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1731full Download PDF of Test Bank For Pathology For The Physical Therapist Assistant 1st Edition by Goodman All Chapter
1731full Download PDF of Test Bank For Pathology For The Physical Therapist Assistant 1st Edition by Goodman All Chapter
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Test Bank 1-2
ANS: D
PAGE NUMBER: 3
RATIONALE: Choices A, B, and C all refer to chronic illness. Chronic illnesses and conditions
require constant medical management and may be with a patient for life. Acute illnesses have a
short duration and usually a rapid onset.
4. Which of the following is considered a natural part of the psychological process of dealing
with illness?
A. noncompliance
B. paranoia
C. denial
D. persistent depression
ANS: C
PAGE NUMBER: 3
RATIONALE: Denial is an unconscious defense mechanism that allows a person to avoid
painful reality for as long as possible. Denial can be a natural part of the process of dealing with
illness, which normally culminates in acceptance. The other three choices are never a natural part
of the psychological aspect of dealing with illness. If any one of these other conditions persists,
appropriate medical personnel should be notified.
5. A patient after recent and total knee replacement cannot climb stairs. Using the Nagi
disablement model, what classification does the inability to negotiate stairs fall under?
A. disease or pathology
B. impairment
C. functional limitation
D. disability
ANS: C
PAGE NUMBER: 4
RATIONALE: Using the Nagi model, total knee replacement would be defined as a disease or
pathology. Impairment usually occurs at the organ/tissue level. It can be described as the
inflammation after a total knee replacement. Functional limitations occur at the individual level
and restrict the person’s performance of specific actions. In this situation a disability would
occur because the individual would not be able to get to the second floor of her home.
ANS: A
PAGE NUMBER: 5
RATIONALE: Activity is defined as the execution of specific tasks or actions by the individual,
and activity limitations are the difficulties that an individual might have in executing certain
activities. Participation is the individual’s involvement in life situations, and participation
restrictions are the problems the individual might have in real life situations.
7. A person with injury to the brain in the right hemisphere would most likely exhibit which of
the following cognitive deficits?
A. decreased executive functions
B. poor complex problem solving
C. slowed information processing
D. memory deficits
ANS: A
PAGE NUMBER: 6
RATIONALE: Damage to the right hemisphere or frontal lobe often causes a decrease in
executive functions. Diffuse and/or global cortical damage results in poor complex problem
solving, and diffuse cortical/subcortical damage results in slow information processing. Memory
deficits usually arise from temporal lobe damage.
8. In which type of cognitive deficit should the physical therapist assistant use repetition to teach
the patient new activities?
A. decreased executive functions
B. poor complex problem solving
C. slowed information processing
D. memory deficits
ANS: B
PAGE NUMBER: 6
RATIONALE: Patients with decreased executive functions should be taught time management
techniques, and the client should be included in group activities. Patients with slowed
information processing should have all environmental distractions removed. External aids and
multiple approaches to improve retention of information should be used for patients with
memory deficits.
9. Which of the following groups of people should focus on practicing healthy behaviors?
A. individuals with acute diseases
B. individuals with subacute diseases
C. individuals with chronic diseases
D. any individual regardless of disease process
ANS: D
PAGE NUMBER: 7
RATIONALE: Healthy behaviors should be practiced by all individuals regardless of the
presence of disease and/or a disease process.
ANS: D
PAGE NUMBER: 8
RATIONALE: Immunotics fends off infection and keeps the immune system working by using
natural and organic substances. Immunotics has no side effects and does no harm. Antibiotics are
used to treat illness after it occurs and can have very serious side effects.
ANS: A
PAGE NUMBER: 8
RATIONALE: Primary prevention is geared toward removing or reducing the risk of disease
factors, and secondary prevention techniques are designed to promote early detection of disease.
Tertiary prevention involves therapies aimed at limiting the impact of an already established
disease.
12. Which of the following was not a purpose of the Human Genome Project?
A. to identify all human genes
B. to map the genes’ locations on chromosomes
C. to determine the origins of humans on the planet
D. to provide detailed information on genes function
ANS: C
PAGE NUMBER: 10
RATIONALE: The Human Genome Project was completed in April 2003 and provides a
reference DNA sequence of the human genome. Because virtually every human illness and even
many lifestyle-related conditions have a hereditary component, the Human Genome Project may
hold the key to the prevention or cure of many, if not all, diseases and disorders.
