PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK
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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 pr pr pr pr pr
Chapter 1: Cellular Biology
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pr
MULTIPLE CHOICE pr pr
pr
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. d. Cells can synthesize fats.
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pr
pr
ANS: C pr pr
In metabolic absorption, all cells take in and use nutrients and other substances from their
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
surroundings. The remaining options are not inclusive in their descriptions of cellular met
pr pr pr pr pr pr pr pr pr pr pr pr
abolic absorption. pr pr
pr
PTS: 1 pr pr REF: Page 2 pr pr pr
pr
2. Most of a cell’s genetic information, including RNA and DNA, is contained in the:
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a. Mitochondria c. Nucleolus pr pr pr
b. Ribosome d. Lysosome pr pr pr
pr
pr
ANS: C pr pr
The nucleus contains the nucleolus, a small dense structure composed largely of RNA, m
pr pr pr pr pr pr pr pr pr pr pr pr pr
ost of the cellular DNA, and the DNA-
pr pr pr pr pr pr pr
binding proteins, such as the histones, which regulate its activity. The other options do no
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
t contain most of a cell’s genetic information.
pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Page 2 pr pr pr
pr
3. Which component of the cell produces hydrogen peroxide (HNURSINGTB.COM
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2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxidative
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reaction?
r pr
a. Lysosomes c. Ribosomes pr pr pr
b. Peroxisomes d. Oxyhydrosomes pr pr pr
pr
pr
ANS: B pr pr
Peroxisomes are so named because they usually contain enzymes that use oxygen to remo
pr pr pr pr pr pr pr pr pr pr pr pr pr
ve hydrogen atoms from specific substrates in an oxidative reaction that produces H2O2,
pr pr pr pr pr pr pr pr pr pr pr pr pr
which is a powerful oxidant and potentially destructive if it accumulates or escapes from
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
peroxisomes. Ribosomes are RNA- pr pr pr
protein complexes (nucleoproteins) that are synthesized in the nucleolus and secreted into
pr pr pr pr pr pr pr pr pr pr pr pr
the cytoplasm through pores in the nuclear envelope called nuclear pore complexes. Lyso
pr pr pr pr pr pr pr pr pr pr pr pr
somes are saclike structures that originate from the Golgi complex and contain more than
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
40 digestive enzymes called hydrolases, which catalyze bonds in proteins, lipids, nucleic
pr pr pr pr pr pr pr pr pr pr pr pr
acids, and carbohydrates. Oxyhydrosomes are involved in enzyme production.
pr pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Page 8 pr pr pr
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK pr pr pr pr pr
pr
4. Which cell component is capable of cellular autodigestion when it is released during cell inj
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ury? pr
a. Ribosome c. Smooth endoplasmic reticulum pr pr pr pr pr
b. Golgi complex d. Lysosomes pr pr pr pr
pr
pr
ANS: D pr pr
The lysosomal membrane acts as a protective shield between the powerful digestive enzy
pr pr pr pr pr pr pr pr pr pr pr pr
mes within the lysosome and the cytoplasm, preventing their leakage into the cytoplasmic
pr pr pr pr pr pr pr pr pr pr pr pr p
matrix. Disruption of the membrane by various treatments or cellular injury leads to a rel
r pr pr pr pr pr pr pr pr pr pr pr pr pr pr
ease of the lysosomal enzymes, which can then react with their specific substrates, causin
pr pr pr pr pr pr pr pr pr pr pr pr pr
g cellular self-digestion. The other options do not correctly describe this process.
pr pr pr pr pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Pages 7-8 pr pr pr
pr
5. What is the sequence of steps in the development of a digestive enzyme by the pancreas cel
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
ls from the initial transcription to the release from the cell?
pr pr pr pr pr pr pr pr pr pr pr
a. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the ribosom
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
e for synthesis, and is transported in a secretory vesicle to the cell membrane.
