt
hel
iv
er

d)I
tpr
ovi
desl
ong-
last
ingaci
dsuppr
essi
on

78)Whi
choft
hef
oll
owi
ngdr
ugshav
eanant
i-
andr
ogeni
cef
fect
?

a)Rani
ti
dine

b)Ci
met
idi
ne
c)Famot
idi
ne

d)Ni
zat
idi
ne

79)Al
loft
hef
oll
owi
ngst
atement
saboutant
aci
dar
etr
ue,
Except
:

a)Weakbasest
hatneut
ral
izegast
ri
cpH

b)I
nhi
bit
sthef
ormat
ionofpepsi
n

c)Al
umi
num ant
aci
dscausedi
arr
heaandmagnesi
um ant
aci
dscauseconst
ipat
ion

d)Al
umi
num ant
aci
dscauseconst
ipat
ionandmagnesi
um ant
aci
dscausedi
arr
hea

80)Thef
oll
owi
ngant
iemet
icactbybl
ocki
ngD2r
ecept
ori
ntheCTZ:

a)Met
ocl
opr
ami
de

b)Ci
sapr
ide

c)Chl
orpr
omazi
ne

d)Domper
idone

81)………………..
..
..
int
erf
ereswi
thmostoft
heCYP450enzy
mesandt
husl
eadst
omanydr
ug
i
nter
acti
ons.

a)Famot
idi
ne

b)Omepr
azol
e

c)Ondanset
ron

d)Ci
met
idi
ne

82)Whi
choneoft
hef
oll
owi
ngi
sthel
essf
requentsi
deef
fectofMet
roni
dazol
e?

a)Anor
exi
a

b)Met
all
ict
ast
e

c)Gl
ossi
ti
s
d)Abdomi
nalcr
amps

83)Thedr
ugofchoicef
orsi
ngl
e-doset
reat
mentofonchocer
ciasi
sandst
rongy
loi
diasi
sis
……………...
..
..
..
..
..
..
?

a)I
ver
mect
in

b)Di
ethy
lcar
bamazi
neci
tr
ate

c)Tet
rami
sol
e

d)Ni
closami
de

84)Whi
choft
hef
oll
owi
ngi
sast
oolsof
tenert
hathasnoef
fectonf
at-
sol
ubl
evi
tami
ns?

a)Cast
oroi
l

b)Docusat
esodi
um

c)Cascar
aSagr
ada

d)Phenol
pht
hal
ein

85)Al
loft
hef
oll
owi
ngar
ether
ati
onal
eofORScomposi
ti
on,
Except
:

a)I
tisi
sot
oni
c

b)Gl
ucosef
aci
li
tat
esNa+absor
pti
on

c)EnoughK+t
orepl
eni
shl
ossesi
nloosest
ool

d)Al
loft
heabov
e

86)Whi
choft
hef
oll
owi
ngl
axat
ivel
ower
sbl
oodammoni
alev
elsi
nhepat
icencephal
opat
hy?

a)Lact
ulose

b)Li
qui
dpar
aff
in

c)Magnesi
um sul
fat
e

d)Bi
sacody
l
87)Whi
choneoft
hef
oll
owi
ngst
atement
sforAl
bendazol
eisnott
rue?

a)Absor
pti
onmaybeenhancedbyadmi
nist
rat
ionwi
thaf
att
ymeal

b)I
nhi
bit
smi
crot
ubul
epol
ymer
izat
ion

c)Doesnotunder
gof
ir
st-
passmet
abol
ism

d)El
imi
nat
edi
nthebi
le

88)Al
loft
hef
oll
owi
ngar
ethemechani
sm ofact
ionofmet
ocl
opr
ami
deexcept

a)D2ant
agoni
sm

b)5-
HT4agoni
sm

c)5-
HT3ant
agoni
sm

d)5-
HT4ant
agoni
sm

89)Whi
choft
hef
oll
owi
ngi
sthemostef
fect
ivedr
ugf
ormot
ionsi
ckness?

a)Hy
osci
ne

b)Chl
orpr
omazi
ne

c)Pr
ochl
orper
azi
ne

d)Hal
oper
idol

90)Al
loft
hef
oll
owi
ngdescr
ibest
hedr
ugi
nter
act
ionwi
thmet
ocl
opr
ami
deexcept

a)I
ncr
easesabsor
pti
onofaspi
ri
n

b)Reducesabsor
pti
onofdi
goxi
n

c)Addi
ti
vesedat
iveef
fect
soccurwhent
akenwi
thsedat
ive

d)aandb

e)a,
bandc
91)Tar
div
edy
ski
nesi
aisamaj
oradv
erseef
fectof……………….
..
..
..
..

a)Ci
sapr
ide

d)Pr
omet
hazi
ne

c)Hy
osci
ne

d)Met
ocl
opr
ami
de

92)Al
loft
hef
oll
owi
ngar
eexampl
esofst
imul
antpur
gat
ives,
Except

a)Lact
ulose

b)Bi
sacody
l

c)Senna

d)Cast
oroi
l

93)Fol
lowi
ngsar
ethei
ndi
cat
ionsofOct
reot
ideexcept
:

a)Secr
etor
ydi
arr
headuet
ocar
cinoi
dtumor

b)Di
arr
headuet
ovagot
omy

c)Di
arr
headuet
oshor
tbowelsy
ndr
ome

d)Acut
edi
arr
hea

94)Whi
choneoft
hef
oll
owi
ngdr
ugi
nter
act
ionswi
thant
i-
diar
rhealagent
sisnott
rue?

