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Pathophysiology The Biologic Basis for Disease in Adults and Children 8th Edition

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Chapter 01: Cellular Biology McCance/Huether: Pathophysiology: The Biologic Basis of Disease in Adults and Children, 8th Edition MULTIPLE CHOICE 1. Which statement best describes the cellular function of metabolic absorption? a. Cells can produce proteins. b. Cells can secrete digestive enzymes. c. Cells can take in and use nutrients. d. Cells can synthesize fats. ANS: C In metabolic absorption, all cells take in and use nutrients and other substances from their surroundings. The remaining options are not inclusive in their descriptions of cellular metabolic absorption. PTS: 1 DIF: Cognitive Level: Remembering 2. Where is most of a cell’s genetic information, including RNA and DNA, contained? a. Mitochondria b. Ribosome c. Nucleolus d. Lysosome ANS: C The nucleus contains the nucleolus, a small dense structure composed largely of RNA, most of the cellular DNA, and the DNA-binding proteins, such as the histones, which regulate its activity. The mitochondria are responsible for cellular respiration and energy production. Ribosomes’ chief function is to provide sites for cellular protein synthesis. Lysosomes function as the intracellular digestive system. PTS: 1 DIF: Cognitive Level: Remembering 3. Which component of the cell produces hydrogen peroxide (H2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxidative reaction? a. Lysosomes b. Peroxisomes c. Ribosomes d. Endosome ANS: B Chapter 1 - Cellular Biology 3 Pathophysiology The Biologic Basis for Disease in Adults and Children 8th Edition 34 Peroxisomes are so named because they usually contain enzymes that use oxygen to remove hydrogen atoms from specific substrates in an oxidative reaction that produces H2O2, which is a powerful oxidant and potentially destructive if it accumulates or escapes from peroxisomes. Ribosomes are RNA-protein complexes (nucleoproteins) that are synthesized in the nucleolus and secreted into the cytoplasm through pores in the nuclear envelope called nuclear pore complexes. Lysosomes are saclike structures that originate from the Golgi complex and contain more than 40 digestive enzymes called hydrolases, which catalyze bonds in proteins, lipids, nucleic acids, and carbohydrates. An endosome is a vesical that has been pinched off from the cellular membrane. PTS: 1 DIF: Cognitive Level: Remembering 4. Which cell component is capable of cellular autodigestion when it is released during cell injury? a. Ribosome b. Golgi complex c. Smooth endoplasmic reticulum d. Lysosomes ANS: D The lysosomal membrane acts as a protective shield between the powerful digestive enzymes within the lysosome and the cytoplasm, preventing their leakage into the cytoplasmic matrix. Disruption of the membrane by various treatments or cellular injury leads to a release of the lysosomal enzymes, which can then react with their specific substrates, causing cellular self-digestion. The chief function of a ribosome is to provide sites for cellular protein synthesis. The Golgi complex is a network of flattened, smooth vesicles and membranes often located near the cell nucleus. The smooth endoplasmic reticulum is involved in steroid hormone production and removing toxic substances from the cell. PTS: 1 DIF: Cognitive Level: Remembering 5. Which cAMP-mediated response is related to antidiuretic hormone? a. Increased heart rate and force of contraction b. Secretion of cortisol c. Increased retention of water d. Breakdown of fat ANS: C Antidiuretic hormone leads to increased retention of water in the body. Epinephrine causes increases in heart rate and force of contraction. Increased cortisol secretion is due to ACTH. Breakdown of fat is due to glucagon

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Pathophysiology IThe IBiologic IBasis Ifor IDisease Iin IAdults Iand IChildren I8th IEdition I97803235834



Chapter 1 - Cellular Biology
I I I I 3
Chapter 2 - Altered Cellular and Tissue Biology Environmental Agents
I I I I I I I I I I IIIII 16 Chapter
I



I 3 - The Cellular Environment Fluids and Electrolytes Acids and
I I I I I I I I I



Bases 28
Chapter 4 - Genes and Genetic Diseases
I I I I I I III I 41
Chapter 5 - Genes Environment-Lifestyle and Common Diseases
I I I I I I I III I 51
Chapter 6 - Epigenetics and Disease
I I I I I III I 59
Chapter 7 - Innate Immunity Inflammation
I I I I I III I 64
Chapter 8 - Adaptive Immunity
I I I I III I 78
Chapter 9 - Alterations in Immunity and Inflammation
I I I I I I I 89
Chapter 10 - Infection I I I 102
Chapter 11 - Stress and Disease
I I I I I 110
Chapter 12 - Cancer Biology
I I I I I 117
Chapter 13 - Cancer Epidemiology
I I I I I 129
Chapter 14 - Cancer in Children
I I I I I I 135
Chapter 15 - Structure and Function of the Neurologic System
I I I I I I I I I I 140
Chapter 16 - Pain Temperature Regulation Sleep and Sensory Function 151
I I I I I I I I I I I



I Chapter 17 - Alterations in Cognitive Systems Cerebral Hemodynamics and
I I I I I I I I I