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
b. The enzyme is transcribed from RNA by DNA in the nucleus, proceeds to the lysoso
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
me for synthesis, and is transported in an encapsulated membrane to the cell membran
pr pr pr pr pr pr pr pr pr pr pr pr pr
e. pr
c. The enzyme is transcribed by the mitochondria in the nucleus, proceeds to the riboso
pr pr pr pr pr pr pr pr pr pr pr pr pr
me for synthesis, and is transported in a cytoskeleton to the cell membrane.
pr pr pr pr pr pr pr pr pr pr pr pr pr
d. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
Golgi complex for synthesis, and is transported in a cytosol to the cell membrane.
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
pr
pr
ANS: A pr pr
The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the ribosome f
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
or synthesis, and is transported in a secretory vesicle to the cell membrane. The other opti
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
ons do not correctly describe this process.
pr pr pr pr pr pr pr
pr
NURSINGTB.COM
PTS: 1 pr pr REF: Page 7 | Figure 1-5 pr pr pr pr pr pr pr
pr
6. During which phase of the cell cycle is DNA synthesized?
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a. G1 c. G2 pr pr pr
b. S d. M pr pr pr
pr
pr
ANS: B pr pr
The four designated phases of the cell cycle are: (1) the G1 phase (G = gap), which is the
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
period between the M phase (M = mitosis) and the start of DNA synthesis; (2) the S phas
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
e (S = synthesis), during which DNA is synthesized in the cell nucleus; (3) the G2 phase,
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
during which RNA and protein synthesis occurs, the period between the completion of D
pr pr pr pr pr pr pr pr pr pr pr pr pr
NA synthesis and the next phase (M); and (4) the M phase, which includes nuclear and cy
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
toplasmic division. pr pr
pr
PTS: 1 pr pr REF: Page 37 pr pr pr
pr
7. What organic compound facilitates transportation across cell membranes by acting as recept
pr pr pr pr pr pr pr pr pr pr pr
ors, transport channels for electrolytes, and enzymes to drive active pumps?
pr pr pr pr pr pr pr pr pr pr pr
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK pr pr pr pr pr
a. Lipids pr c. Proteins
pr pr
b. Proteases pr d. Carbohydrates
pr pr
pr
pr
ANS: C pr pr
Proteins act as (1) recognition and binding units (receptors) for substances moving in and
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
out of the cell; (2) pores or transport channels for various electrically charged particles cal
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
led ions or electrolytes and specific carriers for amino acids and monosaccharides; and (3)
pr pr pr pr pr pr pr pr pr pr pr pr pr
specific enzymes that drive active pumps that promote the concentration of certain ions,
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
particularly potassium (K+), within the cell while keeping concentrations of other ions, for
pr pr pr pr pr pr pr pr pr pr pr pr
example, sodium (Na+), below the concentrations found in the extracellular environment.
pr pr pr pr pr pr pr pr pr pr pr p
The other options do not correctly describe this process.
r pr pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Page 13 | Page 15 pr pr pr pr pr pr pr
pr
8. Understanding the various steps of proteolytic cascades, such as caspase-
pr pr pr pr pr pr pr pr pr
mediated apoptosis and complement cascades, may be useful in designing drug therapy for
pr pr pr pr pr pr pr pr pr pr pr pr pr
which human diseases?
pr pr pr
a. Cardiac and vascular disorders pr pr pr pr
b. Autoimmune and malignant disorders pr pr pr pr
c. Gastrointestinal and renal disorders pr pr pr pr
d. Endocrine and gastrointestinal disorders pr pr pr pr
pr
pr
ANS: B pr pr
Understanding the various steps involved in this process is crucial for designing drug inter
pr pr pr pr pr pr pr pr pr pr pr pr pr
ventions. Dysregulation of proteases features prominently in many human diseases, includ
pr pr pr pr pr pr pr pr pr pr
ing cancer, autoimmunity, and neurodegenerative disorders. The other options do not corr
pr pr pr pr pr pr pr pr pr pr pr
ectly describe this process.