a)Adsorbent
sincr
easet
heabsor
pti
onofdr
ugsl
ikedi
goxi
n,qui
nidi
ne,
cli
ndamy
cin,
and
hypogl
ycemicagents

b)Adsor
bent
scausei
ncr
easedbl
eedi
ngt
imewhengi
venal
ongwi
thant
icoagul
ant
s

c)Ant
aci
dscandecr
easet
heef
fect
sofant
ichol
iner
gicant
i-
diar
rhealdr
ugs

d)Adsorbent
sdecreaset
heabsor
pti
onofdr
ugsl
ikedi
goxi
n,qui
nidi
ne,
cli
ndamy
cin,
and
hypogl
ycemicagents
95)Chooset
hecor
rectdr
ugandi
tsmodeofact
ioncombi
nat
ions:

a)Li
qui
dpar
aff
in:st
oolsof
tener

b)Bi
sacody
l:osmot
icpur
gat
ive

c)Lact
ulose:osmot
icpur
gat
ive

d)I
spaghul
a:bul
k-f
ormi
ng

<•
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 PostRN1stsemest
er.

Subj
:Adv
anceconcepti
nnur
sing.

Uni
t#6,
Nur
singmanagementf
orGeni
tour
inar
ysy
stem di
sor
der
.

Pr
epar
edbyAbdul
lah(Bsnunder
graduat
e).

1. Anor
ganorst
ruct
uret
hati
snotacomponentoft
heur
inar
ysy
stem i
sthe:

A.Ur
ethr
a.

B.Ur
inar
ybl
adder
.

C.Ur
eter
.

D.Adr
enalgl
and.

E.Ki
dney
.

2. Theki
dney
sar
e:

A.Hel
pregul
atebl
oodv
olume.

B.Hel
pcont
rolbl
oodpr
essur
e.

C.Hel
pcont
rolPH.

D.Al
loft
heabov
ear
ecor
rect
.

3. Al
loft
hef
oll
owi
ngbel
ongt
otheur
inar
ysy
stem except
:

A.Ur
ethr
a.

B.Ur
eter
.

C.Bl
adder
.

D.Pr
ost
ate.
4. Theur
inar
ysy
stem i
sthepr
inci
palsy
stem r
esponsi
blef
or:

A.Remov
alofcar
bondi
oxi
de.

B.Wat
erandel
ect
rol
ytebal
ance.

C.Excr
eti
onoft
oxi
cni
tr
ogenouscompounds.

D.AandB

E.BandC

F. A,
B,andC

5. Thest
ruct
uret
hatconnect
saki
dneyt
otheur
inar
ybl
adderi
sthe

A.Ur
eter
.

B.Ur
ethr
a.

C.Renalpel
vi
s.

D.Col
lect
ingduct
.

6. Whatpor
ti
onoft
henephr
onext
endsi
ntot
hemedul
la?

A.Nephr
onl
oop.

B.Pr
oxi
malconv
olut
edt
ubul
e.

C.Di
stalconv
olut
edt
ubul
e.

D.Papi
ll
aryduct
.

7. Thef
unct
ionaluni
toft
heki
dneyi
scal
leda

A.Gl
omer
ulus.

B.Nephr
on.

C.Cor
puscl
e.
 D.Cal
yx.

8. Whi
choft
hef
oll
owi
ngst
atement
sconcer
ningt
heki
dney
sisf
alse?

A.Theyar
eret
roper
it
oneal
.

B.Theyeachcont
ain8t
o15r
enalpy
rami
ds.

C.Theyeachhav
eadi
sti
nctr
enalcor
texandr
enalmedul
lar
egi
on.

D.Theyar
eposi
ti
onedbet
weent
het
hir
dandf
if
thl
umbar
.

9. Whichoft
hefol
lowingist
hecor
rectsequencei
nwhi
chur
inef
lowst
hrought
heki
dney
towar
dtheuri
nar
ybladder?

A.Renalpel
vi
s,maj
orcal
yx,
minorcal
yx,
papi
ll
aryduct
,ur
eter
.

B.Papi
ll
aryduct
,mi
norcal
yx,
maj
orcal
yx,
renalpel
vi
s,ur
eter
.

C.Mi
norcal
yx,
maj
orcal
yx,
papi
ll
aryduct
,renalpel
vi
s,ur
eter
.

D.Papi
ll
aryduct
,maj
orcal
yx,
minorcal
yx,
uret
er,
renalpel
vi
s.

10.
Whi
choft
hef
oll
owi
ngst
atement
sconcer
ningt
heur
eter
sisf
alse?

A.Themucosaofeachur
eteri
scomposedoft
ransi
ti
onalepi
thel
ium.

B.Theyar
ecomposedoft
hreet
uni
cs.

C.Muscul
arper
ist
alt
icwav
esmov
eur
inet
hrought
heur
eter
s.

D.Theyar
elocat
edwi
thi
ntheper
it
onealcav
ity
.

11.
Themi
ctur
it
ionr
efl
excent
eri
slocat
edi
nthe:

A.ki
dney
.

B.cer
ebr
um.

C.sacr
alsegmentoft
hespi
nalcor
d.

D.ur
inar
ybl
adder
.
 E.hy
pot
hal
amus.

12.
Alloft
hef
oll
owi
ngst
atement
sar
eTr
uer
elat
edt
otheur
ethr
aofamal
eexcept
:

A.I
tser
vesbot
htheur
inar
yandr
epr
oduct
ivesy
stems.

B.I
tcont
ainsasi
ngl
eur
ethr
alsphi
nct
erneart
heneckoft
heur
inar
ybl
adder
.

C.I
trecei
vessecr
eti
onsf
rom t
hebul
bour
ethr
algl
ands.

