NURS 6501-Advanced Pathophysiology: Final Exam Review Questions and Answers - Prof. Abraha, Exams of Nursing

Download NURS 6501-Advanced Pathophysiology: Final Exam Review Questions and Answers - Prof. Abraha and more Exams Nursing in PDF only on Docsity! 1 NURS 6501-Advanced Pathophysiology 2024 NEWEST FINAL EXAM WITH COMPLETE QUESTIONS AND VERIFIED BEST SOLUTIONS How are cells specialized? - ANSWER through the process of differentiation or maturation What is signal transduction? - ANSWER The transfer of molecular signals from the exterior to the interior of a cell. If not done apoptosis occurs What is protein regulation and what is it composed of? - ANSWER protein homeostasis and is defined by the proteostasis network. This network is composed of ribosomes (makers), chaperones (helpers), and protein breakdown or proteolytic systems. Malfunction of these systems is associated with disease. What causes cellular swelling? - ANSWER the failure of transport mechanisms and is a sign of many types of cellular injury What is dystrophic calcification? - ANSWER hallmark of CELLULAR INJURY and occurs in all types of cell NECROSIS 2 always in the setting of NORMAL CALCIUM LEVELS, and results in PSAMMOMA BODIES What does a disturbance in urate metabolism cause? - ANSWER hyperuricemia and deposition of sodium urate crystals in tissue—leading to a painful disorder called gout What are the systemic manifestations of cellular injury? - ANSWER fever, leukocytosis, increased heart rate, pain, and serum elevations of enzymes in the plasma What is necrosis? - ANSWER rapid loss of the plasma membrane structure, organelle swelling, mitochondrial dysfunction, and the lack of features of apoptosis What is apoptosis? - ANSWER regulated or programmed cell death and is characterized by "dropping off" of cellular fragments, called apoptotic bodies What is necroptosis? - ANSWER programmed necrosis What are the four types of necrosis? - ANSWER coagulative, liquefactive, caseous, and fatty What is endoplasmic reticulum stress? - ANSWER Excessive accumulation of misfolded proteins in the ER What is dysregulated apoptosis? - ANSWER excessive or insufficient apoptosis 5 What is an amorphic variant effect on gene activity? - ANSWER Complete loss of function What is a hypomorphic variant effect on gene activity? - ANSWER Partial loss of function What is a hypermorphic variant effect on gene activity? - ANSWER gain of function What is a neomorphic variant effect on gene activity? - ANSWER acquires a new property What is hemizygosity? - ANSWER a recessive inheritance that emerges in a male due to only having one X chromosome What is type 1 osteogenesis imperfecta? - ANSWER mild- Short stature, postnatal fractures, little or no deformity, blue scleras, premature hearing loss What is type II osteogenesis imperfecta? - ANSWER perinatal lethal-severe prenatal fractures, abnormal bone formation, severe deformities, blue sceleras, connective tissue fragility What is type III osteogensis imperfecta? - ANSWER progressive deforming- prenatal fractures, deformities present at birth, very short stature, usually nonambulatory, blue scleras, hearing loss 6 What do protein receptors do? - ANSWER on the plasma membrane, enable the cell to interact with other cells and with extracellular substances What means accomplish cell-to-cell adhesions? - ANSWER (1) the extracellular membrane, (2) cell adhesion molecules in the cell's plasma membrane, and (3) specialized cell junctions. What makes up the extracellular matrix and what does it do? - ANSWER (1) fibrous structural proteins (collagen and elastin), (2) adhesive glycoproteins, and (3) proteoglycans and hyaluronic acid. The matrix helps regulate cell growth, movement, and differentiation. How do cells communicate? - ANSWER (1) they form protein channels (gap junctions); (2) they display receptors that affect intracellular processes or other cells in direct physical contact; and (3) they use receptor proteins inside the target cell. How is intercellular signaling done? - ANSWER contact- dependent, paracrine, hormonal, neurohormonal, and neurotransmitter. What is ATP? - ANSWER Adenosine Triphosphate - ENERGY - is required for active transport. 7 What is anabolism? - ANSWER energy-using process of metabolism What is catabolism? - ANSWER the energy-releasing process of metabolism What is passive transport? - ANSWER The movement of materials across the cell membrane without using cellular energy, water and small electrically uncharged molecules, done through osmosis What is oxidative phosphorylation? - ANSWER occurs in the mitochondria and is the mechanism by which the energy produced from carbohydrates, fats, and proteins is transferred to ATP. What is endocytosis and exocytosis? - ANSWER Endo= into the cell (engulf). Exo= out of the cell (excrete). What is active transport? - ANSWER requires the cell to expend energy (by means of ATP) to move larger molecules and molecular complexes What is pinocytosis? - ANSWER the ingestion of liquid into a cell by the budding of small vesicles from the cell membrane. (drinking) How is endocytosis done? - ANSWER when the substance to be transported is engulfed by a segment of the plasma membrane, forming a vesicle that moves into the cell. 10 in the cell's center. The chief functions of the nucleus are cell division and control of genetic information. What is Cytoplasm? - ANSWER an aqueous solution (cytosol) that fills the space between the nucleus and the plasma membrane. What is the endoplasmic reticulum and what does it specialize in? - ANSWER a network of tubular channels (cisternae) that extend throughout the outer nuclear membrane. It specializes in the synthesis and transport of protein and lipid components of most of the organelles What is the Golgi complex and what does it do? - ANSWER a network of smooth membranes and vesicles located near the nucleus. The Golgi complex is responsible for processing and packaging proteins into secretory vesicles What are lysosomes