Diseases and conditions Ch 1 – Flashcards
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An abnormality in or mutation of a gene may produce which of the following?
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Genetic disease
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What type of tumors tend to metastasize and may spread to distant sites in the body?
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malignant tumors
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Which of the following are included in the body's natural defense mechanism?
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Mechanical and chemical barriers inflammatory response immune response Answer: All of the above
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Which of the following describe how a pathogen can cause disease?
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By releasing harmful toxins into the body. Invasion and destruction of living tissue. Answer: Both A and B
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Systemic manifestations of severe allergic responses include:
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Arthralgia Status asthmaticus Anaphylaxis Answer: All of the above
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The concept of medical care that focuses on the needs of the whole person-spiritual, cognitive, social, physical, and emotional-is the:
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Holistic concept
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The concept of care that affirms life and neither hastens or postpones death is the :
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Hospice philosophy
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Which of the following is responsible for stimulating the immune system to produce antibodies?
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antigen
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A new tissue growth or a tumor is called a:
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Neoplasm
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Predisposing factors related to lifestyle include:
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smoking, poor nutrition, lack of exercise, risky sexual behavior
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Pain as described by the patient is:
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subjective and individualized
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Patient education:
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Helps improve patient and family coping. Is interactive. Is based on the patient's plan of care. Answer: All of the above
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The tumor Gleason grade reflects:
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The degree of abnormal microscopic appearance of the tumor cells.
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The TNM system of staging a malignant tumor assesses for:
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Tumor size. The extent of lymph node involvement. The number of distant metastases. Answer: All of the above.
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Aging is a risk factor for:
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More stress. Adverse drug reactions. Immunosenescene. Answer: All of the above.
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Medication issues for concern relating to the elderly include:
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adverse drug reaction substance abuse overmedication Answer: All of the above.
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Categories of infectious disease management medications include:
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Antibacterials (antibiotics) Antifungal and antiviral medications Antihelmintics Answer: All of the above
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Medications prescribed for pain are termed:
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analgesic
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An epinephrine kit for self administration may be prescribed for an individual known to have severe:
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allergies
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Chemotherapy for cancer involves use of medicines to:
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Destroy cancer cells.
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Reye syndrome has been associated with the use of
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Aspirin
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Loss of appetitie, vomiting, irritability, and ataxic gait are symptoms associated with:
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Lead poisoning
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The leading cause of absenteeisim in school children is:
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asthma
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The failure of the testicle(s) to descend into the scrotum is called:
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cryptorchidism
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If a child is born with tetralogy of Fallot, how many actual heart defects are present?
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four
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When a person is diagnosed with leukemia, there will be a/an:
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increase in white blood cells
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A sensitivity to iron or cow's milk may cause
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infantile colic
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The most progressive form of muscular dystrophy is:
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Duchenne's
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One method of preventing epidemics of contagious diseases is to administer:
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immunizations
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Hypertension, hematuria, and pain are symptoms of
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wilm's disease
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The number one cause of death in children between the ages of 1 month and 1 year is:
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sudden infant death syndrome
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Rheumatic fever, kidney complications, and rheumatic heart disease may be complications of untreated:
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Tonsilitis caused by A beta-hemolytic streptococci.
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Intracranial pressure is present when cerebrospinal fluid accumulates in the skull when the patient has:
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hydrocephlus
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Women of childbearing age are adviced to increase their intake of __________ to help prevent neural tube defects in their unborn child.
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Folic acid.
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An electrocardiogram is suggested for athletes to identify those who may have:
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Hypertrophic cardiomegaly.
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The most common childhood malignancy is:
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Leukemia.
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The condition where the foreskin of the penis does not have adequate opening to allow it to be pulled back over the end of the penis is called:
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Phimosis.
