PATHOPHYSIOLOGY EXAM 1 PRACTICE
PROBLEMS WITH CORRECT ANSWERS
A bpatient bis bfound bto bhave bliver bdisease, bresulting bin bthe bremoval bof ba blobe bof
bhis bliver. bAdaptation bto bthe breduced bsize bof bthe bliver bleads bto b___________ bof
bthe bremaining bliver bcells.
A. bMetaplasia b
B. bOrgan batrophy b
C. bCompensatory bhyperplasia
D. bPhysiologic bhyperplasia b- bcorrect banswer✔✔C
An bolder badult bpatient bcomes bto bthe bclinic bcomplaining bof bnot bbeing bable bto bdo
bwhat bhe bused bto bbe bable bto. bYou bknow bthat bnormal bchanges bassociated bwith
baging binclude: b(Select ball bthat bapply.) b
A. bImproved bblood bflow b
B. bSlowed bmetabolic brate
C. bDecreased bbrain bweight b
D. bImproved bnerve bfiber bconduction
E. bLess brespiratory bcapacity b- bcorrect banswer✔✔B, bC, bE
A b20-year-old bcollege bstudent bhas bpresented bto bher bcampus bmedical bclinic bfor ba
bscheduled bPap bsmear. bThe bclinician bwho bwill binterpret bthe bsmear bwill bexamine
bcell bsamples bfor bevidence bof:
A. bChanges bin bcell bshape, bsize, band borganization b
B. bPresence bof bunexpected bcell btypes
C. bIschemic bchanges bin bcell bsample
D. bAbnormally bhigh bnumbers bof bcells b- bcorrect banswer✔✔A
The bparents bof ba b4-year-old bgirl bhave bsought bcare bbecause btheir bdaughter bhas
badmitted bto bchewing band bswallowing bimported btoy bfigurines bthat bhave bbeen
bdetermined bto bbe bmade bof blead. bWhich bof bthe bfollowing bblood btests bshould bthe
bcare bteam bprioritize? b
,A. bWhite bblood bcell blevels bwith bdifferential b
B. bRed bblood bcell blevels band bmorphology b
C. bUrea band bcreatinine blevels b
D. bLiver bfunction bpanel b- bcorrect banswer✔✔B
Lead b-> banemia, bRBC blysis b
You bknow bit's bnot bA bbecause bthere bis bno binfection binvolved. bC bis bfocused bon
bkidney bfunction bwhile bD bis bfocused bon bliver bfunction. bBoth bof bthese bwould bbe
bimportant bin bthe bcase bof blead bpoisoning bBUT bthe bpriority banswer bis bB, bbecause
byou bneed bfirst bto baddress bthe bmost blife-threatening bpatient bneeds. bThe blittle bgirl
bin bthis bquestion bcan bgo binto bshock bor bsuffer bpermanent borgan bdamage bif bher
bRBCs bare blow.
A bpatient bwith bsevere bperipheral bvascular bdisease bhas bdeveloped bsigns bof bdry
bgangrene bon bthe bgreat btoe bof bone bfoot. bWhich bof bthe bfollowing bpathophysiologic
bprocesses bmost blikely bcontributed bto bthis bdiagnosis? b
A. bInappropriate bactivation bof bapoptosis b
B. bBacterial binvasion b
C. bImpaired barterial bblood bsupply b
D. bMetaplastic bcellular bchanges b- bcorrect banswer✔✔B
Remember bthat bit's bnot bC bbecause bto bhave bgangrene, byou bmust bhave binfection
Although bstress bexposure binitiates bintegrated bresponses bby bmultiple bsystems, bthe
bmost bimportant bchanges bare bfirst bactivated bby bwhich bsystem?
A. bPulmonary
B. bGastrointestinal b
C. bNeuroendocrine
D. bCardiovascular b- bcorrect banswer✔✔C
Which bmanifestation bof bstress breflects bthe bnon-specific bfight bor bflight bresponse?
b
A. bDecreased bpupillary blight bresponse b
B. bIncreased bGI bmotility b
C. bDecreased bshort-term bmemory
D. bIncreased bcardiopulmonary brates b- bcorrect banswer✔✔D
This bwould bfall bunder bphysiologic bresponses bto bstress!! bSlide b25 bin byour blecture
bpowerpoint
Stress-induced bcortisol bhormone bsecretion bis bassociated bwith: b
A. bIncreased bgrowth bhormone blevel
B. bRegulation bof bthe bstress bresponse
C. bIncreased bthyroid-stimulating bhormone b
, D. bDepressed badrenal bgland bfunction b- bcorrect banswer✔✔B
You bknow bit's bnot bA bbecause bI bmentioned bin ban bearlier bslide bthat bgrowth
bhormone blevels bdecrease bwith bstress. bWe bdidn't bmention bthyroid-stimulating
bhormone bas bone bof bthe bones bassociated bwith bthe bstress brepsonse bso byou bcan
bpretty bmuch bassume bthat's bnot bright. bAnd bwe bknow badrenal bfunction bis bnot
bdepressed bbecause bACTH bfrom bthe banterior bpituitary bstimulates bthe badrenal
bglands bto brelease bcortisol.
