Multi-Systems Management [Unit 2]

Question 1

If rapid onset of anemia occurs after major surgery, which of the following symptom patterns might develop?
a. continuous oozing of blood from the surgical site
b. Exertion dyspnea and fatigue with increased heart rate
c. Decreased heart rate
d. No obvious symptoms would be seen

Answer 1

b. Exertion dyspnea and fatigue with increased heart rate

Question 2

Chronic GI blood loss sometimes associated with use of NSAIDs can result in which of the following problems?
a.Increased incidence of joint inflammation
b. Iron deficiency
c.Decreased heart rate and bleeding
d. Weight loss, fever, and loss of appetite

Answer 2

b. iron deficiency

Question 3

Preoperatively, clients cannot take aspirin or anti-inflammatory medications because these:
a. Decrease leukocytes
b. Increase leukocytes
c. Decrease platelets
d. Increase platelets e.None of the above

Answer 3

c. Decrease platelets

Question 4

Skin color and nail bed changes may be observed in the client with:
a.Thrombocytopenia resulting from chemotherapy b.Pernicious anemia resulting from Vitamin B12 deficiency
c.Leukocytosis resulting from AIDS
d.All of the above

Answer 4

b.Pernicious anemia resulting from Vitamin B12 deficiency

Question 5

Bleeding under the skin, nosebleeds, bleeding gums, and black stools require medical evaluation as these may be indications of:
a. Leukopenia
b. Thrombocytopenia
c. Polycythemia
d. Sickle cell anemia

Answer 5

b. Thrombocytopenia

Question 6

Fibromyalgia syndrome (FMS) is a: a.Musculoskeletal disorder and primarily due to nerve root irritation
b.Psychosomatic disorder and primarily nociceptive
c.Neurosomatic disorder and primarily nociceptive d.Noninflammatory rheumatic disorder and primarily due to central sensitization

Answer 6

c.Neurosomatic disorder and primarily nociceptive

Question 7

Which of the following best describes the pattern of rheumatic arthritis?
A. pain and stiffness in the morning for several hours that gradually improves with gently activity and movement during the day
b. pain and stiffness accelerate during the day and are worse in the evenings
c. Night pain is frequently associated with advanced structural damage seen in x-ray films
d. pain is brought on by activity and resolves predictably with rest

Answer 7

A. pain and stiffness in the morning for several hours that gradually improves with gently activity and movement during the day

Question 8

Match the following skin lesions with the associated underlying disorder:
Raised, scaly patches
Flat or slightly raised malar on the face
Petechiae
Tightening of the skin
Kaposi’s sarcoma
Erythema migrans
Hives

Answer 8

Raised, scaly patches –> psoriatic arthritis
Flat or slightly raised malar on the face –> systemic lupus erythematous
Petechiae –> thrombocytopenia
Tightening of the skin –> scleroderma
Kaposi’s sarcoma –> HIV infection
Erythema migrans –> lyme disease
Hives –> allergic reaction

Question 9

A positive Schober’s test is a sign of
a. reactive arthritis
b. infectious arthritis
c. ankylosing spondylitis
d. juvenile idiopathic arthritis

Answer 9

ankylosing spondylitis

Question 10

Proximal muscle weakness may be a sign of:
a. paraneoplastic syndrome
b. neurologic disorder
c. myasthenia gravis
d. scleroderma
e. b, c, d
f. all of the above

Answer 10

f. all of the above

Question 11

Which of the following skin assessment findings in the patient with HIV infection occurs with Kaposi’s sarcoma? a.Darkening of the nail beds b.Purple-red blotches or bumps on the trunk and head c.Cyanosis of the lips and mucous membranes d.Painful blistered lesions of the face and neck

Answer 11

b.Purple-red blotches or bumps on the trunk and head

Question 12

Which is the most prevalent form of HIV-associated neurological disorders? a. Meningitis b. HIV-associated dementia