Motor Function I 165
Chapter 18 - Disorders of the Central and Peripheral Nervous Systems and
I I I I I I I I I I I



the Neuromuscular Junction
I I 179
Chapter 19 - Neurobiology of Schizophrenia Mood Disorders and Anxiety Disorders
I I I I I I I I I I I



189
Chapter 20 - Alterations of Neurologic Function in Children
I I I I I I I I 195
Chapter 21 - Mechanisms of Hormonal Regulation
I I I I I I I 202
Chapter 22 - Alterations of Hormonal Regulation
I I I I I I I 211
Chapter 23 - Obesity and Disorders of Nutrition NEW
I I I I I I I I I 223
Chapter 24 - Structure and Function of the Reproductive Systems
I I I I I I I I I I 228
Chapter 25 - Alterations of the Female Reproductive System
I I I I I I I I I 237
Chapter 26 - Alterations of the Male Reproductive System
I I I I I I I I I 246

,Pathophysiology IThe IBiologic IBasis Ifor IDisease Iin IAdults Iand IChildren I8th IEdition I97803235834



Chapter 27 - Sexually Transmitted Infections
I I I I I 252
Chapter 28 - Structure and Function of the Hematologic System
I I I I I I I I I I 260
Chapter 29 - Alterations of Erythrocyte Platelet and Hemostatic Function
I I I I I I I I I I 270
Chapter 30 - Alterations of Leukocyte and Lymphoid Function
I I I I I I I I I 280
Chapter 31 - Alterations of Hematologic Function in Children
I I I I I I I I I 287
Chapter 32 - Structure and Function of the Cardiovascular and Lymphatic
I I I I I I I I I I I



I Systems 297
Chapter 33 - Alterations of Cardiovascular Function
I I I I I I I 309
Chapter 34 - Alterations of Cardiovascular Function in Children
I I I I I I I I I 323
Chapter 35 - Structure and Function of the Pulmonary System
I I I I I I I I I I 331
Chapter 36 - Alterations of Pulmonary Function
I I I I I I I 341
Chapter 37 - Alterations of Pulmonary Function in Children
I I I I I I I I I 357
Chapter 38 - Structure and Function of the Renal and Urologic Systems
I I I I I I I I I I I I 365
Chapter 39 - Alterations of Renal and Urinary Function
I I I I I I I I I 375
Chapter 40 - Alterations of Renal and Urinary Tract Function in Children
I I I I I I I I I I I I 385
Chapter 41 - Structure and Function of the Digestive System
I I I I I I I I I I 393
Chapter 42 - Alterations of Digestive Function
I I I I I I I 404
Chapter 43 - Alterations of Digestive Function in Children
I I I I I I I I I 415
Chapter 44 - Structure and Function of the Musculoskeletal System
I I I I I I I I I I 424
Chapter 45 - Alterations of Musculoskeletal Function
I I I I I I I 436
Chapter 46 - Alterations of Musculoskeletal Function in Children
I I I I I I I I I 448
Chapter 47 - Structure Function and Disorders of the Integument
I I I I I I I I I I 457
Chapter 48 - Alterations of the Integument in Children
I I I I I I I I I 468
Chapter 49 - Shock Multiple Organ Dysfunction Syndrome and Burns in
I I I I I I I I I I I



Adults 476
Chapter 50 - Shock Multiple Organ Dysfunction Syndrome and Burns in
I I I I I I I I I I I



Children 483

,Pathophysiology IThe IBiologic IBasis Ifor IDisease Iin IAdults Iand IChildren I8th IEdition I97803235834

Chapter 01: Cellular Biology
I I I

McCance/Huether: Pathophysiology: The Biologic Basis of Disease in Adults and
I I I I I I I I I

Children, 8th Edition
I I I




MULTIPLE ICHOICE

1. Which Istatement Ibest Idescribes Ithe Icellular Ifunction Iof Imetabolic Iabsorption?
a. Cells Ican Iproduce Iproteins.
b. Cells Ican Isecrete Idigestive Ienzymes.
c. Cells Ican Itake Iin Iand Iuse Inutrients.
d. Cells Ican Isynthesize Ifats.
ANS: I C
In Imetabolic Iabsorption, Iall Icells Itake Iin Iand Iuse Inutrients Iand Iother Isubstances Ifrom Itheir
Isurroundings. IThe Iremaining Ioptions Iare Inot Iinclusive Iin Itheir Idescriptions Iof Icellular

Imetabolic Iabsorption.




PTS: I I I 1 DIF: Cognitive ILevel: IRemembering

2. Where Iis Imost Iof Ia Icell’s Igenetic Iinformation, Iincluding IRNA Iand IDNA, Icontained?
a. Mitochondria
b. Ribosome
c. Nucleolus
d. Lysosome
ANS: I C
The Inucleus Icontains Ithe Inucleolus, Ia Ismall Idense Istructure Icomposed Ilargely Iof IRNA, Imost
Io f Ithe Icellular IDNA, Iand Ithe IDNA-binding Iproteins, Isuch Ias Ithe Ihistones, Iwhich Iregulate Iits

Iactivity. IThe Imitochondria Iare Iresponsible Ifor Icellular Irespiration Iand Ienergy Iproduction.