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Erythroblastosis fetalis is a condition caused by:
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Rh incompatability
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Childhood obesity may be caused by
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All of the above
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Treatment for hydrocephalus includes:
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Starting surgical intervention to insert a shunt
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Closure of patent ductus arteriosus may be attempted by drug therapy using:
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An antiprostaglandin
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Medications which contain __________ may mask the symptoms of Reye's syndrome and are generally avoided in the treatment of chickenpox.
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aspirin
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Mumps is a childhood disease which is best prevented by:
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MMR vaccine
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Acute tonsillitis (strep positive) is generally treated with __________ to prevent rheumatic fever or rheumatic heart disease.
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penicillin
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Roundworms, pinworms, and tapeworm can be treated with which medications?
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Mebendazole (Vermox)
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Childhood asthma can be treated with all of the following except ___________.
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Tetracycline (Sumycin)
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Idiopathic thrombocytopenic anemia involves a deficiency of platelets and:
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the inability to clot blood
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Active immunity is acquired when a person
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has a disease receives a immunization which one?
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Autoimmune diseases occur when
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antibodies develop and begin to destroy the body's own cells
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Symptoms of butterfly rash, fever, joint pain, malaise, and weight loss are present with:
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systemic lupus erythematosus
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Symptoms of inflammation and edema are present at the onset of:
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rheumatoid arthritis
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Symptoms of hardening and shrinking of the skin are associated with:
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scleroderma
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Myasthenia gravis is treated with:
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mestinon
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The thymus glands produce:
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T-cell lymphocytes
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HIV is transmitted by:
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sexual contact blood and bodily fluids Answer: Both A and B
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Selective immunoglobulin A deficiency disease is:
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the most common form of immunodeficiency in the general population.
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Pernicious anemia is treated with:
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vitamin B12
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Ankylosing spondyliasis primarily affects the:
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The Spine
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Multiple sclerosis is an inflammatory disease that attacks:
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The myelin sheath
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Myasthenia gravis is a chronic progressive disease that is characterized by:
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extreme muscular weakness and progressive fatigue
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Congenital X-linked agammaglobulinemia:
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Is a condition of severe B-cell deficiency Affects only males Is treated with intravenous infusions of immune globulin Answer: All of the above
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Of significant importance in the treatment and prognosis of patients with rheumatoid arthritis is:
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Early aggressive treatment to help prevent deformity.
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The patient with Goodpasture's syndrome has:
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An autoimmune disease that can cause acute renal failure
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The patient with Sjogren's syndrome has:
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inflammation in various glands of the body.
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Although no cure or effective vaccine exists for AIDS, highly active antiretroviral therapy:
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has significantly prolonged the lifespan of those infected with AIDS.
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Currently HIV infection is most often associated with:
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homosexual activity
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The only curative treatment for most types of severe combined immunodeficiency is:
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bone marrow transplantation
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transmission of HIV is possible:
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before it can be detected by laboratory tests
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patients with positive test results for HIV:
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Are encouraged to inform their partners that they may be at high risk for contracting the disease
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which autoimmune disease occurs in males only?
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X-linked agammaglobulinemia Wiskott-Aldrich syndrome Answer: both B and C
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Testing for which immunodeficiency disease is now part of newborn screening in the United States?
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SCID
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Which medications are not used in the treatment of systemic lupus?
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anticolagulants
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The drug(s) of choice for myasthenia gravis is (are):
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Pyridostigmine (Mestinon)
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The primary objective of the treatment of rheumatoid arthritis is the reduction of pain and inflammation. which of the following would be considered first line therapy?
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anti-inflammatory drugs
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Acromegaly is caused from a hypersecretion of human growth hormone (hGH) that occurs:
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After puberty
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Inadequate amounts of dietary iodine may be the cause of:
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A simple nontoxic goiter
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A calculated diet and exercise, blood and urine testing, and insulin administration are treatments for:
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Diabetes mellitus
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Hyperglycemia, thirst, nausea, vomiting, and dry skin are all symptoms of:
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Diabetic coma
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Any dysfunction of the endocrine system results in a/an:
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Increase secretion of hormones. Decrease in secretion of hormones. Answer: Both of the above.
