PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK
w# w# w# w# w#
McCance and Huether’s, Pathophysiology:The Biologic Basis
for Disease in Adults and Children, 9TH
ED(PATHOPHYSIOLOGY 9TH EDITION)
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK w# w# w# w# w#
Chapter 1: Cellular Biology
w# w# w# w#
w#
MULTIPLE CHOICE w# w#
w#
1. Which statement best describes the cellular function of metabolic absorption?
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a. Cells can produce proteins. c. Cells can take in and use nutrients.
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b. Cells can secrete digestive enzymes.w# d. Cells can synthesize fats.
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w#
w#
ANS: C w# w#
In metabolic absorption, all cells take in and use nutrients and other substances from t
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
heir surroundings. The remaining options are not inclusive in their descriptions of cell
w# w# w# w# w# w# w# w# w# w# w# w#
ular metabolic absorption.
w# w# w#
w#
PTS: 1 w# w# REF: Page 2 w# w# w#
w#
2. Most of a cell’s genetic information, including RNA and DNA, is contained in the:
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a. Mitochondria c. Nucleolus w# w# w#
b. Ribosome d. Lysosome w# w# w#
w#
w#
ANS: C w# w#
The nucleus contains the nucleolus, a small dense structure composed largely of RNA
w# w# w# w# w# w# w# w# w# w# w# w#
, most of the cellular DNA, and the DNA-
w# w# w# w# w# w# w# w#
binding proteins, such as the histones, which regulate its activity. The other options d
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o not contain most of a cell’s genetic information.
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w#
PTS: 1 w# w# REF: Page 2 w# w# w#
w#
3. Which component of the cell produces hydrogen peroxide (HNURSINGTB.COM
w# w# w# w# w# w# w# w#
2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxida
w# w# w# w# w# w# w# w# w# w# w# w# w#
tive reaction?
w# w#
a. Lysosomes c. Ribosomes w# w# w#
b. Peroxisomes d. Oxyhydrosomes w# w# w#
w#
w#
ANS: B w# w#
Peroxisomes are so named because they usually contain enzymes that use oxygen to r
w# w# w# w# w# w# w# w# w# w# w# w# w#
emove hydrogen atoms from specific substrates in an oxidative reaction that produces
w# w# w# w# w# w# w# w# w# w# w# w#
H2O2, which is a powerful oxidant and potentially destructive if it accumulates or esc
w# w# w# w# w# w# w# w# w# w# w# w# w#
apes from peroxisomes. Ribosomes are RNA-
w# w# w# w# w#
protein complexes (nucleoproteins) that are synthesized in the nucleolus and secreted i
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nto the cytoplasm through pores in the nuclear envelope called nuclear pore complexe
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s. Lysosomes are saclike structures that originate from the Golgi complex and contain
w# w# w# w# w# w# w# w# w# w# w# w# w
#more than 40 digestive enzymes called hydrolases, which catalyze bonds in proteins,
w# w# w# w# w# w# w# w# w# w# w# w#
lipids, nucleic acids, and carbohydrates. Oxyhydrosomes are involved in enzyme prod
w# w# w# w# w# w# w# w# w# w#
uction. w#
w#
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK w# w# w# w# w#
PTS: 1 w# w# REF: Page 8 w# w# w#
w#
4. Which cell component is capable of cellular autodigestion when it is released during ce
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ll injury?
w# w#
a. Ribosome c. Smooth endoplasmic reticulum w# w# w# w# w#
b. Golgi complex d. Lysosomes w# w# w# w#
w#
w#
ANS: D w# w#
The lysosomal membrane acts as a protective shield between the powerful digestive e
w# w# w# w# w# w# w# w# w# w# w# w#
nzymes within the lysosome and the cytoplasm, preventing their leakage into the cyto
w# w# w# w# w# w# w# w# w# w# w# w#
plasmic matrix. Disruption of the membrane by various treatments or cellular injury le
w# w# w# w# w# w# w# w# w# w# w# w#
ads to a release of the lysosomal enzymes, which can then react with their specific su
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
bstrates, causing cellular self-
w# w# w#
digestion. The other options do not correctly describe this process.
w# w# w# w# w# w# w# w# w# w#
w#
PTS: 1 w# w# REF: Pages 7-8 w# w# w#
w#
5. What is the sequence of steps in the development of a digestive enzyme by the pancrea
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
s cells from the initial transcription to the release from the cell?