D.I
tconsi
stsoft
hreedi
sti
nctr
egi
ons.

E.I
tisappr
oxi
mat
ely20cm l
ongi
nanadul
t.

13.
Whi
choft
hef
oll
owi
ngi
sthepr
opersequenceofst
ruct
uresi
nthenephr
on?

A.Gl
omer
ulus,
proxi
malconv
olut
edt
ubul
e,di
stalconv
olut
edt
ubul
e,nephr
onl
oop.

B.Gl
omer
ulus,
nephr
onl
oop,
proxi
malconv
olut
edt
ubul
e,di
stalconv
olut
edt
ubul
e.

C.Gl
omer
ulus,
proxi
malconv
olut
edt
ubul
e,nephr
onl
oop,
dist
alconv
olut
edt
ubul
e.

D.Pr
oxi
malconv
olut
edt
ubul
e,gl
omer
ulus,
nephr
onl
oop,
dist
alconv
olut
edt
ubul
e.

14.
Fibr
ousconnect
ivet
issuet
hatsur
roundseachki
dneyi
sthe:

A.Cor
tex.

B.Hi
lum.

C.Medul
la.

D.Renalcapsul
e.

E.Renalpy
rami
ds.

15.
Theapexoft
her
enalpy
rami
discal
ledt
he:

A.Maj
orcal
yx.

B.Mi
norcal
yx
 C.Renalpapi
ll
a.

D.Renalpel
vi
s.

E.Ur
eter
.

16.
Thet
uftofcapi
ll
ari
esi
nther
enalcor
puscl
eiscal
ledt
he

A.Podocy
tes.

B.Gl
omer
ulus.

C.Cal
yx.

D.Renalpy
rami
d.

E.Renalsi
nus.

17.Thel
ocat
ionoft
heki
dney
sinr
elat
ionshi
ptot
heper
it
oneall
ini
ngoft
heabdomi
nalcav
ityi
s
ref
erret
oas

A.Ret
roper
it
oneal
.

B.Ret
roabdomi
nal
.

C.Post
eri
or.

D.Dor
sal
.

18.Thetr
iangul
arareaoft
heur
inar
ybl
adderbet
weent
het
wour
eter
spost
eri
orl
yandt
he
urethr
aanteri
orl
yisthe

A.Ext
ernalur
inar
ysphi
nct
er.

B.I
nter
nalur
inar
ysphi
nct
er.

C.Smoot
hmuscl
e.

D.Tr
ansi
ti
onalepi
thel
ium.

E.Tr
igone.
19.Thel
astpar
tofanephr
oni
sthe_
___
_.

A)Col
lect
ingDuct

B)Renalpapi
ll
a

C)Di
stalconv
olut
edt
ubul
e

D)Gl
omer
ulus

20.Whi
char
eaact
ual
lysecr
etesr
eni
nint
othebl
ood?

A)Macul
adensa

B)Juxt
agl
omer
ularappar
atus

C)Juxt
agl
omer
ularcel
ls

D)Cor
ti
calnephr
on

21.Whi
chbl
oodv
esselconv
eysbl
oodoutoft
henephr
on?

A)Ef
fer
entar
ter
iol
e

B)Vasar
ect
a

C)Per
it
ubul
arcapi
ll
ary

D)I
nter
lobul
arv
ein

22.Whi
chbl
oodv
essel
ssur
roundt
hel
oopsofHenl
e?

A)Vasar
ect
a

B)Per
it
ubul
arcapi
ll
ari
es
C)I
nter
lobul
arar
ter
ies

D)Ef
fer
entar
ter
iol
es

23.Whi
choft
hef
oll
owi
ngar
enotf
oundi
nthegl
omer
ularf
il
tr
ate?

A)Gl
ucose

B)Pr
otei
n

C)Ur
icaci
d

D)Cr
eat
ini
ne

24.Whi
chmuscl
emet
abol
ism wast
epr
oducti
sel
imi
nat
edbyt
heki
dney
s?

A)Ur
ea

B)Ur
icaci
d

C)Cr
eat
ine

D)Cr
eat
ini
ne

25.Whi
choft
hesehast
hehi
ghestconcent
rat
ioni
ntheur
ine?

A)Gl
ucose

B)Sodi
um

C)Ur
icaci
d

D)Phosphat
e

26.Whi
chi
oni
sreabsor
bedi
nexchangef
orsodi
um?

A)Chl
ori
de B)Pot
assi
um C)Cal
cium D)Magnesi
um
27.Whati
stheav
eragegl
omer
ularf
il
tr
ati
onr
ate?

A)10Lperday

B)180Lperday

C)1,
500mlperday

D)1mlpermi
nut
e

28.Whi
choft
hef
oll
owi
ngi
susual
lynotf
oundi
ntheur
ine?

A)Magnesi
um

B)Ur
ea

C)Ur
icaci
d

D)Gl
ucose

29.Howmuchur
inei
sfor
medi
n24hour
s?

A)12l
it
ers

B)100ml

C)1.
5L

D)3,
000cc

30.Reni
nact
son_
___
_toconv
erti
ttoangi
otensi
nI.

A)Angi
otensi
nII

B)Angi
otensi
nogen

C)ACE

D)Al
dost
erone
31.Thet
arget
sofangi
otensi
nIIar
ebl
oodv
essel
sand_
___
_.

A)Ner
ves

B)Adr
enalcor
tex

C)Adr
enalmedul
la

D)Ki
dneynephr
on

32.Tubul
arr
e-absor
pti
onoccur
sfr
om t
henephr
ont
ubul
esi
ntot
he_
___
_.

