Advanced Pathophysiology - Wilkes
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,1.What is the classification of an ovarian cyst that contains skin, hair,
cartilage, and bone?
- A) Follicular Cyst
- B) Dermoid Cyst
- C) Functional Cyst
- D) Corpus Luteum Cyst
Answer: B) Dermoid Cyst
Explanation: Dermoid cysts, also known as mature teratomas, can
contain various types of tissues derived from all three germ layers
(ectoderm, mesoderm, endoderm), and thus may have skin, hair, and even
bone components.
2.In treating a patient with endometriosis, which aspect of physiology
would you want to suppress?
- A) Menstruation
- B) Ovulation
- C) Estrogen levels
- D) Progesterone levels
Answer: B) Ovulation
Explanation: Suppressing ovulation can lower estrogen levels in the
body, which may alleviate the proliferation of endometrial tissue and the
associated symptoms of endometriosis.
3.What is the most likely diagnosis for a 2-week-old infant with forceful
vomiting after feeding and undigested food?
, - A) Pyloric Stenosis
- B) Gastroesophageal Reflux Disease
- C) Intussusception
- D) Volvulus
Answer: A) Pyloric Stenosis
Explanation: Pyloric stenosis is characterized by a narrowing of the
pylorus, leading to projectile, non-bilious vomiting in infants, often
accompanied by a palpable olive-sized mass in the abdomen.
4.What pathological process causes tissue damage in pancreatitis?
- A) Pancreatic duct obstruction
- B) Pancreatic exocrine insufficiency
- C) Alcoholic Liver Disease
- D) Beta cell destruction
Answer: A) Pancreatic duct obstruction
Explanation: Tissue damage in pancreatitis arises when digestive
enzymes become prematurely activated within the pancreas due to
obstruction, leading to auto-digestion.
5.What form of jaundice is caused by the breakdown of red blood cells
(RBCs)?
- A) Hepatocellular
- B) Hemolytic
- C) Obstructive
- D) Neonatal
, Answer: B) Hemolytic
Explanation: Hemolytic jaundice occurs due to excess breakdown of red
blood cells, resulting in the production of bilirubin that overwhelms the
liver's ability to process it.
6.What is the most common disorder associated with upper GI bleeding?
- A) Peptic Ulcer Disease
- B) Esophageal Varices
- C) Gastritis
- D) Mallory-Weiss Tear
Answer: B) Esophageal Varices
Explanation: Esophageal varices, engorged veins in the esophagus due
to portal hypertension, are a leading cause of upper GI bleeding,
particularly in patients with liver cirrhosis.
7.You are examining a 6-month-old patient with jaundice, clay-colored
stool, and failure to gain weight. You suspect biliary atresia. What is the
most likely treatment for this disorder?
- A) Surgical correction
- B) Liver transplant
- C) Chemotherapy
- D) Nutrition therapy
Answer: B) Liver transplant