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a. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the rib
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
osome for synthesis, and is transported in a secretory vesicle to the cell membrane
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. w#
b. The enzyme is transcribed from RNA by DNA in the nucleus, proceeds to the lys
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
osome for synthesis, and is transported in an encapsulated membrane to the cell m
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embrane. w#
c. The enzyme is transcribed by the mitochondria in the nucleus, proceeds to the rib
w# w# w# w# w# w# w# w# w# w# w# w# w#
osome for synthesis, and is transported in a cytoskeleton to the cell membrane.
w# w# w# w# w# w# w# w# w# w# w# w# w#
d. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
Golgi complex for synthesis, and is transported in a cytosol to the cell membrane.
w# w# w# w# w# w# w# w# w# w# w# w# w#
w#
w#
w#
ANS: A w# w#
The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the riboso
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
me for synthesis, and is transported in a secretory vesicle to the cell membrane. The
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
other options do not correctly describe this process.
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w#
NURSINGTB.COM
PTS: 1 w# w# REF: Page 7 | Figure 1-5
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w#
6. During which phase of the cell cycle is DNA synthesized?
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a. G1 c. G2 w# w# w#
b. S d. M w# w# w#
w#
w#
ANS: B w# w#
The four designated phases of the cell cycle are: (1) the G1 phase (G = gap), which i
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
s the period between the M phase (M = mitosis) and the start of DNA synthesis; (2)
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the S phase (S = synthesis), during which DNA is synthesized in the cell nucleus; (3)
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the G2 phase, during which RNA and protein synthesis occurs, the period between th
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
e completion of DNA synthesis and the next phase (M); and (4) the M phase, which
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includes nuclear and cytoplasmic division.
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w#
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK w# w# w# w# w#
PTS: 1 w# w# REF: Page 37 w# w# w#
w#
7. What organic compound facilitates transportation across cell membranes by acting as re
w# w# w# w# w# w# w# w# w# w# w#
ceptors, transport channels for electrolytes, and enzymes to drive active pumps?
w# w# w# w# w# w# w# w# w# w# w#
a. Lipids c. Proteins w# w# w#
b. Proteases d. Carbohydrates w# w# w#
w#
w#
ANS: C w# w#
Proteins act as (1) recognition and binding units (receptors) for substances moving in
w# w# w# w# w# w# w# w# w# w# w# w# w#
and out of the cell; (2) pores or transport channels for various electrically charged par
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
ticles called ions or electrolytes and specific carriers for amino acids and monosacchar
w# w# w# w# w# w# w# w# w# w# w# w#
ides; and (3) specific enzymes that drive active pumps that promote the concentration
w# w# w# w# w# w# w# w# w# w# w# w# w
#of certain ions, particularly potassium (K+), within the cell while keeping concentratio
w# w# w# w# w# w# w# w# w# w# w#
ns of other ions, for example, sodium (Na+), below the concentrations found in the ex
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tracellular environment. The other options do not correctly describe this process.
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w#
PTS: 1 w# w# REF: Page 13 | Page 15
w# w# w# w# w# w# w#
w#
8. Understanding the various steps of proteolytic cascades, such as caspase-
w# w# w# w# w# w# w# w# w#
mediated apoptosis and complement cascades, may be useful in designing drug therapy
w# w# w# w# w# w# w# w# w# w# w# w#
for which human diseases?