A)LoopofHenl
e

B)Per
it
ubul
arcapi
ll
ari
es

C)Renalcor
puscl
e

D)Renalpy
rami
d

33.Mostt
ubul
arr
e-absor
pti
onoccur
satt
he_
___
_.

A)LoopofHenl
e

B)Di
stalconv
olut
edt
ubul
e

C)Pr
oxi
malconv
olut
edt
ubul
e

D)Gl
omer
ulus

34.Wher
ear
emostmi
cro-
vil
lif
ound?

A)LoopofHenl
e

B)Di
stalconv
olut
edt
ubul
e

C)LoopofHenl
e

D)Pr
oxi
malconv
olut
edt
ubul
e
35.Whi
choft
hef
oll
owi
ngoccur
redbyact
ivet
ranspor
t?

A)Al
bumi
nint
heur
ine

B)Cr
eat
ini
nei
ntheur
ine

C)Re-
absor
pti
onofwat
eratt
hepr
oxi
malt
ubul
e

D)Re-
absor
pti
onofami
noaci
ds

36.Whi
choft
hesedoesnotoper
ateunderar
enalt
hreshol
dmechani
sm?

A)Cr
eat
ini
ne

B)Ascor
bicaci
d

C)Sodi
um

D)Ci
tr
icaci
d

37.Theact
ionofal
dost
eronei
stoi
ncr
ease_
___
_.

A)Sodi
um el
imi
nat
ion

B)Sodi
um r
eabsor
pti
on

C)Pot
assi
um r
eabsor
pti
on

D)Chl
ori
deexcr
eti
on

38.Howmuchsodi
um i
sact
ivel
yreabsor
bedbyt
hepr
oxi
malsegmentoft
henephr
on?

A)10%

B)1%

C)70%

D)99%
39.Theout
ermostcov
eri
ngoft
heki
dneyi
sthe_
___
_.

A)Cor
tex

B)Medul
la

C)Pel
vi
s

D)Capsul
e

40.Theki
dney
sar
elocat
edi
nthe_
___
_space.

A)Pel
vi
ccav
ity

B)Per
it
onealcav
ity

C)Abdomi
nal

D)Ret
ro-
per
it
oneal

41.Theent
rancei
ntot
heki
dneyi
scal
ledt
he_
___
_.

A)Si
nus

B)Col
umn

C)Hi
lum

D)Py
rami
d

42.Whi
chst
ruct
urei
sthef
ir
stt
ocol
l
ectt
heur
ine?

A)Pel
vi
s

B)Cal
yx

C)Ur
eter

D)Ur
ethr
a
43.Eachmi
norcal
yxr
ecei
vesur
inef
rom t
he_
___
_.

A)Renalpapi
ll
ae

B)Pel
vi
s

C)Ur
eter

D)Col
umns

44.Ther
enalpy
rami
dsar
elocat
edwi
thi
nthe_
___
_.

A)Col
umn

B)Cor
tex

C)Medul
la

D)Pel
vi
s

45.Thest
ri
atedappear
anceoft
hepy
rami
dsi
scausedby_
___
_.

A)Par
all
elbl
oodv
essel
s

B)Mi
cro-
tubul
es

C)Connect
ivet
issue

D)Ner
vef
iber
s

46.Theki
dneysecr
etes_
__f
ort
hepur
poseofst
imul
ati
ngbonemar
rowact
ivi
ty.

A)Reni
n

B)Al
dost
erone

C)Er
ythr
opoi
eti
n

D)Somat
omedi
n
47.Theki
dneysecr
etes_
__,
whi
chi
sanenzy
mehor
monet
hatr
aisesbl
oodpr
essur
e.

A)Al
dost
erone

B)Reni
n

C)Angi
otensi
nogen

D)Angi
otensi
nII

48.Ur
icaci
dresul
tsf
rom _
___
_met
abol
ism.

A)Pr
otei
n

B)Car
bohy
drat
e

C)Pur
ine

D)Py
rimi
dine

49.Renal
secr
eti
onofacompoundusual
lyoccur
sfr
om t
he_
___
_int
othedi
stalconv
olut
ed
tubul
e.

A)LoopofHenl
e

B)Gl
omer
ulus

C)Vasar
ect
a

D)Per
it
ubul
arcapi
ll
ari
es

50.Whi
choft
hesei
snotusual
lysecr
etedbyt
heki
dney
s?

A)Cr
eat
ine

B)Cr
eat
ini
ne

C)H+

D)Peni
cil
li
n
51.Thecompoundusedt
oassesst
hef
unct
ionoft
heki
dneyatt
hel
eveloft
hegl
omer
ulusi
s
___
__.

A)Cr
eat
ini
ne

B)I
nsul
in

C)Par
a-ami
nohi
ppur
icaci
d

D)Cr
eat
ine

52.Whi
choft
hesecoul
dappeari
ntheur
inef
rom di
eti
ngort
heut
il
izat
ionofexcessl
ipi
ds?

A)Ur
ea

B)Ur
icaci
d

C)Gl
yci
ne

D)Ket
one

53.Vi
gor
ousexer
cisecoul
drel
easehi
ghamount
sof_
___
_int
otheur
ine.

A)Gl
ucose

B)Ur
icaci
d

C)Al
bumi
n

D)Ascor
bicaci
d

54.Whatcausesur
inet
ofl
owf
rom t
heki
dney
stot
hebl
adder
?

A)Gr
avi
ty

B)Hy
drost
ati
cpr
essur
e

C)Per
ist
alsi
s

D)Osmot
icpr
essur
e
55.Renalcal
cul
iar
eusual
lycompr
isedoft
hef
oll
owi
ngexceptwhi
chone?