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A person experiencing insulin shock requires:
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Simple sugar
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Severe hypothyroidism or myxedema has its onset during:
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older childhood Adult hood Answer: both b and c
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Dwarfism is the abnormal underdevelopment of the body or hypopituitarism that occurs in:
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infancy
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Gigantism is caused from a hypersecretion of human growth hormone that occurs:
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Before puberty
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Cushing syndrome causes symptoms of:
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Fatigue, muscle weakness, and changes in body appearance
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Palpation of a hard, painless lump or nodule on the thyroid gland, vocal cord paralysis, obstructive symptoms, and cervical-lymph adenopathy all indicate:
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An evaluation for cancer of the thyroid gland.
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Addison's disease has a gradual onset and involves the:
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adrenal glands
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Which of the following statements is true regarding myxedema coma?
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Myxedema coma is a medical emergency because it has a high mortality rate
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Which endocrine gland secretes growth hormone?
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The anterior pituitary
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The gland that regulates the metabolism of calcium is:
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the parathyroid gland
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Hypothyroidism is usually treated with thyroid replacemnt hormones. Which of the following is not a type of thyroid replacement?
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Estradiol (Estrace)
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Type 2 diabetes can be treated with all of the following therapies except:
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Corticosteroids
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Type 1 diabetes can be treated with which of the following therapies except:
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Answer: None of the above. All can be used. Short-acting insulin Long-acting insulin Inhaled insulin
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Medical treatment of Grave's disease includes:
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Antithyroid drugs. Drugs to block the synthesis of thyroid hormones. Beta blockers to treat tachycardia. Answer: All of the above.
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hammer toe
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condition of the toe in which the toe bends upward like a claw because of an abnormal flexion of the proximal interphalangeal joint
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fractures
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caused by stress on the bone resulting from a traumatic insult to the musculoskeletal system, severe muscle spasm, or bone disease. can occur in any bone. described by specific names or by location
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strain
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injured tendon, muscle, or other tissue
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sprain
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acute, partial tear of a ligament
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dislocation
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forcible displacement of a bone from its joint, thereby causing loss of joint function
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adhesive capsulitis
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condition in which a shoulder is significantly limited in its range of motion as a result of inflammation, scarring, thickening, and shrinkage of capsule that surrounds the normal shoulder joint. (frozen shoulder)
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severed tendon
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is torn completely into two section and thus prevents the muscle from performing its function of moving a body part
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shin splints
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a painful condition involving inflammation of the periosteum, the extensor muscles in the lower leg, and the surrounding tissues.
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Plantar Fasciitis (calcaneal spur)
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inflammatory response at the bottom of the heel bone.
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ganglion
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benign, saclike swelling, or cyst, that is filled with a colorless, jellylike fluid. formed from tissue that lines a joint or tendon
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torn meniscus
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a tear of the meniscus (semilunar cartilage found in the knee joint) is a crack or fissure that usually a result of wear or injury
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rotator cuff tears
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tear in any of the rotator cuff tendons limit the function of the shoulder, produce an immediate snapping sound and acute pain. ROM is limited
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The transmission route for _________ is fecal oral and is tranmitted by contaminated water, food, and stools. Poor hygiene also plays a role in tranmission.
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Hepatitis A
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The use of broad-spectrum antibiotics is associated with the occurence of:
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Pseudomembrane enterocolitis
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The symptoms of bilary colic with radiating pain and jaudice accompany:
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cholecystitis Cholelithiasis
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Anorexia nervosa is an eating disorder in which the person perceives their body image as:
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overweight
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A chronic irreversible degeneration of the liver is:
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cirrhosis
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The route of transmission for _____________ is by blood or body fluid.
