P&P1 Revision Tri1 2018 Part 2

Descrição

Nursing Quiz sobre P&P1 Revision Tri1 2018 Part 2, criado por Kathleen Jackson em 15-06-2018.
Kathleen Jackson
Quiz por Kathleen Jackson, atualizado more than 1 year ago
Kathleen Jackson
Criado por Kathleen Jackson quase 6 anos atrás
337
6

Resumo de Recurso

Questão 1

Questão
Which of the following is a systemic sign of infection?
Responda
  • Pain
  • Erythema
  • Swelling
  • Fatigue

Questão 2

Questão
Which of the following does NOT directly determine the virulence of a microbe?
Responda
  • Whether its gram positive or negative
  • Invasive qualities
  • Ability to mutate
  • Production of toxins

Questão 3

Questão
The widespread necrosis of respiratory mucosa caused by an influenza infection often gives rise to:
Responda
  • Subclinical infections
  • Primary infections
  • Secondary infections
  • Tertiary infections

Questão 4

Questão
Which of the following bodily fluids would you expect to be sterile?
Responda
  • Blood
  • Vaginal discharge
  • Faeces
  • Sputum

Questão 5

Questão
That time during an infection when the infected person may experience a headache or fatigue and senses he or she is “coming down with something” is referred to as which of the following?
Responda
  • Subclinical
  • Acute
  • Prodromal
  • Incubation

Questão 6

Questão
Which of the following is a local sign of infection?
Responda
  • Fever and leukocytosis
  • Headache and anorexia
  • Nausea, weight loss, and fatigue
  • Pain, erythema, and swelling

Questão 7

Questão
What are culture and sensitivity tests used for?
Responda
  • To provide a specific medium that supports maximum microbial growth
  • To provide living host cells for microbes requiring such for replication
  • To identify the causative microbe and the effective antimicrobial agent for it
  • To determine the type of microbe present in a specimen

Questão 8

Questão
What does leukocytosis frequently indicate?
Responda
  • Presence of viral infection
  • Presence of bacterial infection
  • Bone marrow damage
  • Immunosuppression

Questão 9

Questão
Secondary immune deficiencies occur because of:
Responda
  • Lack of protein in the diet
  • Long term use of prednisone
  • Stressful job
  • All answers are correct

Questão 10

Questão
A common symptom of individuals with immunodeficiency is:
Responda
  • Anaemia
  • Recurrent infections
  • Lots of allergies
  • Auto antibody production

Questão 11

Questão
Primary immune deficiencies occur because of:
Responda
  • bad nutrition
  • a genetic defect
  • recurrent infections
  • chronic diseases affecting the immune system

Questão 12

Questão
Immunodeficiencies may result in an increased risk of infections by normally harmless microorganisms. These infections are referred to as:
Responda
  • transient
  • pathogenic
  • opportunistic
  • virulent

Questão 13

Questão
Which of the following is an effect of cytokines? They:
Responda
  • increase the rate of mitosis in tumors.
  • cause immediate pain.
  • activate and stimulate proliferation of B and T lymphocytes.
  • destroy antigens quickly.

Questão 14

Questão
An incompatible blood transfusion is an example of this type of hypersensitivity reaction:
Responda
  • Type IV
  • Type III
  • Type II
  • Type I

Questão 15

Questão
Reaction to latex gloves (in most cases) is an example of what type of hypersensitivity reaction:
Responda
  • Type IV
  • Type III
  • Type II
  • Type I

Questão 16

Questão
In this type of reaction, the antigen and antibody combine forming an immune complex which then can get deposited into tissue for example the kidneys.
Responda
  • Type I
  • Type II
  • Type III
  • Type IV

Questão 17

Questão
A bee sting that causes a person to go into anaphylactic shock is an example of this type of hypersensitivity reaction:
Responda
  • Type I
  • Type II
  • Type III
  • Type IV

Questão 18

Questão
The first line of defense which changes very little during our lifetime is called
Responda
  • Passive immunity
  • Active immunity
  • Adaptive immune response
  • Innate immune response

Questão 19

Questão
Humoral immunity is mediated by:
Responda
  • T lymphocytes (T cells).
  • B lymphocytes (B cells).
  • natural killer cells.
  • neutrophils.

Questão 20

Questão
Which white blood cells are responsible for adaptive immunity:
Responda
  • Monocytes
  • Eosinophils
  • Neutrophils
  • Lymphocytes

Questão 21

Questão
A molecule that will stimulate the adaptive immune response:
Responda
  • Antigen
  • Pathogen
  • Immunoglobulin
  • Antibody

Questão 22

Questão
Neutrophils:
Responda
  • produce histamine.
  • produce antibodies.
  • are elevated during an allergic response.
  • are phagocyte cells.