A)Cal
cium oxal
ate

B)Chol
est
erol

C)Ur
icaci
d

D)Magnesi
um phosphat
e

56.Themucosaoft
hebl
adderi
scompr
isedof_
___
_.

A)Smoot
hmuscl
e

B)Squamousepi
thel
ium

C)Tr
ansi
ti
onalepi
thel
ium

D)Si
mpl
ecol
umnarepi
thel
ium

57.Whi
choft
hesei
sunderv
olunt
arycont
rol
?

A)Ur
ethr
a

B)Det
rusormuscl
e

C)I
nter
nalsphi
nct
er

D)Ext
ernalsphi
nct
er

58.Themi
ctur
it
ionr
efl
exi
scent
eredi
nthe_
___
_.

A)Medul
la

B)Sacr
alcor
d

C)Hy
pot
hal
amus

D)Lumbarcor
d
59.Whati
sthef
unct
ionoft
her
enalsy
stem?

A)Mai
ntai
nbl
oodpH

B)Regul
atebl
oodpr
essur
e

C)Cont
rolbl
oodconcent
rat
ion

D)Al
loft
hese

60.Howmuchoft
hecar
diacout
putpassest
hrought
heki
dney
s?

A)10%

B)25%

C)50%

D)65%

61.Whi
chbl
oodv
esseldel
iv
ersbl
oodt
othecor
tex?

A)I
nter
lobul
arar
ter
y

B)Ar
cuat
ear
ter
y

C)I
nter
lobarar
ter
y

D)Ef
fer
entar
ter
iol
e

62.Ther
enalcor
puscl
eiscompr
isedofagl
omer
ulusand_
___
_.

A)Pr
oxi
malconv
olut
edt
ubul
e

B)Bowman’
scapsul
e

C)LoopofHenl
e

D)Di
stalconv
olut
edt
ubul
e
63.Whi
chsect
ionoft
henephr
oni
saf
tert
heascendi
ngl
imboft
hel
oopofHenl
e?

A)Descendi
ngl
imboft
hel
oop

B)Pr
oxi
malconv
olut
edt
ubul
e

C)Di
stalconv
olut
edt
ubul
e

D)Col
lect
ingduct

64.Thecount
ercur
rentmul
ti
pli
ermechani
sm occur
satt
he_
___
_.

A)Pr
oxi
malconv
olut
edt
ubul
e

B)LoopofHenl
e

C)Di
stalconv
olut
edt
ubul
e

D)Col
lect
ingduct
s

65.Thef
lui
dint
hedescendi
ngl
imboft
hel
oopofHenl
eis_
___
_rel
ati
vet
othecapi
ll
ari
es.

A)I
sot
oni
c

B)Weakl
yhy
pot
oni
c

C)St
rongl
yhy
pot
oni
c

D)Hy
per
toni
c

66.Thef
unct
ionoft
hecount
ercur
rentmul
ti
pli
eri
sto_
___
_.

A)I
ncr
easet
heconcent
rat
ionofNaCl

B)Decr
easet
heconcent
rat
ionofNaCl

C)Changet
hebl
oodl
evel
sofpot
assi
um

D)Conser
vepot
assi
um
67.Whatef
fectdoesADHhav
eonur
ineout
put
?

A)Mi
nimal

B)I
ncr
eases

C)Decr
eases

D)Mai
ntai
ns

67.Wher
edoesADHhav
eit
sgr
eat
estef
fect
?

A)LoopofHenl
e

B)Pr
oxi
malconv
olut
edt
ubul
e

C)Di
stalconv
olut
edt
ubul
e

D)Gl
omer
ulus

68.Eat
ingl
argeamount
sofmeatwi
l
lincr
easet
hel
evel
sof_
___
_int
hebl
ood.

A)Pr
otei
n

B)Cr
eat
ini
ne

C)Ur
ea

D)Ur
icaci
d

69.Thenur
sei
scar
ingf
oracl
ientwi
thr
enalcal
cul
i.Whi
chphy
sici
anor
derwoul
dbea
PRIORI
TY?

A.Mor
phi
nesul
fat
eascl
ientcont
rol
l
edanal
gesi
a

b.Cont
inuouswar
m compr
essest
othef
lankar
ea

c.Pushor
alf
lui
dsandkeepv
einopen

d.I
ntr
avenousant
ibi
oti
cs
70.Whichmodifi
abler
iskf
act
orshoul
dthenur
sei
dent
if
yfort
hedev
elopmentofcanceroft
he
bl
adderinacl
ient?

a.Ci
gar
ett
esmoki
ng.

b.Par
asi
ti
cinf
ect
ionsoft
hebl
adder
.

c.Pel
vi
cradi
ati
ont
her
apy
.

d.Pr
evi
ousexposur
etochemi
cal
s.

71.Aclientr
ecei
vi
ngper i
tonealdi
aly
sis(
PD)hasout
flowt
hatis100mLlessthanthei
nflow
fortwoconsecut
iveexchanges.Whichofthef
oll
owi
ngact
ionswouldbebestfort
henurseto
takefi
rst?

a.Cont
inuet
omoni
tort
hir
dexchange. b.Changecl
ient
’sposi
ti
on.

c.I
rr
igat
edi
aly
siscat
het
er. d.Checkcl
ient
’sbl
oodpr
essur
e.

