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NR507 Week 8 Final Exam – (2026)

What is the primary mechanism by which nonsteroidal anti-inflammatory drugs (NSAIDs) contribute to the development of gastric ulcers?

Answers: A - D

A. Inhibits gastric acid secretion
B. Induces overproduction of gastric mucus
C. Enhances gastric motility
D. Decreases prostaglandin synthesis


What characteristic feature distinguishes alcoholic from non-alcoholic fatty liver disease (NAFLD)?

Answers: A - D

A. Fibrosis predominantly in the perivenular areas
B. Presence of hepatomegaly
C. Association with excessive alcohol consumption
D. Accumulation of fat in hepatocytes


A type II hypersensitivity reaction does not always result in cell destruction. Which of the following is an example of a type II hypersensitivity reaction that alters function rather than destroys cells?

Answers: A - D

A. Graves’ disease
B. ABO incompatibility
C. Hemolytic anemia
D. Drug allergy reaction


A patient with HIV presents with pneumocystis carinii. Which type of immune disorder is the patient exhibiting?

Answers: A - D

A. Alloimmune deficiency
B. Primary hypersensitivity
C. Secondary immunodeficiency
D. Primary immunodeficiency


The NP prescribed levothyroxine 25 micrograms (mcg) daily for a patient diagnosed with hypothyroidism. In a follow-up visit one month after starting the levothyroxine, the NP concludes that the current dose is appropriate based on which of the following?

Answers: A - D

A. The T3 level is within the normal reference range
B. The TSH is within the normal reference range
C. The TSH is just slightly above the upper limit of the reference range
D. The T3 level is slightly below the reference range


Which of the following medication regimens would be most appropriate for a patient diagnosed with gastroesophageal reflux disease (GERD) who experiences persistent symptoms despite lifestyle modifications?

Answers: A - D

A. Combining an H2 receptor antagonist with a prokinetic agent
B. Prescribing a proton-pump inhibitor
C. Initiating treatment with an antacid
D. Administering a broad-spectrum antibiotic

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