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Hepatitis A&B
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Peritonititis is an infection that involves the:
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Serous membrane that lines the abdominal cavity
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Neoplasm, volvulus, intussusception, and fecal impaction can all cause:
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Mechanical bowel obstruction
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The fourth leading cause of cancer-related death in the United States is:
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pacreatic cancer
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Allergic reaction or irration from foods, mechanical injury, medications, poisons, alcohol, and infectious diseases may damage the gastric lining and cause:
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gastritis
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The following statements about periodontitis are true, except:
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it is not related to gingivitis
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The clinical management of Barrett's esophagus includes:
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Treatment of the symptoms of GERD Endoscoopic survellance every 3 years to detect dysplasia Acid-suppressive medications, lifestyle changes, and possibly antireflux surgery
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Some medications may cause discoloration of the teeth. Which of the following drugs has been shown to discolor teeth when taken during early childhood?
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Tetracycline
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In advanced cases of gingivitis, which antibacterial mouthwash is frequently prescribed?
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Chlorhexidine (Periogard)
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Oral thrush (Candida albicans) is often treated with which oral antifungal agent?
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Nystatin
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Gastroesophageal reflux disease (GERD) may be treated with all of the following, except ___________.
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Theophylline
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Which of the following drugs should be avoided in a patient with peptic ulcer?
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Naproxen sodium (Aleve)
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Which of the following is used to treat peptic ulcers?
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Lansoprazole (Prevacid)
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The treatment of ulcerative colitis may include all of the following, except ___________
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Timolol (Timoptic)
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Inflammation of the peritoneum (peritonitis) may be treated with any or all of the following, except______________.
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Methylphenidate (Ritalin)
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Which of the following medications may be used to treat motion sickness?
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Dimenhydrinate (Dramamine)
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Dysphonia is a common symptom of a:
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Tumor of the larynx
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Nasal polyps are growths that form from distended mucous membranes and protrude into the:
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nasal cavity
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A pulmonary abscess is an area of contained ______________ in the lung.
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Infectious material
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Histoplasmosis is a ____________ disease origination in the lungs with greatest occurence in the midwestern United States.
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fungal
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A pnuemothorax is a collection of air or gas in the pleural cavity that can cause:
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a collapsed lung
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Infectious mononucleosis is caused from:
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Epstein-Barr Virus
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Organism specific antibiotics are used to treat:
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Bacterial pnuemonia
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Exposure to _______________ smoke may make an individual more susceptible to any respiratory condition.
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primary secondary
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Pnuemoconiosis is caused from inhaltion of:
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inorganic dust
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Examples of occupational diseases include:
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Asbestosis, anthracosis, and silicosis
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Legionellosis is a more severe form of Pontiac fever, and both forms are:
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not contagious
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Barrel chest, chronic cough, and dyspnea are all symptoms of:
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Emphysema
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With flail chest, there are _____________ fractures of three or more adjacent ribs.
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double
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Sinusotomy, antibiotics, and decongestants may all be treatments for:
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sinusitis
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There are almost 200 different viruses that are responsible for causing:
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The common cold
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In the Southwest, coccidiomycosis is caused by a fungus, Coccidioides immitis. This is the agent that causes the disease known as:
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San Joaquin Valley Fever
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Treatment of a common cold of a viral nature could include all of the following, except ____________.
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Chicken soup
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When sinusitis or pharyngitis is of a bacterial nature, which of the following would be considered proper treatment?
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Cephaloexin (Keflex)
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Treatment of pneumonia may include all of the following, except ________.
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Dicyclomine (Bentyl)
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Influenza can be treated with which of the following therapies?
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Bed rest Fluid intake Oseltamivir (Tamiflu)
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Pulmonary emphysema can be treated with various therapies. Which of the following would not be a common treatment?
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Furosemide (Lasix)
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Pleurisy is an inflammation of the membranes that surround the lungs. Which combination of medications would be the best therapy?
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Antibiotics and analgesics
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Infectious mononucleosis can be treated with all of the following therapies, except _______.
