NURS 5315 Advanced Pathophysiology Final Exam Prep
Test Bank With 400 Practice Questions and Correct
Answers with Rationales / Nurs 5315 Final Exam Prep/
Nurs 5315 Advanced Patho Test Bank
What can Reactive Oxygen Species cause? - ans -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? - ans -Antioxidants (Vitamin E, Vitamin C,
cysteine, glutathione, albumin, ceruloplasmin, transferrin)
Ovarian cancer site of metastasis? - ans -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:
- ans -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
How are free radicals produced? - ans -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 - ans -Process of conducting an impulse. Activates the neuron -->
the neuron depolarizes --> then repolarizes
Threshold potential - ans -Point at which depolarization must reach in order to
initiate an action potential
, Hypokalemia and action potentials - ans -HYPERpolarized (more negative, ex. -
100). Less excitable. Decreased neuromuscular excitability: weakness, smooth
muscle atony, paresthesia, cardiac dysrhythmias
Hyperkalemia and action potentials - ans -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
Hypocalcemia and action potentials - ans -Increased permeability to Na+. More
excitable. Tetany, hyperreflexia, circumoral paresthesia, seizures, dysrhythmias.
Hypercalcemia and action potentials - ans -Decreased permeability to Na+. Less
excitable. Weakness, hyporeflexia, fatigue, lethargy, confusion, encephalopathy,
depressed T waves
Atrophy - ans -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 - ans -Physiologic atrophy- shrinking of the thymus gland
during childhood.
Disuse atrophy- someone that ends up being paralyzed
Hypertrophy - ans -Increase in SIZE of cells, which will lead to increase in size of
organ. Caused by hormonal stimulation or increased functional demand.
Hypertrophy examples - ans -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
pathologic hypertrophy- cardiomegaly results from an increased workload in
hypertensive patients / *left ventricular hypertrophy*
Test Bank With 400 Practice Questions and Correct
Answers with Rationales / Nurs 5315 Final Exam Prep/
Nurs 5315 Advanced Patho Test Bank
What can Reactive Oxygen Species cause? - ans -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? - ans -Antioxidants (Vitamin E, Vitamin C,
cysteine, glutathione, albumin, ceruloplasmin, transferrin)
Ovarian cancer site of metastasis? - ans -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:
- ans -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
How are free radicals produced? - ans -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 - ans -Process of conducting an impulse. Activates the neuron -->
the neuron depolarizes --> then repolarizes
Threshold potential - ans -Point at which depolarization must reach in order to
initiate an action potential
, Hypokalemia and action potentials - ans -HYPERpolarized (more negative, ex. -
100). Less excitable. Decreased neuromuscular excitability: weakness, smooth
muscle atony, paresthesia, cardiac dysrhythmias
Hyperkalemia and action potentials - ans -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
Hypocalcemia and action potentials - ans -Increased permeability to Na+. More
excitable. Tetany, hyperreflexia, circumoral paresthesia, seizures, dysrhythmias.
Hypercalcemia and action potentials - ans -Decreased permeability to Na+. Less
excitable. Weakness, hyporeflexia, fatigue, lethargy, confusion, encephalopathy,
depressed T waves
Atrophy - ans -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 - ans -Physiologic atrophy- shrinking of the thymus gland
during childhood.
Disuse atrophy- someone that ends up being paralyzed
Hypertrophy - ans -Increase in SIZE of cells, which will lead to increase in size of
organ. Caused by hormonal stimulation or increased functional demand.
Hypertrophy examples - ans -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
pathologic hypertrophy- cardiomegaly results from an increased workload in
hypertensive patients / *left ventricular hypertrophy*
