Question 1

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

Accepted Answer

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

Question 2

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

Accepted Answer

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

Question 3

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

Accepted Answer

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

Question 4

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

Accepted Answer

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

Question 5

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?

Accepted Answer

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 6

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?

Accepted Answer

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

Question 7

Radiation therapy will not perform which of the following functions?

Accepted Answer

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

Question 8

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

Accepted Answer

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

Question 9

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

Accepted Answer

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

Question 10

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?

Accepted Answer

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 11

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

Accepted Answer

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

Question 12

Excessive sweating can lead to __________.

Accepted Answer

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

Question 13

Which NSAID is the most powerful anticoagulant agent?

Accepted Answer

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

Question 14

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

Accepted Answer

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

Question 15

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?

Accepted Answer

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

Question 16

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

Accepted Answer

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

Question 17

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

Accepted Answer

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

Question 18

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

Accepted Answer

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

Question 19

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

Accepted Answer

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 20

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

Accepted Answer

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

Exam 2: Problems Affecting Multiple Systems