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Salmeterol inhaler (Serevent)
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A person who complains of experiencing chest pains with exertion is having:
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Angina pectoris
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Pericarditis is an inflamation of the:
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Sac enclosing the heart
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Raynaud phenomenon is a vasospastic disease that affects the:
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Hands, fingers, and feet
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The diagnosis of anemia indicates that the patient is experiencing a reduction in:
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Red blood cells and hemoglobin
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The hereditary blood disease, sickle cell anemia, is predominantly seen in:
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the black race
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The lymphatic tissue in Hodgkin's disease patients contains:
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Reed-Sternberg cells
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Rheumatic heart disease may cause problems with the:
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valves
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Left-sided crushing chest pain, irregular heartbeat, dyspnea, and excessive sweating, nausea, anxiety, and denial are all symptoms of:
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myocardial infarction
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Electrocution, myocardial infarction, and drug overdose may cause:
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cardiac arrest
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People with mitral valve prolapse are sometimes:
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Asymptomatic Anxious Experiencing heart palpatations
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Primary or essential hypertension
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has an unknown cause
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Ischemia causes:
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death to tissue
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Blood transfusion incompatibility reactions are:
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potentially life threatening
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Lymphedema causes swelling of:
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an extremity
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Cardiac arrhythmias are the result of:
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Interference with the conduction system of the heart
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Angina pectoris is commonly treated with sublingual nitroglycerin tablets. Which of the following is correct concerning the use of nitroglycerin?
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Sublingual tablets are kept in original glass container
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Which of the following interventions would be expected to be taken in the event of a cardiac arrest?
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CPR
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Which of the following medications are not commonly used to treat hypertension?
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Glyburide (Diabeta)
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Which of the following drugs should be avoided in a patient with hypertension?
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Pseudoephedrine (Sudafed)
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Congestive heart failure (CHF) is frequently treated with which of the following medications?
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Vasodilators Beta blockers Digoxin
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The use of which of the following medications is discouraged when a patient is taking nitrate based vasodilators?
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Sildenafil (Viagra)
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Which of the following medications may be used in the treatment of cardiomyopathy?
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Digoxin and Warfarin
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Medications used to treat endocarditis would most often include _______. (Best Answer)
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antibiotics
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Which of the following drugs would be best at preventing thrombi?
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Warfarin (Coumadin)
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Which of the following treatments would not be acceptable for the treatment of shock?
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application of ice packs
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Which of the following is not a drug used to treat elevated cholesterol levels?
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Methylprednisolone (Medrol)
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Which of the following statements is true?
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Heparin is given by injection
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Which of the following medications are not used in treatment of anemia?
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vitamin D
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Obstructive diseases of the kidney may be caused by:
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Congenital or structural defects
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The most common type of renal disease is:
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Pyelonephritis
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Symptoms of cystitis includes:
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Urinary urgency, fequency, and incontinence Pelvic pain Burning with urination
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Group A beta hemolytic streptococcus may precede:
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Acute glomerulonephritis
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Lithotripsy, relief of pain, surgical intervention, increased fluid intake, and diuretics are all ways of treating
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Renal calculi
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An ascending bacterial invasion of the urinary tract can cause:
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Cystitis and urethritis
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Chronic glomerulonephritis is:
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Slowly progressive and noninfectious
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Enuresis is caused from a weakening of the:
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Pelvic floor muscles Urethral structure
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Solvents, heavy metals, antibiotics, pesticides, and mushrooms are known to:
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cause renal failure
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Smoking, obesity, and prolonged exposure to chemicals such as asbestos and cadmium are risk factors associated with:
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renal cell carcinoma
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Pus in urine is called:
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pyuria
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Hematuria is:
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blood in the urine
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Azotemia is:
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Excess urea in the blood
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A clinical emergency that involves the renal system is:
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Acute renal failure
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Which of the following medications may cause nephrotoxicity?
