Deck 2: Problems Affecting Multiple Systems

Question 1

Which of the following is a delayed complication of radiation to the brain?

A) debilitating fatigue
B) dry skin
C) Lhermitte sign
D) radionecrosis

Answer 1

radionecrosis

Question 2

Which of the following is widely considered as the most severe form of immunodeficiency?

A) B cell deficiencies
B) T cell deficiencies
C) combined deficiencies
D) malnutrition

Answer 2

combined deficiencies

Question 3

Which of the following is an immediate effect of ionizing radiation on the cardiovascular and pulmonary symptoms?

A) radiation pneumonitis
B) radiation fibrosis
C) lymphedema
D) coronary artery disease

Answer 3

radiation pneumonitis

Question 4

An adverse drug reaction that is potentially life threatening is classified as__________.

A) mild
B) moderate
C) severe
D) lethal

Question 5

An elderly patient is prescribed a drug that is water soluble.As a general rule the dosages of this drug should be ____________.

A) increased because there is an increase in body water as we age
B) decreased because there is a decrease in body water as we age
C) increased because there is a decrease in body water as we age
D) decreased because there is an increase in body water as we age

Question 6

Excessive sweating can lead to __________.

A) hyperkalemia
B) hypercalcemia
C) hypernatremia
D) hypocalcemia

Question 7

Serious side effects of nonsteroidal anti-inflammatory drugs (NSAIDs)are usually not seen in which part of the body?

A) gastrointestinal (GI) tract
B) kidneys
C) cardiovascular system
D) skin

Question 8

What are the most common causes of multiple organ dysfunction syndrome?

A) pulmonary edema and congestive heart failure
B) sepsis and myocardial infarction
C) pulmonary edema and myocardial infarction
D) sepsis and septic shock

Question 9

What are the two most common side effects of chemotherapeutic drugs?

A) alopecia and gastrointestinal toxicity
B) gastrointestinal toxicity and myelosuppression
C) gastrointestinal toxicity and fatigue
D) fatigue and myelosuppression

Question 10

Radiation therapy will not perform which of the following functions?

A) destroy hydrogen bonds within DNA
B) promote cellular replication
C) cause the production of free radicals
D) cause ischemia of irradiated tissues

Question 11

A 27-year-old male presents to physical therapy with a diagnosis of patella tendonitis.The patient explains that he has been "working out" for 5 to 6 hours per day for approximately the last 2 to 3 weeks.The therapist notes an abnormal amount of facial acne and body hair.The therapist suspects drug abuse.What type of drug is this patient most likely abusing?

A) glucocorticoids
B) NSAIDs
C) anabolic steroids
D) marijuana

Question 12

Which of the following is not the body's response to chronic inflammation?

A) production of fibrous tissue
B) decrease in erythrocyte sedimentation rate (ESR)
C) accumulation of lymphocytes
D) low-grade fever

Question 13

What adverse drug reaction would be expected with the long-term use of neuroleptic drugs in the elderly population?

A) abdominal cramps
B) hypertension
C) tardive dyskinesia
D) pulmonary edema

Question 14

Which NSAID is the most powerful anticoagulant agent?

A) aspirin
B) Vioxx
C) ibuprofen
D) naproxen

Question 15

Imbalances of what electrolyte influences blood volume and the retention or loss of interstitial fluid?

A) potassium
B) calcium
C) magnesium
D) sodium

Question 16

A patient is receiving physical therapy while undergoing chemotherapy for a diagnosis of cancer.The patient has complained of fatigue throughout the course of therapy.Which of the following is incorrect advice to give this patient?

A) The patient should be encouraged to increase physical activity.
B) The patient should be instructed in low to moderate levels of aerobic exercise.
C) The patient should be encouraged to sleep 10 hours per day.
D) The patient should be encouraged to maintain compliance with a home exercise program.

Question 17

What is the most serious side effect of long-term use of glucocorticoids?

A) hyperglycemia
B) fluid retention
C) GI irritation
D) increased susceptibility to infection

Question 18

Which of the following conditions is a generalized connective tissue disorder of unknown origin cause characterized by thickening and fibrosis of the skin?

A) rheumatoid arthritis
B) systemic lupus erythematosus
C) systemic sclerosis
D) sarcoidosis

Question 19

A patient has experienced a grade 2 reaction to radiation in the axilla.Which of the following would be an inappropriate treatment for a patient with this diagnosis?

A) active and passive range motion from the shoulder
B) skin cream to the area
C) use of antiperspirants
D) washing the area daily with water and gentle soap

Question 20

A patient is undergoing an ionizing radiation to treat cancer.Several weeks into the patient's treatment,they begin to complain of "sunburn" over the area that is being irradiated.There is accompanying hair loss and dyspigmentation.What grade of radiation dermatitis is this patient experiencing?

A) grade 1
B) grade 2
C) grade 3
D) grade 4