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NURS 5315/ NURS5315 Exam 2 – Advanced Pathophysiology Guide | UTA (Latest 2026 Update) 100% Verified Questions & Answers | Grade A

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NURS 5315/ NURS5315 Exam 2 – Advanced Pathophysiology Guide | UTA (Latest 2026 Update) 100% Verified Questions & Answers | Grade A QUESTION Arachidonic pathway purpose Answer: Synthesis of prostaglandins QUESTION Non-selective NSAIDS Answer: Inhibit COX1 and COX2, risk for gastric ulceration, GI bleeds, edema, renal impairment QUESTION ASA Answer: Blocks COX1 and COX2, also inhibits Thromboxane A2 and prostaglandins QUESTION Corticosteroids Answer: Inhibit phospholipase A2, preventing formation of prostaglandins, thromboxane A2, prostacyclin, and leukotrines QUESTION Thromboxane Answer: Vasoconstriction, platelet aggregation QUESTION Prostacyclin Answer: Vasodilation, platelet aggregation (most effective one) QUESTION Type 1 hypersensitivity Answer: E. Immediate response to allergen, food, meds, pollen, asthma, allergic reactions P. IgE binds with antigen at 1st exposure. Antigen binds with this complex at 2nd exposure. Inflammatory cascade initiates. C. M. Urticaria, rhinitis, conjunctivitis, angioedema, anaphylaxis QUESTION Atopic disorders Answer: Genetic Type 1 hypersensitivity, asthma, hay fever, eczema, urticaria QUESTION Type 2 hypersensitivity Answer: E. Antibodies directed against fixed antigens on the plasma membrane of cells C. M. Varies depending on alloimmune or autoimmune QUESTION Alloimmunity and example of hypersensitivity Answer: When an individuals immune system reacts against antigens on the tissues of other members of the same species Blood transfusions- causes clumping and lysis of RBC- fever, nausea, chills, low back pain, dark urine, hives, itching, SOB Rh incompatibility- hemolytic disease of newborn with jaundice, give Rhogam within 72 hours of birth (Rh- mother with Rh+ child) QUESTION Autoimmunity and example of hypersensitivity Answer: A breakdown of tolerance in which the bodies immune system begins to recognize self-antigens as foreign. Graves Disease- autoantibodies form against thyroid cells- bind to thyroid cells and mimic action of TSH, increases secretion of thyroxine Myasthenia Gravis- autoantibodies against acetylcholine bind to the post synaptic receptors and inhibit synaptic transmission of acetylcholine. Leads to muscle weakness and paralysis (mind to ground) Guillain-Barre' syndrome- antibodies bind with myelin sheath of the peripheral nervous system, triggering the immune response. Causes demyelination of the peripheral nerves and a rapidly progressive, ascending paralysis (ground to brain) QUESTION Type III hypersensitivity Answer: Widespread immune and inflammatory response not specified for any cell or tissue. SLE, RA Antibodies are formed against and bind to circulating antigens, antigen-antibody complex deposits in vessel walls or tissue. Causes cellular and tissue damage. IgG and IgM response, spread via circulation- not specific to a cell or tissue- widespread damage.

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NURSl 5315/l NURS5315l Examl 2l –l
Advancedl Pathophysiologyl Guidel |l UTAl
(Latestl 2026l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Arachidonicl pathwayl purpose
Answer:
Synthesisl ofl prostaglandins



Q:l Non-selectivel NSAIDS
Answer:
Inhibitl COX1l andl COX2,l riskl forl gastricl ulceration,l GIl bleeds,l edema,l renall impairment



Q:l ASA
Answer:
Blocksl COX1l andl COX2,l alsol inhibitsl Thromboxanel A2l andl prostaglandins



Q:l Corticosteroids
Answer:
Inhibitl phospholipasel A2,l preventingl formationl ofl prostaglandins,l thromboxanel A2,l
prostacyclin,l andl leukotrines



