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Pathophysiology 8th Edition Mccance Test Bank 2

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Pathophysiology 8th Edition Mccance Test Bank 2

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PATHOPHYSIOLOGYl8THlEDITIONlMCCANCElTESTlBANK

Chapter 1: Cellular Biology
l l l




MULTIPLElCHOICE

1. Whichlstatementlbestldescribeslthelcellularlfunctionloflmetaboliclabsorption?
a. Cellslcanlproducelproteins. c. Cellslcanltakelinlandluselnutrients.
b. Cellslcanlsecreteldigestivelenzymes. d.l l Cellslcanlsynthesizelfats.

ANS:l C
Inlmetaboliclabsorption,lalllcellsltakelinlandluselnutrientslandlotherlsubstanceslfromltheirlsurroundi
ngs.lThelremainingloptionslarelnotlinclusivelinltheirldescriptionsloflcellularlmetaboliclabsorption.

PTS:l l 1 REF:l l Pagel2

2. Mostloflalcell’slgeneticlinformation,lincludinglRNAlandlDNA,lislcontainedlinlthe:
a. Mitochondria c. Nucleolus
b. Ribosome d.l l Lysosome
ANS:l C
Thelnucleuslcontainslthelnucleolus,lalsmallldenselstructurelcomposedllargelyloflRNA,lmostlofl
thelcellularlDNA,landlthelDNA-
bindinglproteins,lsuchlaslthelhistones,lwhichlregulatelitslactivity.lThelotherloptionsldolnotlcont
ainlmostloflalcell’slgeneticlinformation.

PTS:l l 1 REF:l l Pagel2

3. Whichl componentl oflthel celllprodNuUceRsSIhNyGd TroBg. CenO M
peroxide l(H2O2)lbyl usingl oxygenl tolre
movelhydrogenlatomslfromlspecificlsubstrateslinlanloxidativelreaction?
a. Lysosomes c. Ribosomes
b. Peroxisomes d.l l Oxyhydrosomes
ANS:l B
Peroxisomeslarelsolnamedlbecauseltheylusuallylcontainlenzymeslthatluseloxygenltolremovelhy
drogenlatomslfromlspecificlsubstrateslinlanloxidativelreactionlthatlproduceslH2O2,lwhichlislalp
owerfulloxidantlandlpotentiallyldestructiveliflitlaccumulateslorlescapeslfromlperoxisomes.lRib
osomeslarelRNA-
proteinlcomplexesl(nucleoproteins)lthatlarelsynthesizedlinlthelnucleoluslandlsecretedlintolthelc
ytoplasmlthroughlporeslinlthelnuclearlenvelopelcalledlnuclearlporelcomplexes.lLysosomeslare
lsaclikelstructureslthatloriginatelfromlthelGolgilcomplex landlcontainlmorelthanl40ldigestivelen

zymeslcalledlhydrolases,lwhichlcatalyzelbondslinlproteins,llipids,lnucleiclacids,landlcarbohydr
ates.lOxyhydrosomeslarelinvolvedlinlenzymelproduction.

PTS:l l 1 REF:l l Pagel8

4. Whichlcelllcomponentlislcapableloflcellularlautodigestionlwhenlitlislreleasedlduringlcelllinju
ry?
a. Ribosome c. Smoothlendoplasmiclreticulum
b. Golgilcomplex d.l l Lysosomes
ANS:l D




NURSINGTB.COM

, PATHOPHYSIOLOGYl8THlEDITIONlMCCANCElTESTlBANK

Thellysosomallmembranelactslaslalprotectivelshieldlbetweenlthelpowerfulldigestivelenzymesl
withinlthellysosomelandlthelcytoplasm,lpreventingltheirlleakagelintolthelcytoplasmiclmatrix.l
Disruptionloflthelmembranelbylvariousltreatmentslorlcellularlinjurylleadsltolalreleaseloflthellys
osomallenzymes,lwhichlcanlthenlreactlwithltheirlspecificlsubstrates,lcausinglcellularlself-
digestion.lThelotherloptionsldolnotlcorrectlyldescribelthislprocess.