Questão 23

Questão
The role of memory cells is to:
Responda
  • change into an antibody-secreting cell following activation.
  • immediately secrete antibodies following the first exposure to antigen.
  • recognize the antigen and stimulate the immune response.
  • bind complement to the antibody.

Questão 24

Questão
Humoral immunity is mediated by:
Responda
  • Natural killer cells
  • T cells
  • B cells
  • Neutrophils

Questão 25

Questão
The most abundant, actively motile, phagocytic leukocyte is the:
Responda
  • Neutrophil
  • Monocyte
  • Basophil
  • Macrophage

Questão 26

Questão
Which cells are required to process and present antigens from foreign material as the initial step in the immune response?
Responda
  • T-helper cells
  • Macrophages
  • Eosinophils
  • Monocytes

Questão 27

Questão
The immunoglobulin that is found in tears and saliva is:
Responda
  • IgB
  • IgA
  • IgM
  • IgG

Questão 28

Questão
Exposure to peanuts where the person goes into anaphylactic shock is an example of this type of hypersensitivity reaction:
Responda
  • Type III
  • Type I
  • Type II
  • Type IV

Questão 29

Questão
A common primary target for most immunosuppressant drugs is:
Responda
  • B cell activation
  • Macrophages
  • All cytokines
  • T cell activation

Questão 30

Questão
An autoimmune disease is:
Responda
  • an abnormal response to ingested food and drugs
  • failure of the immune system to distinguish self from nonself
  • an extreme response to normally harmless material in the environment
  • excessive formation of antibodies following exposure to foreign material

Questão 31

Questão
When an allergen binds with IgE antibodies on mast cells, resulting in release of chemical mediators, this reaction is called:
Responda
  • Delay hypersensitivity
  • Cytotoxic hypersensitivity
  • Immune complex hypersensitivity
  • Type 1 hypersensitivity

Questão 32

Questão
Autoimmunity arises when a breakdown in 'self-
Responda
  • Specificity
  • Immunity
  • Memory
  • Tolerance

Questão 33

Questão
A 22-year-old prostitute was recently diagnosed with HIV. A decrease in which of the following cell types would be expected to accompany this virus?
Responda
  • CD8 T cells
  • T memory cells
  • CD4 T cells
  • B cells

Questão 34

Questão
Primary immune deficiencies occur because of:
Responda
  • A genetic defect
  • HIV
  • Excessive emotional stress
  • Lack of vitamin C

Questão 35

Questão
A 30-year-old male was diagnosed with HIV. Which of the following treatments would be effective?
Responda
  • ribavirin
  • reverse transcriptase inhibitors
  • cell wall synthesis inhibitors
  • inhibitors of metabolism

Questão 36

Questão
Which type of immunity is provided by a vaccination?
Responda
  • Passive natural
  • Active artificial
  • Active natural
  • Passive artificial

Questão 37

Questão
Which of the following is NOT a cause of immunodeficiency?
Responda
  • Hypoplasia of the thymus
  • Immunosuppresive agents
  • Atrophy of lymph nodes
  • Delayed hypersensitivity

Questão 38

Questão
All of the following are factors that promote healing EXCEPT:
Responda
  • Effective circulation
  • Advanced age
  • Good nutrition: protein, vitamins A & C
  • A clean, undisturbed wound

Questão 39

Questão
A raised thickened scar that grows beyond the wound margin is
Responda
  • Keloid scar
  • Epithelialisation
  • Ulcer
  • Hypertrophic scar

Questão 40

Questão
The purpose of inflammation include all the following except:
Responda
  • Eliminate/neutralise injurious agent
  • To remove body toxins
  • Localise injury and prevent further damage
  • Clean-up tissue for healing

Questão 41

Questão
The first phagocytic cell(s) to enter a site of injury are:
Responda
  • Neutrophils
  • Macrophages
  • Monocytes
  • Lymphocytes

Questão 42

Questão
Systemic manifestations of inflammation include all EXCEPT:
Responda
  • Pyrexia
  • Malaise
  • Regional swelling
  • Anorexia

Questão 43

Questão
Pathophysiology may be defined as the study of:
Responda
  • Disease patterns
  • Disease causes
  • How disease develop and alter body function
  • A collection of signs and symptoms

Questão 44

Questão
Glucocorticoids are produced by
Responda
  • The hypothalamus
  • The spleen
  • The thymus glands
  • The adrenal glands