pr pr pr pr
pr
PTS: 1 pr pr REF: Page 15 pr pr pr
pr
9. Which structure prevents water-
pr pr pr
soluble molecules from entering cells across the plasma membrane? NURSINGTB.COM
pr pr pr pr pr pr pr pr pr
a. Carbohydrate chains pr pr c. Membrane channel proteins
pr pr pr pr
b. Glycoprotein channels pr pr d. Lipid bilayer
pr pr pr
pr
pr
ANS: D pr pr
The bilayer’s structure accounts for one of the essential functions of the plasma membran
pr pr pr pr pr pr pr pr pr pr pr pr pr
e. It is impermeable to most water-
pr pr pr pr pr pr
soluble molecules (molecules that dissolve in water) because the water-
pr pr pr pr pr pr pr pr pr
soluble molecules are insoluble in the oily core region. The bilayer serves as a barrier to t
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
he diffusion of water and hydrophilic substances while allowing lipid-
pr pr pr pr pr pr pr pr pr
soluble molecules, such as oxygen (O2) and carbon dioxide (CO2), to diffuse through it re
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
adily. The other options do not correctly describe this process.
pr pr pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Pages 12-13 pr pr pr
pr
10. The fluid mosaic model explains:
pr pr pr pr pr
a. How a cell membrane functions pr pr pr pr pr
b. Why our bodies appear to be solid pr pr pr pr pr pr pr
c. How tissue is differentiated pr pr pr pr
NURSINGTB.COM
pr pr pr pr pr
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 pr pr pr pr pr
Chapter 1: Cellular Biology
pr pr pr pr
pr
MULTIPLE CHOICE pr pr
pr
1. Which statement best describes the cellular function of metabolic absorption?
pr pr pr pr pr pr pr pr pr pr
a. Cells can produce proteins. c. Cells can take in and use nutrients.
pr pr pr pr pr pr pr pr pr pr pr pr
b. Cells can secrete digestive enzymes. d. Cells can synthesize fats.
pr pr pr pr pr pr pr pr pr pr
pr
pr
ANS: C pr pr
In metabolic absorption, all cells take in and use nutrients and other substances from their
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
surroundings. The remaining options are not inclusive in their descriptions of cellular met
pr pr pr pr pr pr pr pr pr pr pr pr
abolic absorption. pr pr
pr
PTS: 1 pr pr REF: Page 2 pr pr pr
pr
2. Most of a cell’s genetic information, including RNA and DNA, is contained in the:
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
a. Mitochondria c. Nucleolus pr pr pr
b. Ribosome d. Lysosome pr pr pr
pr
pr
ANS: C pr pr
The nucleus contains the nucleolus, a small dense structure composed largely of RNA, m
pr pr pr pr pr pr pr pr pr pr pr pr pr
ost of the cellular DNA, and the DNA-
pr pr pr pr pr pr pr
binding proteins, such as the histones, which regulate its activity. The other options do no
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
t contain most of a cell’s genetic information.
pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Page 2 pr pr pr
pr
3. Which component of the cell produces hydrogen peroxide (HNURSINGTB.COM
pr pr pr pr pr pr pr pr
2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxidative
pr pr pr pr pr pr pr pr pr pr pr pr pr p
reaction?
