PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK
x x x x x
McCance and Huether’s, Pathophysiology:The Biologic Basis f
x x x x x x
or Disease in Adults and Children, 9TH ED(PATHOPHYSIOLOG
x x x x x x x
Y 9TH EDITION)x x
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK x x x x x
Chapter 1: Cellular Biology
x x x x
x
MULTIPLE CHOICE x x
x
1. Which statement best describes the cellular function of metabolic absorption?
x x x x x x x x x x
a. Cells can produce proteins. c. Cells can take in and use nutrients.
x x x x x x x x x x x x
b. Cells can secrete digestive enzymes. x d. Cells can synthesize fats.
x x x x x x x x x
x
x
ANS: C x x
In metabolic absorption, all cells take in and use nutrients and other substances from their surr
x x x x x x x x x x x x x x x
oundings. The remaining options are not inclusive in their descriptions of cellular metabolic a
x x x x x x x x x x x x x
bsorption. x
x
PTS: 1 x x REF: Page 2 x x x
x
2. Most of a cell’s genetic information, including RNA and DNA, is contained in the:
x x x x x x x x x x x x x x
a. Mitochondria c. Nucleolus x x x
b. Ribosome d. Lysosome x x x
x
x
ANS: C x x
The nucleus contains the nucleolus, a small dense structure composed largely of RNA, most
x x x x x x x x x x x x x x
of the cellular DNA, and the DNA-
x x x x x x
binding proteins, such as the histones, which regulate its activity. The other options do not co
x x x x x x x x x x x x x x x
ntain most of a cell’s genetic information.
x x x x x x x
x
PTS: 1 x x REF: Page 2 x x x
x
3. Which component of the cell produces hydrogen peroxide (HNURSINGTB.COM
x x x x x x x x
2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxidative rea
x x x x x x x x x x x x x x
ction? x
a. Lysosomes c. Ribosomes x x x
b. Peroxisomes d. Oxyhydrosomes x x x
x
x
ANS: B x x
Peroxisomes are so named because they usually contain enzymes that use oxygen to remove h
x x x x x x x x x x x x x x
ydrogen atoms from specific substrates in an oxidative reaction that produces H2O2, which is
x x x x x x x x x x x x x x
a powerful oxidant and potentially destructive if it accumulates or escapes from peroxisomes.
x x x x x x x x x x x x
Ribosomes are RNA-
x x x
protein complexes (nucleoproteins) that are synthesized in the nucleolus and secreted into the
x x x x x x x x x x x x
cytoplasm through pores in the nuclear envelope called nuclear pore complexes. Lysosomes
x x x x x x x x x x x x x
are saclike structures that originate from the Golgi complex and contain more than 40 digestiv
x x x x x x x x x x x x x x
e enzymes called hydrolases, which catalyze bonds in proteins, lipids, nucleic acids, and carb
x x x x x x x x x x x x x
ohydrates. Oxyhydrosomes are involved in enzyme production.
x x x x x x x
x
PTS: 1 x x REF: Page 8 x x x
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK x x x x x
x
4. Which cell component is capable of cellular autodigestion when it is released during cell injury
x x x x x x x x x x x x x x
? x
a. Ribosome c. Smooth endoplasmic reticulum x x x x x
b. Golgi complex d. Lysosomes x x x x
x
x
ANS: D x x
The lysosomal membrane acts as a protective shield between the powerful digestive enzymes
x x x x x x x x x x x x x
within the lysosome and the cytoplasm, preventing their leakage into the cytoplasmic matrix.
x x x x x x x x x x x x x
Disruption of the membrane by various treatments or cellular injury leads to a release of the ly
x x x x x x x x x x x x x x x x
sosomal enzymes, which can then react with their specific substrates, causing cellular self-
x x x x x x x x x x x x
digestion. The other options do not correctly describe this process.
x x x x x x x x x x
x
PTS: 1 x x REF: Pages 7-8 x x x
x
5. What is the sequence of steps in the development of a digestive enzyme by the pancreas cells fr
x x x x x x x x x x x x x x x x x
om the initial transcription to the release from the cell?