Questão 45

Questão
The mechanism of action of glucocorticoids include all of the following except:
Responda
  • Inhibit of helper T cells
  • Prevent the synthesis of arachidonic acid
  • Increase production of antibodies
  • Inhibit protein synthesis of chemical mediators

Questão 46

Questão
Which of the following effects is NOT one typically associated with glucocorticoids?
Responda
  • Reduced prostaglandin sythesis
  • Stimulation of fat and protein break down
  • Reduced bone density
  • Increased sodium and water retention

Questão 47

Questão
Patients taking glucocorticoids for long periods of time are likely to develop all of the following
Responda
  • Opportunistic infections
  • Decreased bone density
  • Increased leukocyte production
  • Wasting skeletal muscle

Questão 48

Questão
Which of the following drugs relieves fever and some types of pain but is NOT an anti-inflammatory agent?
Responda
  • Paracetamol
  • Prednisone
  • Asprin
  • Ibuprofen

Questão 49

Questão
Drugs that have anti-inflammatory, analgesic, and antipyretic activities include: 1. COX-2 inhibitors (NSAIDs). 2. glucocorticoids (e.g., prednisone). 3. ibuprofen (NSAID). 4. paracetamol. 5. aspirin.
Responda
  • 1,2
  • 2,4
  • 1,3,5
  • 1,4,5

Questão 50

Questão
All of the following are correct statements regarding wound healing EXCEPT:
Responda
  • Resolution occurs where there is minimal tissue damage and the cells can recover.
  • Regeneration occurs where the cells are capable of mitosis.
  • Granulation tissue forms a permanent replacement for damaged tissue.
  • Scar tissue forms where the surrounding cells are incapable of mitosis

Questão 51

Questão
Which of the following factors generally WOULD NOT delay wound healing?
Responda
  • Poor nutrition
  • Adequate serum levels of Vitamins A & C
  • Hypoxia
  • Advanced age

Questão 52

Questão
exudates are thick, yellow/green and typically indicates a bacterial infection
Responda
  • Serous
  • Fibrinous
  • Purulent
  • Haemorrhagic

Questão 53

Questão
Systemic manifestations of inflammation include all EXCEPT:
Responda
  • Pyrexia
  • Malaise
  • Regional swelling
  • Anorexia

Questão 54

Questão
Chemical mediators released during inflammatory response include:
Responda
  • Albumin and fibrinogen
  • Growth factors and cell enzymes
  • Histamine and prostaglandins
  • Macrophages and neutrophils

Questão 55

Questão
Aetiology is defined as the study of the:
Responda
  • causes of a disease
  • course of a disease
  • expected complications of a disease
  • manifestations of a disease

Questão 56

Questão
Identify the proper sequence in the healing process
Responda
  • 1)A blood clot forms; 2) granulation tissue grows into the gap; 3) new blood vessels develop; 4) phagocytosis of foreign material and cell debris occurs; 5) and collagen fibers form a tight, strong scar.
  • 1)Foreign material and cell debris are removed by phagocytes; 2) a blood clot forms; 3) granulation tissue grows into the gap; 4) new blood vessels form; 5) and collagen fibers grow and cross-link.
  • 1) A blood clot forms; 2) phagocytes remove foreign material and cell debris; 3) granulation tissue grows into the gap; 4) new blood vessels form; 5) and collagen fibers promote formation of a tight, strong scar.
  • 1) Collagen fibers form in the damaged area; 2) a blood clot forms; 3) granulation tissue grows into the gap; 4) angiogenesis takes place; 5) and foreign material and cell debris are removed by phagocytes.

Questão 57

Questão
To which of the following does the term apoptosis refer?
Responda
  • Unplanned death of a group of cells
  • Preprogrammed cell self-destruction
  • Increase rate of mitosis of cells
  • Necrotic tissue invaded by bacteria

Questão 58

Questão
A patient is on a high dose of glucocorticoids to treat lupus. Which of the following blood tests would a nurse be most concerned about?
Responda
  • Blood glucose
  • Liver enzymes
  • Clotting time
  • pH

Questão 59

Questão
A patient with type 1 diabetes was prescribed a glucocorticoid for chronic obstructive pulmonary disease. Which will the nurse expect in the treatment plan?
Responda
  • A decrease in the amount of insulin needed
  • An increase in the amount of insulin needed
  • No change in the amount of insulin needed
  • An increase in the need for carbohydrates

Questão 60

Questão
Inflammation is a non-specific response to:
Responda
  • Any injury to vascularised tissue
  • Cold temperatures
  • Micro-organisms only
  • Foreign material only

Questão 61

Questão
Histamines are produced from ? and cause ?.
Responda
  • Plasma proteins; increased platelet aggregation
  • Mast cells; vasodilation and increased capillary permeability
  • All cell membranes; pain
  • Platelets; attraction of neurophils