13. The nucleus of nearly every cell in the human body contains _________.
A. amino acids
B. DNA
C. proteins
D. ribosomes
ANS: B
PAGE NUMBER: 11
RATIONALE: DNA instructs the ribosome to assemble amino acids. Cellular function is then
directed to proteins containing the amino acids.
14. What is the process by which a cell will undergo an acquired mutation?
A. The mutation is inherited from the mother or father.
B. The defective gene is delivered using a viral vector.
C. The defective gene is delivered using a nonviral vector.
D. DNA flaws are passed along from the mother cell to daughter cells.
ANS: D
PAGE NUMBER: 11
RATIONALE: Acquired mutations arise during the normal process of cell division. Each day the
body replaces thousands of cells. Some genetic errors occur as information is passed along from
the mother cell to the daughter cell. The daughter cells should recognize mutations and repair
them, but sometimes this mechanism fails. Acquired mutations can be passed on to daughter
cells; they cannot be inherited.
15. In utero gene therapy (IUGT) is most beneficial for genetic diseases if gene therapy is
performed _________.
A. immediately after conception
B. before symptoms have manifested
C. after symptoms have manifested, but before birth
D. after birth
ANS: B
PAGE NUMBER: 11
RATIONALE: IUGT is most beneficial for genetic diseases if gene therapy is performed before
symptoms have manifested.
16. What type of gene therapy is the most controversial because it carries an unknown level of
risk?
A. small molecule therapy
B. transferring a gene into cancer cells to make them sensitive to certain drugs
C. germ-lined therapy
D. In utero gene therapy IUGT
ANS: C
PAGE NUMBER: 12
RATIONALE: Germ-lined therapy is an approach that delivers genes to sperm or eggs. It also
can be delivered to the cells that produce sperm or eggs. This therapy is highly controversial
because it carries an unknown level of risk such as interference with another gene and because of
the required specificity of the insertion.
Front of Boilers
Fig. 29
It is therefore necessary in laying out the boiler room of a
manufacturing plant to consider carefully the character of the steam
generator and study its requirements, so that it may be successfully
operated and the proper spaces allotted.
Fig. 30
61. Doorway to Engine and Boiler Room.—In the hasty design
of buildings, it is frequently found that the size of the doorways is not
sufficient to admit the boilers and machinery. This is a serious defect
in the planning of a manufacturing plant, as it requires either the
installation of the boilers and engines before the walls are entirely
built, or else the tearing out of brickwork and jambs in order to
accommodate them afterwards. An expedient for the enlargement of
the headroom of doorways and openings into the boiler and engine
rooms that are in the basement, is shown in Fig. 30. Here, if the lintel
of the doorway a is kept below the floor level, where it would
ordinarily exist, the headroom of the doorway will be materially
reduced, and considerable difficulty will be encountered in taking any
large piece of machinery, or a boiler or steam drum, down the steps
b. The doorway is consequently increased in height by the
introduction of the bulkhead at c; while by this means the floor space
above is slightly reduced, yet use can frequently be found for the
ledge or platform frame at the top of the bulkhead, as at d.
62. Floors Above Boilers.—It is important in designing boiler
rooms in factories to have the floor construction over the top of the
boiler of incombustible material, and it is customary in the better
class of buildings to provide a section of fireproof floor over the top of
the boiler room. This floor construction may either be a brick arch
supported on steel beams, or hollow-tile construction, though
reinforced concrete is now finding favor in this purpose.
63. It is not altogether necessary that the boilers in a building
shall be placed in the basement, though as this is usually the least
valuable of the floor space it is the practice to so locate them. In
some electric-light stations, and in large factories, boilers have been
located on the first floor, and even in several instances on the fifth
and sixth floors. The exigencies that demand the latter installation,
however, must be great, for it can be readily seen that much power
must be expended in lifting the coal, etc. to the boiler room.
CHIMNEYS
64. Dimensions and Capacity of Chimneys. Nearly all the factory buildings combine
in their structure a power plant, not the least important feature of which is the chimney.
There are two things to consider in the design of a power chimney—first, its capacity for
providing the necessary draft and the conduction of the requisite volume of gases from the
furnace or boiler, and second, its stability. The first requirement regulates its diameter and
height, and these dimensions, together with its construction, determine also its stability.
TABLE I
Side Effective Actual
Diam- Height of Chimneys and Commercial Horsepower Capacity
of Area Area
eter 50 60 70 80 90 100 110 125 150 175 200 Square Square Square
In. Ft. Ft. Ft. Ft. Ft. Ft. Ft. Ft. Ft. Ft. Ft. Inches Ft. Ft.