x x x x x x x x x x
a. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the ribosome fo
x x x x x x x x x x x x x x x
r synthesis, and is transported in a secretory vesicle to the cell membrane.
x x x x x x x x x x x x x
b. The enzyme is transcribed from RNA by DNA in the nucleus, proceeds to the lysosome fo
x x x x x x x x x x x x x x x
r synthesis, and is transported in an encapsulated membrane to the cell membrane.
x x x x x x x x x x x x x
c. The enzyme is transcribed by the mitochondria in the nucleus, proceeds to the ribosome f
x x x x x x x x x x x x x x
or synthesis, and is transported in a cytoskeleton to the cell membrane.
x x x x x x x x x x x x
d. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the
x x x x x x x x x x x x x x
Golgi complex for synthesis, and is transported in a cytosol to the cell membrane.
x x x x x x x x x x x x x x
x
x
ANS: A x x
The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the ribosome for sy
x x x x x x x x x x x x x x x x
nthesis, and is transported in a secretory vesicle to the cell membrane. The other options do no
x x x x x x x x x x x x x x x x
t correctly describe this process.
x x x x x
x
NURSINGTB.COM
PTS: 1 x x REF: Page 7 | Figure 1-5 x x x x x x x
x
6. During which phase of the cell cycle is DNA synthesized?
x x x x x x x x x x
a. G1 c. G2 x x x
b. S d. M x x x
x
x
ANS: B x x
The four designated phases of the cell cycle are: (1) the G1 phase (G = gap), which is the perio
x x x x x x x x x x x x x x x x x x x
d between the M phase (M = mitosis) and the start of DNA synthesis; (2) the S phase (S = synt
x x x x x x x x x x x x x x x x x x x x
hesis), during which DNA is synthesized in the cell nucleus; (3) the G2 phase, during which R
x x x x x x x x x x x x x x x x
NA and protein synthesis occurs, the period between the completion of DNA synthesis and th
x x x x x x x x x x x x x x
e next phase (M); and (4) the M phase, which includes nuclear and cytoplasmic division.
x x x x x x x x x x x x x x x
x
PTS: 1 x x REF: Page 37 x x x
x
7. What organic compound facilitates transportation across cell membranes by acting as receptors
x x x x x x x x x x x
, transport channels for electrolytes, and enzymes to drive active pumps?
x x x x x x x x x x x
a. Lipids c. Proteins x x x
b. Proteases d. Carbohydrates x x x
x
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK x x x x x
x
ANS: C x x
Proteins act as (1) recognition and binding units (receptors) for substances moving in and out
x x x x x x x x x x x x x x x
of the cell; (2) pores or transport channels for various electrically charged particles called ions
x x x x x x x x x x x x x x
or electrolytes and specific carriers for amino acids and monosaccharides; and (3) specific en
x x x x x x x x x x x x x x
zymes that drive active pumps that promote the concentration of certain ions, particularly pot
x x x x x x x x x x x x x
assium (K+), within the cell while keeping concentrations of other ions, for example, sodium (
x x x x x x x x x x x x x x
Na+), below the concentrations found in the extracellular environment. The other options do n
x x x x x x x x x x x x x
ot correctly describe this process.
x x x x x
x
PTS: 1 x x REF: Page 13 | Page 15 x x x x x x x
x
8. Understanding the various steps of proteolytic cascades, such as caspase- x x x x x x x x x
mediated apoptosis and complement cascades, may be useful in designing drug therapy for whi
x x x x x x x x x x x x x
ch human diseases?
x x x
a. Cardiac and vascular disorders x x x x
b. Autoimmune and malignant disorders x x x x
c. Gastrointestinal and renal disorders x x x x
d. Endocrine and gastrointestinal disorders x x x x
x
x
ANS: B x x
Understanding the various steps involved in this process is crucial for designing drug interven
x x x x x x x x x x x x x
tions. Dysregulation of proteases features prominently in many human diseases, including ca
x x x x x x x x x x x
ncer, autoimmunity, and neurodegenerative disorders. The other options do not correctly des
x x x x x x x x x x x
cribe this process. x x x
x
PTS: 1 x x REF: Page 15 x x x
x
9. Which structure prevents water-
x x x
soluble molecules from entering cells across the plasma membrane?