PTS:l l 1 REF:l Pagesl7-8

5. Whatlislthelsequenceloflstepslinltheldevelopmentloflaldigestivelenzymelbylthelpancreaslcellsl
fromlthelinitialltranscriptionltolthelreleaselfromlthelcell?
a. ThelenzymelisltranscribedlfromlDNAlbylRNAlinlthelnucleus,lproceedsltolthelribo
somelforlsynthesis,landlisltransportedlinlalsecretorylvesicleltolthelcelllmembrane.
b. ThelenzymelisltranscribedlfromlRNAlbylDNAlinlthelnucleus,lproceedsltolthellysosom
elforlsynthesis,landlisltransportedlinlanlencapsulatedlmembraneltolthelcelllmembrane.
c. Thelenzymelisltranscribedlbylthelmitochondrialinlthelnucleus,lproceedsltolthelriboso
melforlsynthesis,landlisltransportedlinlalcytoskeletonltolthelcelllmembrane.
d. ThelenzymelisltranscribedlfromlDNAlbylRNAlinlthelnucleus,lproceedsltolthelGolgilc
omplexlforlsynthesis,landlisltransportedlinlalcytosolltolthelcelllmembrane.
ANS:l A
ThelenzymelisltranscribedlfromlDNAlbylRNAlinlthelnucleus,lproceedsltolthelribosomelforlsyn
thesis,landlisltransportedlinlalsecretorylvesicleltolthelcelllmembrane.lThelotherloptionsldolnotl
correctlyldescribelthislprocess.
NURSINGTB.COM
PTS:l l 1 REF:l l Pagel7l|lFigurel1-5

6. DuringlwhichlphaseloflthelcelllcyclelislDNAlsynthesized?
a. G1 c. G2
b. S d.l l M
ANS:l B
Thelfourldesignatedlphasesloflthelcelllcyclelare:l(1)lthelG1l phasel(Gl=lgap),lwhichlislthelperiodl
betweenlthelMlphasel(Ml=lmitosis)landlthelstartloflDNAlsynthesis;l(2)lthelSlphasel(Sl=lsynthesi
s),lduringlwhichlDNAlislsynthesizedlinlthelcelllnucleus;l(3)lthelG2l phase,lduringlwhichlRNAla
ndlproteinlsynthesisloccurs,lthelperiodlbetweenlthelcompletionloflDNAlsynthesislandlthelnextl
phasel(M);landl(4)lthelMlphase,lwhichlincludeslnuclearlandlcytoplasmicldivision.

PTS:l l 1 REF:l l Pagel37

7. Whatlorganiclcompoundlfacilitatesltransportationlacrosslcelllmembraneslbylactinglaslrec
eptors,ltransportlchannelslforlelectrolytes,landlenzymesltoldrivelactivelpumps?
a. Lipids c. Proteins
b. Proteases d.l l Carbohydrates

ANS:l C




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, PATHOPHYSIOLOGYl8THlEDITIONlMCCANCElTESTlBANK

Proteinslactlasl(1)lrecognitionlandlbindinglunitsl(receptors)lforlsubstanceslmovinglinlandloutlofl
thelcell;l(2)lporeslorltransportlchannelslforlvariouslelectricallylchargedlparticleslcalledlionslorle
lectrolyteslandlspecificlcarrierslforlaminolacidslandlmonosaccharides;land
(3)lspecificlenzymeslthatldrivelactivelpumpslthatlpromotelthelconcentrationloflcertainlions,lpa
rticularlylpotassiuml(K+),lwithinlthelcelllwhilelkeepinglconcentrationsloflotherlions,lforlexam
ple,lsodiuml(Na+),lbelowlthelconcentrationslfoundlinlthelextracellularlenvironment.lThelothe
rloptionsldolnotlcorrectlyldescribelthislprocess.

PTS:l l 1 REF:l l Pagel13l|lPagel15

8. Understandinglthelvariouslstepsloflproteolyticlcascades,lsuchlaslcaspase-
mediatedlapoptosislandlcomplementlcascades,lmaylbelusefullinldesigningldrugltherapylforl
whichlhumanldiseases?
a. Cardiaclandlvascularldisorders
b. Autoimmunelandlmalignantldisorders
c. Gastrointestinallandlrenalldisorders
d. Endocrinelandlgastrointestinalldisorders
ANS:l B
Understandinglthelvariouslstepslinvolvedlinlthislprocesslislcruciallforldesigningldruglinterven
tions.lDysregulationloflproteaseslfeatureslprominentlylinlmanylhumanldiseases,lincludinglca
ncer,lautoimmunity,landlneurodegenerativeldisorders.lThelotherloptionsldolnotlcorrectlyldes
cribelthislprocess.