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Cyclosporin (Neoral) Amphotericin B Naproxen (Aleve)
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Treatment of UTI's may include all of the following therapies except:
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reduced fluid intake
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Urinary incontinence due to muscle spasms of the bladder may be treated with ________.
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Both Ditropan and Detrol
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Genital warts and many different types of cancer develop from:
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HPV
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Pelvic infammatory disease, septicemia, and septic arthritis are complications that may develop from untreated:
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Gonorrhea
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When functioning endometrial tissue is present outside the uterine cavity, the condition is called:
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None of the above
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Dyspareunia is more common in:
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women
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Impotence may be caused from:
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Use of recreational drugs Use of hypertensive medications Drinking alcohol
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Protusion of the rectum into the posterior wall of the vagina is a:
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Rectocele
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Pain that ocurs at ovulation is called:
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Mittelschmerz
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A Pap smear may be valuable tool in diagnosing:
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cervical cancer
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Herpes simplex virus:
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is not curable
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A digital rectal examination, blood test for prostate-specific antigen (PSA) and a biopsy to confirm are evaluations for:
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prostate cancer
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Signs of hyperemesis gravidarum may include:
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dehydration
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Premenstrual dysphoric disorder (PMDD) refers to:
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Severe premenstrual syndrome (PMS)
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Human papillomavirus (HPV) vaccine is:
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A major advance in the prevention of cervical cancer Recommended for girls and women 9 to 26 years of age Given as three doses at 0, 2, and 6 months
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Treatment of gonorrhea has become more complex due to antibiotic resistance to which antibiotic?
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Penicillin Amoxicillin
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Genital herpes is not curable, but drug therapy may reduce the frequency and duration of outbreaks. Which medication is frequently used to treat this disease?
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Acyclovir (Zovirax) Famiciclovir (Famvir) Valacyclovir (Valtrex)
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Which of the following statements are associated with the use of sildenafil (Viagra)?
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Men who have had a heart attack should not take Viagra. Viagra may cause temporary vision changes (blurred vision or color changes)
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Benign prostatic hyperplasia (BPH) is a common condition of men 50 years and older. Which of the following medications should be avoided with this condition?
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Pseudoephedrine (Sudafed)
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Which of the following may be useful in the treatment of menopause?
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Conjugated hormone (Premarin) Alendronate (Fosamax) Weight-bearing exercise
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Drug catagories for reproductive hormone replacement include:
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Androgens Estrogens Progestins
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Efferent nerves transmit impulses:
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Away from the brain and spinal cord Toward the brain and spinal cord
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Afferent nerves:
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Transmit impulses toward the brain and spinal cord
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Chronic alcohol intoxication, toxicity, and infectious disease are possible causes of:
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Peripheral neuritis
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A TIA is a ___________________ episode of impaired neurologic functioning, which is a result of a lack of blood flow to a portion of the brain.
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Temporary
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Paraplegia is paralysis that involves loss of motor and sensory control of the trunk and:
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Two extremities
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Pill-rolling tremor of the thumb and forefinger, muscular rigidity, mask-like facial expression, and shuffling gait are all signs of:
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Parkinson's disease
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The blood, penetrating trauma, and infection in adjoining structures like the ear or sinuses are all routes through which infectious organisms:
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May reach the brain and cause infection
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Meningitis is an inflammation of the:
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Membranes covering the brain and spinal cord
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Poliomyelitis:
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Is not diagnosed as frequently as it was before 1960 Is a highly contagious viral disease that affects the anterior horn cells of the gray matter in the spinal cord
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The prognosis for patients with tumors involving the brain is:
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Poor
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Migraine headaches:
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Are periodic Are sometime incapacitating May be triggered by certain foods in some patients
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Hemiparesis is a paralysis involving:
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Either half of the body
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Huntington's chorea is:
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a familial type (inherited) disorder characterized by ceaseless, uncontrolled, involuntary movements
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Amyotrophic lateral sclerosis causes symptoms of:
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Progressive destruction of motor neurons resulting in muscle atrophy
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Treatment of stroke may include which of the following medications?
