UPDATED 2026 EDITION FINAL EXAM WITH VERIFIED
QUESTIONS AND ANSWERS ALREADY A+ GRADED BRAND
NEW!!!
1. A patient has increased cardiac workload and muscle cell enlargement. This is an example of:
A) Hyperplasia
B) Metaplasia
C) Hypertrophy
D) Dysplasia
Correct Answer: C) Hypertrophy
Rationale: Hypertrophy is an increase in cell size due to increased workload. Hyperplasia is increased cell
number. Metaplasia is one cell type replacing another. Dysplasia is abnormal cell growth.
2. Which type of necrosis is most commonly seen in the brain after a stroke?
A) Coagulative necrosis
B) Liquefactive necrosis
C) Caseous necrosis
,D) Fat necrosis
Correct Answer: B) Liquefactive necrosis
Rationale: Liquefactive necrosis occurs in the brain due to enzymatic digestion of dead cells, forming a
cystic space. Coagulative necrosis is typical in solid organs (e.g., heart, kidney). Caseous is seen in TB. Fat
necrosis occurs in pancreatic injury.
3. Which laboratory finding is most indicative of acute inflammation?
A) Elevated troponin
B) Elevated C-reactive protein (CRP)
C) Decreased white blood cell count
D) Decreased platelets
Correct Answer: B) Elevated C-reactive protein (CRP)
Rationale: CRP is an acute-phase protein produced by the liver in response to inflammation. Troponin
indicates cardiac injury. WBCs usually increase (leukocytosis) in inflammation.
4. A patient presents with redness, heat, swelling, and pain at a wound site. These signs are primarily
due to:
A) Vasoconstriction and decreased blood flow
B) Vasodilation and increased capillary permeability
C) Fibroblast proliferation and collagen deposition
,D) Apoptosis of neutrophils
Correct Answer: B) Vasodilation and increased capillary permeability
Rationale: Vasodilation causes redness/heat; increased permeability causes swelling (edema) and pain
due to pressure on nerves.
5. Which cell type is the first to arrive at a site of acute bacterial infection?
A) Lymphocytes
B) Macrophages
C) Neutrophils
D) Eosinophils
Correct Answer: C) Neutrophils
Rationale: Neutrophils are the first responders to bacterial infection (within 60–90 min). Macrophages
arrive later. Lymphocytes are for chronic/adaptive immunity. Eosinophils target parasites.
6. Chronic inflammation is characterized by:
A) Purulent exudate
B) Formation of granulomas and tissue destruction
C) Immediate onset and short duration
D) Predominance of neutrophils
, Correct Answer: B) Formation of granulomas and tissue destruction
Rationale: Chronic inflammation involves lymphocytes, macrophages, and possible granuloma
formation. Purulent exudate and neutrophils are acute findings.
7. Apoptosis is best described as:
A) Uncontrolled cell death due to injury
B) Programmed cell death without inflammation
C) Replacement of one cell type with another
D) Reversible cell injury
Correct Answer: B) Programmed cell death without inflammation
Rationale: Apoptosis is a controlled, energy-dependent process that does not trigger inflammation
(unlike necrosis).
8. Which condition is an example of pathologic metaplasia?
A) Cervical dysplasia
B) Barrett esophagus (intestinal epithelium in esophagus)
C) Cardiac hypertrophy
D) Uterine enlargement in pregnancy