MCQs

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Practice Questions

A patient with acute kidney injury (AKI) experiences a sudden decline in renal function. The prerenal cause of AKI is characterized by:

A. Direct damage to kidney tubules.
B. Obstruction of urine outflow.
C. Decreased blood flow to the kidneys.
D. Glomerular inflammation.
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

A patient with acute pancreatitis develops severe abdominal pain. The pain is primarily caused by:

A. Gallstone obstruction only.
B. Autodigestion of pancreatic tissue by its own enzymes.
C. Increased insulin secretion.
D. Liver inflammation.
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

A patient with prolonged, severe stress develops adrenal exhaustion. This phase of the General Adaptation Syndrome (GAS) is characterized by:

A. Initial sympathetic nervous system activation.
B. Mobilization of resources and adaptation.
C. Depletion of adaptation energy and potential for organ damage.
D. Increased resistance to disease.
nmdcat.online BS Nursing
Jun 6, 2026

A patient experiences an exacerbation of Crohn’s disease. The primary pathological characteristic of Crohn’s disease is:

A. Continuous inflammation limited to the colon.
B. Patchy, transmural inflammation that can affect any part of the GI tract from mouth to anus.
C. Ulceration limited to the mucosal layer of the rectum.
D. Stricture formation only in the esophagus.
nmdcat.online BS Nursing
Jun 6, 2026

A patient develops a deep vein thrombosis (DVT). The key elements contributing to thrombus formation, as described by Virchow’s Triad, include:

A. Hypertension, obesity, and hyperlipidemia.
B. Venous stasis, endothelial injury, and hypercoagulability.
C. Hypovolemia, infection, and low blood pressure.
D. Anemia, fever, and leukopenia.
nmdcat.online BS Nursing
Jun 6, 2026

A patient with type 2 diabetes mellitus primarily experiences:

A. Absolute insulin deficiency due to autoimmune destruction.
B. Insulin resistance and impaired insulin secretion.
C. Excessive glucagon production.
D. Pancreatic enzyme deficiency.
nmdcat.online BS Nursing
Jun 6, 2026

A patient is diagnosed with metastatic cancer. Metastasis refers to the process where cancer cells:

A. Undergo apoptosis.
B. Shrink in size.
C. Spread from the primary site to distant organs.
D. Become well-differentiated.
nmdcat.online BS Nursing
Jun 6, 2026

A patient with a severe bacterial infection develops fever. The release of which substances by immune cells primarily causes fever?

A. Antibodies.
B. Endotoxins.
C. Pyrogens (e.g., IL-1, TNF-alpha).
D. Histamine.
nmdcat.online BS Nursing
Jun 6, 2026

A patient with chronic heart failure experiences edema. The primary pathophysiological cause of heart failure-related edema is:

A. Decreased capillary hydrostatic pressure.
B. Increased plasma oncotic pressure.
C. Increased capillary hydrostatic pressure due to fluid overload and decreased cardiac output.
D. Increased lymphatic drainage.
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

A patient develops hyperkalemia. Which of the following is a common cause of hyperkalemia?

A. Excessive use of loop diuretics.
B. Diabetic ketoacidosis (DKA) with potassium shifting out of cells.
C. Prolonged diarrhea.
D. Cushing's syndrome.
nmdcat.online BS Nursing
Jun 6, 2026

A patient with an autoimmune disease, Systemic Lupus Erythematosus (SLE), experiences damage to multiple organs. SLE is characterized by the production of:

A. Autoantibodies that attack the body's own tissues.
B. Increased complement proteins.
C. Decreased inflammatory mediators.
D. Excessive B-cell suppression.
nmdcat.online BS Nursing
Jun 6, 2026

A patient with a long history of smoking develops emphysema, a form of COPD. The primary pathological change in emphysema is:

A. Bronchial smooth muscle hypertrophy.
B. Alveolar wall destruction and loss of elastic recoil.
C. Reversible airway inflammation.
D. Increased mucus gland hyperplasia.
nmdcat.online BS Nursing
Jun 6, 2026

A patient with severe sepsis develops disseminated intravascular coagulation (DIC). The key pathophysiological feature of DIC is:

A. Excessive clot formation leading to widespread microvascular thrombosis and consumption of clotting factors, followed by bleeding.
B. Only excessive bleeding with no clot formation.
C. Increased production of platelets.
D. Decreased fibrinolysis.
nmdcat.online BS Nursing
Jun 6, 2026

A patient with a genetic disorder has two copies of the abnormal gene on non-sex chromosomes to manifest the disease. This inheritance pattern is:

A. Autosomal dominant.
B. Autosomal recessive.
C. X-linked dominant.
D. X-linked recessive.
nmdcat.online BS Nursing
Jun 6, 2026

A patient with a severe burn injury develops massive edema in the affected area. This is primarily due to:

A. Increased intravascular protein synthesis.
B. Decreased capillary permeability.
C. Increased capillary hydrostatic pressure and increased capillary permeability.
D. Decreased lymphatic drainage.
nmdcat.online BS Nursing
Jun 6, 2026
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