NURBN 3023 EXAM PREP QUESTIONS AND

NURBN 3023 EXAM PREP QUESTIONS AND

COMPLETE SOLUTIONS

A patient suffering from anaphylactic shock can suffer respiratory distress due to:

• laryngeal oedema
• swelling of the lips and tongue
• acute pulmonary oedema
• pulmonary embolus - Correct Answer A

What are the first clinical signs of shock?

• rise in BP and increased Heart rate
• increased respiratory rate and fall in BP
• confusion and decrease in urinary output
• fall in BP and increased Heart rate - Correct Answer D

Signs and symptoms of cardiogenic shock include all of the following except:

• jugular vein distension
• hyperthermia
• peripheral hypoperfusion
• pulmonary oedema - Correct Answer B

What type of shock is typically caused by trauma to the spinal cord or brain?

• septic
• anaphylactic
• neurogenic
• obstructive - Correct Answer C 1 / 4

Compensatory mechanisms typically maintain cardiac output in healthy patients in which stage of shock?

• initial stage
• compensatory stage
• progressive stage
• refractory stage - Correct Answer B

What are the 2 major complications that can occur during large amounts of fluid replacement?

• ascites and increased Intracranial pressure
• hyperthermia and coagulopathy
• hypothermia and hypertension
• hypothermia and coagulopathy - Correct Answer D

Sympathomimetic drugs such as adrenaline and noradrenaline are known as:

• rapid volume expanders
• arterial and venous vasodilators
• venodilators
• vasopressor drugs - Correct Answer D

A patient in neurogenic shock may present with poikilothermia, which is best defined as?

• warm skin with red blotches
• cool skin which blanches easily
• the skin takes on the temperature of the environment
• the skin continues to heat up despite cooling measures - Correct Answer C

What is the action of colloids when used as fluid therapy in hypovolaemic shock? 2 / 4

• increase plasma colloid osmotic pressure
• decrease plasma colloid osmotic pressure
• decrease the risk of renal dysfunction
• increase systemic vascular resistance - Correct Answer A

Which of the following shocks are classified as 'a maldistribution of blood flow'?

• hypovolaemic, cardiogenic and neurogenic
• cardiogenic, neurogenic and hypertensive
• anaphylactic, septic and neurogenic
• septic,neurogenic and relative hypovolaemic - Correct Answer C

How many ATP molecules theoretically may be generated by the complete oxidation of glucose into carbon dioxide?

• 2
• 12
• 32
• 36 - Correct Answer D

Cellular respiration is the name given to a series of biochemical reactions that:

• makes glucose from carbon dioxide and water
• uses glucose to make ATP
• uses glucose to make oxygen
• uses ATP to make oxygen - Correct Answer B

The steps of respiration occur in different parts of the cell. Where in the cell does glycolysis occur?

• chloroplast
• mitochondria 3 / 4

• cytoplasm
• nucleus - Correct Answer C

Glycolysis produces a net gain of:

• no ATP
• 1 ATP
• 2 ATP
• 5 ATP - Correct Answer C

When oxygen is present the pyruvate or pyruvic acid molecules enter what is known as the Krebs cycle (or citric acid cycle or tricarboxylic acid cycle). Where in the cell does the Krebs cycle occur?

• mitochondria
• nucleus
• cytoplasm
• lyosome - Correct Answer A

Aerobic metabolism is more efficient in terms of producing ATP from glucose than anaerobic metabolsim?True False - Correct Answer True Which process produces alcohol or lactate?

• the citric acid cycle
• glycolysis
• the electron transport system
• fermentation - Correct Answer D

Oxygen is not required for anaerobic metabolism.

• / 4