Necrosis and cavitation, with formation of large open areas in the lungs and erosion into pulmonary blood vessels, is the underlying pathophysiological process for which respiratory disorder?
Tuberculosis
Bronchiolitis
Chronic bronchitis
Asthma
The Correct Answer is A
A. Tuberculosis is correct because Mycobacterium tuberculosis infection leads to granulomatous inflammation in the lungs. Over time, this can cause caseous necrosis, resulting in cavitation, where the lung tissue breaks down and forms large open spaces (cavities). These cavities can erode into pulmonary blood vessels, potentially leading to hemoptysis (coughing up blood). The destruction of lung tissue impairs gas exchange and can facilitate spread of the infection. Cavitation is a hallmark of active, progressive pulmonary TB, particularly in adults.
B. Bronchiolitis is incorrect because it involves inflammation of the small bronchioles, usually caused by viral infections (e.g., RSV). It primarily affects airway obstruction in infants and does not cause cavitation or necrosis of lung tissue.
C. Chronic bronchitis is incorrect because it is a chronic inflammatory condition of the bronchi, characterized by persistent cough and mucus production for at least three months per year. While it causes airway narrowing and increased susceptibility to infections, it does not produce necrosis or cavitation.
D. Asthma is incorrect because asthma is a chronic inflammatory disorder of the airways with bronchospasm, hyperreactivity, and mucus production. Asthma involves reversible airway obstruction and does not cause lung tissue necrosis or cavitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urolithiasis is correct because it specifically refers to the presence of stones, or calculi, in any part of the urinary tract, including the kidneys, ureters, or bladder. These stones form when minerals and salts in the urine crystallize and aggregate, often due to factors such as dehydration, urinary stasis, metabolic disorders, or dietary imbalances. Urolithiasis can lead to severe symptoms, including sudden flank or abdominal pain, hematuria, nausea, vomiting, and urinary obstruction. Complications may include hydronephrosis, infection, and chronic kidney damage if stones are not treated.
B. Pyelonephritis is incorrect because this term refers to an infection of the kidneys and renal pelvis, usually caused by bacteria ascending from the lower urinary tract. While stones can predispose a person to pyelonephritis by causing obstruction and urine stasis, pyelonephritis itself is an inflammatory infection, not the presence of calculi.
C. Urethritis is incorrect because it describes inflammation or infection of the urethra. Urethritis is commonly caused by bacterial infections, including sexually transmitted infections, and is unrelated to stone formation. Symptoms typically include dysuria, urethral discharge, and sometimes itching, but calculi are not involved.
D. Cystitis is incorrect because cystitis refers to inflammation or infection of the bladder. While bladder stones can irritate the bladder and contribute to cystitis, cystitis itself does not indicate the presence of stones. Typical symptoms of cystitis include urinary frequency, urgency, dysuria, and suprapubic discomfort.
Correct Answer is D
Explanation
A. Third-degree (full-thickness) is incorrect because third-degree burns extend through the entire epidermis and dermis and may involve underlying tissues such as fat, muscle, or bone. These burns are typically painless due to nerve destruction and often appear white, leathery, or charred. Blisters are usually absent because the dermis is destroyed.
B. Second-degree (partial thickness) is incorrect because second-degree burns involve the epidermis and part of the dermis. They are characterized by redness, blistering, and severe pain. Partial-thickness burns may be superficial or deep depending on how much of the dermis is affected.
C. Fourth-degree (full-thickness) is incorrect because fourth-degree burns extend beyond the skin into underlying tissues, including muscle, tendon, or bone. These burns are severe, often painless due to nerve destruction, and require surgical intervention.
D. First-degree (superficial) is correct because first-degree burns affect only the epidermis. They cause redness, mild swelling, and pain, but blisters are absent. Common causes include mild sunburn or brief contact with hot objects. First-degree burns typically heal within 3–7 days without scarring, as only the outermost layer of skin is damaged.
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