Ribosomes’ Ichief Ifunction Iis Ito Iprovide Isites Ifor Icellular Iprotein Isynthesis. ILysosomes
Ifunction Ias Ithe Iintracellular Idigestive Isystem.




PTS: I I I 1 DIF: Cognitive ILevel: IRemembering

3. Which Icomponent Iof Ithe Icell Iproduces Ihydrogen Iperoxide I(H2O2) Iby Iusing Ioxygen Ito Iremove
hydrogen Iatoms Ifrom Ispecific Isubstrates Iin Ian Ioxidative Ireaction?
I

a. Lysosomes
b. Peroxisomes
c. Ribosomes
d. Endosome
ANS: I B




Chapter I1 I- ICellular IBiology 3

, Pathophysiology IThe IBiologic IBasis Ifor IDisease Iin IAdults Iand IChildren I8th IEdition I97803235834
Peroxisomes Iare Iso Inamed Ibecause Ithey Iusually Icontain Ienzymes Ithat Iuse Ioxygen Ito Iremove
Ihydrogen Iatoms Ifrom Ispecific Isubstrates Iin Ian Ioxidative Ireaction Ithat Iproduces IH2O2, Iwhich Iis

Ia Ipowerful Ioxidant Iand Ipotentially Idestructive Iif Iit Iaccumulates Ior Iescapes Ifrom Iperoxisomes.

IRibosomes Iare IRNA-protein Icomplexes I(nucleoproteins) Ithat Iare Isynthesized Iin Ithe Inucleolus

Iand Isecreted Iinto Ithe Icytoplasm Ithrough Ipores Iin Ithe Inuclear Ienvelope Icalled Inuclear Ipore

Icomplexes. ILysosomes Iare Isaclike Istructures Ithat Ioriginate Ifrom Ithe IGolgi Icomplex Iand

Icontain Imore Ithan I40 Idigestive Ienzymes Icalled Ihydrolases, Iwhich Icatalyze Ibonds Iin Iproteins,

Ilipids, Inucleic Iacids, Iand Icarbohydrates. IAn Iendosome Iis Ia Ivesical Ithat Ihas Ibeen Ipinched Ioff

Ifrom Ithe Icellular Imembrane.




PTS: I I I 1 DIF: Cognitive ILevel: IRemembering

4. Which Icell Icomponent Iis Icapable Iof Icellular Iautodigestion Iwhen Iit Iis Ireleased Iduring Icell
injury?
I

a. Ribosome
b. Golgi Icomplex
c. Smooth Iendoplasmic Ireticulum
d. Lysosomes
ANS: I D
The Ilysosomal Imembrane Iacts Ias Ia Iprotective Ishield Ibetween Ithe Ipowerful Idigestive Ienzymes
Iw ithin Ithe Ilysosome Iand Ithe Icytoplasm, Ipreventing Itheir Ileakage Iinto Ithe Icytoplasmic Imatrix.

ID isruption Iof Ithe Imembrane Iby Ivarious Itreatments Ior Icellular Iinjury Ileads Ito Ia Irelease Iof Ithe

Ilysosomal Ienzymes, Iwhich Ican Ithen Ireact Iwith Itheir Ispecific Isubstrates, Icausing Icellular

self-digestion. IThe Ichief Ifunction Iof Ia Iribosome Iis Ito Iprovide Isites Ifor Icellular Iprotein
Isynthesis. IThe IGolgi Icomplex Iis Ia Inetwork Iof Iflattened, Ismooth Ivesicles Iand Imembranes Ioften

Ilocated Inear Ithe Icell Inucleus. IThe Ismooth Iendoplasmic Ireticulum Iis Iinvolved Iin Isteroid

Ihormone Iproduction Iand Iremoving Itoxic Isubstances Ifrom Ithe Icell.




PTS: I I I 1 DIF: Cognitive ILevel: IRemembering

5. Which IcAMP-mediated Iresponse Iis Irelated Ito Iantidiuretic Ihormone?
a. Increased Iheart Irate Iand Iforce Iof Icontraction
b. Secretion Iof Icortisol
c. Increased Iretention Iof Iwater
d. Breakdown Iof Ifat
ANS: I C
Antidiuretic Ihormone Ileads Ito Iincreased Iretention Iof Iwater Iin Ithe Ibody. IEpinephrine Icauses
Iincreases Iin Iheart Irate Iand Iforce Iof Icontraction. IIncreased Icortisol Isecretion Iis Idue Ito IACTH.

IBreakdown Iof Ifat Iis Idue Ito Iglucagon.




PTS: I I I 1 DIF: Cognitive ILevel: IRemembering

6. During Iwhich Iphase Iof Ithe Icell Icycle Iis IDNA Isynthesized?
a. G1
b. S
c. G2
d. M
ANS: I B




Chapter I1 I- ICellular IBiology 4

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