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BS Nursing

5385 questions found

Practice Questions

86. A patient with iron deficiency anemia presents with pallor, fatigue, and spoon-shaped nails (koilonychia). What is the technical primary pathophysiological cause of the anemia?

A. Impaired red blood cell production due to insufficient iron for hemoglobin synthesis.
B. Increased red blood cell destruction.
C. Vitamin B12 deficiency.
D. Bone marrow failure.
nmdcat.online BS Nursing
Jun 6, 2026

87. A patient with diverticulitis presents with left lower quadrant pain, fever, and leukocytosis. What is the technical primary pathophysiological event?

A. Inflammation of diverticula (outpouchings) in the colon, often due to fecal impaction.
B. Gastric ulceration.
C. Appendicitis.
D. Inflammatory bowel disease.
nmdcat.online BS Nursing
Jun 6, 2026

88. A patient with acute kidney injury is diagnosed with pre-renal azotemia. What is the technical primary pathophysiological cause?

A. Obstruction of the urinary tract.
B. Reduced renal perfusion (e.g., due to hypovolemia or decreased cardiac output).
C. Direct damage to kidney tubules.
D. Glomerular inflammation.
nmdcat.online BS Nursing
Jun 6, 2026

89. A patient with Parkinson’s disease experiences tremors, rigidity, bradykinesia, and postural instability. What is the technical primary pathophysiological defect?

A. Accumulation of amyloid plaques.
B. Loss of dopaminergic neurons in the substantia nigra.
C. Demyelination of nerve fibers.
D. Increased acetylcholine production.
nmdcat.online BS Nursing
Jun 6, 2026

90. A patient with severe asthma exacerbation presents with profound dyspnea, wheezing, and use of accessory muscles. What is the urgent clinical medicinal intervention required?

A. Oral steroids.
B. Immediate administration of inhaled short-acting beta-agonists and systemic corticosteroids.
C. Oral antibiotics.
D. Nasal decongestants.
nmdcat.online BS Nursing
Jun 6, 2026

74. A patient with severe anemia (Hb 5 g/dL) presents with pallor, fatigue, and dyspnea on exertion. What is the technical primary pathophysiological consequence of severe anemia?

A. Increased oxygen-carrying capacity.
B. Decreased oxygen-carrying capacity of the blood, leading to tissue hypoxia.
C. Increased blood viscosity.
D. Enhanced immune response.
nmdcat.online BS Nursing
Jun 6, 2026

75. A patient with Type 2 Diabetes Mellitus develops hyperosmolar hyperglycemic state (HHS). What is the technical primary pathophysiological difference from diabetic ketoacidosis (DKA)?

A. Presence of severe ketosis and acidosis.
B. Profound hyperglycemia and hyperosmolarity without significant ketosis.
C. Absence of dehydration.
D. Normal insulin levels.
nmdcat.online BS Nursing
Jun 6, 2026

61. A patient with chronic gastritis is found to have Helicobacter pylori infection. What is the technical pathophysiological mechanism by which H. pylori contributes to peptic ulcer disease?

A. Direct invasion of gastric cells.
B. Production of urease, leading to ammonia formation and gastric mucosal damage, and inflammation.
C. Induction of autoimmune reaction.
D. Impaired gastric emptying.
nmdcat.online BS Nursing
Jun 6, 2026

62. A patient with acute coronary syndrome receives a statin. From a medicinal perspective, what is the technical pathophysiological mechanism of statins in cardiovascular disease?

A. Increases LDL cholesterol.
B. Inhibits HMG-CoA reductase, reducing cholesterol synthesis and stabilizing atherosclerotic plaques.
C. Increases triglyceride levels.
D. Directly dilates coronary arteries.
nmdcat.online BS Nursing
Jun 6, 2026

63. A patient with long-standing rheumatoid arthritis develops signs of cervical spine involvement. What is the critical clinical urgency associated with this complication?

A. Risk of joint pain.
B. Risk of spinal cord compression.
C. Risk of skin rash.
D. Risk of kidney stones.
nmdcat.online BS Nursing
Jun 6, 2026

64. A patient with a history of multiple sclerosis (MS) experiences new episodes of numbness, tingling, weakness, and visual disturbances. What is the technical primary pathophysiological process occurring in MS?

A. Loss of dopaminergic neurons.
B. Demyelination of nerve fibers in the CNS.
C. Accumulation of amyloid plaques.
D. Peripheral nerve inflammation.
nmdcat.online BS Nursing
Jun 6, 2026

65. A patient with acute pyelonephritis presents with fever, chills, flank pain, and dysuria. What is the technical primary pathophysiological event?

A. Viral infection of the bladder.
B. Bacterial infection and inflammation of the renal parenchyma and renal pelvis.
C. Kidney stone obstruction.
D. Glomerular inflammation.
nmdcat.online BS Nursing
Jun 6, 2026

66. A patient with severe heart failure develops cardiogenic shock. What is the technical primary pathophysiological event in cardiogenic shock?

A. Increased systemic vascular resistance.
B. Profound decrease in cardiac output, leading to inadequate tissue perfusion.
C. Increased blood volume.
D. Vasodilation.
nmdcat.online BS Nursing
Jun 6, 2026

67. A patient with chronic heart failure experiences worsening dyspnea on exertion and orthopnea. What is the technical pathophysiological mechanism driving the orthopnea?

A. Peripheral vasoconstriction.
B. Redistribution of fluid from the lower extremities to the pulmonary circulation when lying flat.
C. Decreased venous return.
D. Increased cardiac contractility.
nmdcat.online BS Nursing
Jun 6, 2026

68. A patient with a history of chronic alcoholism develops acute onset of delirium tremens. What is the critical clinical urgency in managing this condition?

A. Administering oral fluids.
B. Monitoring for and managing seizures, arrhythmias, and severe agitation with benzodiazepines.
C. Encouraging sleep.
D. Providing nutritional supplements.
nmdcat.online BS Nursing
Jun 6, 2026

69. A patient with a history of deep vein thrombosis (DVT) is prescribed a direct oral anticoagulant (DOAC) like rivaroxaban. From a medicinal perspective, what is the technical pathophysiological mechanism of rivaroxaban?

A. Inhibits Vitamin K epoxide reductase.
B. Directly inhibits Factor Xa.
C. Directly inhibits thrombin.
D. Binds to antithrombin III.
nmdcat.online BS Nursing
Jun 6, 2026

70. A patient with hyperthyroidism presents with weight loss, heat intolerance, tremors, and tachycardia. What is the technical primary pathophysiological cause?

A. Decreased thyroid hormone production.
B. Excess thyroid hormone production, leading to a generalized hypermetabolic state.
C. Adrenal insufficiency.
D. Excess parathyroid hormone.
nmdcat.online BS Nursing
Jun 6, 2026

71. A patient with Crohn’s disease develops intestinal strictures and fistulas. What is the technical pathophysiological process leading to these complications?

A. Superficial mucosal inflammation.
B. Transmural inflammation and fibrosis.
C. Diverticular outpouchings.
D. Gastric acid erosion.
nmdcat.online BS Nursing
Jun 6, 2026

72. A patient with a history of chronic kidney disease develops metabolic acidosis. What is the technical primary pathophysiological reason for this?

A. Increased bicarbonate reabsorption.
B. Impaired renal excretion of acid and reduced bicarbonate regeneration.
C. Overproduction of lactic acid.
D. Excessive loss of CO2?.
nmdcat.online BS Nursing
Jun 6, 2026
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