Which bof bthe bfollowing bfactors bare bknown bto bcontribute bto ban bindividual's bability bto
badapt bto bstress? b(Select ball bthat bapply.)
A. bEthnicity
B. bAge
C. bSocioeconomic bstatus
D. bGender
E. bHealth bstatus b- bcorrect banswer✔✔B, bC, bD, bE
"Ability bto badapt bto bstress" b= bmediating bfactors! bSlide b28 bof bthis bpowerpoint
Two bpeople bexperience bthe bsame bstressor byet bonly bone bis bable bto bcope band
badapt badequately. bAn bexample bof bthe bperson bwith ban bincreased bcapacity bto
badapt bis bthe bone bwith: b
A. bA bsense bof bpurpose bin blife b
B. bCircadian brhythm bdisruption b
C. bAge-related brenal bdysfunction b
D. bExcessive bweight bgain bor bloss b- bcorrect banswer✔✔A
Back bto bmediating bfactors. bWhich bof bthese bthings bdo byou bthink bwould bhelp ba
bperson bdeal bwith bstress? bDisruption bin bsleep bcycle b(B) bwill bdefinitely bnot bhelp,
bage-related brenal bdysfunction b(C) bis ban bindicator bof bpoor bhealth bstatus bwhich
balso bwould bnot bhelp, band bexcessive bweight bchanges b(D) bare balso blikely bto bcause
bmore bstress bthan balleviate bit.
The bcharacteristic, blocalized bcardinal bsigns bof bacute binflammation binclude: b(Select
ball bthat bapply.) b
A. bRedness
B. bFatigue
C. bSwelling
D. bWarmth
E. bFever b- bcorrect banswer✔✔A, bC, bD
PROBLEMS WITH CORRECT ANSWERS
A bpatient bis bfound bto bhave bliver bdisease, bresulting bin bthe bremoval bof ba blobe bof
bhis bliver. bAdaptation bto bthe breduced bsize bof bthe bliver bleads bto b___________ bof
bthe bremaining bliver bcells.
A. bMetaplasia b
B. bOrgan batrophy b
C. bCompensatory bhyperplasia
D. bPhysiologic bhyperplasia b- bcorrect banswer✔✔C
An bolder badult bpatient bcomes bto bthe bclinic bcomplaining bof bnot bbeing bable bto bdo
bwhat bhe bused bto bbe bable bto. bYou bknow bthat bnormal bchanges bassociated bwith
baging binclude: b(Select ball bthat bapply.) b
A. bImproved bblood bflow b
B. bSlowed bmetabolic brate
C. bDecreased bbrain bweight b
D. bImproved bnerve bfiber bconduction
E. bLess brespiratory bcapacity b- bcorrect banswer✔✔B, bC, bE
A b20-year-old bcollege bstudent bhas bpresented bto bher bcampus bmedical bclinic bfor ba
bscheduled bPap bsmear. bThe bclinician bwho bwill binterpret bthe bsmear bwill bexamine
bcell bsamples bfor bevidence bof:
A. bChanges bin bcell bshape, bsize, band borganization b
B. bPresence bof bunexpected bcell btypes
C. bIschemic bchanges bin bcell bsample
D. bAbnormally bhigh bnumbers bof bcells b- bcorrect banswer✔✔A
The bparents bof ba b4-year-old bgirl bhave bsought bcare bbecause btheir bdaughter bhas
badmitted bto bchewing band bswallowing bimported btoy bfigurines bthat bhave bbeen
bdetermined bto bbe bmade bof blead. bWhich bof bthe bfollowing bblood btests bshould bthe
bcare bteam bprioritize? b
,A. bWhite bblood bcell blevels bwith bdifferential b
B. bRed bblood bcell blevels band bmorphology b
C. bUrea band bcreatinine blevels b
D. bLiver bfunction bpanel b- bcorrect banswer✔✔B
Lead b-> banemia, bRBC blysis b
You bknow bit's bnot bA bbecause bthere bis bno binfection binvolved. bC bis bfocused bon
bkidney bfunction bwhile bD bis bfocused bon bliver bfunction. bBoth bof bthese bwould bbe
bimportant bin bthe bcase bof blead bpoisoning bBUT bthe bpriority banswer bis bB, bbecause
byou bneed bfirst bto baddress bthe bmost blife-threatening bpatient bneeds. bThe blittle bgirl
bin bthis bquestion bcan bgo binto bshock bor bsuffer bpermanent borgan bdamage bif bher
bRBCs bare blow.
