Practice Questions

120. A patient with severe pneumonia develops septic shock. What is the urgent clinical medicinal intervention required for septic shock?

A. Oral antibiotics and observation.
B. Immediate administration of broad-spectrum antibiotics, intravenous fluids, and vasopressors to restore tissue perfusion.
C. Oral steroids.
D. Oxygen therapy only.
nmdcat.online BS Nursing
Jun 6, 2026

119. A patient with acute kidney injury is diagnosed with post-renal AKI. What is the technical primary pathophysiological cause?

A. Reduced renal perfusion.
B. Direct damage to kidney tubules.
C. Obstruction of urinary outflow from the kidneys.
D. Glomerular inflammation.
nmdcat.online BS Nursing
Jun 6, 2026

118. A patient with uncompensated metabolic alkalosis has high blood pH and high bicarbonate. What is the technical primary pathophysiological cause of the alkalosis?

A. Hyperventilation.
B. Increased bicarbonate levels (e.g., due to vomiting or diuretic use) or excessive acid loss.
C. Decreased production of lactic acid.
D. Excessive loss of CO2?.
nmdcat.online BS Nursing
Jun 6, 2026

117. A patient with hypovolemic shock (e.g., from severe hemorrhage) presents with hypotension, tachycardia, and cool, clammy skin. What is the technical primary pathophysiological mechanism causing these signs?

A. Vasodilation.
B. Decreased intravascular volume, leading to reduced preload, cardiac output, and tissue perfusion.
C. Increased cardiac contractility.
D. Increased systemic vascular resistance.
nmdcat.online BS Nursing
Jun 6, 2026

116. A patient with acute pancreatitis develops systemic complications like acute respiratory distress syndrome (ARDS) and renal failure. What is the critical underlying pathophysiological mechanism?

A. Localized inflammation.
B. Systemic inflammatory response to pancreatic enzymes, leading to widespread organ damage.
C. Hypovolemia.
D. Infection.
nmdcat.online BS Nursing
Jun 6, 2026

115. A patient with diabetic nephropathy develops progressive proteinuria. What is the technical primary pathophysiological mechanism causing the proteinuria?

A. Increased tubular reabsorption.
B. Glomerular basement membrane thickening and increased permeability.
C. Renal artery stenosis.
D. Urinary tract infection.
nmdcat.online BS Nursing
Jun 6, 2026

114. A patient with an acute ischemic stroke receives tissue plasminogen activator (tPA). From a medicinal perspective, what is the technical pathophysiological mechanism of tPA?

A. Decreases blood pressure.
B. Breaks down fibrin clots, restoring blood flow to ischemic brain tissue.
C. Prevents platelet aggregation.
D. Increases cerebral blood flow by vasodilation.
nmdcat.online BS Nursing
Jun 6, 2026

113. A patient with uncompensated respiratory alkalosis (e.g., due to hyperventilation) has high blood pH and low PCO2?. What is the technical primary pathophysiological cause of the alkalosis?

A. Decreased production of lactic acid.
B. Excessive elimination of CO2? from the lungs.
C. Increased bicarbonate reabsorption.
D. Overproduction of ketone bodies.
nmdcat.online BS Nursing
Jun 6, 2026

112. A patient with a spinal cord injury develops autonomic dysreflexia. What is the technical primary pathophysiological cause?

A. Loss of motor function.
B. Exaggerated sympathetic response to noxious stimuli below the level of injury, due to impaired autonomic regulation.
C. Peripheral nerve damage.
D. Brainstem compression.
nmdcat.online BS Nursing
Jun 6, 2026

111. A patient with a history of recurrent urinary tract infections (UTIs) develops fever, chills, and flank pain. What is the critical clinical urgency in recognizing these symptoms?

A. To treat symptomatic UTI.
B. To identify and urgently treat pyelonephritis (kidney infection) to prevent sepsis and kidney damage.
C. To advise increased fluid intake.
D. To perform a urinalysis.
nmdcat.online BS Nursing
Jun 6, 2026
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