BN3 Summative Exam
BN3 Summative Exam: Health and Wellness Quiz
Test your knowledge in health and wellness with our comprehensive quiz designed to challenge your understanding of important medical concepts. Featuring 60 diverse questions, this quiz covers topics such as cholesterol management, diabetes, stroke symptoms, and more.
- Multiple choice format
- 60 questions to enhance your learning
- Ideal for health professionals and students
What does LDL stand for?
Low Density Lipoprotein
Lateral Digestive Lysosome
Low Density Lipid
Low Degree Lithium
What is unstable angina?
Pain due to plaque blockage
Pain due to weakened myocardium
Pain due to cardiac stress
Pain due to myocardial infarction
What is the difference between arteriosclerosis and atherosclerosis?
Arteriosclerosis is the stiffening/hardening of the artery walls. Atherosclerosis is the narrowing of the artery due to plaque buildup
Arteriosclerosis effects arteries. Atherosclerosis effects veins.
Arteriosclerosis is the narrowing of arteries due to plaque build up. Atherosclerosis is due to the stiffening/hardening of the arteries.
Arteriosclerosis increases vasodilation. Atherosclerosis causes vasoconstriction
What is the appropriate level of Total Cholesterol?
<5.0mmol/L
5.0-6.2mmol/L
<2.6mmol/L
<1.7mmol/L
What are foam cells?
Lipid filled macrophages
Lipids
Lipid filled smooth muscle cells
Lipid filled erythrocytes
What is the likely type of hypertension Jen has and why?
Primary. Her age and likely diet.
Secondary. She has Cushing’s syndrome.
Primary. She has kidney disease.
Secondary. Her age.
What is ischemia?
A restriction of blood supply to tissues causing a shortage of oxygen
A restriction of blood supply to the brain.
A restriction of blood supply in the kidneys.
A restriction of blood supply from the veins.
What is the acceptable level of Total Cholesterol in patients with Heart Disease or Diabetes?
No more than 4.5mmol/L
No more then 3mmol/L
No more then 2.4mmol/L
No more then 5mmol/L
What is the best thing to advise Jen on?
All of the above
Her hypertension
Her activity
Her diet
What are the differences between Type 1 and Type 2 diabetes?
Type 1 there is no insulin. Type 2 there is insulin but cells do not respond to it
Type 1 has insulin but cells do not response to it. Type 2 there is no insulin.
Type 1 happens in >60s. Type 2 happens only in <40s.
Type 1 the pancreas produces too much glucagon. Type 2 the pancreas produced too little glucagon.
What are some factors that increase blood glucose?
A meal, cortisol, Adrenalin, glucagon and growth hormone
A meal, insulin, glucagon and cortisol.
A meal, Adrenalin, Insulin and sodium
A meal, Adrenalin, cortisol, glucagon and dopamine.
How can diabetes be diagnosed?
HbA1c reading >50mmol/mol and fasting glucose equal to or >7mmol/L
HbA1c reading >70mmol/mol and fasting glucose of 9mmol/L
HbA1c reading >65mmol/mol and fasting glucose of 10mmol/L
HbA1c reading >90mmol/mol and fasting glucose of 12mmol/L
What does the HbA1c screening reflect?
Average blood glucose concentration over the life of the RBC
Average blood glucose concentration over 7 months
Average blood glucose concentration after 10 days
Average blood glucose concentration after 5 months
What classifies a hypoglycaemic episode?
When blood glucose is <4mmol
When blood glucose is <8mmol
When blood glucose is <3mmol
When blood glucose is <2mmol
Hyperglycaemia is a blood glucose >12mmol
False
True
Ketoacidosis causes acidosis in the blood
True
False
Which of these is a hypotonic solution?
0.18% Saline
0.18% Saline and 4% Dextrose
Normal Saline 0.9%
1.8% Saline
How would her diabetes effect Anne’s fluid and electrolyte balance?
Glycosuria causes polyuria which causes water and electrolyte loss
Hyperglycaemia causes electrolytes to be dissolved
Glucose causes water to dissolve more electrolytes
None of the above
Why would Anne’s wound not be healing?
Microvascular/macro-vascular disease caused by her diabetes
Lung defect caused by her diabetes
Retinal damage caused by her diabetes
Excess urination caused by her diabetes
What is done upon admission with a stroke?
A CT is done
An MRI is done
An X-Ray is done
An ultrasound is done
When looking after Cyril, you find he opens his eyes only when you talk to him, his verbal responses are incomprehensible and he has no motor response. What would you score him on the Glasgow Coma Scale and what does this indicate?
6. He has a severe brain injury.
8. He has a severe brain injury.
10. He has a moderate brain injury.
14. He has a mild brain injury.
What is the average size of the pupils?
2-5mm
3-4mm
1.5mm
6mm
When assessing Cyril’s pupil response, you notice there are changes. What does this indicate?
Raised intracranial pressure
He’s having a seizure
He’s having a transient ischemic attack (TIA)
He’s lost function in his eyes
What tool would you use to assess if Cyril is suffering from delirium?