72.Thenursetel
lsast
udentnur
set
hatt
henor
malconst
it
uent
sofur
inear
ethef
oll
owi
ng.
Sel
ectal
lthatapply
?

a.Wat
er b.Pr
otei
n c.Ur
ea d.Sodi
um chl
ori
de

e.Ket
ones. f
.Epi
thel
ialcel
ls

73.Thenur seiscoll
ecti
nga24- houruri
nesamplingforcr
eati
ninecl
ear
anceonacl
ient
hospit
alizedwithacuteglomerulonephr
it
is.Whi
lemakingrounds,t
henursel
ear
nst
hatthe
cl
ientdiscardedthe2a.m.v oi
ding.Thenurseshould?

a.Ext
endt
hecol
lect
iont
imet
orepl
acet
hel
astv
oidi
ng

b.Recor
dthei
nfor
mat
ioni
nthecl
ient
’schar
tandcont
inuet
hecol
lect
ion

c.Cont
inuet
hecol
lect
ionasor
der
edbyt
hephy
sici
an

d.Di
scar
dthecol
lect
edur
ine,
obt
ainanewbot
tl
e,andbegi
nthecol
lect
ionagai
n

6.Thenur
sewoul
dassessacl
ientwi
thur
oli
thi
asi
sforwhi
choft
hef
oll
owi
ngsy
mpt
oms?
a.Headache. b.Di
ff
icul
tur
inat
ion c.Absenceofur
ine d.Fl
ankpai
n

74.Thephy
sici
anhasorder
edsever
aldi
agnost
icmeasuresforacli
entwithsuspectedrenal
cal
culi
.Whi
chdiagnost
icmeasur
ehasthehi
ghestsensi
ti
vi
tyfordetect
ingrenalcal
culi
?

a.Ul
tr
asonogr
aphy

b.X-
rayoft
heki
dney
s,ur
eter
,andbl
adder

c.Magnet
icr
esonancei
magi
ng

d.Noncont
rasthel
icalcomput
eri
zedt
omogr
aphy

75.Acli
enti
sadmitt
edwit
hadistendedbl
adderduetothei
nabil
it
ytovoi
d.Thenur
seobtai
ns
anordert
ocathet
eri
zet
hecli
entknowingt
hatgradualempt
yingi
spref
err
edovercompl
ete
emptyi
ngbecauseit

a.Reducest
hepot
ent
ialf
orshock

b.Pr
event
sbl
adderat
rophy

c.Reducest
hei
ntensi
tyofbl
adderspasms

d.Reducest
hepot
ent
ialf
orr
enalcol
lapse

76.TheK+lev
elofaclientinacuterenalf
ail
urei
s6.
8mEq/
L.Whi
cht
reat
ment
swi
lldecr
ease
thepot
assi
um lev
el?Selectal
lthatapply.

a.Al
but
erolsul
fat
e(Vent
oli
n)bynebul
izer
.

b.Kay
exal
ater
etent
ionenema.

c.Rapi
dinf
usi
onof50%dext
rose.

d.Regul
ari
nsul
ini
nD5W.

e.Sodi
um bi
car
bonat
eIV.
77.Thenur
seiscar
ingforacli
entdiagnosedwit
hAcuteRenalFai
lur
e.Whi
chl
abor
ator
y
val
uesaremostsi
gnif
icantf
ordiagnosingAcut
eRenalFai
lur
e?

a.Bi
li
rubi
nandammoni
alev
el. b.BUNandcr
eat
ini
ne.

c.Pot
assi
um andsodi
um. d.WBCandhemogl
obi
n.

78.Acli
entseeni
ntheEmergencyDepart
mentr
eport
spainf
ulur
inat
ion,
frequency
,and
urgency
.Whichoft
hefol
lowi
ngconditi
onswoul
dthenur
sesuspect?

a.Pol
ycy
sti
cki
dneydi
sease. b.Cy
sti
ti
s c.Gl
omer
ulonephr
it
is

d.Renalcal
cul
i

79.Acl i
entwithachroni
curi
nar
ytr
acti
nfect
ion(UTI)i
sschedul
edf
oranumberoflabor
ator
y
test
s.Thenur sewouldnotewhi
cht
estr
esult
st obesteval
uat
ewhet
hert
hekidney
sar ebei
ng
adversel
yaffected?

a.Ser
um pot
assi
um 3.
8mEq/
L

b.Ur
inal
ysi
sspeci
fi
cgr
avi
ty1.
015

c.Ur
inecul
tur
enegat
ive

d.Ser
um cr
eat
ini
ne2.
0mg/
dL

80.A74y ear
-ol
dmaleisadmit
tedduetoinabi
li
tyt
ovoid.Hehasahi st
oryofanenl
arged
prostat
eandhasnotv oi
dedin14hours.Whenassessi
ngf orbl
adderdi
stent
ion,
theBEST
met hodforthenur
setouseistoassessf
or?

a.Lef
tlowerquadr
antdul
lness b.Reboundt
ender
ness

c.Roundedswel
li
ngabov
ethepubi
s d.Ur
inar
ydi
schar

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 Post
-Rn1stsemest
er.

Subj
:Adv
anceconcepti
nnur
sing.

Uni
t:7,
Nur
singmanagementf
ormuscul
oskel
etaldi
sor
der
.

Pr
epar
edbyAbdul
lah(BsNunder
graduat
e).

