Advanced Pathophysiology - Wilkes
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1.What is the classification of an ovarian cyst that contains skin, hair, cartilage, and
bone?
, - A) Follicular Cyst
- B) Dermoid Cyst
- C) Functional Cyst
- D) Corpus Luteum Cyst
Answer: B) Dermoid Cyst
Explanation: Dermoid cysts, also known as mature teratomas, can contain various
types of tissues derived from all three germ layers (ectoderm, mesoderm, endoderm),
and thus may have skin, hair, and even bone components.
2.In treating a patient with endometriosis, which aspect of physiology would you want
to suppress?
- A) Menstruation
- B) Ovulation
- C) Estrogen levels
- D) Progesterone levels
Answer: B) Ovulation
Explanation: Suppressing ovulation can lower estrogen levels in the body, which may
alleviate the proliferation of endometrial tissue and the associated symptoms of
endometriosis.
3.What is the most likely diagnosis for a 2-week-old infant with forceful vomiting after
feeding and undigested food?
- A) Pyloric Stenosis
- B) Gastroesophageal Reflux Disease
- C) Intussusception
- D) Volvulus
,Answer: A) Pyloric Stenosis
Explanation: Pyloric stenosis is characterized by a narrowing of the pylorus, leading
to projectile, non-bilious vomiting in infants, often accompanied by a palpable olive-
sized mass in the abdomen.
4.What pathological process causes tissue damage in pancreatitis?
- A) Pancreatic duct obstruction
- B) Pancreatic exocrine insufficiency
- C) Alcoholic Liver Disease
- D) Beta cell destruction
Answer: A) Pancreatic duct obstruction
Explanation: Tissue damage in pancreatitis arises when digestive enzymes become
prematurely activated within the pancreas due to obstruction, leading to auto-digestion.
5.What form of jaundice is caused by the breakdown of red blood cells (RBCs)?
- A) Hepatocellular
- B) Hemolytic
- C) Obstructive
- D) Neonatal
Answer: B) Hemolytic
Explanation: Hemolytic jaundice occurs due to excess breakdown of red blood cells,
resulting in the production of bilirubin that overwhelms the liver's ability to process it.
6.What is the most common disorder associated with upper GI bleeding?
- A) Peptic Ulcer Disease
- B) Esophageal Varices
, - C) Gastritis
- D) Mallory-Weiss Tear
Answer: B) Esophageal Varices
Explanation: Esophageal varices, engorged veins in the esophagus due to portal
hypertension, are a leading cause of upper GI bleeding, particularly in patients with liver
cirrhosis.
7.You are examining a 6-month-old patient with jaundice, clay-colored stool, and failure
to gain weight. You suspect biliary atresia. What is the most likely treatment for this
disorder?
- A) Surgical correction
- B) Liver transplant
- C) Chemotherapy
- D) Nutrition therapy
Answer: B) Liver transplant
Explanation: Biliary atresia is often treated with a liver transplant as the condition
involves an obstruction of bile ducts, leading to liver damage.
8.What is the most likely cause of genital warts?
- A) Herpes Simplex Virus
- B) Human Immunodeficiency Virus
- C) Human Papillomavirus (HPV)
- D) Cytomegalovirus
Answer: C) Human Papillomavirus (HPV)
b1
Explanation: Genital warts are primarily caused by low-risk strains of HPV,
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
b1 particularly types 6 and 11.
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