Practice Questions

189. A patient with an ischemic stroke is experiencing increasing neurological deficits due to cerebral edema. What is the urgent clinical medicinal intervention required?

A. Oral fluids.
B. Administration of hyperosmolar agents (e.g., mannitol) or hypertonic saline to reduce cerebral edema.
C. Oral antibiotics.
D. Only observation.
nmdcat.online BS Nursing
Jun 6, 2026

188. A patient with a history of intravenous drug use develops infective endocarditis. What is the critical clinical concern in identifying the technical primary pathophysiological mechanism?

A. Peripheral neuropathy.
B. Bacterial colonization and vegetation on heart valves, potentially leading to septic emboli and systemic infection.
C. Autoimmune response.
D. Valvular calcification.
nmdcat.online BS Nursing
Jun 6, 2026

187. A patient with uncompensated respiratory alkalosis experiences lightheadedness and tingling around the mouth. What is the technical pathophysiological reason for these symptoms?

A. Increased cerebral blood flow.
B. Cerebral vasoconstriction due to decreased PCO2? and decreased ionized calcium.
C. Decreased oxygen levels.
D. Increased heart rate.
nmdcat.online BS Nursing
Jun 6, 2026

186. A patient with chronic liver disease develops hepatorenal syndrome. What is the technical primary pathophysiological mechanism?

A. Direct kidney damage.
B. Severe renal vasoconstriction in the setting of advanced liver disease, without primary kidney pathology.
C. Kidney stones.
D. Glomerular inflammation.
nmdcat.online BS Nursing
Jun 6, 2026

185. A patient with adrenal insufficiency (Addison’s disease) develops profound hypotension and shock during a stressor (e.g., infection). What is the technical primary pathophysiological cause of the shock?

A. Excess catecholamines.
B. Deficiency of cortisol and aldosterone, leading to volume depletion and vascular collapse.
C. Increased blood pressure.
D. Excess insulin.
nmdcat.online BS Nursing
Jun 6, 2026

184. A patient with an acute ST-elevation myocardial infarction (STEMI) presents to the ED. What is the urgent clinical medicinal goal of management?

A. To alleviate pain.
B. To urgently achieve reperfusion of the ischemic myocardium to limit infarct size and preserve cardiac function.
C. To prevent infection.
D. To reduce fluid overload.
nmdcat.online BS Nursing
Jun 6, 2026

183. A patient with chronic kidney disease (CKD) develops metabolic bone disease. What is the technical primary pathophysiological mechanism?

A. Increased bone formation.
B. Impaired calcium and phosphate homeostasis, leading to bone remodeling abnormalities.
C. Decreased parathyroid hormone.
D. Increased Vitamin D activation.
nmdcat.online BS Nursing
Jun 6, 2026

182. A patient with Type 2 Diabetes Mellitus is prescribed an SGLT2 inhibitor (e.g., empagliflozin). From a medicinal perspective, what is the technical pathophysiological mechanism of SGLT2 inhibitors?

A. Increases insulin secretion.
B. Inhibits sodium-glucose co-transporter 2 in the renal tubules, leading to increased glucose excretion in the urine.
C. Decreases hepatic glucose production.
D. Increases insulin sensitivity.
nmdcat.online BS Nursing
Jun 6, 2026

181. A patient with chronic heart failure has a history of prolonged immobility and develops sudden onset of unilateral leg swelling and pain. What is the critical clinical urgency in identifying this condition?

A. Cellulitis.
B. Deep vein thrombosis (DVT), requiring urgent anticoagulation to prevent pulmonary embolism.
C. Muscle strain.
D. Varicose veins.
nmdcat.online BS Nursing
Jun 6, 2026

180. A patient with severe sepsis develops disseminated intravascular coagulation (DIC). What is the technical primary pathophysiological feature of DIC?

A. Localized clot formation.
B. Widespread activation of coagulation and fibrinolysis, leading to simultaneous thrombosis and bleeding.
C. Platelet destruction only.
D. Hemolysis.
nmdcat.online BS Nursing
Jun 6, 2026
Page 416 of 652
Jump to:

🏆 Top Contributors

  • N

    nmdcat.online

    6509 MCQs

  • N

    NMDCAT.ONLINE

    1 MCQ

  • G

    GULABsb

    1 MCQ

Categories

View all →