r pr
a. Lysosomes c. Ribosomes pr pr pr
b. Peroxisomes d. Oxyhydrosomes pr pr pr
pr
pr
ANS: B pr pr
Peroxisomes are so named because they usually contain enzymes that use oxygen to remo
pr pr pr pr pr pr pr pr pr pr pr pr pr
ve hydrogen atoms from specific substrates in an oxidative reaction that produces H2O2,
pr pr pr pr pr pr pr pr pr pr pr pr pr
which is a powerful oxidant and potentially destructive if it accumulates or escapes from
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
peroxisomes. Ribosomes are RNA- pr pr pr
protein complexes (nucleoproteins) that are synthesized in the nucleolus and secreted into
pr pr pr pr pr pr pr pr pr pr pr pr
the cytoplasm through pores in the nuclear envelope called nuclear pore complexes. Lyso
pr pr pr pr pr pr pr pr pr pr pr pr
somes are saclike structures that originate from the Golgi complex and contain more than
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
40 digestive enzymes called hydrolases, which catalyze bonds in proteins, lipids, nucleic
pr pr pr pr pr pr pr pr pr pr pr pr
acids, and carbohydrates. Oxyhydrosomes are involved in enzyme production.
pr pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Page 8 pr pr pr
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK pr pr pr pr pr
pr
4. Which cell component is capable of cellular autodigestion when it is released during cell inj
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
ury? pr
a. Ribosome c. Smooth endoplasmic reticulum pr pr pr pr pr
b. Golgi complex d. Lysosomes pr pr pr pr
pr
pr
ANS: D pr pr
The lysosomal membrane acts as a protective shield between the powerful digestive enzy
pr pr pr pr pr pr pr pr pr pr pr pr
mes within the lysosome and the cytoplasm, preventing their leakage into the cytoplasmic
pr pr pr pr pr pr pr pr pr pr pr pr p
matrix. Disruption of the membrane by various treatments or cellular injury leads to a rel
r pr pr pr pr pr pr pr pr pr pr pr pr pr pr
ease of the lysosomal enzymes, which can then react with their specific substrates, causin
pr pr pr pr pr pr pr pr pr pr pr pr pr
g cellular self-digestion. The other options do not correctly describe this process.
pr pr pr pr pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Pages 7-8 pr pr pr
pr
5. What is the sequence of steps in the development of a digestive enzyme by the pancreas cel
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
ls from the initial transcription to the release from the cell?
pr pr pr pr pr pr pr pr pr pr pr
a. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the ribosom
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
e for synthesis, and is transported in a secretory vesicle to the cell membrane.
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
b. The enzyme is transcribed from RNA by DNA in the nucleus, proceeds to the lysoso
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
me for synthesis, and is transported in an encapsulated membrane to the cell membran
pr pr pr pr pr pr pr pr pr pr pr pr pr
e. pr
c. The enzyme is transcribed by the mitochondria in the nucleus, proceeds to the riboso
pr pr pr pr pr pr pr pr pr pr pr pr pr
me for synthesis, and is transported in a cytoskeleton to the cell membrane.
pr pr pr pr pr pr pr pr pr pr pr pr pr
d. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
Golgi complex for synthesis, and is transported in a cytosol to the cell membrane.
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
pr
pr
ANS: A pr pr
The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the ribosome f
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
or synthesis, and is transported in a secretory vesicle to the cell membrane. The other opti
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
ons do not correctly describe this process.
pr pr pr pr pr pr pr
pr
NURSINGTB.COM
PTS: 1 pr pr REF: Page 7 | Figure 1-5 pr pr pr pr pr pr pr
pr
6. During which phase of the cell cycle is DNA synthesized?
pr pr pr pr pr pr pr pr pr pr
a. G1 c. G2 pr pr pr
b. S d. M pr pr pr
pr
pr
ANS: B pr pr
The four designated phases of the cell cycle are: (1) the G1 phase (G = gap), which is the
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
period between the M phase (M = mitosis) and the start of DNA synthesis; (2) the S phas
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
e (S = synthesis), during which DNA is synthesized in the cell nucleus; (3) the G2 phase,
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
during which RNA and protein synthesis occurs, the period between the completion of D
pr pr pr pr pr pr pr pr pr pr pr pr pr
NA synthesis and the next phase (M); and (4) the M phase, which includes nuclear and cy
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
toplasmic division. pr pr
pr
PTS: 1 pr pr REF: Page 37 pr pr pr
pr
7. What organic compound facilitates transportation across cell membranes by acting as recept
pr pr pr pr pr pr pr pr pr pr pr
ors, transport channels for electrolytes, and enzymes to drive active pumps?
