Regis NU606 Week 10 Quiz Latest 2020 May (100% Graded)

Week 10 Quiz

Question 1A chancre is best described as

 a.a vesicle surrounded by a red inflamed area

 b.a pustule filled with purulent exudate

 c.an area of necrosis and fibrosis

 d.a firm painless ulcerated nodule

Question 2Agenesis is often not diagnosed because

 a.the kidney is displaced from its normal position

 b.it is a genetic defect and asymptomatic until mid-life

 c.the two functioning kidneys are fused together

 d.it is usually asymptomatic as one kidney provides adequate function

Question 3Autoregulation in the kidneys refers to

 a.control of blood flow by the SNS

 b.the secretion of renin and activation of angiotensin

 c.local minor reflex adjustments in the arterioles to maintain normal blood flow

 d.the control of systemic blood pressure by the kidneys

Question 4Circulatory shock causes

 a.decreased GFR and increased renin secretion

 b.increased ADH and decreased aldosterone secretion

 c.immediate tubule necrosis and obstruction

 d.sympathetic nervous system (SNS) stimulation and vasodilation of afferent and efferent arterioles

Question 5Cystitis is more common in females because

 a.the mucosa in the urinary tract is continuous

 b.the urethra is short, wide, and adjacent to areas with resident flora

 c.the pH of urine is more acidic in females

 d.females have a higher incidence of congenital anomalies

Question 6From the following, choose the substance likely to appear in the urine when the glomerulus is inflamed

 a.Albumin

 b.Urea

 c.Sodium

 d.Creatinine

Question 7How do testicular tumors usually present?

 a.Soft, tender mass

 b.Multiple firm nodules

 c.Hard, painless unilateral mass

 d.Small, fluid-filled cyst

Question 8In acute poststreptococcal glomerulonephritis, the inflammation causes

 a.increased permeability of the glomerular capillaries

 b.glomerular congestion and decreased GFR

 c.decreased blood pressure and edema

 d.A and B

Question 9Infertility in women may result from

 a.endometriosis

 b.hormonal imbalance

 c.A and B

 d.neither A nor B

Question 10Kara is a 24 y.o. female who presents to your office for her yearly physical. She denies any complaints or concerns. Her BMI is 29 which is an increase of 2 points from the previous year. She has a McDonald’s milkshake with her today and she apologizes for her “bad breath” stating that she just had a Big Mac on her way to the appointment. In her purse, you also notice a candy bar and a small bag of chips. During your appointment with Kara, which of the following is not considered a psychological mechanism of food addiction?

 a.Kara responds differently to dopamine agonist

 b.Kara unknowingly presents with a food bias when entering a restaurant

 c.Kara has problems controlling cravings and impulsivity when making food choices

 d.Kara eats not only to maintain homeostasis but to obtain pleasure or regulate her emotions

Question 11Ovarian cancer has a poor prognosis because

 a.it does not respond to chemotherapy or radiation

 b.vague signs and hidden location lead to late diagnosis

 c.premenopausal women are not likely to notice changes

 d.hormone therapy is ineffective

Question 12Recommendations to reduce the risk factors and the progression of osteoporosis with aging include

 a.reducing vitamin D intake

 b.maintaining walking and weight-bearing exercise

 c.increasing bone resorption

 d.maintaining glucocorticoid therapy

The correct answer is: maintaining walking and weight-bearing exercise

Question 13Renal disease frequently causes hypertension because

 a.albuminuria increases vascular volume

 b.congestion and ischemia stimulate release of renin

 c.antidiuretic hormone(ADH) secretion is decreased

 d.damaged tubules absorb large amounts of filtrate

Question 14Structural abnormalities of the uterus may lead to dyspareunia, which is

 a.painful intercourse

 b.obstructed urination

 c.a form of infertility

 d.fungal infection of the uterus

Question 15The reabsorption of water and electrolytes by the kidneys is directly controlled by

1.            atrial natriuretic hormone

2.            antidiuretic hormone

3.            angiotensin

4.            the levels of bicarbonate ion

 a.2 only

 b.3 only

 c.1, 2

 d.2, 4

Question 16Uncontrolled essential hypertension may cause chronic renal failure because of

 a.predisposition to recurrent urinary tract infections

 b.damage to afferent arterioles and renal ischemia

 c.failure of tubules to respond to hormonal controls

 d.glomerular congestion causes damaged capillaries

Question 17Vaginal candidiasis is frequently predisposed by

 a.systemic antibacterial therapy

 b.insertion of an intrauterine device

 c.sexual intercourse with an infected partner

 d.previous viral infection

Question 18What factors contribute to headache, anorexia, and lethargy with kidney disease?

