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Test Bank Applied Pathophysiology_A Conceptual Approach to the Mechanisms of Disease_3rd Edition Braun Chapter 1 - 17

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Test Bank Applied Pathophysiology_A Conceptual Approach to the Mechanisms of Disease_3rd Edition Braun Chapter 1 - 17 Which of the following signs and symptoms is most likely to accompany a diagnosis of vulvodynia? A) Vulvar pain B) Purulent discharge C) Urinary incontinence D) Open lesions on the surface of the vulva 12. A 21-year-old college student has sought care because of the vaginal burning, itching, and redness that have become worse in recent weeks. Which of the clinicians assessment questions is most likely to apply to a diagnosis of vaginitis? A) Have your periods been regular in the last few months? B) Have you ever had a sexually transmitted infection? C) Are you using oral contraceptives? D) Have you ever been pregnant? 13. A 29-year-old patient had a Papanicolaou smear performed during her most recent visit to her primary care provider. This diagnostic procedure aims to identify: A) dysplastic cervical cells. B) human papillomavirus (HPV) antibodies. C) cervical polyps. D) lesions at the transformation zone. 14. Which of the following physiologic processes is caused by estrogens? A) Increased release of gonadotropin-releasing hormone (GnRH) B) Stimulation of lactation in the postpartum period C) Promotion of ovarian follicle growth D) Progesterone synthesis 15. Which of the following disorders of the female genitourinary system is most likely to result from a disruption in normal endocrine function? A) Ovarian cancer B) Pelvic inflammatory disease (PID) C) Polycystic ovary syndrome (PCOS) D) Cervicitis 16. Which of the following complaints by middle-aged women should prompt a care provider to rule out the possibility of ovarian cancer? A) Im having a lot of vaginal discharge lately and its quite foul. B) My periods have become quite irregular since last winter. C) I have a sharp, stabbing pain on my side for the last few days. D) Im having a lot of indigestion and bloating, which are both new to me. 17. A nurse is conducting a healthy living workshop to a group of younger women. Which of the following screening recommendations should the nurse provide to the participants? A) Monthly breast self-examination (BSE) B) BSE or mammography each year starting at age 40 C) Annual clinical breast examination until age 65 D) Mammography and clinical breast examination every 3 years until age 40 18. Which of the following processes is a component of the pathogenesis of proliferative breast lesions without atypia? A) Growth of ductile or lobular epithelial cells B) Cystic dilation of terminal ducts C) Increase in fibrous breast tissue D) Fat necrosis leading to lesion formation 19. Which of the following physiologic changes results in menopause? A) Changes in anterior pituitary function that alter ovarian hormone production B) Gradual resistance of ovarian target cells to LH and FSH stimulation C) Cessation of ovarian function and decreased estrogen levels D) Decreased levels of gonadotropin-releasing hormone (GnRH) 20. A 59-year-old woman with a recent diagnosis of breast cancer has begun a course of hormone therapy. What is the goal of this pharmacologic treatment? A) Blocking the effects of progesterone on tumor growth B) Increasing serum hormone levels to promote tumor cell lysis C) Blocking the entry of malignant cells into the axillary lymph nodes D) Blocking receptors on the surface of malignant cells 21. Smooth muscle relaxation and shunting of blood into the sinusoids is mediated by and results in a penile erection. A) norepinephrine B) nitroglycerine C) nitric oxide D) nicotinic acid 22. Priapism is a condition that causes ischemia as a result of: A) circumcision trauma. B) failure of detumescence. C) tight retracted foreskin. D) fibrous plaque in the peni

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Applied Pathophysiology A Conceptual Approach to the
Mechanisms of Disease 3rd Edition Braun Test Bank

Chapter 1Introduction to Pathophysiology

1. The nucleus , which is essential for function and survival of the cell.
A) is the site of protein synthesis
B) contains the genetic code
C) transforms cellular energy
D) initiates aerobic metabolism
2. Although energy is not made in mitochondria, they are known as the power
plants of the cell because they:
A) contain RNA for protein synthesis.
B) utilize glycolysis for oxidative energy.
C) extract energy from organic compounds.
D) store calcium bonds for muscle contractions.
3. Although the basic structure of the cell plasma membrane is formed by a lipid
bilayer, most of the specific membrane functions are carried out by:
A) bound and transmembrane proteins.
B) complex, long carbohydrate chains.
C) surface antigens and hormone receptors.
D) a gating system of selective ion channels.
4. To effectively relay signals, cell-to-cell communication utilizes chemical
messenger systems that:
A) displace surface receptor proteins.
B) accumulate within cell gap junctions.
C) bind to contractile microfilaments.
D) release secretions into extracellular fluid.
5. Aerobic metabolism, also known as oxidative metabolism, provides energy by:

,A) removing the phosphate bonds from ATP.
B) combining hydrogen and oxygen to form water.
C) activating pyruvate stored in the cytoplasm.
D) breaking down glucose to form lactic acid.
6. Exocytosis, the reverse of endocytosis, is important in into the
extracellular fluid.
A) Engulfing and ingesting fluid and proteins for transport
B) Killing, degrading, and dissolving harmful microorganisms
C) Removing cellular debris and releasing synthesized substances
D) Destruction of particles by lysosomal enzymes for secretion
7. The process responsible for generating and conducting membrane potentials is:
A) diffusion of current-carrying ions.
B) millivoltage of electrical potential.
C) polarization of charged particles.
D) ion channel neurotransmission.
8. Epithelial tissues are classified according to the shape of the cells and the
number of layers. Which of the following is a correctly matched description
and type of epithelial tissue?
A) Simple epithelium: cells in contact with intercellular matrix; some do not
extend to surface
B) Stratified epithelium: single layer of cells; all cells rest on basement
membrane
C) Glandular epithelium: arise from surface epithelia and underlying
connective tissue
D) Pseudostratified epithelium: multiple layers of cells; deepest layer rests on
basement membrane
9. Connective tissue contains fibroblasts that are responsible for:
A) providing a fibrous framework for capillaries.
B) synthesis of collagen, elastin, and reticular fibers.

,C) forming tendons and the fascia that covers muscles.
D) filling spaces between tissues to keep organs in place.
10. Although all muscle tissue cells have some similarities, smooth muscle (also
known as involuntary muscle) differs by:
A) having dense bodies attached to actin filaments.
B) containing sarcomeres between Z lines and M bands.
C) having rapid contractions and abundant cross-striations.
D) contracting in response to increased intracellular calcium.
11. Which of the following aspects of the function of the nucleus is performed by
ribosomal RNA (rRNA)?
A) Copying and carrying DNA instructions for protein synthesis
B) Carrying amino acids to the site of protein synthesis
C) Providing the site where protein synthesis occurs
D) Regulating and controlling protein synthesis
12. Breakdown and removal of foreign substances and worn-out cell parts are
performed by which of the following organelles?
A) Lysosomes
B) Golgi apparatus
C) Ribosomes
D) Endoplasmic reticulum (ER)
13. Impairment in the function of peroxisomes would result in:
A) inadequate sites for protein synthesis.
B) an inability to transport cellular products across the cell membrane.
C) insufficient energy production within a cell.
D) accumulation of free radicals in the cytoplasm.
14. After several months of trying to conceive, a couple is undergoing fertility
testing. Semen analysis indicates that the mans sperm have decreased motility,
a finding that is thought to underlie the couples inability to become pregnant.

, Which of the following cellular components may be defective within the mans
sperm?
A) Ribosomes
B) Microtubules
C) Mitochondria
D) Microfilaments
15. Which of the following statements is true of glycolysis?
A) Glycolysis requires oxygen.
B) Glycolysis occurs in cells without mitochondria.
C) Glycolysis provides the majority of the bodys energy needs.
D) Glycolysis produces energy, water, and carbon dioxide.
16. Which of the following membrane transport mechanisms requires the greatest
amount of energy?
A) Facilitated diffusion
B) Passive transport
C) Vesicular transport
D) Simple diffusion
17. A male patient with a diagnosis of type 1 diabetes mellitus is experiencing
hyperglycemia because he lacks sufficient insulin to increase the availability of
glucose transporters in his cell membranes. Consequently, his cells lack
intracellular glucose and it accumulates in his blood. Which of the following
processes would best allow glucose to cross his cell membranes?
A) Facilitated diffusion
B) Simple diffusion
C) Secondary active transport
D) Endocytosis
18. Which of the following statements is true of skeletal muscle cells?
A) Skeletal muscle cells each have an apical, lateral, and basal surface.

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