Questão 62

Questão
A broad-spectrum bactericidal agent would be expected to:
Responda
  • reduce the replication of many bacteria.
  • reduce the growth of many gram-positive and gram-negative bacteria
  • destroy many gram-positive and gram-negative bacteria
  • destroy all pathogenic microbes

Questão 63

Questão
Bacterial mutation means that:
Responda
  • pathogens become nonpathogens
  • the host's immune response to that bacteria is strengthened
  • the bacteria survives adverse conditions but can no longer replicate
  • its genetic information has changed

Questão 64

Questão
Pathogenicity:
Responda
  • is the capacity of microbes to cause disease/infection
  • is the size of a specific microbe
  • is the presence of toxins in the blood
  • is the presence of viruses in the blood

Questão 65

Questão
Exotoxins:
Responda
  • are very heat tolerant
  • may cause fever and fatigue
  • can disrupt cellular metabolic and signalling processes causing widespread damage
  • can be incorporated into the structure of the cell membrane as liposaccharides

Questão 66

Questão
Gram negative bacteria have
Responda
  • A thick peptidoglycan layer cell wall
  • A thin peptidoglycan cell wall sandwiched between an inner cytoplasmic cell membrane and a bacterial outer membrane.
  • No cell wall only a thick cell membrane
  • require oxygen as a source of energy and therefore for growth.

Questão 67

Questão
Protozoa:
Responda
  • are multicellular organisms
  • have intricate life cycles including egg, larvae and adults stages
  • replicate asexually by cell division
  • all of the answers are correct

Questão 68

Questão
Opportunistic infections are:
Responda
  • An infection by a non-pathogenic organism that has become pathogenic
  • The capacity of microbes to cause disease
  • Presence and multiplication of micro-organisms that is not yet causing disease
  • An organism participating in a symbiotic relationship with the host

Questão 69

Questão
What is a eukaryotic organism, that contains both a cell wall and cell membrane. When they cause an infection it is termed mycosis
Responda
  • Fungi
  • Virus
  • Bacteria
  • Protozoa

Questão 70

Questão
Which of the following factors would NOT increase the virulence of a specific microbe?
Responda
  • Secretion of endotoxins
  • Presence of a bacterial capsule
  • Secretion of enzymes
  • Size of the micro-organism

Questão 71

Questão
Triazole as an antifungal agent works by:
Responda
  • Disrupt the synthesis of its cell membrane
  • Disrupt DNA replication
  • Disrupt the synthesis of its cell wall
  • Inhibit hydrogen peroxide metabolism

Questão 72

Questão
An antimicrobial agent with a narrow spectrum of activity reflects a drug that has:
Responda
  • only a weak antibiotic action.
  • effectiveness against a relatively small variety of microbes.
  • a low potency.
  • a narrow margin of safety.

Questão 73

Questão
Which of the following signs would best indicate a bacterial infection (in comparison to a viral infection)?
Responda
  • The presence of pain
  • The presence of purelent exudate.
  • The presence of a serous exudate.
  • The presence of swelling.

Questão 74

Questão
During which period is the infectious disease fully developed?
Responda
  • Prodromal
  • Acute
  • Incubation
  • Aggresive

Questão 75

Questão
The structure of a virus includes:
Responda
  • a cell wall and membrane
  • metabolic enzymes and a cell wall
  • a protein coat and either DNA or RNA
  • a slime capsule and cilia

Questão 76

Questão
Bacteria:
Responda
  • require host cells in order to replicate
  • are prokaryotes
  • may cause mycosis
  • are contained within a capsid

Questão 77

Questão
Bacterial mutation means that:
Responda
  • pathogens become nonpathogens
  • the bacteria survives adverse conditions but can no longer replicate
  • its genetic information has changed
  • the host's immune response to that bacteria is strengthened

Questão 78

Questão
Which of the following mechanisms is NOT one of the four typical mechanisms of action of antibiotic agents
Responda
  • Affect bacterial folic acid synthesis
  • Inhibit bacterial DNA synthesis
  • Disrupt bacterial meiosis
  • Disrupt cell wall synthesis

Questão 79

Questão
Which of the following clinical manifestations is not one typically associated with anaphylaxis
Responda
  • Pruritus
  • Hypertension
  • Stridor
  • Syncopy

Questão 80

Questão
Which of the following is NOT a cause of immunodeficiency?
Responda
  • Atrophy of lymph nodes
  • Immunosuppresive agents
  • Hypoplasia of the thymus
  • Delayed hypersensitivity