A bpatient bwith bsevere bperipheral bvascular bdisease bhas bdeveloped bsigns bof bdry
bgangrene bon bthe bgreat btoe bof bone bfoot. bWhich bof bthe bfollowing bpathophysiologic
bprocesses bmost blikely bcontributed bto bthis bdiagnosis? b
A. bInappropriate bactivation bof bapoptosis b
B. bBacterial binvasion b
C. bImpaired barterial bblood bsupply b
D. bMetaplastic bcellular bchanges b- bcorrect banswer✔✔B
Remember bthat bit's bnot bC bbecause bto bhave bgangrene, byou bmust bhave binfection
Although bstress bexposure binitiates bintegrated bresponses bby bmultiple bsystems, bthe
bmost bimportant bchanges bare bfirst bactivated bby bwhich bsystem?
A. bPulmonary
B. bGastrointestinal b
C. bNeuroendocrine
D. bCardiovascular b- bcorrect banswer✔✔C
Which bmanifestation bof bstress breflects bthe bnon-specific bfight bor bflight bresponse?
b
A. bDecreased bpupillary blight bresponse b
B. bIncreased bGI bmotility b
C. bDecreased bshort-term bmemory
D. bIncreased bcardiopulmonary brates b- bcorrect banswer✔✔D
This bwould bfall bunder bphysiologic bresponses bto bstress!! bSlide b25 bin byour blecture
bpowerpoint
Stress-induced bcortisol bhormone bsecretion bis bassociated bwith: b
A. bIncreased bgrowth bhormone blevel
B. bRegulation bof bthe bstress bresponse
C. bIncreased bthyroid-stimulating bhormone b
, D. bDepressed badrenal bgland bfunction b- bcorrect banswer✔✔B
You bknow bit's bnot bA bbecause bI bmentioned bin ban bearlier bslide bthat bgrowth
bhormone blevels bdecrease bwith bstress. bWe bdidn't bmention bthyroid-stimulating
bhormone bas bone bof bthe bones bassociated bwith bthe bstress brepsonse bso byou bcan
bpretty bmuch bassume bthat's bnot bright. bAnd bwe bknow badrenal bfunction bis bnot
bdepressed bbecause bACTH bfrom bthe banterior bpituitary bstimulates bthe badrenal
bglands bto brelease bcortisol.
Which bof bthe bfollowing bfactors bare bknown bto bcontribute bto ban bindividual's bability bto
badapt bto bstress? b(Select ball bthat bapply.)
A. bEthnicity
B. bAge
C. bSocioeconomic bstatus
D. bGender
E. bHealth bstatus b- bcorrect banswer✔✔B, bC, bD, bE
"Ability bto badapt bto bstress" b= bmediating bfactors! bSlide b28 bof bthis bpowerpoint
Two bpeople bexperience bthe bsame bstressor byet bonly bone bis bable bto bcope band
badapt badequately. bAn bexample bof bthe bperson bwith ban bincreased bcapacity bto
badapt bis bthe bone bwith: b
A. bA bsense bof bpurpose bin blife b
B. bCircadian brhythm bdisruption b
C. bAge-related brenal bdysfunction b
D. bExcessive bweight bgain bor bloss b- bcorrect banswer✔✔A
Back bto bmediating bfactors. bWhich bof bthese bthings bdo byou bthink bwould bhelp ba
bperson bdeal bwith bstress? bDisruption bin bsleep bcycle b(B) bwill bdefinitely bnot bhelp,
bage-related brenal bdysfunction b(C) bis ban bindicator bof bpoor bhealth bstatus bwhich
balso bwould bnot bhelp, band bexcessive bweight bchanges b(D) bare balso blikely bto bcause
bmore bstress bthan balleviate bit.
The bcharacteristic, blocalized bcardinal bsigns bof bacute binflammation binclude: b(Select
ball bthat bapply.) b
A. bRedness
B. bFatigue
C. bSwelling
D. bWarmth
E. bFever b- bcorrect banswer✔✔A, bC, bD
