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Pathophysiology-II

197 questions found

Practice Questions

156. A patient with severe pancreatitis develops pancreatic necrosis and infection. What is the critical clinical urgency in managing this complication?

A. Oral antibiotics.
B. Surgical debridement of necrotic tissue and broad-spectrum antibiotics to prevent sepsis.
C. Pain management only.
D. Observation.
nmdcat.online BS Nursing
Jun 6, 2026

157. A patient with a stroke is experiencing cerebral edema. What is the technical primary pathophysiological consequence of cerebral edema?

A. Decreased intracranial pressure.
B. Increased intracranial pressure (ICP), leading to brain herniation and neurological deterioration.
C. Improved cerebral blood flow.
D. Enhanced neurotransmission.
nmdcat.online BS Nursing
Jun 6, 2026

158. A patient with HIV/AIDS develops Pneumocystis pneumonia. What is the technical primary pathophysiological reason for this opportunistic infection?

A. Normal immune function.
B. Severe immunosuppression due to CD4+ T cell depletion.
C. Hyperactive immune response.
D. Autoimmune disease.
nmdcat.online BS Nursing
Jun 6, 2026

159. A patient with Type 2 Diabetes Mellitus develops diabetic retinopathy. What is the technical primary pathophysiological mechanism?

A. Acute inflammation of the retina.
B. Microvascular damage and abnormal blood vessel growth in the retina due to chronic hyperglycemia.
C. Optic nerve damage.
D. Increased intraocular pressure.
nmdcat.online BS Nursing
Jun 6, 2026

160. A patient with acute kidney injury develops severe acidosis. What is the urgent clinical medicinal intervention required?

A. Oral antacids.
B. Administration of bicarbonate (if severe) and addressing the underlying cause of AKI.
C. Hyperventilation.
D. Loop diuretics.
nmdcat.online BS Nursing
Jun 6, 2026

161. A patient with heart failure experiences activation of the Renin-Angiotensin-Aldosterone System (RAAS). What is the technical pathophysiological consequence of RAAS activation in heart failure?

A. Vasodilation and decreased fluid retention.
B. Vasoconstriction, sodium and water retention, and cardiac remodeling, leading to worsening heart failure.
C. Improved cardiac contractility.
D. Decreased afterload.
nmdcat.online BS Nursing
Jun 6, 2026

162. A patient with an esophageal stricture (narrowing) due to chronic GERD develops dysphagia. What is the technical primary pathophysiological cause of dysphagia?

A. Impaired gastric emptying.
B. Fibrosis and scarring of the esophageal wall.
C. Acute inflammation.
D. Muscle spasm.
nmdcat.online BS Nursing
Jun 6, 2026

147. A patient with an acute pulmonary embolism (PE) develops sudden onset of dyspnea and hypoxemia. What is the technical primary pathophysiological consequence of PE?

A. Bronchospasm.
B. Obstruction of pulmonary arterial blood flow, leading to V/Q mismatch and hypoxemia.
C. Alveolar inflammation.
D. Pulmonary fibrosis.
nmdcat.online BS Nursing
Jun 6, 2026

148. A patient with severe sepsis develops metabolic acidosis. What is the technical primary pathophysiological cause of the acidosis in sepsis?

A. Impaired renal excretion of acid.
B. Tissue hypoperfusion leading to anaerobic metabolism and lactic acid production.
C. Hyperventilation.
D. Overproduction of ketone bodies.
nmdcat.online BS Nursing
Jun 6, 2026

149. A patient with a history of alcohol abuse develops alcoholic hepatitis. What is the technical primary pathophysiological event?

A. Viral infection.
B. Inflammation and damage to hepatocytes due to alcohol metabolism products.
C. Gallstone obstruction.
D. Autoimmune attack.
nmdcat.online BS Nursing
Jun 6, 2026

150. A patient with acute onset of severe retrosternal chest pain, radiating to the jaw, is suspected of having a myocardial infarction. What is the critical clinical urgency for medicinal intervention?

A. To administer oral antibiotics.
B. Immediate assessment for eligibility for reperfusion therapy (fibrinolysis or PCI) to minimize myocardial damage.
C. To administer pain medication only.
D. To observe and monitor.
nmdcat.online BS Nursing
Jun 6, 2026

151. A patient with uncompensated respiratory acidosis develops hyperkalemia. What is the technical pathophysiological mechanism causing the hyperkalemia?

A. Increased potassium excretion.
B. Shift of potassium from intracellular to extracellular space in exchange for hydrogen ions.
C. Decreased potassium intake.
D. Increased aldosterone.
nmdcat.online BS Nursing
Jun 6, 2026

152. A patient with acute kidney injury is diagnosed with intrinsic (intra-renal) AKI due to acute tubular necrosis (ATN). What is the technical primary pathophysiological cause of ATN?

A. Obstruction of the urinary tract.
B. Ischemic or nephrotoxic injury to renal tubular cells.
C. Reduced renal perfusion.
D. Glomerular inflammation.
nmdcat.online BS Nursing
Jun 6, 2026

153. A patient with chronic heart failure develops an acute exacerbation with severe dyspnea and hypoxemia. What is the critical clinical urgency for medicinal intervention?

A. Oral diuretics.
B. Immediate administration of IV diuretics and vasodilators to reduce preload and afterload and improve cardiac function.
C. Oral antibiotics.
D. Only oxygen therapy.
nmdcat.online BS Nursing
Jun 6, 2026

154. A patient with a history of diabetes develops a non-healing foot ulcer with surrounding erythema and purulent discharge. What is the technical primary pathophysiological concern?

A. Neuropathic pain.
B. Diabetic foot infection, often with osteomyelitis, requiring urgent antibiotic treatment and debridement.
C. Ischemia only.
D. Venous insufficiency.
nmdcat.online BS Nursing
Jun 6, 2026

155. A patient with systemic lupus erythematosus (SLE) develops glomerulonephritis. What is the technical primary pathophysiological mechanism?

A. Direct bacterial infection.
B. Immune complex deposition in the glomeruli.
C. Ischemic injury.
D. Tubular damage.
nmdcat.online BS Nursing
Jun 6, 2026

141. A patient with chronic heart failure (CHF) is characterized by reduced exercise tolerance and fatigue. What is the technical primary pathophysiological reason for these symptoms?

A. Increased cardiac output.
B. Inadequate cardiac output to meet metabolic demands of peripheral tissues.
C. Increased red blood cell count.
D. Enhanced oxygen delivery.
nmdcat.online BS Nursing
Jun 6, 2026

142. A patient with an acute MI develops an arrhythmia, specifically ventricular fibrillation. What is the critical urgency for medicinal intervention?

A. Oral antiarrhythmics.
B. Immediate defibrillation and CPR.
C. IV fluids.
D. Observation.
nmdcat.online BS Nursing
Jun 6, 2026

143. A patient with chronic kidney disease (CKD) develops anemia. What is the technical primary pathophysiological cause?

A. Increased erythropoietin production.
B. Decreased erythropoietin production by the damaged kidneys.
C. Iron deficiency.
D. Vitamin B12 deficiency.
nmdcat.online BS Nursing
Jun 6, 2026
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