Questão 81

Questão
Primary immune deficiencies occur as a result of:
Responda
  • A genetic defect affecting immune cell number
  • Human immunodeficiency virus
  • Excessive emotional stress
  • Lack of vitamin C

Questão 82

Questão
An example of a live attenuated vaccine includes:
Responda
  • Polio
  • Rabies
  • DPT
  • Rubella

Questão 83

Questão
The main property of the adaptive immune response for immunity to previously encountered infections is:
Responda
  • Antigen specificity
  • Diversity
  • Memory
  • Self/non-self recognition

Questão 84

Questão
The role of memory cells is to
Responda
  • change into an antibody-secreting cell following activation.
  • immediately secrete antibodies following the first exposure to antigen.
  • recognize the antigen and stimulate an immune response.
  • activate the hippocampus in the CNS

Questão 85

Questão
White blood cells responsible for adaptive immunity:
Responda
  • Neutrophils
  • Lymphocytes
  • Monocytes
  • Eosinophils

Questão 86

Questão
Which cells are required to process and present antigens from foreign material as the initial step in the immune response?
Responda
  • T-helper cells
  • Macrophages
  • Eosinophils
  • Mast cells

Questão 87

Questão
A common primary target for most immunosuppressant drugs is:
Responda
  • Blocking cytokines
  • Suppressing B cell activation
  • Suppressing T cell activity
  • Suppressing macrophages

Questão 88

Questão
Some common treatments for immunodeficiency may include marrow or thymus transplants and:
Responda
  • Hyperbaric treatments
  • Blood transfusions and narrow spectrum antibiotics
  • Prophylactic antibiotics and cytokine stimulants
  • Antibiotics and radiation therapy

Questão 89

Questão
Interferons work by:
Responda
  • Suppress viral replication in infected cells
  • Stimulates cytokine production
  • Inhibit macrophage activity
  • Inducing fever

Questão 90

Questão
The immune system identifies foreign organisms via the recognition of surface:
Responda
  • antigens
  • cytokines
  • interferons
  • antibodies

Questão 91

Questão
Type 1 diabetes mellitus is associated with a:
Responda
  • Type III hypersensitivity reaction
  • Type II hypersensitivity reaction
  • Type IV hypersensitivity reaction
  • Type I hypersensitivity reaction

Questão 92

Questão
Systemic lupus erythematosus is caused by:
Responda
  • development of an immune-deficient state.
  • a chronic allergic condition.
  • immune complex deposits of anti DNA/RNA antibodies.
  • a deficiency of T lymphocytes.

Questão 93

Questão
The type of white blood cells that contains chemical mediators and plays an important part in allergic inflammatory responses is the:
Responda
  • Basophil
  • Neutrophil
  • Monocyte
  • Macrophage

Questão 94

Questão
The common local effects of an expanding tumour mass include: 1. obstruction of a tube or duct. 2. anemia and weight loss. 3. cell necrosis and ulceration. 4. tumour markers in the circulation.
Responda
  • 1,2
  • 2,4
  • 1,3
  • 1,2,3,4

Questão 95

Questão
Which of the following does paraneoplastic syndrome refer to?
Responda
  • The decreased resistance to infection resulting from malignant tumors
  • The effects of substances such as hormones secreted by the tumor cells
  • The effects of multiple metastatic tumors
  • Severe weight loss and cachexia associated with advanced cancer

Questão 96

Questão
Ultraviolet light is considered a carcinogen because:
Responda
  • It produces a carcinogenic enzyme in skin cells
  • It introduces errors into DNA (genes)
  • It directly prevents telomere shortening
  • It directly prevents DNA repair

Questão 97

Questão
First line treatment for testicular cancer always involves
Responda
  • nodulectomy
  • chemotherapy
  • radiation
  • orchidectomy

Questão 98

Questão
Staging systems used to classify a malignant tumour at the time of diagnosis are based on which of the following factors?
Responda
  • Size, encapsulated or non-encapsulated, invasion into neighboring tissue
  • Size of the tumour, involvement of lymph nodes, metastases
  • Location of tumour, size, type of cellular abnormality
  • Type of cellular abnormality, size of secondary tumours, location/tissue affected

Questão 99

Questão
Why is a patient with prostate cancer prescribed an estrogen?
Responda
  • To soften prostatic tissue
  • To decrease the rate of replication for malignant cells
  • To achieve hormonal balance
  • To suppress prostate gland function

Questão 100

Questão
Seeding refers to:
Responda
  • Spread of cancer cells in body cavities/membranes
  • Spread of cancer cells into the nearest lymph node
  • Local spread of cancer cells within a tissue
  • Spread of cancer cells to distant sites in the body by blood or lymph

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