C805 Pathophysiology (CCO1)

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1. Progress notes indicate that a patient’s wound has become more painful, swollen, and red. Based on this information, which type of infection is indicated?

A. MRSA  ✓

B. Molluscum contagiosum

C. Myelitis

D. Meningococcemia

2. A one-year-old was given an immunization for varicella, which resulted in acquired immunity because antibodies were given instead of produced. What is this type of immunity called?

A. Maternal

B. Natural

C. Passive  ✓

D. Active

3. What is a symptom found in patients with stage 1 Lyme disease?

A. Tremors

B. Bull’s eye rash  ✓

C. Nausea

D. Swollen lymph nodes

4. A patient presented with acute inflammation on both arms after camping. Which type of organism is indicated as a contributor to this reaction?

A. Bacteria

B. Parasite

C. [Option unreadable in source]

D. Insect  ✓

E. Fungus

5. What are two signs of patients who experience a near drowning? (Choose 2 answers)

A. Hypoxemia  ✓

B. Asphyxiation

C. Headache

D. Hypoventilation  ✓

7. A patient with an autoimmune disorder has symptoms of dyspnea, fever, and sweating. The physical examination shows a swollen lymph gland. Lymph node biopsy results are positive for malignant transformation of lymphocytes. Which condition is described?

A. Lymphedema

B. Pseudolymphoma

C. Lymphoid hyperplasia

D. Non-Hodgkin lymphoma  ✓

8. A patient chart has the following information: Patient history: chronic back pain for two years. Physical exam reveals uneven height of patient’s hips and shoulders. Test results: X-ray shows sideward curvature of the spine to the left. Which condition does this patient have?

A. Thrombosis

B. Kyphosis

C. Lordosis

D. Scoliosis  ✓

9. A middle-aged female presents with symptoms of muscle tenderness and fatigue. She also reports the death of her grandmother, which occurred three months ago, as the time period in which she has noticed an increase in symptoms. Her physician is treating with duloxetine and recommends low-impact exercises and acupuncture. Which condition does this describe?

A. Myasthenia gravis

B. Tendonitis

C. Polymyositis

D. Fibromyalgia  ✓

10. A patient record contains the following information: CC: Painful finger movements. HPI: Swollen fingers, stiffness, and persistent low-grade fever for past three weeks. PMH: Hypertension, CAD, and tobacco dependence. Physical exam: Constitutional: no acute distress, oriented and well groomed, weight loss; ENT: no lid-lag, moist conjunctivae, no thyromegaly or lymphadenopathy; Cardiovascular: RRR, normal carotid upstroke; Abdomen: soft, non-tender; Extremities: stiffness in fingers, painful movement, edematous interphalangeal joints, no lower edema or cyanosis. Diagnostic test: ESR, CBC, MRI of both hands. Treatment plan: Patient was placed on DMARDs and NSAIDs. Which musculoskeletal condition is indicated by this chart entry?

A. Osteoporosis

B. Myasthenia gravis

C. Rheumatoid arthritis  ✓

D. Osteomyelitis

12. A 35-year-old female presents with sudden onset of drooping eyelids and double vision. The patient also reports difficulty swallowing and speaking during the past week, as well as extreme muscle weakness after exercising. An electromyography is performed, and the patient receives an injection of an anticholinesterase drug. The patient is instructed to return for a follow-up visit in one week. During the follow-up visit, the patient reports improvement in muscle function and some resolution of symptoms. The treatment plan for this patient will include a thymectomy and a prescription for corticosteroids. Which disorder is described, based on this information?

A. Polymyositis

B. Systemic lupus erythematous

C. Paget disease

D. Myasthenia gravis  ✓

13. A wound care specialist’s progress note states that a patient has developed an ulcer that extends through the muscle and bone. Which type of ulcer is the wound care specialist describing?

A. Neuropathic ulcer

B. Decubitus ulcer  ✓

C. Arterial ulcer

D. Venous ulcer

14. A 25-year-old patient develops hives after eating shrimp for the first time. The hives are dome-shaped, elevated lesions of various sizes. Which type of lesions is this patient’s presentation characteristic of?

A. Cyst

B. Papule

C. Wheal  ✓

D. Vesicle

15. A three-year-old patient has a lesion on the neck. The lesion recently ruptured, leaving a honey-colored liquid that hardened and covered the infected site. Which type of infection does this patient have?

A. Atopic dermatitis

B. Impetigo  ✓

C. Scabies

D. Dermatophytosis

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