EH208 Your Name, Exams of Pathophysiology

EH208 Your Name:__________________________________________

Pathophysiology of Human Disease

Exam III

The exam is a closed-book format. Time to complete: 2 academic hours. Often more than one answer applies;

select all choices you consider correct. There is 50 questions, 2 points each.

1. A 39-year-old previously healthy man has the sudden onset of severe right flank pain that comes in

waves all night long. When he is seen in the emergency room, after waiting for two hours, he is

exhausted. On physical examination there are no abnormal findings. Urinalysis reveals no ketones,

C Ureteral calculus

D Renal angiomyolipoma

E Urothelial carcinoma of bladder

2. A 41-year-old man has a history of drinking 1 to 2 liters of whisky per day for the past 20 years. He

has had numerous episodes of nausea and vomiting in the past 5 years. He now experiences a bout

of prolonged vomiting, followed by massive hematemesis. On physical examination his vital signs are:

T 36.9°C, P 110/min, RR 26/min, and BP 80/40 mm Hg lying down. His heart has a regular rate and

rhythm with no murmurs and his lungs are clear to auscultation. There is no abdominal tenderness or

D Barrett esophagus

E Esophageal squamous cell carcinoma

F Esophageal stricture

3. A 15-year-old boy from Ghana has the acute onset of right upper quadrant abdominal pain.

Abdominal ultrasound reveals a dilated gallbladder with thickened wall and filled with calculi. A

laparoscopic cholecystectomy is performed. The gallbladder is opened to reveal ten multifaceted 0.5

to 1 cm diameter dark, greenish-black shiny gallstones. Which of the following underlying conditions

does this boy most likely have?

F Schistosomiasis

4. A 28-year-old woman has had difficulty concentrating at work for the past month. She is constantly

getting up and walking around to visit co-workers. She complains that the work area is too hot. She