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Pathophysiology Fundamentals: Cellular Adaptation, Fluid Balance, and Hematology

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Description: An in-depth study guide into core pathophysiology principles, starting with cellular adaptations to stress (Atrophy, Hypertrophy, Hyperplasia, Metaplasia, Dysplasia). It explains mechanisms of cell injury (hypoxia, free radicals), necrosis (liquefaction, coagulative, caseous), and gangrene. A significant portion covers fluid and electrolyte balance, including osmosis, edema, and electrolyte imbalances (Sodium, Potassium). The guide also provides a thorough explanation of the hemostasis process (platelet plug, coagulation cascade) and discusses various types of anemias and clotting disorders (DIC, Hemophilia), linking pathophysiology to clinical manifestations.

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Pathophysiology - Exam 1 Final Exam Review
Questions with 100% Correct Answers |
2026 Updated & Verified
D
O
N
O

How do cells adapt to persistent stress? - ANSWER-Change in
T

size, number and type without affecting the function.
C

Define Atrophy - ANSWER-Decrease in cell size to reduce oxygen
O

consumption and other cellular functions.
PY


What causes Atrophy? - ANSWER-- Disuse
- Denervation
-Endocrine hypofunction
- Inadequate nutrition
- Ischemia

,What is Ischemia? - ANSWER-Restriction in blood supply to
tissues causing a shortage of oxygen and glucose needed for
cellular metabolism.


Define Hypertrophy - ANSWER-Increase in cell size to meet the
increase cellular demands.
D
O

*these cells cannot adapt through mitotic cell division
N

What causes Hypertrophy? - ANSWER-1. Physiologic - an ↑ in
O

muscle mass associated with exercise.
T
C

2. Abnormal Pathologic: (A) Adaptive & (B) Compensatory
O

A. Adaptive - thickening of the urinary bladder from long term
obstruction
PY

B. Compnesatory - enlargement of remaining organ or tissue
after portion surgically removed


What is Hyperplasia? - ANSWER-Increase in number of cells in an
organ or tissue that are capable of mitotic cell division. (Ex:
epidermis, intestinal epithelium, glandular tissue)
What causes Hyperplasia? - ANSWER-1. Physiologic: (A) Hormonal

,& (B) Compensatory
(A) Breast & uterine enlargement during pregnancy resulting from
estrogen stimulation.
(B) Regeneration of liver after partial hepatectomy, tip of finger


2. Pathologic - most are due to excessive hormonal stimulation
Ex: Hyperthyroidism, skin warts, endometrial hyperplasia
D
O

Regeneration of connective tissue in which fibroblasts and blood
N

vessels help repair a wound is an example of which cellular
adaption? - ANSWER-Hyperplasia
O

Physiologic, compensatory
T
C

Define Metaplasia - ANSWER-Reversible replacement of one cell
O

type by another adult cell type in response to chronic irritation
and inflammation.
PY


Define Dysplasia - ANSWER-Deranged cell growth that results in
cells that vary in size, shape, & organization.


Which cellular adaptation has the strongest implications as a
precursor to cancer? - ANSWER-Dysplasia

, What is Senescence? - ANSWER-The process of deterioration,
following the period of development. Also known as aging.


What are most common causes of Cell Injury? - ANSWER-1.
Physical agents
2. Radiation
3. Chemical
D

4. Biologic agents
O

5. Nutritional imbalances
N
O

What are the 3 physical agents that cause cell injury? - ANSWER-
1. Mechanical forces - body impact with another object
T

2. Extreme temperatures - heat stroke/hypothermia
C

3. Electrical forces - lightening, high voltage wire
O
PY

What are the three biggest concerns for chemical causes of cell
injury? - ANSWER-1. Drugs
2. Lead toxicity
3. Magnesium toxicity
How does LEAD enter the body? - ANSWER-Through the G.I. tract
or the lungs (ingested or inhaled) and is absorbed directly into the
blood.

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