Herzing NU621 Unit 4 Quiz 4 Latest 2020 March

NU621 Advanced Pathophysiology

Unit 4 Quiz 4

1A patient has chronic gastritis. What treatment does the healthcare professional educate the patient on?

Antibiotic therapy

Vitamin B12 injections

 Corticosteroids

Vitamin B12 injections

Pancreatic enzyme replacement

2Which are the early (prodromal) clinical manifestations of hepatitis?

Fatigue

Jaundice

 Vomiting

Jaundice

Itching

3You are caring for a 45-year-old woman from a developing country. She reports that she has had "yellow jaundice" as a young child. Her PE is unremarkable. Her labs are as follows: AST, 22 U/L (normal, 0 to 31 U/L); alanine aminotransferase (ALT), 25 U/L (normal, 0 to 40 U/L); Hepatitis A virus immunoglobulin G (HAV IgG) positive. Lab testing reveals:

 Chronic Hep. A

No evidence of prior or current Hep. A infection.

Resolved Hep. A infection

 Prodromal Hep. A

4A 64-year-old woman presents with a 3-month history of upper abdominal pain. She describes the discomfort as an intermittent, centrally located "burning" feeling in the upper abdomen, most often with meals and often accompanied by mild nausea. Use of an over-the-counter H2RA affords partial symptom relief. She also uses naproxen sodium on a regular basis for the control of osteoarthritis pain. Her clinical presentation is most consistent with:

 Acute gastroenteritis

Gastric Ulcer

 Duodenal ulcer

Chronic cholecystitis

5Which of the following is found early in the development of chronic renal failure?

Persistent proteinuria

 Elevated creatinine level

Acute uremia

Hyperkalemia

6A 68-year-old woman with heart failure presents with tachycardia, S3 heart sound and basilar crackles bilaterally. BP is 90/68 mmHg; BUN is 58 mg/dL (20.7 mmol/L); creatinine level is 2.4 mg/dL. This clinical presentation is most consistent with:

Prerenal azotemia

 Acute glomerulonephritis

Tubular necrosis

Postrenal azotemia

7The most sensitive and specific test for H. pylori infection from the following list is:

 Stool Gram stain, looking for the offending organism

Serological testing for antigen related to the infection

Organism-specific stool antigen testing

Serological testing for antigen related to the infection

 Fecal DNA testing

8A 78-year-old man presents with fatigue and difficulty with bladder emptying. Examination reveals a distended bladder, but otherwise unremarkable. The BUN level is 88 mg/dL (31.4 mmol/L); the creatinine level is 2.8 mg/dL (247.5 mic.mol/L). This clinical assessment is most consistent with:

 Prerenal azotemia

Acute glomerulonephritis

Acute tubular necrosis

Postrenal azotemia

9The most common source of Hep A infection is:

 Sharing IV drug equipment

Cooked seafood

Contaminated water supplies

 Sexual contact

10Which of the following is least likely to be found in a patient with gastric ulcer?

 History of long-term naproxen use

Age younger than 50

Previous use of H2RA or antacids

 Previous use of H2RA or antacids

Cigarette smoking