1.
Howmanybonesar
ether
eint
heav
erageper
son’
sbody
?

a.406. b.206. c.106. d.306

2.
Theskel
etalsy
stem i
smadeupof

a.bones,
joi
nts,
car
ti
lagesandt
endons. b.muscl
esandbones.

c.bones,
hear
tandl
ungs. d.r
ibs,
hear
tandl
ungs

3.
Whi
choft
hef
oll
owi
ngst
atement
sisi
ncor
rect
?

a.bonei
swher
emostbl
oodcel
lsar
emade.

b.bonei
sadr
yandnon-
li
vi
ngsuppor
ti
ngst
ruct
ure.

c.boneser
vesasast
orehousef
orv
ari
ousmi
ner
als.

d.bonepr
otect
sandsuppor
tst
hebodyandi
tsor
gans

4.Thi
sbonepr
otect
sthebr
ain

a.
cer
ebel
lum. b.cer
ebr
um. c.cal
cium. d.cr
ani
um

5.
Ther
ibcage
a.pr
otect
sthehear
tandl
ungs.

b.pr
ovi
desat
tachmentf
ort
hel
ungs.

c.pr
otect
sthest
omach.

d.pr
otect
sthespi
nalcor
d

6.Whatmakesbonessost
rong?

a.si
li
ca. b.car
ti
lage. c.bonemar
row. d.cal
cium andphosphor
us

7.Thedi
ff
erencebet
weencar
ti
lageandbonei
s

a.bonei
samor
epr
imi
ti
vet
issuet
hancar
ti
lage.

b.bonei
srubber
y,andcar
ti
lagei
sfi
rm.

cbonei
sinsi
det
hebody
,andcar
ti
lagei
sout
side.

d.bonei
sfi
rm,
andcar
ti
lagei
srubber
y

8.Thehol
l
owspacei
nthemi
ddl
eofbonesi
sfi
ll
edwi
th

a.compactbonecel
ls. b.bl
oodcel
ls. C.connect
ivecel
ls.

d.cancel
lousbonecel
ls

9.Aj
ointi
sa

a.bal
l-
and-
socket
. b.pl
acewher
etwobonesmeet
.

c.hi
nge. d.pl
acewher
etendonsmeet

10.
Themy
ocar
dium i
smadeupof

a.smoot
hmuscl
es.
b.car
diacmuscl
es.

c.skel
etalmuscl
es.

d.t
endonsandcar
ti
lage.

11.Whatar
ethekeyl
abf
eat
uresi
nost
eomal
aci
a?

A.Normalser
um cal
cium,
nor
malser
um phosphat
e,nor
malPTH,
nor
malal
kal
ine
phosphat
ase

B.↑ser
um cal
cium,
↓ser
um phosphat
e,↑PTH,
↑al
kal
inephosphat
ase

C.↓ser
um cal
cium,
↓ser
um phosphat
e,↑PTH,
↑al
kal
inephosphat
ase

D.
↓ser
um cal
cium ,
↑ser
um phosphat
e,↑PTH,
↑al
kal
inephosphat
ase

12.Sel
ectt
hecause/
sofv
itami
nDdef
ici
ency
.

A.Mi
nimalsunexposur
e

B.Poordi
et

C.Li
verf
ail
ureandr
enalf
ail
ure

D.Mal
absor
pti
on

13.Acut
egoutpresent
saspainf
uli
nfl
ammat
ionoft
hebi
gtoewhi
chi
sref
err
edt
oaspodagr
a.
Whatisanacut
et r
eatmentf
orgout
?

A.Al
lopur
inol

B.Pr
obeneci
d

C.Febuxost
at

D.Col
chi
cine

14Whi
chj
ointdi
seasei
sassoci
atedwi
thmor
ningst
if
fnesst
hati
mpr
oveswi
thact
ivi
ty?
A.Ost
eoar
thr
it
is

B.Gout

C.Rheumat
oidar
thr
it
is(
RA)

D.Anky
losi
ngspondy
li
ti
s

15Sy novi
alfl
uidwassampledf
orajoi
ntcondi
ti
onandrhomboidshapedcr
ystalswi
thweak
posi
ti
v ebi
ref
ri
ngenceunderpol
ari
sedl
ightwer
efound.Whatj
ointdi
seasei
sthisani
ndicat
or
of?

A.Pseudogout

B.Gout

C.Rheumat
oidar
thr
it
is

D.Ost
eoar
thr
it
is

16.Whatbonet
umourisassoci
atedwi
thl
ift
ingofper
iost
eum of
fbonepr
oduci
ngt
heCodman
tr
iangl
eandasunbur
stappear
anceonX-r
ay?

A.Ost
eosar
coma

B.Ost
eoma

C.Ewi
ngsar
coma

D.Chondr
oma

17Whati
sthepat
hogenesi
sofost
eopet
rosi
s(mar
blebonedi
sease)
?

A.Poorost
eocl
astf
unct
ionduet
oacar
boni
canhy
draseI
Imut
ati
on

B.Def
ect
ivemi
ner
ali
zat
ionofost
eoi
d

C.Reduct
ioni
ntr
abecul
arbonemass

D.I
mbalancebet
weenosteocl
astandosteobl
astacti
vit
ywit
hanosteocl
ast
icphase,
ami
xed
ost
eocl
asti
c-ost
eobl
ast
icphasefoll
owedbyanost eobl
ast
icphase
18.Apat ientpresentswit
haheli
otroper ash,amal arrashandGot tr
on'
spapul esonthe
elbowsandknees.Shecannotcombherhai rorclimbt hestairsduetomuscl eweakness.Lab
resultsshowani ncreasedcr
eati
neki nase,positiveantinuclearanti
body(ANA)andant i-
Jo-1
antibody.Biopsyreveal
speri
mysialinfl
ammat i
onwi thper i
fascicul
aratr
ophy.Sheistreated
withcor t
icoster
oids.Whatdi
seasedoest hepatienthav e?

