Practice Questions

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

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

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

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

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

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

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

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

60. A patient with acute onset of severe shortness of breath, bilateral crackles, and frothy pink sputum is diagnosed with acute pulmonary edema due to left-sided heart failure. What is the urgent clinical medicinal intervention required?

A. Oral diuretics and observation.
B. Immediate administration of IV diuretics and vasodilators to reduce preload and afterload.
C. Anticoagulants.
D. Oral antibiotics.
nmdcat.online BS Nursing
Jun 6, 2026

59. A patient with a history of HIV develops opportunistic infections and Kaposi’s sarcoma. What is the technical primary pathophysiological defect in HIV/AIDS?

A. Autoimmune reaction.
B. Progressive destruction of CD4+ T lymphocytes.
C. Hyperactivity of B lymphocytes.
D. Increased production of antibodies.
nmdcat.online BS Nursing
Jun 6, 2026
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