w# w# w# w#
a. Cardiac and vascular disorders w# w# w# w#
b. Autoimmune and malignant disorders w# w# w# w#
c. Gastrointestinal and renal disorders w# w# w# w#
d. Endocrine and gastrointestinal disorders w# w# w# w#
w#
w#
ANS: B w# w#
Understanding the various steps involved in this process is crucial for designing drug
w# w# w# w# w# w# w# w# w# w# w# w# w#
interventions. Dysregulation of proteases features prominently in many human diseases
w# w# w# w# w# w# w# w# w#
, including cancer, autoimmunity, and neurodegenerative disorders. The other options
w# w# w# w# w# w# w# w# w# w#
do not correctly describe this process.
w# w# w# w# w# w#
w#
PTS: 1 w# w# REF: Page 15 w# w# w#
w#
9. Which structure prevents water-
w# w# w#
soluble molecules from entering cells across the plasma membrane?
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NURSINGTB.COM
a. Carbohydrate chains w# w# c. Membrane channel proteins
w# w# w# w#
b. Glycoprotein channels w# w# d. Lipid bilayer
w# w# w#
w#
w#
ANS: D w# w#
The bilayer’s structure accounts for one of the essential functions of the plasma mem
w# w# w# w# w# w# w# w# w# w# w# w# w#
brane. It is impermeable to most water-
w# w# w# w# w# w#
soluble molecules (molecules that dissolve in water) because the water-
w# w# w# w# w# w# w# w# w#
soluble molecules are insoluble in the oily core region. The bilayer serves as a barrier
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
to the diffusion of water and hydrophilic substances while allowing lipid-
w# w# w# w# w# w# w# w# w# w# w#
soluble molecules, such as oxygen (O2) and carbon dioxide (CO2), to diffuse through
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it readily. The other options do not correctly describe this process.
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w#
PTS: 1 w# w# REF: Pages 12-13 w# w# w#
w#
NURSINGTB.COM
w# w# w# w# w#
McCance and Huether’s, Pathophysiology:The Biologic Basis
for Disease in Adults and Children, 9TH
ED(PATHOPHYSIOLOGY 9TH EDITION)
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK w# w# w# w# w#
Chapter 1: Cellular Biology
w# w# w# w#
w#
MULTIPLE CHOICE w# w#
w#
1. Which statement best describes the cellular function of metabolic absorption?
w# w# w# w# w# w# w# w# w# w#
a. Cells can produce proteins. c. Cells can take in and use nutrients.
w# w# w# w# w# w# w# w# w# w# w# w#
b. Cells can secrete digestive enzymes.w# d. Cells can synthesize fats.
w# w# w# w# w# w# w# w# w#
w#
w#
ANS: C w# w#
In metabolic absorption, all cells take in and use nutrients and other substances from t
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
heir surroundings. The remaining options are not inclusive in their descriptions of cell
w# w# w# w# w# w# w# w# w# w# w# w#
ular metabolic absorption.
w# w# w#
w#
PTS: 1 w# w# REF: Page 2 w# w# w#
w#
2. Most of a cell’s genetic information, including RNA and DNA, is contained in the:
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
a. Mitochondria c. Nucleolus w# w# w#
b. Ribosome d. Lysosome w# w# w#
w#
w#
ANS: C w# w#
The nucleus contains the nucleolus, a small dense structure composed largely of RNA
w# w# w# w# w# w# w# w# w# w# w# w#
, most of the cellular DNA, and the DNA-
w# w# w# w# w# w# w# w#
binding proteins, such as the histones, which regulate its activity. The other options d
w# w# w# w# w# w# w# w# w# w# w# w# w#
o not contain most of a cell’s genetic information.
w# w# w# w# w# w# w# w# w#
w#
PTS: 1 w# w# REF: Page 2 w# w# w#
w#
3. Which component of the cell produces hydrogen peroxide (HNURSINGTB.COM
w# w# w# w# w# w# w# w#
2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxida
w# w# w# w# w# w# w# w# w# w# w# w# w#
tive reaction?
