Nokea
The best treatment for mononucleosis is:
- A. Antibiotics.
- B. Physical therapy.
- C. NSAIDs.
- D. Rest and fluids.
Correct Answer: D
Rationale: Mononucleosis is caused by a viral infection, so antibiotics are ineffective. Rest and fluids are the most effective treatments as they support the body's immune response and help manage symptoms like fatigue and dehydration.
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Which of the following is a clinical feature of Grave's disease?
- A. Pulmonary fibrosis
- B. Exophthalmos and goiter
- C. Skin vasculitis
- D. Eczematous reaction
Correct Answer: B
Rationale: The correct answer is B: Exophthalmos and goiter. In Grave's disease, there is an overproduction of thyroid hormones leading to hyperthyroidism. Exophthalmos (bulging eyes) and goiter (enlarged thyroid gland) are classic clinical features due to autoimmune stimulation of thyroid-stimulating hormone receptors. Pulmonary fibrosis (A) is not typically associated with Grave's disease. Skin vasculitis (C) and eczematous reaction (D) are also not commonly seen in Grave's disease.
The new parents of an infant born with Down syndrome ask the nurse what happened to cause the chromosomal abnormality. What is the best response by the nurse?
- A. During cell division of the reproductive cells there is an error causing an abnormal number of chromosomes.
- B. A mutation in one of the chromosomes created an autosomal recessive gene that is expressed as Down syndrome.
- C. An abnormal gene on one of the two chromosomes was transferred to the fetus, causing an abnormal chromosome.
- D. A process of translocation caused the exchange of genetic material between the two chromosomes in the cell, resulting in abnormal chromosomes.
Correct Answer: A
Rationale: Down syndrome is primarily caused by nondisjunction during meiosis, leading to an extra copy of chromosome 21.
Identify which statements are correct.
- A. All bacteria have peptidoglycan in their cell walls.
- B. All fungi have chitin in their cell walls.
- C. All algae have cellulose in their cell walls.
- D. All protozoans have protein in their cell walls.
Correct Answer: D
Rationale: The correct answer is D because protozoans do not have cell walls. They are single-celled organisms that lack a rigid cell wall. This distinguishes them from other microorganisms like bacteria, fungi, and algae which have distinct cell wall compositions such as peptidoglycan, chitin, and cellulose respectively. Choice A is incorrect as not all bacteria have peptidoglycan in their cell walls, some have other types of cell wall structures. Choice B is incorrect as not all fungi have chitin in their cell walls, some may have different components. Choice C is incorrect as not all algae have cellulose in their cell walls, there are variations in cell wall composition among different algal species.
When the clinic nurse starts to take the "air cast" off the grade 2 sprain, the patient asks why it is being removed since he still has pain. Which explanation is best?
- A. "Long-term immobilization can interfere with adequate circulation."
- B. "Long-term immobilization may increase long-term edema."
- C. "Long-term immobilization can cause permanent disability."
- D. "This cast will be replaced with a heavier cast."
Correct Answer: C
Rationale: The correct answer is C because long-term immobilization can indeed cause permanent disability in the case of a grade 2 sprain. Prolonged immobilization can lead to muscle atrophy, joint stiffness, and decreased range of motion, which can result in long-term disability. Choice A is incorrect because adequate circulation is more related to prolonged immobilization, not short-term removal for evaluation. Choice B is incorrect as edema is a short-term concern and not a direct result of long-term immobilization. Choice D is incorrect as there is no indication that a heavier cast will be used.
Which condition is associated with granulomas?
- A. Crohn's disease
- B. Grave's disease
- C. Anaphylaxis
- D. Eczema
Correct Answer: A
Rationale: The correct answer is A: Crohn's disease. Granulomas are a characteristic feature of Crohn's disease, forming in response to chronic inflammation in the gastrointestinal tract. Granulomas consist of immune cells and are seen in the affected tissues of Crohn's patients.
Choice B: Grave's disease is an autoimmune condition affecting the thyroid gland, not typically associated with granulomas.
Choice C: Anaphylaxis is a severe allergic reaction involving the immune system's response, but it does not lead to granuloma formation.
Choice D: Eczema is a skin condition characterized by inflammation and itching, but it does not typically involve granulomas.