Chamberlain university
Verified Questions, Answers & Rationales
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2026/2027 | Newly Released
Q1: A 45-year-old male who has been a smoker for 20 years presents with chronic bronchitis. A
biopsy of his bronchial epithelium reveals a change from ciliated columnar epithelium to
stratified squamous epithelium. This cellular adaptation is best described as:
A. Hyperplasia
B. Dysplasia
C. Metaplasia [CORRECT]
D. Anaplasia
Correct Answer: C
Rationale: Metaplasia is the reversible replacement of one mature cell type by another, often in
response to chronic irritation (like smoke). Hyperplasia is an increase in cell number; Dysplasia
is disordered growth; Anaplasia is seen in cancer cells.
Q2: Which of the following cellular changes is considered reversible?
A. Pyknosis (nuclear condensation)
B. Liquefactive necrosis
C. Cell swelling (hydropic degeneration) [CORRECT]
D. Karyolysis (nuclear dissolution)
,Correct Answer: C
Rationale: Cell swelling due to sodium-pump failure is an early sign of hypoxic injury and is
reversible if the oxygen supply is restored. Pyknosis, karyolysis, and necrosis are irreversible
injuries.
Q3: A patient with a myocardial infarction experiences cell death in the heart muscle. The
necrosis is described as "coagulative necrosis." What is the characteristic appearance of this
tissue?
A. Soft, liquid-filled pus
B. Firm, cheese-like appearance
C. Firm, architecture preserved with ghost cells [CORRECT]
D. Muddy, liquefied brain tissue
Correct Answer: C
Rationale: Coagulative necrosis, typical of hypoxic injury in most tissues (except the brain),
results in firm tissue where the outlines of cells are preserved ("ghost cells") due to protein
denaturation.
Q4: Which type of genetic cell death is characterized by cell shrinkage, chromatin condensation,
and formation of apoptotic bodies, typically without inflammation?
A. Necrosis
B. Apoptosis [CORRECT]
C. Pyroptosis
D. Ferroptosis
Correct Answer: B
Rationale: Apoptosis is programmed, controlled cell death that eliminates unwanted cells. It
involves cell shrinkage and fragmentation without inducing inflammation, unlike necrosis which
causes inflammation.
.
, Q5: A patient experiences a stroke. The brain tissue undergoes liquefactive necrosis. Why does
the brain tissue liquefy?
A. High lipid content and hydrolytic enzymes. [CORRECT]
B. High collagen content resisting digestion.
C. Massive accumulation of free radicals.
D. Coagulation of proteins in the neurons.
Correct Answer: A
Rationale: Brain tissue is rich in lipids and has little collagen. When cells die, hydrolytic
enzymes digest the tissue, turning it into a liquid pus/soup, distinct from the firm texture of
coagulative necrosis.
Q6: During an ischemic event, the lack of oxygen leads to the failure of the sodium-potassium
pump. What is the immediate result of this pump failure?
A. Influx of calcium and mitochondrial damage
B. Influx of sodium and efflux of potassium, leading to cellular swelling. [CORRECT]
C. Efflux of sodium and influx of potassium.
D. Immediate DNA fragmentation.
Correct Answer: B
Rationale: ATP depletion disables the Na+/K+ pump. Sodium enters the cell and water follows,
causing cellular swelling (hydropic degeneration). Calcium influx occurs later as the membrane
becomes more permeable.
Q7: A biopsy of the uterine cervix shows disordered growth of epithelial cells with variation in
cell size and shape, but the basement membrane is intact. This is indicative of:
A. Metaplasia
B. Dysplasia [CORRECT]
C. Anaplasia
D. Hyperplasia
Correct Answer: B
.