w# w#
a. Lysosomes c. Ribosomes w# w# w#
b. Peroxisomes d. Oxyhydrosomes w# w# w#
w#
w#
ANS: B w# w#
Peroxisomes are so named because they usually contain enzymes that use oxygen to r
w# w# w# w# w# w# w# w# w# w# w# w# w#
emove hydrogen atoms from specific substrates in an oxidative reaction that produces
w# w# w# w# w# w# w# w# w# w# w# w#
H2O2, which is a powerful oxidant and potentially destructive if it accumulates or esc
w# w# w# w# w# w# w# w# w# w# w# w# w#
apes from peroxisomes. Ribosomes are RNA-
w# w# w# w# w#
protein complexes (nucleoproteins) that are synthesized in the nucleolus and secreted i
w# w# w# w# w# w# w# w# w# w# w#
nto the cytoplasm through pores in the nuclear envelope called nuclear pore complexe
w# w# w# w# w# w# w# w# w# w# w# w#
s. Lysosomes are saclike structures that originate from the Golgi complex and contain
w# w# w# w# w# w# w# w# w# w# w# w# w
#more than 40 digestive enzymes called hydrolases, which catalyze bonds in proteins,
w# w# w# w# w# w# w# w# w# w# w# w#
lipids, nucleic acids, and carbohydrates. Oxyhydrosomes are involved in enzyme prod
w# w# w# w# w# w# w# w# w# w#
uction. w#
w#
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK w# w# w# w# w#
PTS: 1 w# w# REF: Page 8 w# w# w#
w#
4. Which cell component is capable of cellular autodigestion when it is released during ce
w# w# w# w# w# w# w# w# w# w# w# w# w#
ll injury?
w# w#
a. Ribosome c. Smooth endoplasmic reticulum w# w# w# w# w#
b. Golgi complex d. Lysosomes w# w# w# w#
w#
w#
ANS: D w# w#
The lysosomal membrane acts as a protective shield between the powerful digestive e
w# w# w# w# w# w# w# w# w# w# w# w#
nzymes within the lysosome and the cytoplasm, preventing their leakage into the cyto
w# w# w# w# w# w# w# w# w# w# w# w#
plasmic matrix. Disruption of the membrane by various treatments or cellular injury le
w# w# w# w# w# w# w# w# w# w# w# w#
ads to a release of the lysosomal enzymes, which can then react with their specific su
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
bstrates, causing cellular self-
w# w# w#
digestion. The other options do not correctly describe this process.
w# w# w# w# w# w# w# w# w# w#
w#
PTS: 1 w# w# REF: Pages 7-8 w# w# w#
w#
5. What is the sequence of steps in the development of a digestive enzyme by the pancrea
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
s cells from the initial transcription to the release from the cell?
w# w# w# w# w# w# w# w# w# w# w# w#
a. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the rib
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
osome for synthesis, and is transported in a secretory vesicle to the cell membrane
w# w# w# w# w# w# w# w# w# w# w# w# w#
. w#
b. The enzyme is transcribed from RNA by DNA in the nucleus, proceeds to the lys
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
osome for synthesis, and is transported in an encapsulated membrane to the cell m
w# w# w# w# w# w# w# w# w# w# w# w# w#
embrane. w#
c. The enzyme is transcribed by the mitochondria in the nucleus, proceeds to the rib
w# w# w# w# w# w# w# w# w# w# w# w# w#
osome for synthesis, and is transported in a cytoskeleton to the cell membrane.
w# w# w# w# w# w# w# w# w# w# w# w# w#
d. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
Golgi complex for synthesis, and is transported in a cytosol to the cell membrane.
w# w# w# w# w# w# w# w# w# w# w# w# w#
w#
w#
w#
ANS: A w# w#
The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the riboso
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
me for synthesis, and is transported in a secretory vesicle to the cell membrane. The
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
other options do not correctly describe this process.
