Final Exam: NUR631/ NUR 631 (Latest 2023/2024 Update) Advanced Physiology and Pathophysiology Study Guide| Questions and Verified Answers| 100% Correct – GCU

Final Exam: NUR631/ NUR 631 (Latest

2023/2024 Update) Advanced Physiology and

Pathophysiology Study Guide| Questions and

Verified Answers| 100% Correct – GCU

Q: Patient comes in with chronic wounds that aren't healing. What are you thinking?

Answer:

-Diabetes

-Something else is going on with those patient/other comorbidities

Q: If a newborn doesn't have enough collectin-like protein what kind of infec- tion might they

develop?

Answer:

-Pneumonia

-Anything RESPIRATORY related

Q: Where do B lymphocytes grow up and develop

Answer:

Bone marrow

Q: I go over to a friend's house to get chickenpox. What type of immunity is that?

Answer:

Active acquired immunity/Body will make antibodies

Q: What is happening at a cellular level with a type two sensitivity reaction?-

Answer:

-Antibodies are attaching to the cellular surface of the antigen.

-release of histamines and IgE

Q: What does Rhogram do?

Answer:

-Stops hemolytic anemia

-Give to Rh - moms with a Rh + baby

Q: If we have a patient that went under some organ transplant, why would we have tissue

damage?

Answer:

Start to see TH1 cells release too many cytokines so we will see the cytotoxic effects. Cytokines

will actually attack the endothelial cells.

Q: What is an exotoxin?

Answer:

When bacteria is growing they release exotoxins.

Q: What do we have that helps us fight fungal infections?

Answer:

-Phagocytes

-T-Lymphocytes

Q: Why, if I'm really stressed, am I more likely to get sick?

Answer:

Stress releases cortisol, cortisol increases, helper T cells are suppressed.

Q: Stressed patient (long period of time), what can we see develop with lab results?

Answer:

-Hypoglycemia

-Cortisol increase causes hyperglycemia initially, but with chronic stress cortisol levels become

depleted causing hypoglycemia. (Adrenal insufficiency)

Q: What happens when we have cellular metabolism that just isn't working right? What will

develop?

Answer:

Build up of waste

Q: What is the least likely IL to cause endothelial cells to go into that proin- flammatory state?

Answer:

IL4

Q: If you had a patient that developed MODS, what substances stimulate the normal endothelial

cells to go into a proinflammatory state?

Answer:

Interleukins tumor necrosis factor

IL-6

Q: How dehydrated does a child have to be before we see them have low

BP

Answer:

10%

Q: Why a patient can develop a reperfusion injury.

Answer:

Once we've had oxygen cut off for a while we can actually see damage happen from that

reexposure to oxygen

Q: Why do burn patients go into kidney failure?

Answer:

Damaged muscles produce

Myoglobin

Myoglobin is huge and hard for kidneys to filter out. Not meant to filter it.

Q: What type of cancer do we recommend exercise to decrease prevalence?-

Answer:

Colon CA

Q: In children, exposure to what virus develops a carcinogenic relationship?-

Answer:

EBV

Q: Risk factors of kids being exposed to and might develop CA due to (SE- LECT ALL THAT

APPLY)

Answer:

Ionizing radiation

Chemo

Cigarette smoke

EBV