Practice Questions

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

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

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

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

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

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

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

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

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

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
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