NSG 530 - Advanced Pathophysiology
Exam 3
Question:
You have an elderly pt reporting loss of urine w. coughing, sneezing or laughing. What kind of incontinence is this?
Answer:
Stress
Question:
What is the name of the disorder that may be seen in a male c/o difficulty w.sexual intercourse, stating his erect penis has a curved shape?
Answer:
Peyronie's disease
Question:
Your 53 y.o male pt report frequent bouts of abd pain, diarrhea and bloody stools. What is a likely dx?
Answer:
Ulcerative colitis 1 / 4
Question:
Where would you expect to find a Wilms tumor?
Answer:
Kidney (typically one)
Question:
What is the underlying cause of hepatic encephalopathy found in pts w.chronic liver disease?
Answer:
Impaired ammonia metabolism
Question:
What is the name of the condition w. a urethral meatus located on the ventral (undersurface) of the penis?
Answer:
Hypospadias
Question:
What causes hepatocellular damage in pts w. alcoholic cirrhosis?
Answer:
Acetaldehyde accumulation
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Question:
You have a pt. w. rebound tenderness in the RLQ. What would you consider for a possible dx?
Answer:
Appendicitis
Question:
Your pt. w. a hx of GERD reports increased heartburn after eating and now has difficulty swallowing. What problem do you think he may have?
Answer:
Reflux esophagitis
Question:
What is the most common type of cx in the female reproductive tract?
Answer:
Endometrial cx
Question:
Your pt has symptoms of prostatitis. What differential dx would you consider?
Answer:
UTI; BPH; Prostate Cx 3 / 4
Question:
What symptoms would you anticipate in a child w. glomerulonephritis?
Answer:
Sudden onset of hematuria, edema, HTN, renal insufficiency
Question:
Your pt has been diagnosed w. PCOS. She is asking what can happen as a result of this problem. What recommendations would you offer?
Answer:
Amenorrhea, infertility, hirsutism, insulin resistance.
Question:
What lab test would you order to confirm a dx of PCOS?
Answer:
Hormone levels (excess androgen); insulin resistance
Question:
What are the sequelae of a Wilms tumor?
Answer:
Aniridia, hemihyperplasia, GU malformations
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