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NURS 5315 Advanced Pathophysiology|COMPREHENSIVE MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS|GET IT 100% ACCURATE!!

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NURS 5315 Advanced Pathophysiology|COMPREHENSIVE MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS|GET IT 100% ACCURATE!!

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NURS 5315 Advanced
Pathophysiology|COMPREHENSIVE
MOST TESTED QUESTIONS AND
VERIFIED SOLUTIONS|GET IT 100%
ACCURATE!!
Ovarian cancer site of metastasis? - (ANSWER)Peritoneal surfaces, omentum
(fold of peritoneum connecting the stomach with other abdominal organs),
*liver*



The increased NADH/NAD+ ratio in the liver from ethanol causes: - (ANSWER)1.
Pyruvate --> lactic acid, causing lactic acidosis

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

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



What can Reactive Oxygen Species cause? - (ANSWER)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



What is the body's defense against ROS? - (ANSWER)Antioxidants (Vitamin E,
Vitamin C, cysteine, glutathione, albumin, ceruloplasmin, transferrin)

,2




How are free radicals produced? - (ANSWER)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



action potential - (ANSWER)Process of conducting an impulse. Activates the
neuron --> the neuron depolarizes --> then repolarizes



Threshold potential - (ANSWER)Point at which depolarization must reach in order
to initiate an action potential



Hypokalemia and action potentials - (ANSWER)HYPERpolarized (more negative,
ex. -100). Less excitable. Decreased neuromuscular excitability: weakness, smooth
muscle atony, paresthesia, cardiac dysrhythmias



Hyperkalemia and action potentials - (ANSWER)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

, 3


Hypocalcemia and action potentials - (ANSWER)Increased permeability to Na+.
More excitable. Tetany, hyperreflexia, circumoral paresthesia, seizures,
dysrhythmias.



Hypercalcemia and action potentials - (ANSWER)Decreased permeability to Na+.
Less excitable. Weakness, hyporeflexia, fatigue, lethargy, confusion,
encephalopathy, depressed T waves



Atrophy - (ANSWER)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 but have diminished function and may lead to cellular
death.



Atrophy examples - (ANSWER)Physiologic atrophy- shrinking of the thymus gland
during childhood.

Disuse atrophy- someone that ends up being paralyzed



Hypertrophy - (ANSWER)Increase in SIZE of cells, which will lead to increase in
size of organ. Caused by hormonal stimulation or increased functional demand.



Hypertrophy examples - (ANSWER)physiologic hypertrophy- skeletal hypertrophy
when a person does heavy work or weight lifting / when a kidney is surgically
removed, the other kidney increases in size

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