The Confusion Assessment Method (CAM)
The Glasgow Coma Scale (GCS)
The Numerical Pain Assessment Tool
The Pupil Response Assessment
Given Cyril had a left-mid cerebral artery (MCA) stroke, what lobes of the brain are affected and what might some changes be in Cyril?
Frontal, temporal and parietal lobes. Speech problems, memory loss and agraphia
Frontal, temporal and occipital lobes. Personality changes and blurred vision.
Frontal, occipital and parietal lobes. Speech problems, blurry vision and agnosia.
Occipital and frontal lobes. Blurry vision and speech problems.
What are the key symptoms of a stroke?
Drooping face, weakness in one arm and slurred or irregular speech.
Drooping face, weakness in both arms and quick speech.
Dropping face and slurred speech
Slurred speech, weakness in both arms and inability to smile
Eating healthily can prevent strokes occurring
True
False
What is COPD?
A group of diseases that affect the lungs and airways causing breathing problems
When a clot blocks blood supply to the lungs
When the lungs collapse
When alveoli expand
What is the main reason Alf has COPD?
His smoking
His age
His sex
His daughter
What would be the best course of treatment for Alf?
Smoking cessation
Broncodilators
Exercise
Changing his workplace
What can help ensure a good amount of medication goes from the inhaler, into your lungs?
A spacer
A nebuliser
An IV line
Nasal spray
What is important to remember when using inhalers with steroids?
To rinse your mouth to avoid thrush
To take them everyday
To take them only once a day
None of the above
What is the alternate name for an exacerbation?
A flare-up
An attack
A fail
An addiction
Cyril has a cough with sputum. What does this indicate
He has pneumonia
He’s cured of COPD
He’s dying
He recently smoked
Cyril wants to get rid of his breathlessness quickly. What inhaler would be best suited?
A quick reliever inhaler
A maintenance inhaler
An inhaler with steroids
None of the above
What is diverticular disease?
A condition which causes small pockets or out-pouchings to occur in the bowel
Inflammation of the colon
A bowel obstruction
Bleeding in the gastrointestinal tract
When undigested food gets trapped in these pouches, what is it called?
Diverticulitis
Gastroenteritis
Colitis
Appendicitis
Why does Hemi feel bloated?
Distension of his abdomen
Inflammation of his bowels
Malnutrition
Constipation
Why would Hemi be taking regular paracetamol?
To prevent inflammation of the pouches
To prevent fever
To stop abdominal pain
To help digest his food
What would be one of the main treatments for what Hemi is suffering?
Low-fibre or fluid only diet
High-fibre diet
Surgery
Laxatives
What do reduced bowel sounds indicate?
Reduced bowel motility
Bowel cancer
Bowel inflammation
Diarrhoea
What is Hemi’s BMI and what does this tell us?
17.7. He’s underweight.
25.5. He’s at a healthy weight.
35. He’s overweight.
50. He’s obese.
What can be a complication if Hemi is not seen to?
All of the above
Malnutrition
Infection
GI bleeding
Bowel obstruction
What does “metastatic” mean?
The cancer has spread to other parts of the body
The cancer has grown bigger
The cancer is in the blood stream
The cancer is still removable by surgery
Define “neoplasia”
Abnormal cell growth
A group of neoplastic cells
A mass
Cancer in the throat
Labile cells...
Continue to divide and multiply throughout life
Only multiply under certain circumstances
Do not have the ability to divide
Are cancer cells
What two tissue types are neoplasms made of?
Parenchymal cells and supporting tissue
Epithelial cells and osteocytes
Leukocytes and erythrocytes
Oncogenes and mast cells
What is the correct order of steps in the formation of neoplasm?
Hyperplasia, metaplasia, dysplasia, anaplasia and neoplasia
Hyperplasia, dysplasia, anaplasia, metaplasia and neoplasia
Neoplasia, metaplasia, anaplasia, dysplasia and hyperplasia
Neoplasia, anaplasia, metaplasia, dysplasia and hyperplasia
What must a cancer cell do to metastasise?
Detach, disseminate, survive, arrest, establish and proliferate
Multiply, infect, proliferate and divide
Divide, multiply, disseminate and survive
Survive, multiply, divide and infect
Malnutrition is a complication of cancer
True
False
What does the acronym “CAUTION” stand for?
Change in bowel and bladder habits. A lesion that does not heal. Unusual bleeding or discharge. Thickening mass or lump. Indigestion or difficulty swallowing. Obvious change in a mole or wart. Nagging cough and voice change.
Coughing. Anaemia. Urination decrease. Tachycardia. Infection. Oral thrush. Nitrate level increase
Coughing. Anaemia. Ulceration. Tachycardia. Infection. Oncogenesis. Nitroglycerin level increase.
Change in bowel and bladder habits. Anaemia. Urinary retention. Tachycardia. Infection. Organomegaly. Necrosis.
What is haemoglobin?
A protein that transports oxygen around the body.
A red protein.
A protein composed of iron which bonds to oxygen molecules
All of the above
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