and what do they do? - ANSWER saclike structures that originate from the Golgi complex and contain digestive enzymes. These enzymes are responsible for digesting most cellular substances to their basic form, such as amino acids, fatty acids, and carbohydrates What are peroxisomes? - ANSWER involved in the production and breakdown of hydrogen peroxide Importance of proteins in disease - ANSWER The major workhorses of the cell, if misfolded they can cause diseases 11 What are mitochondria responsible for? - ANSWER . Mitochondria contain the metabolic machinery necessary for cellular energy metabolism (Makes ATP). What is the cytoskeleton? - ANSWER the "bone and muscle" of the cell. The internal skeleton is composed of a network of protein filaments, including microtubules and actin filaments (microfilaments). What is the plasma membrane? - ANSWER encloses the cell and, by controlling the movement of substances across it, exerts a powerful influence on metabolic pathways What are the four phases of the cell cycle? - ANSWER (1) the S phase, during which DNA synthesis takes place in the cell nucleus; (2) the G2 phase, the period between the completion of DNA synthesis and the next phase (M); (3) the M phase, which involves both nuclear (mitotic) and cytoplasmic (cytokinetic) division; and (4) the G1 phase (growth phase), after which the cycle begins again. What are the four stages of the M phase (Mitosis)? - ANSWER prophase, metaphase, anaphase, and telophase. What is DNA composed of? - ANSWER deoxyribose, a phosphate molecule, and four types of nitrogenous bases. The physical structure of DNA is a double helix 12 What does DNA polymerase do? - ANSWER Joins individual nucleotides to make complementary strands and proofreads the sequence of bases and corrects errors What is transcription? - ANSWER The process of making RNA from DNA What is translation? - ANSWER the decoding of an mRNA message into a protein What are diploid somatic cells? - ANSWER Body Cells What are haploid gametes? - ANSWER sperm and egg cells What is a karyotype? - ANSWER A display of every pair of homologous chromosomes within a cell, organized according to size and shape How common are chromosome abnormalities? - ANSWER 1 in 150 live births, leading cause of mental retardation and miscarriage What is polyploidy? - ANSWER condition in which an organism has extra sets of chromosomes What is aneuploidy? - ANSWER Abnormal number of chromosomes. What is trisomy? - ANSWER 3 copies of a chromosome 15 Prediction of disease - ANSWER A marker locus, when closely linked to a disease-gene locus, can be used to predict whether an individual will develop a genetic disease. What are multifactorial traits? - ANSWER traits that depend on multiple genes combined with environmental influences What is cellular adaptation? - ANSWER a reversible, structural, or functional response both to normal or physiologic conditions and to adverse or pathologic conditions What is the threshold of liability? - ANSWER In many multifactorial traits, once the threshold of liability has been crossed, the disease may be expressed. What is atrophy? - ANSWER decrease in cell size What are the most commonly seen adaptive cell changes? - ANSWER atrophy, hypertrophy, hyperplasia, and metaplasia. What is hypertrophy? - ANSWER increase in cell size What mechanisms cause atrophy? - ANSWER include decreased protein synthesis, increased protein catabolism, or both What is hyperplasia? - ANSWER increase in number of cells caused by increased rate of cellular division 16 What happens with hypertrophy? - ANSWER The amounts of protein in the plasma membrane, ER, microfilaments, and mitochondria increase What is metaplasia? - ANSWER a change in stress on an organ that leads to a change in cell type Most commonly involves a change of one type of surface epithelium to another *metaplastic cells are better able to handle the new stress metaplasia occurs via reprogramming of stem cells which then produce the new cell type What are free radicals? - ANSWER unstable oxygen- containing molecules that can damage the cells of the body and possibly contribute to the increased risk of chronic diseases What is dysplasia? - ANSWER an abnormal change in the size, shape, and organization of mature tissue cells. It is considered atypical rather than a true adaptational change. What can cause cell injury? - ANSWER lack of oxygen (hypoxia), free radicals, caustic or toxic chemicals, infectious agents, inflammatory and immune responses, genetic factors, insufficient nutrients, or physical and mechanical trauma from many causes What are the four biochemical themes associated with cell injury? - ANSWER (1) ATP depletion, resulting in mitochondrial damage; (2) accumulation of oxygen and 17 oxygen-derived free radicals, causing membrane damage; (3) protein folding defects; and (4) increased intracellular calcium concentration and loss of calcium steady state. What is the sequence of events in cell death? - ANSWER decreased ATP production, failure of active transport mechanisms (the sodium-potassium pump), cellular swelling, detachment of ribosomes from the ER, cessation of protein synthesis, mitochondrial swelling as a result of calcium accumulation, vacuolation, leakage of digestive enzymes from lysosomes, autodigestion of intracellular structures, lysis of the plasma membrane, and death. What happens first in a hypoxic injury? - ANSWER the cessation of blood flow into vessels that supply the cell with oxygen and nutrients (ischemia) What is oncosis? - ANSWER accumulation of water causing cellular death What can cause a reperfusion injury? - ANSWER restoration of oxygen by oxidative stress, increased intracellular calcium concentration, inflammation, and complement activation. How can deprivation of essential nutrients (proteins, carbohydrates, lipids, and vitamins) lead to cell injury? - ANSWER by altering cellular structure and function, particularly of transport mechanisms, chromosomes, the nucleus, and DNA