and Answers | 2026 Update | 100%
Correct - William Paterson
University.
Question 1
A patient with chronic pancreatitis develops steatorrhea. What is the
primary mechanism?
Answer: Exocrine pancreatic insufficiency causing fat malabsorption.
Rationale: Decreased lipase impairs fat digestion.
Question 2
In cirrhosis, hepatic encephalopathy is primarily caused by:
Answer: Ammonia accumulation.
Rationale: Impaired liver detoxification increases serum ammonia
affecting CNS function.
Question 3
The hallmark of Crohn disease is:
Answer: Transmural inflammation.
Rationale: Full-thickness inflammation can cause fistulas and strictures.
,Question 4
Ulcerative colitis primarily affects which layer?
Answer: Mucosal layer of colon.
Rationale: Inflammation is superficial and continuous.
Question 5
The primary pathophysiology of acute respiratory distress syndrome
(ARDS) is:
Answer: Increased alveolar-capillary permeability.
Rationale: Leads to noncardiogenic pulmonary edema.
Question 6
In disseminated intravascular coagulation (DIC), thrombocytopenia
occurs due to:
Answer: Platelet consumption.
Rationale: Widespread clotting uses platelets.
Question 7
Nephritic syndrome is characterized by:
Answer: Hematuria with RBC casts.
Rationale: Glomerular inflammation allows RBC leakage.
Question 8
, Graves disease results from:
Answer: Autoantibodies stimulating TSH receptors.
Rationale: Causes excess thyroid hormone production.
Question 9
Primary hyperparathyroidism commonly causes:
Answer: Hypercalcemia.
Rationale: Excess PTH increases bone resorption.
Question 10
The most common cause of Cushing syndrome is:
Answer: Exogenous corticosteroid use.
Rationale: Long-term steroid therapy suppresses normal axis.
Question 11
Addisonian crisis presents with:
Answer: Hypotension and hyperkalemia.
Rationale: Aldosterone deficiency causes sodium loss and potassium
retention.
Question 12
In multiple sclerosis, the primary pathologic process is:
Answer: CNS demyelination.
Rationale: Autoimmune destruction of myelin slows nerve conduction.