Q:l Thromboxane
Answer:
Vasoconstriction,l plateletl aggregation

,Q:l Prostacyclin
Answer:
Vasodilation,l plateletl aggregationl (mostl effectivel one)



Q:l Typel 1l hypersensitivity
Answer:
E.l Immediatel responsel tol allergen,l food,l meds,l pollen,l asthma,l allergicl reactions
P.l IgEl bindsl withl antigenl atl 1stl exposure.l Antigenl bindsl withl thisl complexl atl 2ndl
exposure.l Inflammatoryl cascadel initiates.l
C.l M.l Urticaria,l rhinitis,l conjunctivitis,l angioedema,l anaphylaxis



Q:l Atopicl disorders
Answer:
Geneticl Typel 1l hypersensitivity,l asthma,l hayl fever,l eczema,l urticaria



Q:l Typel 2l hypersensitivity
Answer:
E.l Antibodiesl directedl againstl fixedl antigensl onl thel plasmal membranel ofl cells
C.l M.l Variesl dependingl onl alloimmunel orl autoimmune



Q:l Alloimmunityl andl examplel ofl hypersensitivity
Answer:
Whenl anl individualsl immunel systeml reactsl againstl antigensl onl thel tissuesl ofl otherl
membersl ofl thel samel species
Bloodl transfusions-l causesl clumpingl andl lysisl ofl RBC-l fever,l nausea,l chills,l lowl backl
pain,l darkl urine,l hives,l itching,l SOB

, Rhl incompatibility-l hemolyticl diseasel ofl newbornl withl jaundice,l givel Rhogaml withinl 72l
hoursl ofl birthl (Rh-l motherl withl Rh+l child)



Q:l Autoimmunityl andl examplel ofl hypersensitivity
Answer:
Al breakdownl ofl tolerancel inl whichl thel bodiesl immunel systeml beginsl tol recognizel self-
antigensl asl foreign.l
Gravesl Disease-l autoantibodiesl forml againstl thyroidl cells-l bindl tol thyroidl cellsl andl
mimicl actionl ofl TSH,l increasesl secretionl ofl thyroxine
Myasthenial Gravis-l autoantibodiesl againstl acetylcholinel bindl tol thel postl synapticl
receptorsl andl inhibitl synapticl transmissionl ofl acetylcholine.l Leadsl tol musclel weaknessl
andl paralysisl (mindl tol ground)
Guillain-Barre'l syndrome-l antibodiesl bindl withl myelinl sheathl ofl thel peripherall nervousl
system,l triggeringl thel immunel response.l Causesl demyelinationl ofl thel peripherall nervesl
andl al rapidlyl progressive,l ascendingl paralysisl (groundl tol brain)



Q:l Typel IIIl hypersensitivity
Answer:
Widespreadl immunel andl inflammatoryl responsel notl specifiedl forl anyl celll orl tissue.l
SLE,l RA
Antibodiesl arel formedl againstl andl bindl tol circulatingl antigens,l antigen-antibodyl complexl
depositsl inl vessell wallsl orl tissue.l Causesl cellularl andl tissuel damage.l IgGl andl IgMl
response,l spreadl vial circulation-l notl specificl tol al celll orl tissue-l widespreadl damage.l



Q:l Typel IVl hypersensitivity
Answer:
T-celll lymphocytel mediatedl reactionl thatl doesl notl requirel antibodyl activation.l Delayedl
response-l 24-72l hours.l
Contactl dermatitis-l poisonl ivy,l topicall drugs,l chemicalsl suchl asl nickell orl formaldehyde.l
Antigensl tool smalll tol causel al reactionl bindl tol proteins,l responsel includesl rash,l redl
bumps,l itching,l andl blisters.l
Reactivel tuberculinl test-l PPDl causel andl indurationl inl 24-72l ifl personl wasl previouslyl
exposedl tol tuberculinl antigen

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