NURS 5315 EXAM 1 c 3 c 3 c 3 c 3 c 3 c 3
NURS 5315 Exam 1: Comprehensive Pathophysiology Reviewwith
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Questions & Answers (UTA, 2025/2026) c3c3 c3 c3 c3 c3 c 3 c 3
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ANSWERS ž•
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,Question c 3 c 3 1: c3c3
Which term describes the decrease in cell size that can occur physiologically in the thymus gland
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during early childhood or pathologically from disuse?
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A. Hypertrophy
B. Hyperplasia
C. Atrophy
D. Dysplasia
Correct Answer: C c3c3 c3c 3
Explanation: Atrophy refers to cells decreasing in size. This can be a physiologic process, c 3 c 3 c3c3 c 3 c 3 c3 c3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c3 c3
c such as the thymus gland decreasing in early childhood, or a pathologic process resulting
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cfrom disuse. Hypertrophy is an increase in cell size, hyperplasia is an increase in cell number, and
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dysplasia involves cells changing in size, shape, and organization.
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Question 2: c3 c3
A patient presents with cardiomegaly due to hypertension.
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responsible for this condition?
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A. Hyperplasia
B. Hypertrophy
C. Metaplasia
D. Dysplasia
Correct Answer: B c3c3 c3c 3
Explanation: Hypertrophy is the increase in cell size due to increased workload. Cardiomegaly from c3c3 c3c3 c3c3 c3 c3 c3c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3 c3c3 c3 c3 c3 c3
hypertension is a classic example of pathologic hypertrophy, where the heart muscle cells enlarge to
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compensate
c3c3 for the increased workload of pumping against elevated blood c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3 c 3
c pressure.
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Question 3: c3 c3
,Endometrial hyperplasia is typicallyrelated to hormonal influences and represents which type ofcellular
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adaptation?
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A. Atrophy
B. Metaplasia
C. Hyperplasia
D. Hypertrophy
CorrectAnswer: C c3 c3c3
Explanation: Hyperplasia istheincreasein cell numberduetoincreased cellulardivision. Endometrial
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hyperplasiaisusuallyrelated tohormonal influencesand representsapathologic formofhyperplasia. This
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differsfromphysiologichyperplasia, such asliverregeneration afterpartial hepatectomy.
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Question 4: c3 c3
Acervical biopsyfrom a patient with HPVinfection shows disordered cellular proliferation with cells varying
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in size, shape, and organization. Thisfinding is characteristicof:
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A. Metaplasia
B. Dysplasia
C. Hyperplasia
D. Atrophy
Correct Answer: B c3c3 c3 c3
Explanation: Dysplasia, alsoknown as atypical hyperplasia, is characterized bycells changing in size,
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shape, and organization with disordered proliferation. Squamous dysplasia ofthe cervixfromHPV
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infection is a classic example. This condition is considered pre-neoplastic and mayprogress to cancerif
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untreated.
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Question 5: c3 c3
Achronicsmokerdevelopsstratified squamous epithelial cellsinthebronchial lining, replacing the normal
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ciliated columnar epithelium. This represents which cellular adaptation?
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, A. Dysplasia
B. Hyperplasia
C. Metaplasia
D. Hypertrophy
CorrectAnswer: C c3 c3c3
Explanation:Metaplasiaisthereplacementofonecelltypewithanother.Itoccursasareprogramming of stem c3 c3 c3 c3 c3c3 c3 c3 c3c3 c3 c3 c3 c3 c3c3 c3c3 c3 c3c3 c3 c3
cells and is potentially reversible. The development of stratified squamous cells in the bronchial
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liningduetocigarettesmokeisaclassicexampleofmetaplasia,representinganadaptiveresponseto
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chronic irritation.
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Question6: c3c3
A patient presents with cyanosis, cognitive impairment, and lethargy. Laboratory findings indicate
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c inadequate oxygenation of tissues. This clinical picture is most consistent with:
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A. Free radical injury c3c3 c 3 c 3
B. Ethanol toxicity c 3 c 3
C. Hypoxia injury c 3 c 3
D. Fatty infiltration c3 c3
CorrectAnswer: C c3 c3c3
Explanation: Hypoxia injuryresults from inadequate oxygenation oftissues. It causes decreased c3c3 c3c3 c3 c3c3 c3c3 c3c3 c3c3 c3 c3c3 c3c3 c3c3
mitochondrial function, reduced ATP production, and increased anaerobic metabolism, potentially
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leading to cell death. Clinical manifestations include hypoxia, cyanosis, cognitive impairment, and
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c lethargy.
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Question7: c3c3
Which type of cellular injury is associated with the development of Alzheimer's disease, Parkinson's
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disease, and amyotrophic lateral sclerosis (ALS)?
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A. Ethanol toxicity c 3 c 3
B. Free radical and ROS injury
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C. Hypoxia injury c 3 c 3
D. Oncosis