Answers 2026/2027 | 100 Practice Questions
for Medical & Nursing Students
Description:
Master pathophysiology with 100 board-style exam questions and detailed answers for
2026/2027. Covers immunology, cardiology, neurology, endocrinology, and renal
disorders.
Download the 2026/2027 Pathophysiology Examination Paper now and boost your exam score
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, Pathophysiology Exam Questions & Answers 2026
Section A: Immunology and Infection
Question 1
Describe the coordinated immune response following an infection.
A. T cells directly engulf pathogens while B cells release histamine to increase vascular
permeability
B. T cells produce cytokines that stimulate B cells, leading to antibody production by plasma
cells
C. B cells activate T cells through antigen presentation, resulting in phagocytosis
D. Natural killer cells suppress both T cell and B cell function during viral infections
Answer: B
Explanation: T lymphocytes (helper T cells) secrete cytokines such as interleukins and
interferons, which provide activation signals to B lymphocytes. Activated B cells
differentiate into plasma cells that produce specific antibodies targeting the pathogen. This
coordinated adaptive immune response ensures targeted and sustained defense against
infection.
Question 2
Which statement best characterizes innate immunity?
A. It requires prior exposure to a pathogen to mount a response
B. It is mediated exclusively by B lymphocytes and immunoglobulins
C. It provides immediate, non-specific defense mechanisms against pathogens
D. It involves immunological memory that persists for decades
Answer: C
Explanation: Innate immunity represents the body's first line of defense, including physical
barriers (skin, mucous membranes), chemical mediators (lysozyme, complement), and
cellular components (neutrophils, macrophages, natural killer cells). It responds rapidly and
non-specifically without requiring prior pathogen exposure.
,Question 3
A patient presents with high fever, severe headache, and nuchal rigidity following a mosquito
bite during summer. Which condition is most likely?
A. Lyme disease
B. West Nile virus infection
C. Erythema infectiosum
D. Malaria
Answer: B
Explanation: West Nile virus is transmitted via infected mosquito bites. Severe neurological
manifestations include high fever, severe headache, neck stiffness (nuchal rigidity),
disorientation, tremors, and in severe cases, flaccid paralysis. These symptoms distinguish it
from milder febrile illnesses.
Question 4
A child presents with low-grade fever, upper respiratory symptoms, and sudden onset of
bright red cheeks resembling a slapped cheek appearance. The most likely diagnosis is:
A. Measles
B. Rubella
C. Erythema infectiosum (fifth disease)
D. Scarlet fever
Answer: C
Explanation: Erythema infectiosum, caused by parvovirus B19, typically presents with
prodromal mild fever and respiratory symptoms followed by characteristic facial erythema
(slapped cheek rash). A reticular rash may later appear on the trunk and extremities. The
condition is generally self-limiting in immunocompetent children.
Question 5
Lyme disease is caused by:
A. A virus transmitted by mosquito vectors
B. The spirochete Borrelia burgdorferi transmitted by Ixodes ticks
, C. A fungus acquired through soil exposure
D. A parasite contracted from contaminated water
Answer: B
Explanation: Lyme disease is a tick-borne zoonosis caused by the spirochete Borrelia
burgdorferi in North America (and related genospecies in Europe and Asia). Transmission
occurs through the bite of infected Ixodes scapularis (deer tick) or related species. Early
manifestations include erythema migrans rash, fever, and arthralgias.
Section B: Genetic Disorders and Congenital Abnormalities
Question 6
Which statement accurately describes the role of DNA changes in congenital abnormalities?
A. Congenital abnormalities are exclusively caused by environmental teratogens during
pregnancy
B. Mutations in genes or chromosomal abnormalities can lead to structural or functional birth
defects
C. DNA changes only affect postnatal development and never cause congenital conditions
D. All congenital abnormalities result from single-gene mutations with complete penetrance
Answer: B
Explanation: Congenital abnormalities arise from genetic alterations including point
mutations (e.g., FGFR3 mutation in achondroplasia), chromosomal aneuploidies (e.g.,
trisomy 21), structural chromosomal rearrangements (e.g., deletions, duplications), and
mutations in regulatory genes. These alterations disrupt normal embryologic development.
Question 7
During embryonic development, disruption of normal morphogenesis leading to congenital
abnormalities most directly results from:
A. Alterations in DNA sequence or chromosomal structure
B. Maternal dietary choices after organogenesis is complete
C. Postnatal environmental exposures
D. Normal physiological variation in fetal growth rates