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NURS 5315 Advanced Pathophysiology TEST 2 Questions With Complete Solutions (2025 / 2026) (Verified Answers) Updated A+ Score.

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NURS 5315 Advanced Pathophysiology/NURS 5315 Advanced
Pathophysiology TEST 2 ELSEVIER QUESTIONS AND
ANSWERS/ UPDATE /GET IT 100% ACCURATE




1. Ovarian cancer site of metastasis?: Peritoneal surfaces, omentum (fold of

peritoneum connecting the stomach with other abdominal organs), *liver*

2. The increased NADH/NAD+ ratio in the liver from ethanol causes:: 1. Pyru-

vate --> lactic acid, causing lactic acidosis

2. Oxaloacetate --> malate. This prevents gluconeogenesis and leads to hypo-

glycemia

3. Glyceraldehyde-3-phosphate --> glycerol 3- phosphate and combines with fatty

acids to form triglycerides in the liver, known as hepatosteatosis

4. Decreases citric acid cycle production of NADH and leads to using Acetyl-CoA for

ketogenesis and lipogenesis

3. What can Reactive Oxygen Species cause?: Heart disease, Alzheimers,


,Parkinsons, Amyotrophic Lateral Sclerosis (ALS), CV disease, HTN, HLD, DM,

ischemic heart disease, HF, OSA. Lipid perioxidation, damage proteins, fragment

DNA, less *protein synthesis*, chromatin destruction, damage mitochondria

4. What is the body's defense against ROS?: Antioxidants (Vitamin E, Vitamin C,

cysteine, glutathione, albumin, ceruloplasmin, transferrin)

5. How are free radicals produced?: 1. Normal cellular respiration

2. Absorption of extreme energy sources (radiation, UV light)

3. Metabolism of exogenous chemicals, drugs, and pesticides

4. Transition of metals

5. Nitric oxide acting like a chemical mediator and a free radical

6. action potential: Process of conducting an impulse. Activates the neuron --> the

neuron depolarizes --> then repolarizes

7. Threshold potential: Point at which depolarization must reach in order to initiate

an action potential

8. Hypokalemia and action potentials: HYPERpolarized (more negative, ex.

-100). Less excitable. Decreased neuromuscular excitability: weakness, smooth muscle

atony, paresthesia, cardiac dysrhythmias


, 9. Hyperkalemia and action potentials: HYPOpolarized (more positive, ex: closer to

0). More excitable. Peaked T waves.

When resting membrane potential=threshold potential, it is BAD = cardiac standstill,

paresthesia, paralysis

10. Hypocalcemia and action potentials: Increased permeability to Na+. More

excitable. Tetany, hyperreflexia, circumoral paresthesia, seizures, dysrhythmias.

11. Hypercalcemia and action potentials: Decreased permeability to Na+. Less

excitable. Weakness, hyporeflexia, fatigue, lethargy, confusion, encephalopathy,

depressed T waves

12. Atrophy: Occurs as a result of decrease in work load, pressure, use, blood

supply, nutrition, hormonal stimulation, or nervous stimulation. Once the cell has


decreased in size, it has now compensated for decreased blood supply, nerve supply,

nutrient supply, hormonal supply, and has achieved new homeostasis. Cells are alive bu

have diminished function and may lead to cellular death.

13. Atrophy examples: Physiologic atrophy- shrinking of the thymus gland during

childhood.

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