The liver is the largest internal organ in the body, occupying the entire: A. Upper left quadrant of the abdomen

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1 Diabetes 1. What type of diabetes occurs when the pancreas produces insufficient amounts of insulin or none at all? A. Diabetes insipidus B. Gestational diabetes C. Type I diabetes mellitus D. Type II diabetes mellitus E. Prediabetes 2. All of the following are symptoms of diabetes mellitus except: A. Polyuria B. Polydypsia C. Polyphagia D. Weight gain E. Blurred vision 3. All of the following are complications of diabetes mellitus except: A. Kidney disease B. Blindness C. Periodontal Disease D. Ketoacidosis E. Addison s disease 4. What concentration does the plasma glucose have to be in mg/dl from the FPG for a diagnosis of diabetes? A. <40 B. > 126 C D. < 99 E All of the following are preventative measures against diabetes mellitus except: A. Eat a lot of foods high in sugar B. Exercise C. Eat a healthy diet D. Lose excess weight E. Avoid smoking Hepatitis All are symptoms of Hepatitis except: A. Fatigue, nausea, headaches, loss of appetite B. Fever and vomiting C. Jaundice D. Muscle and joint aches E. Constipation The risk factors for contracting Hepatitis A, in the U.S. are: A. Through contact with infected blood, sharing needles and syringes. B. Through sexual contact C. Through contaminated food and water D. Both A and B E. Both B and C Persons with Hepatitis should avoid: A. Eating salty foods B. Fruits and vegetables C. Alcohol D. Getting plenty of rest E. Taking very tough but interesting AP II classes (haha, gothca Dr. Welch) The liver is the largest internal organ in the body, occupying the entire: A. Upper left quadrant of the abdomen 1

2 B. Lower right quadrant of the abdomen C. Upper right quadrant of the abdomen D. Lower left quadrant of the abdomen E. Middle section of the abdomen Hepatitis can be caused by all of the following except: A. Sexual contact B. By contact with infected blood C. Viruses, drugs, and alcoholism, medical problems D. Appendicitis E. Immune cells attacking the liver Asthma 1. What is the definition of Asthma? A. is a lung infection or inflammation of the alveoli B. is a lung disease that makes it hard to breathe C. is a respiratory disorder of chronic inflammation of the airways D. is an infectious disease caused by bacteria that affects the lungs E. is a disease that starts when you breathe the germs into the lungs. 2. What disease causes a person have a positive skin test, an abnormal chest x-ray and symptoms such as coughing producing mucous and/or blood? A. COPD B. Pneumonia C. Late stage of Asthma D. Tuberculosis (TB) E. Early stage of Asthma 3. COPD has two principal types of disease, which ones are they? A. Chronic bronchitis & Pneumonia B. Emphysema & Chronic bronchitis C. Emphysema & Pneumonia D. Tuberculosis & Chronic bronchitis E. Emphysema & Tuberculosis 4. What disease triggers people with fungi, mites, pollen, animal hair and causes the swelling in airways preventing air to pass by? A. Asthma B. COPD C. Tuberculosis D. Pneumonia E. Emphysema 5. Pneumonia is caused by two germs, bacteria and viruses. What is the treatment for viruses? A. antibiotics B. Home treatments, like resting, drink fluids for dehydration, taking care of the cough with over the counter medications. C. Steroids and Other Anti-Inflammatory Drugs D. Inhalers E. 4 different medicines and can take up to 6 months to complete the treatment Myxedema & Grave s DZ 1. Myxedema is characterized by A. Weight loss B. Childhood onset C. Exopthalmos (protrusion of the eyes) D. Sensitivity to cold E. Hyperthyroidism 2. Facial puffiness, increased slow-twitch muscle fibers, carotenia, and thinning of the eyebrow sare characteristics of an individual suffering from: A. Grave s Disease B. Alzheimer s Disease C. Reidel thyroiditis D Obesity E. Myxedema 3. All of the following relate to Grave s disease except: 2

3 A. Thyroid storms B. Cretinism C. Sleep apnea D. Manic-depression E. Linked to post-traumatic stress disorder 4.What is likely treatment for Grave s disease? A. Hormone supplementation B. Intraveneous injections of synthetic thyroid hormones C. Thyroidectomy D. Eye drops E. A, C, and D 5. Both Myxedema and Grave s disease A. Have childhood onset B. Cause enlargement of the facial tissues C. Cause fatigue D. Require thyroidectomy E. Cause accelerated heart rate CAD 1-What is the term used for the condition when fat deposits and cholesterol build up inside the walls of the arteries and form hard structures called plaques? A) Coronary artery disease B) Necrosis C) Atherosclerosis D) Heart Attack E) Arteriosclerosis a- Wrong (coronary artery disease refers to the point where the artery is blocked off to the point where the heart cannot function properly) b- Necrosis refers to tissue death c- Correct d- Heart attack (refer to the point where part of the cardiac muscle begins to die due to no oxygen ) e- Arteriosclerosis ( simply refers to hardening oran artery by any means ) 2-Which choice is NOT put you at risk for developing Coronary Artery Disease? a) Age b) Smoking c) Physical activity d) High cholesterol e) Family history of heart disease C- correct (being physically active helps lower cholesterol and reduce obesity ) 3-Which of these is NOT a test used to diagnose Coronary Artery Disease a) Blood Test b) Angiography c) Electrocardiogram d) Echocardiogram e) Electroencephalogram E-Electroencephalogram ( brain testing ) 4-What is the standard surgical procedure for opening arteries? A) Lancing B) Rhinoplasty C) Root canal D) Angioplasty E) Bypass surgery A- Wrong (cutting out a cyst) B- Wrong ( nose reconstructive surgery) C- Wrong ( tooth) D- Wrong ( doesn t open artery just gives an alternate pathway for blood flow) 5-Which is NOT a medication that a person will take after being diagnosed with Coronary Artery Disease? A) Beta-Blockers 3