pr pr pr pr pr pr pr pr pr pr pr
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK pr pr pr pr pr
a. Lipids pr c. Proteins
pr pr
b. Proteases pr d. Carbohydrates
pr pr
pr
pr
ANS: C pr pr
Proteins act as (1) recognition and binding units (receptors) for substances moving in and
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
out of the cell; (2) pores or transport channels for various electrically charged particles cal
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
led ions or electrolytes and specific carriers for amino acids and monosaccharides; and (3)
pr pr pr pr pr pr pr pr pr pr pr pr pr
specific enzymes that drive active pumps that promote the concentration of certain ions,
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
particularly potassium (K+), within the cell while keeping concentrations of other ions, for
pr pr pr pr pr pr pr pr pr pr pr pr
example, sodium (Na+), below the concentrations found in the extracellular environment.
pr pr pr pr pr pr pr pr pr pr pr p
The other options do not correctly describe this process.
r pr pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Page 13 | Page 15 pr pr pr pr pr pr pr
pr
8. Understanding the various steps of proteolytic cascades, such as caspase-
pr pr pr pr pr pr pr pr pr
mediated apoptosis and complement cascades, may be useful in designing drug therapy for
pr pr pr pr pr pr pr pr pr pr pr pr pr
which human diseases?
pr pr pr
a. Cardiac and vascular disorders pr pr pr pr
b. Autoimmune and malignant disorders pr pr pr pr
c. Gastrointestinal and renal disorders pr pr pr pr
d. Endocrine and gastrointestinal disorders pr pr pr pr
pr
pr
ANS: B pr pr
Understanding the various steps involved in this process is crucial for designing drug inter
pr pr pr pr pr pr pr pr pr pr pr pr pr
ventions. Dysregulation of proteases features prominently in many human diseases, includ
pr pr pr pr pr pr pr pr pr pr
ing cancer, autoimmunity, and neurodegenerative disorders. The other options do not corr
pr pr pr pr pr pr pr pr pr pr pr
ectly describe this process.
pr pr pr pr
pr
PTS: 1 pr pr REF: Page 15 pr pr pr
pr
9. Which structure prevents water-
pr pr pr
soluble molecules from entering cells across the plasma membrane? NURSINGTB.COM
pr pr pr pr pr pr pr pr pr
a. Carbohydrate chains pr pr c. Membrane channel proteins
pr pr pr pr
b. Glycoprotein channels pr pr d. Lipid bilayer
pr pr pr
pr
pr
ANS: D pr pr
The bilayer’s structure accounts for one of the essential functions of the plasma membran
pr pr pr pr pr pr pr pr pr pr pr pr pr
e. It is impermeable to most water-
pr pr pr pr pr pr
soluble molecules (molecules that dissolve in water) because the water-
pr pr pr pr pr pr pr pr pr
soluble molecules are insoluble in the oily core region. The bilayer serves as a barrier to t
pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr pr
he diffusion of water and hydrophilic substances while allowing lipid-
pr pr pr pr pr pr pr pr pr
soluble molecules, such as oxygen (O2) and carbon dioxide (CO2), to diffuse through it re
pr pr pr pr pr pr pr pr pr pr pr pr pr pr
adily. The other options do not correctly describe this process.
pr pr pr pr pr pr pr pr pr pr
pr
PTS: 1 pr pr REF: Pages 12-13 pr pr pr
pr
10. The fluid mosaic model explains:
pr pr pr pr pr
a. How a cell membrane functions pr pr pr pr pr
b. Why our bodies appear to be solid pr pr pr pr pr pr pr
c. How tissue is differentiated pr pr pr pr
NURSINGTB.COM