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

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Pathophysiology The Biologic Basis for Disease in Adults and Children 8th Edition Chapter 1 - Cellular Biology 3 Chapter 2 - Altered Cellular and Tissue Biology Environmental Agents 16 Chapter 3 - The Cellular Environment Fluids and Electrolytes Acids and Bases 28 Chapter 4 - Genes and Genetic Diseases 41 Chapter 5 - Genes Environment-Lifestyle and Common Diseases 51 Chapter 6 - Epigenetics and Disease 59 Chapter 7 - Innate Immunity Inflammation 64 Chapter 8 - Adaptive Immunity 78 Chapter 9 - Alterations in Immunity and Inflammation 89 Chapter 10 - Infection 102 Chapter 11 - Stress and Disease 110 Chapter 12 - Cancer Biology 117 Chapter 13 - Cancer Epidemiology 129 Chapter 14 - Cancer in Children 135 Chapter 15 - Structure and Function of the Neurologic System 140 Chapter 16 - Pain Temperature Regulation Sleep and Sensory Function 151 Chapter 17 - Alterations in Cognitive Systems Cerebral Hemodynamics and Motor Function 165 Chapter 18 - Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction 179 Chapter 19 - Neurobiology of Schizophrenia Mood Disorders and Anxiety Disorders 189

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Pathophysiology The Biologic Basis for Disease in Adults and Children 8th Edition 97803235834

Pathophysiology The Biologic Basis for
Disease in Adults and Children 8th Edition
Chapter 1 - Cellular Biology 3
Chapter 2 - Altered Cellular and Tissue Biology Environmental Agents 16 Chapter
3 - The Cellular Environment Fluids and Electrolytes Acids and
Bases 28
Chapter 4 - Genes and Genetic Diseases 41
Chapter 5 - Genes Environment-Lifestyle and Common Diseases 51
Chapter 6 - Epigenetics and Disease 59
Chapter 7 - Innate Immunity Inflammation 64
Chapter 8 - Adaptive Immunity 78
Chapter 9 - Alterations in Immunity and Inflammation 89
Chapter 10 - Infection 102
Chapter 11 - Stress and Disease 110
Chapter 12 - Cancer Biology 117
Chapter 13 - Cancer Epidemiology 129
Chapter 14 - Cancer in Children 135
Chapter 15 - Structure and Function of the Neurologic System 140
Chapter 16 - Pain Temperature Regulation Sleep and Sensory Function 151 Chapter
17 - Alterations in Cognitive Systems Cerebral Hemodynamics and
Motor Function 165
Chapter 18 - Disorders of the Central and Peripheral Nervous Systems and
the Neuromuscular Junction 179
Chapter 19 - Neurobiology of Schizophrenia Mood Disorders and Anxiety
Disorders 189
Chapter 20 - Alterations of Neurologic Function in Children 195
Chapter 21 - Mechanisms of Hormonal Regulation 202
Chapter 22 - Alterations of Hormonal Regulation 211
Chapter 23 - Obesity and Disorders of Nutrition NEW 223
Chapter 24 - Structure and Function of the Reproductive Systems 228
Chapter 25 - Alterations of the Female Reproductive System 237
Chapter 26 - Alterations of the Male Reproductive System 246

,Pathophysiology The Biologic Basis for Disease in Adults and Children 8th Edition 97803235834



Chapter 27 - Sexually Transmitted Infections 252
Chapter 28 - Structure and Function of the Hematologic System 260
Chapter 29 - Alterations of Erythrocyte Platelet and Hemostatic Function 270
Chapter 30 - Alterations of Leukocyte and Lymphoid Function 280
Chapter 31 - Alterations of Hematologic Function in Children 287
Chapter 32 - Structure and Function of the Cardiovascular and Lymphatic
Systems 297
Chapter 33 - Alterations of Cardiovascular Function 309
Chapter 34 - Alterations of Cardiovascular Function in Children 323
Chapter 35 - Structure and Function of the Pulmonary System 331
Chapter 36 - Alterations of Pulmonary Function 341
Chapter 37 - Alterations of Pulmonary Function in Children 357
Chapter 38 - Structure and Function of the Renal and Urologic Systems 365
Chapter 39 - Alterations of Renal and Urinary Function 375
Chapter 40 - Alterations of Renal and Urinary Tract Function in Children 385
Chapter 41 - Structure and Function of the Digestive System 393
Chapter 42 - Alterations of Digestive Function 404
Chapter 43 - Alterations of Digestive Function in Children 415
Chapter 44 - Structure and Function of the Musculoskeletal System 424
Chapter 45 - Alterations of Musculoskeletal Function 436
Chapter 46 - Alterations of Musculoskeletal Function in Children 448
Chapter 47 - Structure Function and Disorders of the Integument 457
Chapter 48 - Alterations of the Integument in Children 468
Chapter 49 - Shock Multiple Organ Dysfunction Syndrome and Burns in
Adults 476
Chapter 50 - Shock Multiple Organ Dysfunction Syndrome and Burns in
Children 483

,Pathophysiology The Biologic Basis for Disease in Adults and Children 8th Edition 97803235834

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 97803235834
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.

PTS: 1 DIF: Cognitive Level: Remembering

6. During which phase of the cell cycle is DNA synthesized?
a. G1
b. S
c. G2
d. M
ANS: B




Chapter 1 - Cellular Biology 4

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