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Aspirin
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Migraine headaches have been treated with many different types of therapy. Which of the following is not a common therapy of migraine treatment?
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Dipyridamole (Persantine)
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Which of the following is not considered a medication for the treatment of epilepsy?
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Gemfibrozil (Lopid)
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Which of the following drug combinations is frequently used in the treatment of Parkinson's disease?
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Carbidopa/levodopa
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Anxiety is a major factor that creates and maintains:
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stuttering
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Autistic disorder involves symptoms of:
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Extreme withdrawal and lack of social interaction
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Haldol is the drug of choice used to treat:
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Tourette disorder
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Pancreatitis, cirrhosis, and peripheral neuropathy may be the result of:
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Prolonged, heavy use of alcohol
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Bipolar disorder causes symptoms of:
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Intense mood swings from manic to depressive
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The grief process has five phases. They are, in order:
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Denial, anger, bargaining, depression, acceptance
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Electroconvulsive therapy, psychotherapy, and antidepressant drug therapy may be used to treat:
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Major depressive disorders
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Tourette disorder is characterized by:
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Vocal and motor tics
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Suicidal thoughts and actions may be brought on by:
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major depression
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Anxiety, amnesia, and impotence have been associated with:
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Excessive use of alcohol
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Panic, phobic, and obsessive-compulsive disorders are all included in the group of:
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Anxiety disorders
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Genetic disorders, infection, trauma, poisoning, early alterations in embryonic developmental general medical conditions, prematurity, or hypoxia are all identifiable causes of:
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Mental retardation
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Which of the following medications are used in the treatment of ADHD?
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Methylphenidate (Ritalin) Amphetamine salts (Adderall) Dextroamphetamine (Dexedrine)
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Which of the following ADHD medications are not a DSA schedule II substance?
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Atomoxetine (Strattera)
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Which of the following medications is not a common therapy for Alzheimer's?
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Vitamin K (Mephyton)
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Of the following drugs of abuse, which would be considered a stimulant?
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cocaine
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Many different medications have been used in the treatment of schizophrenia. Which of the following drugs could be used?
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Olanzapine (Zyprexa) Haloperidol (Haldol) Ziprasidone (Geodon)
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Depression is frequently treated with selective serotonin reuptake inhibitors (SSRIs). Which of the following is in this class?
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Fluoxetine (Prozac)
question
Which of the following medications could be used for the treatment of insomnia?
answer
Zolpidem (Ambien)
question
Victims of abuse can include:
answer
men women children
question
Gentle cleansing, approximation and securing of the edges, debridement, suturing, sterile dressing application, and use of tissue glue are all methods to treat a:
answer
laceration
question
Carpal tunnel syndrome is a repetitive motion injury that involves the _______________ nerve.
answer
median nerve
question
An avulsion is a soft tissue injury where the:
answer
Skin, tissue, and bone are being pulled away from the body
question
An abrasion is a soft tissue injury where the:
answer
Outer layer of the skin has been scraped away
question
Heat stroke causes symptoms of red, hot, dry skin, headache, dizziness, shortness of breath, and a body temperature of:
answer
Over 105 degree F
question
Thoracic outlet syndrome involves compression of the ___________ nerve
answer
Brachial plexus
question
The percentage area of body burned is determined by using the rule of:
answer
nines
question
Bugs, insects, cereal, peas, beans, grapes, pebbles, and cotton are all foreign bodies sometimes found in a patient's:
answer
ears
question
Treatment of frostbite includes:
answer
Deep re-warming supervision by health care professional
question
State laws vary, but most require reporting of suggested child abuse
answer
By health care workers By teachers
question
Parentage of a child is best determined by:
answer
DNA testing