18 23 25 27 16 .97 1.77
21 35 38 41 19 1.47 2.41
24 49 54 58 62 22 2.08 3.14
27 65 72 78 83 87 24 2.78 3.98
30 84 92 100 107 113 119 27 3.58 4.91
33 105 115 125 133 141 149 30 4.48 5.94
36 128 141 152 163 173 182 191 32 5.47 7.07
39 154 168 183 196 208 219 229 35 6.57 8.30
42 182 200 216 231 245 258 271 288 38 7.76 9.62
48 269 290 311 330 348 365 389 43 10.44 12.57
54 348 376 402 427 449 472 503 551 48 13.51 15.90
60 436 471 503 536 565 593 632 692 748 54 16.98 19.64
66 579 620 658 694 728 776 849 918 981 59 20.83 23.76
72 698 746 792 835 876 934 1,023 1,105 1,181 64 25.08 28.27
78 885 949 990 1,038 1,107 1,212 1,310 1,400 70 29.73 33.18
84 1,035 1,098 1,157 1,214 1,294 1,418 1,531 1,637 75 34.76 38.48
90 1,269 1,338 1,403 1,496 1,639 1,770 1,893 80 40.19 44.18
96 1,532 1,606 1,712 1,876 2,027 2,167 86 46.01 50.27
100 1,760 1,865 2,043 2,197 2,359 89 50.11 54.54
104 1,899 2,024 2,218 2,395 2,560 93 54.39 59.00
108 2,051 2,190 2,399 2,591 2,770 96 58.83 63.62
112 2,323 2,588 2,795 2,983 100 63.46 68.42
118 2,632 2,883 3,114 3,339 105 70.71 75.94
120 2,725 2,986 3,225 3,447 107 73.22 78.54
124 2,915 3,193 3,449 3,687 110 78.31 83.86
130 3,165 3,467 3,745 4,004 116 85.04 90.76
136 3,868 4,178 4,466 121 94.85 100.88
142 4,305 4,567 4,886 126 103.69 109.98
150 4,719 5,097 5,448 133 115.72 122.72
Considering the first requirement, a circular flue is considered more efficient than a
square one, because its inside surface offers less resistance to the passage of the gases,
and there is not the likelihood of eddies being formed. There is much difference of opinion
among engineers as to whether a stack should be narrower toward the top or increased in
size. The practice is to taper a stack toward the top, this being done more on account of the
necessity for increasing its stability than because of the draft. Some stacks have been built,
however, with a larger inside diameter at the top than at the bottom, with the idea of
providing a greater sectional area for the passage of the gases as their velocity is
decreased. The capacity of the stack for carrying off the products of combustion depends
on the temperature of the inside gases as compared with the temperature of the outside air.
The average temperature in stacks for power purposes ranges from 450° to 600° F., and,
therefore, as there is little difference in the travel of gases in flues between these
temperatures, Table I can safely be used in determining the diameter and height of stack for
a given capacity of power plant.
In Table I, it will be observed that the capacity of the stack is given in horsepower, and in
calculating this table it was considered that 5 pounds of coal were burned to develop 1
horsepower, this being a high figure with the present economical systems of power
generation. Allowance has also been made, in this table, for the friction of the gases
against the side walls of the stack, it being considered that a 2-inch layer of dead air exists
between the stack lining and the gases.
65. Stability of Brick Chimneys.—In considering the stability
of brick stacks, the overturning moment due to the wind must not
exceed the resisting moment of the stack to overturning about the
base. For instance, referring to Fig. 31, the pressure p due to the
wind acts with the lever arm x about the base of the stack, tending
to overturn it. The stack, or chimney, resists this overturning
moment with its weight w, acting through a lever arm y; if these
two moments are equal, the stack can be considered safe under
the conditions considered, though it is better to have some factor
of safety, 2 usually being sufficient. An easy formula by which to
determine whether a stack is stable or not, is as follows:
w = (h² × dc)/b
in which w = weight of stack, in pounds;
h = height of stack, in feet;
d = mean diameter of stack, in feet;
c = constant;
b = width of base.
The constant c varies with the shape of the stack. For a square
stack, when the wind is blowing at hurricane violence, 56 is used;
for an octagonal stack, 35; and for a round stack, 28.