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w#
NURSINGTB.COM
PTS: 1 w# w# REF: Page 7 | Figure 1-5
w# w# w# w# w# w# w#
w#
6. During which phase of the cell cycle is DNA synthesized?
w# w# w# w# w# w# w# w# w# w#
a. G1 c. G2 w# w# w#
b. S d. M w# w# w#
w#
w#
ANS: B w# w#
The four designated phases of the cell cycle are: (1) the G1 phase (G = gap), which i
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
s the period between the M phase (M = mitosis) and the start of DNA synthesis; (2)
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
the S phase (S = synthesis), during which DNA is synthesized in the cell nucleus; (3)
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
the G2 phase, during which RNA and protein synthesis occurs, the period between th
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
e completion of DNA synthesis and the next phase (M); and (4) the M phase, which
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
includes nuclear and cytoplasmic division.
w# w# w# w# w#
w#
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK w# w# w# w# w#
PTS: 1 w# w# REF: Page 37 w# w# w#
w#
7. What organic compound facilitates transportation across cell membranes by acting as re
w# w# w# w# w# w# w# w# w# w# w#
ceptors, transport channels for electrolytes, and enzymes to drive active pumps?
w# w# w# w# w# w# w# w# w# w# w#
a. Lipids c. Proteins w# w# w#
b. Proteases d. Carbohydrates w# w# w#
w#
w#
ANS: C w# w#
Proteins act as (1) recognition and binding units (receptors) for substances moving in
w# w# w# w# w# w# w# w# w# w# w# w# w#
and out of the cell; (2) pores or transport channels for various electrically charged par
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
ticles called ions or electrolytes and specific carriers for amino acids and monosacchar
w# w# w# w# w# w# w# w# w# w# w# w#
ides; and (3) specific enzymes that drive active pumps that promote the concentration
w# w# w# w# w# w# w# w# w# w# w# w# w
#of certain ions, particularly potassium (K+), within the cell while keeping concentratio
w# w# w# w# w# w# w# w# w# w# w#
ns of other ions, for example, sodium (Na+), below the concentrations found in the ex
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
tracellular environment. The other options do not correctly describe this process.
w# w# w# w# w# w# w# w# w# w# w#
w#
PTS: 1 w# w# REF: Page 13 | Page 15
w# w# w# w# w# w# w#
w#
8. Understanding the various steps of proteolytic cascades, such as caspase-
w# w# w# w# w# w# w# w# w#
mediated apoptosis and complement cascades, may be useful in designing drug therapy
w# w# w# w# w# w# w# w# w# w# w# w#
for which human diseases?
w# w# w# w#
a. Cardiac and vascular disorders w# w# w# w#
b. Autoimmune and malignant disorders w# w# w# w#
c. Gastrointestinal and renal disorders w# w# w# w#
d. Endocrine and gastrointestinal disorders w# w# w# w#
w#
w#
ANS: B w# w#
Understanding the various steps involved in this process is crucial for designing drug
w# w# w# w# w# w# w# w# w# w# w# w# w#
interventions. Dysregulation of proteases features prominently in many human diseases
w# w# w# w# w# w# w# w# w#
, including cancer, autoimmunity, and neurodegenerative disorders. The other options
w# w# w# w# w# w# w# w# w# w#
do not correctly describe this process.
w# w# w# w# w# w#
w#
PTS: 1 w# w# REF: Page 15 w# w# w#
w#
9. Which structure prevents water-
w# w# w#
soluble molecules from entering cells across the plasma membrane?
w# w# w# w# w# w# w# w# w#
NURSINGTB.COM
a. Carbohydrate chains w# w# c. Membrane channel proteins
w# w# w# w#
b. Glycoprotein channels w# w# d. Lipid bilayer
w# w# w#
w#
w#
ANS: D w# w#
The bilayer’s structure accounts for one of the essential functions of the plasma mem
w# w# w# w# w# w# w# w# w# w# w# w# w#
brane. It is impermeable to most water-
w# w# w# w# w# w#
soluble molecules (molecules that dissolve in water) because the water-
w# w# w# w# w# w# w# w# w#
soluble molecules are insoluble in the oily core region. The bilayer serves as a barrier
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
to the diffusion of water and hydrophilic substances while allowing lipid-
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soluble molecules, such as oxygen (O2) and carbon dioxide (CO2), to diffuse through
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it readily. The other options do not correctly describe this process.
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