1.            Increased blood pressure

2.            Elevated serum urea

3.            Anemia

4.            Acidosis

 a.1 only

 b.2, 4

 c.1, 3, 4

 d.1, 2, 3, 4

Question 19What is a significant early sign of endometrial carcinoma?

 a.A positive Pap test

 b.Minor vaginal bleeding or spotting

 c.Infection resistant to treatment

 d.Painful intercourse

The correct answer is: Minor vaginal bleeding or spotting

Question 20What is the cause of syphilis?

 a.A gram-negative diplococcus

 b.An anaerobic protozoa

 c.A virus

 d.An anaerobic spirochete

Question 21What is the first indicator in the arterial blood gases of acidosis caused by glomerulonephritis?

 a.Increased carbonic acid

 b.Increased bicarbonate ion

 c.A pH less than 7.35

 d.Decreased bicarbonate ion

Question 22When the uterus is located in the vagina with the cervix at the opening to the vagina, this is called

 a.first-degree prolapse

 b.second-degree prolapse

 c.third-degree prolapse

 d.procidentia

Question 23Which disease would cause an increased ASO titer and elevated serum ASK?

 a.Nephrotic syndrome

 b.Acute poststreptococcal glomerulonephritis

 c.Pyelonephritis

 d.Polycystic kidney

Question 24Which of the following applies to carcinoma of the breast?

 a.It presents as a tender, painful, firm nodule

 b.Tumor cells may demonstrate estrogen receptors on the membrane

 c.Occasionally, a genetic factor may have a small role in tumor development

 d.The tumor is invasive but does not metastasize until very late

Question 25Which of the following causes inflammation of the vagina with a copious yellow discharge and foul odor?

 a.Candidiasis

 b.Trichomoniasis

 c.Syphilis

 d.Gonorrhea

Question 26Which of the following describes the correct flow of blood in the kidney?

 a.Afferent arteriole to the peritubular capillaries to the venule

 b.Efferent arteriole to the glomerular capillaries to the peritubular capillaries

 c.Peritubular capillaries to the glomerular capillaries to the venule

 d.Afferent arteriole to the glomerular capillaries to the efferent arteriole

Question 27Which of the following factors lead to delayed wound healing in the elderly?

1.            Reduced rate of mitosis

2.            Inadequate circulation

3.            High risk of infection

4.            More effective immune system

 a.1, 2

 b.1, 3

 c.2, 4

 d.1, 2, 3

Question 28Which of the following indicate a decreased GFR?

 a.Increased serum urea and decreased serum bicarbonate

 b.Urine with low specific gravity and dark color

 c.Albuminuria and hematuria

 d.Hyponatremia and hypokalemia

Question 29Which of the following is a predisposing factor to bladder cancer?

 a.Prostatic cancer

 b.Hormonal abnormalities

 c.Exposure to chemicals and cigarette smoke

 d.Presence of embryonic tissue

Question 30Which of the following is the common first site for metastasis from prostatic cancer?

 a.Bone

 b.Lungs

 c.Liver

 d.Testes

Question 31Which of the following may result from cryptorchidism?

 a.Infertility

 b.Testicular cancer

 c.Both A and B

 d.Neither A nor B

Question 32Which of the following relates to polycystic kidney disease?

 a.It affects only one of the kidneys

 b.It results in gradual degeneration and chronic renal failure

 c.The kidneys are displaced and the ureters are twisted

 d.The prognosis is good because there is adequate reserve for normal life

Question 33Which of the following results from obstruction of the left ureter by a renal calculus?

 a.Mid flank pain on the affected side

 b.Hydroephrosis in both kidneys

 c.Immediate cessation of urine production

 d.An attack of renal colic

Question 34Which pathophysiological process applies to acute poststreptococcal glomerulonephritis?

 a.Streptococcal infection affects both the glomerular and tubule functions

 b.Ischemic damage occurs in the tubules, causing obstruction and decreased glomerular filtration rate (GFR)

 c.Immune complexes deposit in glomerular tissue, causing inflammation

 d.Increased glomerular permeability for unknown reasons

Question 35Which substance directly controls the reabsorption of water from the collecting ducts?

 a.Renin

 b.Aldosterone

 c.Angiotensin

 d.Antidiuretic hormone

Question 36Why does frequent need for urination occur with benign prostatic hypertrophy?

 a.Increased volume of dilute urine

 b.Irritation of the bladder and urethra

 c.Impaired micturition reflex

 d.Incomplete emptying of the bladder

Question 37Wilms tumor is

 a.a malignant tumor in the bladder

 b.an encapsulated mass in one kidney

 c.not considered to have a genetic origin

 d.manifested in adulthood