To demonstrate this formula, consider a square chimney
having an average breadth of 8 feet and a width at base of 10 feet,
the stack being 100 feet high. The problem is, therefore, to find
what the weight of the stack must be in order to resist the greatest
wind pressure likely to occur. By substitution, in the formula,
Fig. 31
100 × 100 × 8 × 56
w= = 448,000 pounds
10
With brickwork weighing about 120 pounds per cubic foot, the chimney in question must
therefore have an average thickness of somewhat more than 13 inches.
Fig. 32
66. A good rule to follow in designing brick stacks is to make the base at least one-tenth
of the height. For stacks under 5 feet in diameter, the walls for the first 25 feet from the top
may be 8 inches, increased 4½ inches for each additional 25 feet from the top. If the stack
is more than 5 feet in diameter, the thickness at the top should be 1½ bricks, or 12 inches,
with a 4½-inch increase for each 25 feet. If the stack is less than 3 feet in diameter, the
brickwork for the first 10 feet from the top may be as little as 4½ inches; this thickness,
however, is not recommended, as the weather is likely to penetrate such a thin wall, and
sooner or later, together with the exposure to the gases, destroy the brickwork.
67. Construction of Brick Chimneys.—All brick stacks must be provided with a cast-
iron or stone coping at the top, and it is usually well to tie them in toward the base with
good heavy stone band courses. In constructing brick stacks, the brickwork should be laid
up in lime-and-cement mortar, and the bricks well covered and slid in place, not just tapped
or hit with the handle of a trowel.
All chimneys should also be provided, for a distance of at least one-third of their height
from the base, with a fire-brick lining, laid up in fireclay, and at the bottom of this lining,
where the flues from the boiler enter the stack, cast-iron cleaning doors and frame should
be provided for removing soot that will accumulate and drop down. A good example of a
brick stack is given in Fig. 32; this stack has a capacity of 500 horsepower, and is
sufficiently stable to resist any wind pressure.
FIRE-PROTECTION OF
MILL BUILDINGS
SPRINKLER SYSTEM
68. Sprinkler Tanks.—In the large cities, where fire risks are
great, and where nearly all the buildings and their contents are
protected by insurance, the owners of the buildings are subjected to
the rules and regulations of the Underwriters, or Associations of
Insurance Companies. These Underwriters from time to time pass
regulations insisting on certain further precautions and protection
against fire, such as the installation of sprinkler systems, stand pipes
for hose attachment for each floor, etc.
As the available city pressure or water supply of the municipality
may be limited, or uncertain, or the pressure too low for a high
building, it is sometimes necessary to place water tanks of from
10,000 to 30,000 gallons capacity in towers on the roofs of factories,
and in the design of new factories provision is usually made for three
tanks.
In designing a building, these tanks are located at such a point
that their support is insured by the walls beneath, and the most
convenient place is found to be over the stair tower or adjacent to it.
As 1 gallon of water, together with the tank containing it, has a unit
weight of 8 pounds, a 30,000-gallon tank complete will weigh in the
neighborhood of 240,000 pounds, which must be supported on the
walls and by means of iron beams.
The architect, besides providing adequate support for these
tanks, must so design the tanks as to secure them against bursting,
which would lead to serious consequences. For durability, sprinkler
or fire-protection tanks are made of either cypress or cedar from 2 to
3 inches in thickness. They are usually in the shape of a truncated
cone, and the bottom of the tank is required to be at least 20 feet
above the highest point of the top story.
The important feature in the design of such tanks is to see that
they are properly braced with hoops, and it is usual to specify that no
hoop shall be subjected to a unit stress of more than 12,000 pounds
for iron and 16,000 pounds for steel. These hoops are made from ¾-
inch to 1-inch round iron, not less than the former, and the required
strength is obtained by spacing them closer together at the bottom
and farther apart toward the top. They are held together with
adjustable clamps, as indicated in Fig. 33, and by the use of such
clamps they may be readily tightened. The bottom hoops of the tank
are subjected to great stress, and it is good practice for these hoops
to bear against a flat iron hoop, as indicated in Fig. 34. By this
construction much greater bearing is provided on the wood, and the
round iron is prevented from cutting into the staves of the tank. In
some instances flat iron hoops are used altogether, but it is
considered better to use round iron hoops, from the fact that they are
not likely to corrode through as rapidly as the thin flat iron.
Fig. 33
Fig. 34
TABLE II
SAFE STRENGTH OF
ROUND TANK HOOPS
Diameter Steel Wrought Iron
Inch Pounds Pounds
⅝ 3,232 2,424
¾ 4,832 3,624
⅞ 6,720 5,040
1 8,800 6,600
Ans. 12 in.