4 B) Diuretics C) Calcium channel blockers D) Aspirin E) Cholesterol Lowering medications B)Diuretics elevates rate of urination Hypoxia 1. The pathological condition and most common found in neonatal where surfactant is low in alveoli? a. Hypoxia CORRECT IT IS THE STATE OF CONDITION surfactant agent can be administered through breathing apparatus; continuous positive airway pressure b. Respiratory distress syndrome( RSD) INCORRECT it is a disease happens on premature infant hyaline membrame is affected. c. Asthma :Incorrect can response to albuterol and sometime it only activate on s d. Chronic bronchitis disorder incorrect associate mostly in COPD case 2. An acute with chronic disease characterized by a recurrent on low compliances in airway resistance that affects 30 million people due to carcinogenic substance on smokers called a. Pneumonia Incorrect does not involve carcinogenic substances it s an infection of lower respiratory due to bacterial b. Aspiration Incorrect this result of substance that when through trachea rather than the esophagus c. Sleep apnea Incorrect this results in a condition that result in abnormal Pause in breathing d. Cheyne-Stokes respiration Incorrect this result in abnormal breathing pattern and condition mostly found in congestive heart failure (CHF) e. Chronic bronchitis and emphysema Correct involves in mostly COPD case due to obstruction in the alveoli and low 3. What is the best way to treat COPD except all the following? a. Lung reduction yes it can greatly help a COPD patient b. Used of Positive air pressure such as respirator yes it help bring O2 into tissue c. NO treatment but can be manage through medication and exercise yes it a chronic disease it mean long term problem d. Ignore problem correct it something you don t want to ignore e. A, B and C Correct AB and C support the answer 4. What are the most life threatening clinical syndromes in altitudes sickness? a. Acute mountain sickness (AMS) incorrect problem associated not very serious but it can be reverse with ibuprofen for minor headaches; AMS result in not in a very high altitude b. Only high-altitude pulmonary edema (HAPE) yes, it involve serious problem increasing life threatening case c. B and D Correct it is B and C d. Only high-altitude cerebral edema (HACE) Yes it a serious emergency situation especially for mountain climber e. Respiratory distress syndromes Incorrect is a syndromes not associated in high altitude 5. What is the most common cause of iron deficiency in adult? A. Malnutrition incorrect not a specific cause but can be part of it b. Blood loss/hemorrhage incorrect it is clotting factor and may relate to menstrual cycle c. Cancer Incorrect abnormal tissue development a factor of hypoxemia; bone marrow d. Metabolic problem Incorrect e. Anemia Correct it involves major cause in iron deficiency COPD 1. Chronic obstructive pulmonary disease includes all of the following types except: A. Chronic asthma, Chronic pneumonia, Chronic emphysema (pneumonia is not a type of COPD) B. Chronic asthma, emphysema, chronic bronchitis 4

5 C. Chronic emphysema, pulmonary embolism, chronic bronchitis (A pulmonary embolism can occur from COPD complications) D. Polycythemia, pneumonia, bronchitis(polycythemia is a sign/complication of COPD) E. Pulmonary edema, pulmonary embolism, emphysema(pulmonary embolism & edema are sign/symptom/complication from COPD) 2. A possible symptom of COPD is polycythemia, this is due to : A. the low blood oxygen level, the bone marrow makes more RBC s B. the lung volume reduction, the bone marrow makes more RBC s(the lung volume would have no effect on polycythemia) C. A ruptured lung leaks air into the pleural space, creating pain and shortness of breath.(this is pneumothorax) D. Pulmonary hypertension, back flow of blood into the legs(this is pulmonary edema) E. Cyanosis causes the patient to turn a pale blue color(this occurs when there is not enough oxygen in the body) 3. All the following are signs and symptoms of COPD except: A. Barrel chest (a barrel chest arises due to the CO2 trapped in the lungs) B. Using shoulders and neck to breath(a person does this in an attempt to exhale all the trapped air) C. Chest x-ray shows overinflated lungs (all the CO2 trapped in the lungs can be seen) D. Pulmonary hypertension(due to low oxygen in blood the pressure in the pulmonary artery (from the heart to the lungs) increases) E. Pneumonia 4. Which of the following statements is correct about the mechanism of COPD? A. Air is trapped in the lungs after exhalation, the number of capillaries in the alveoli walls decrease-lowering the amount of gas exchange. B. Air is trapped in the lungs after inhalation, the number of capillaries in the alveoli walls decrease-lowering the amount of gas exchange.(air is trapped after exhalation) C. The nitrogen is trapped in the lungs and the gas exchanged through the capillaries to the pleural space is increased.(co2 is trapped in the lungs and does not go to the pleural space) D. Air is trapped in the lungs after exhalation, the number of capillaries in the alveoli walls decrease-increasing the amount of gas exchange.(the amount of gas exchange is decreased!) E. The carbon dioxide is trapped in the lungs and the oxygen is exchanged through the capillaries to the pleural space. (oxygen does not exchange to the pleural cavity it does through the alveoli) 5. Causes of COPD include all of the following except: A. Smoking (15% of all smokers end their life with COPD) B. Long term second hand smoke exposure(this is the second leading cause of COPD) C. Long term exposure to air pollution (this is a major cause of COPD) D. A genetic disorder called Alpha-1-Antitrypsin Deficiency(This is the rare genetic disorder that causes COPD) E. A genetic disorder called Beta-1-Blocker Deficiency(A beta blocker is an smooth muscle relaxer, thus it helps with COPD, not cause it) 5