A.Pol
ymy
osi
ti
s

B.X-l
inkedmuscul
ardy
str
ophy

C.Der
mat
omy
osi
ti
s

D.Rheumat
oidar
thr
it
is

19.Achondroplasiaisadisorderofbonewherebyther
eisamutati
oninthefi
brobl
astgrowth
fact
orreceptor3( FGFR3)geneleadingtoimpai
redcart
il
agepr
oli
fer
ationi
nthegrowthplat
e.
Whyisitthataffectedchi
ldrenhaveanor malsi
zedheadandvert
ebralcol
umnwhilstar
ms
andlegsareshor t
ened?

A.Gr
owt
hhor
moneandi
nsul
inl
ikegr
owt
hfact
or1l
evel
sonl
yaf
fectl
ongbones

B.I
ntr
amembr
anousbonef
ormat
ion(
fl
atbones)v
sendochondr
albonef
ormat
ion(
longbones)

C.Fl
atbonesar
elesssuscept
ibl
etof
ract
ure

D.Di
ff
erencei
nbonedensi
ty

20.Onbiopsy,
amosai
cpat
ter
nofl
amel
larbonei
srev
eal
ed.Whatdi
seasei
sassoci
atedwi
th
theser
esult
s?

A.Ost
eopor
osi
s

B.Si
ckl
ecel
ldi
sease

C.Paget
'sdi
seaseofbone

D.
Ost
eopet
rosi
s

21.Whatbonedi
sor
deri
scausedbyanaut
osomaldomi
nantdef
ecti
nthesy
nthesi
sof
col
lagent
ype1?

A.Ost
eogenesi
simper
fect
a

B.Achondr
opl
asi
a

C.Ost
eopet
rosi
s

D.Ost
eomy
eli
ti
s

22.
.Whi
choft
hesei
sanaut
oimmunedi
sor
der
?

a)Ar
thr
it
is

b)Ost
eopor
osi
s

c)Gout

d)My
ast
heni
agr
avi
s

23.Whi
choft
hesei
sdi
sor
deroft
hemuscul
arsy
stem?

a)Cr
ohn’
sDi
sease

b)Cel
iacDi
sease

c)My
ast
heni
agr
avi
s

d)Gast
roent
eri
ti
s
24.Whi
choft
hesedi
sor
der
saf
fectt
heneur
omuscul
arj
unct
ion?

a)Ar
thr
it
is

b)Ost
eopor
osi
s

c)My
ast
heni
agr
avi
s

d)Gout

25.
Sanf
oundr
yCer
ti
fi
cat
ionCont
estoft
heMont
hisLi
ve.100+Subj
ect
s.Par
ti
cipat
eNow!

adv
ert
isement

26.Whi
choft
hesei
snotasy
mpt
om ofmy
ast
heni
agr
avi
s?

a)Rapi
dspasms

b)Fat
igue

c)Muscl
eweakness

d)Par
aly
sisofskel
etalmuscl
es

27.Whi
choft
hesest
atement
sisf
alser
egar
dingmy
ast
heni
agr
avi
s?

a)I
taf
fect
sneur
omuscul
arj
unct
ions

b)I
tisagenet
icdi
sease

c)I
tresul
tsi
nfat
igue

d)I
tleadst
opar
aly
sisofskel
etalmuscl
es

28.Whi
choft
hesei
sagenet
icdi
sor
der
?

a)Gout

b)My
ast
heni
agr
avi
s
c)Muscul
ardy
str
ophy

d)Tet
any

29.Whi
choft
hesedi
sor
der
sleadt
odegener
ati
onofskel
etalmuscl
es?

a)Muscul
ardy
str
ophy

b)Gout

c)Tet
any

d)Ost
eopor
osi
s

30.Whi
choft
hesedi
sor
der
sleadt
orapi
dspasms?

a)Gout

b)My
ast
heni
agr
avi
s

c)Muscul
ardy
str
ophy

d)Tet
any

31.
.Whi
choft
hesedi
sor
der
siscausedduet
olowconcent
rat
ionsofcal
cium i
ons?

a)Muscul
ardy
str
ophy

b)Gout

c)Tet
any

d)Ost
eopor
osi
s
32.Decr
easedl
evel
sofoest
rogencausesost
eopor
osi
s.Tr
ueorf
alse?

a)Tr
ue

b)Fal
se

Vi
ewAnswer

33.Whati
stheef
fectofar
thr
it
is?

a)Par
aly
sis

b)Rapi
dspasms

c)Reducedbonemass

d)I
nfl
ammat
ionofj
oint
s

34.
.Whi
choft
hesei
sanage-
rel
ateddi
sor
der
?

a)Tet
any

b)Gout

c)Ost
eopor
osi
s

d)Muscul
ardy
str
ophy

35.Whi
chdi
seasei
ncr
easest
hechanceoff
ract
ures?

a)Tet
any

b)Gout

c)Ost
eopor
osi
s

d)Cr
ohn’
sDi
sease
36.Whi
choft
hesedi
sor
der
sleadt
othei
nfl
ammat
ionofj
oint
s?

a)Gout

b)My
ast
heni
agr
avi
s

c)Muscul
ardy
str
ophy

d)Tet
any

38.Whi
chdi
seasei
schar
act
eri
zedbyt
heaccumul
ati
onofur
icaci
dcr
yst
alsi
njoi
nts?

a)My
ast
heni
agr
avi
s

b)Gout

c)Muscul
ardy
str
ophy

d)Tet
any
.

Li
keandsubscr
ibemyYouTubechannel
.

(Nur
singwi
thAbdul
lah)
.

Goodl
uckt
oal
lSt
udent
s.

Wor
kedhar
dandmakef
utur
ebr
ight
er.
.

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