PTS:l l 1 REF:l l Pagel15

9. Whichlstructurelpreventslwater-solublelmoleculeslfromlenteringlcellslacrosslthelplasma
NURSINGTB.COM
membrane?
a. Carbohydratelchains c. Membranelchannellproteins
b. Glycoproteinlchannels d.l l Lipidlbilayer
ANS:l D
Thelbilayer’slstructurelaccountslforloneloflthelessentiallfunctionsloflthelplasmalmembrane.lItli
slimpermeableltolmostlwater-
solublelmoleculesl(moleculeslthatldissolvelinlwater)lbecauselthelwater-
solublelmoleculeslarelinsolublelinltheloilylcorelregion.lThelbilayerlserveslaslalbarrierltoltheldif
fusionloflwaterlandlhydrophiliclsubstanceslwhilelallowingllipid-
solublelmolecules,lsuchlasloxygenl(O2)landlcarbonldioxidel(CO2),ltoldiffuselthroughlitlreadil
y.lThelotherloptionsldolnotlcorrectlyldescribelthislprocess.

PTS:l l 1 REF:l Pagesl12-13

10. Thelfluidlmosaiclmodellexplains:
a. Howlalcelllmembranelfunctions
b. Whylourlbodieslappearltolbelsolid
c. Howltissuelisldifferentiated
d. Howlfluidlmoveslbetweenlthelintracellularlandlextracellularlcompartments
ANS:l A
Thelfluidlmosaiclmodellaccountslforlthelflexibilityloflcellularlmembranes,ltheir
self-
sealinglproperties,landltheirlimpermeabilityltolmanylsubstances.lThelremainingloptionsldolno
tlexplainlthelmosaiclmodel.



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, PATHOPHYSIOLOGYl8THlEDITIONlMCCANCElTESTlBANK


PTS:l l 1 REF:l l Pagel12l|lWhat'slNewlbox

11. Whichlformloflcelllcommunicationlislusedltolcommunicatelwithinlthelcelllitselflandlwithlothe
rlcellslinldirectlphysicallcontact?
a. Proteinlchannell(gapljunction)
b. Plasmalmembrane–boundlsignalinglmoleculesl(involvinglreceptors)
c. Hormonelsecretionlsuchlaslneurotransmitters
d. Extracellularlchemicallmessengerslsuchlaslligands
ANS:l A
Cellslcommunicatelbylusinglhundredsloflkindsloflsignallmolecules,lforlexample,linsulin.lCellsl
communicatelinlthreelmainlways;ltheyldisplaylplasmalmembrane–
boundlsignalinglmoleculesl(receptors)lthatlaffectlthelcelllitselflandlotherlcellslinldirectlphysical
lcontact.lThelotherloptionsldolnotlcorrectlyldescribelthislprocess.




PTS:l l 1 REF:l l Pagel20

12. Whichlmodeloflchemicallsignalingluseslbloodltoltransportlcommunicationltolcellslsomeldist
ancelaway?
a. Paracrine c. Neurotransmitter
b. Autocrine d.l l Hormonal
ANS:l D
Chemicallsignalinglcanlbelclassifiedlintolthreelcategories:l(1)llocal-
chemicallmediator,l(2)lhormone,landl(3)lneurotransmitter.lInlthellocal-
chemicallmediatorlmodel,lthelsecretedlchemicallactslonlthelcellslinlthelimmediatelenvironmen
t.lHormoneslarelusedlforlcommunicationl withl distantl t argetNcUeRl lSsI. NFGoTr Be.xCaOmMpl e, l cellslcanl se
cretel al chemicall andl relylonlthelbloodlsystemltoldeliverlthelsignalltolaldistantlcell.lFinally,lneurotra
nsmitterslarelsecretedlbylneuronsltolstimulatelanladjoininglcell.lForlexample,lalneuronlmightlse
cretelacetylcholineltolstimulatelthelmovementloflalmusclelcell.

PTS:l l 1 REF:l l Pagel20

13. Whichlmodeloflchemicallsignalinglusesllocallchemicallmediatorslthatlarelquicklyltakenlup,l
destroyed,lorlimmobilized?
a. Paracrine c. Neurotransmitter
b. Autocrine d.l l Hormone
ANS:l A
Inlparacrinelsignaling,lcellslsecretellocallchemicallmediatorslthatlarelquicklyltakenlup,ldestroy
ed,lorlimmobilized.lThelotherloptionsldolnotlcorrectlyldescribelthislprocess.

PTS:l l 1 REF:l l Pagel20

14. Neurotransmitterslaffectlthelpostsynapticlmembranelbylbindinglto:
a. Lipids c. Amphipathicllipids
b. Ribosomes d.l l Receptors

ANS:l D
Inleachltypeloflchemicallsignaling,ltheltargetlcelllreceiveslthelsignallbylfirstlattachingltolitslrec
eptors.lThelotherloptionsldolnotlcorrectlyldescribelthislprocess.




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