x x x x x x x x x NURSINGTB.COM
a. Carbohydrate chains x x c. Membrane channel proteins
x x x x
b. Glycoprotein channels x x d. Lipid bilayer
x x x
x
x
ANS: D x x
The bilayer’s structure accounts for one of the essential functions of the plasma membrane. It
x x x x x x x x x x x x x x x
is impermeable to most water-
x x x x
soluble molecules (molecules that dissolve in water) because the water-
x x x x x x x x x
soluble molecules are insoluble in the oily core region. The bilayer serves as a barrier to the di
x x x x x x x x x x x x x x x x x
ffusion of water and hydrophilic substances while allowing lipid-
x x x x x x x x
soluble molecules, such as oxygen (O2) and carbon dioxide (CO2), to diffuse through it readil
x x x x x x x x x x x x x x
y. The other options do not correctly describe this process.
x x x x x x x x x x
x
PTS: 1 x x REF: Pages 12-13 x x x
x
10. The fluid mosaic model explains:
x x x x x
a. How a cell membrane functions x x x x x
b. Why our bodies appear to be solid x x x x x x x
c. How tissue is differentiated x x x x
d. How fluid moves between the intracellular and extracellular compartments
x x x x x x x x x
x
x
NURSINGTB.COM
x x x x x
McCance and Huether’s, Pathophysiology:The Biologic Basis f
x x x x x x
or Disease in Adults and Children, 9TH ED(PATHOPHYSIOLOG
x x x x x x x
Y 9TH EDITION)x x
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK x x x x x
Chapter 1: Cellular Biology
x x x x
x
MULTIPLE CHOICE x x
x
1. Which statement best describes the cellular function of metabolic absorption?
x x x x x x x x x x
a. Cells can produce proteins. c. Cells can take in and use nutrients.
x x x x x x x x x x x x
b. Cells can secrete digestive enzymes. x d. Cells can synthesize fats.
x x x x x x x x x
x
x
ANS: C x x
In metabolic absorption, all cells take in and use nutrients and other substances from their surr
x x x x x x x x x x x x x x x
oundings. The remaining options are not inclusive in their descriptions of cellular metabolic a
x x x x x x x x x x x x x
bsorption. x
x
PTS: 1 x x REF: Page 2 x x x
x
2. Most of a cell’s genetic information, including RNA and DNA, is contained in the:
x x x x x x x x x x x x x x
a. Mitochondria c. Nucleolus x x x
b. Ribosome d. Lysosome x x x
x
x
ANS: C x x
The nucleus contains the nucleolus, a small dense structure composed largely of RNA, most
x x x x x x x x x x x x x x
of the cellular DNA, and the DNA-
x x x x x x
binding proteins, such as the histones, which regulate its activity. The other options do not co
x x x x x x x x x x x x x x x
ntain most of a cell’s genetic information.
x x x x x x x
x
PTS: 1 x x REF: Page 2 x x x
x
3. Which component of the cell produces hydrogen peroxide (HNURSINGTB.COM
x x x x x x x x
2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxidative rea
x x x x x x x x x x x x x x
ction? x
a. Lysosomes c. Ribosomes x x x
b. Peroxisomes d. Oxyhydrosomes x x x
x
x
ANS: B x x
Peroxisomes are so named because they usually contain enzymes that use oxygen to remove h
x x x x x x x x x x x x x x
ydrogen atoms from specific substrates in an oxidative reaction that produces H2O2, which is
x x x x x x x x x x x x x x
a powerful oxidant and potentially destructive if it accumulates or escapes from peroxisomes.
x x x x x x x x x x x x
Ribosomes are RNA-
x x x
protein complexes (nucleoproteins) that are synthesized in the nucleolus and secreted into the
x x x x x x x x x x x x
cytoplasm through pores in the nuclear envelope called nuclear pore complexes. Lysosomes
x x x x x x x x x x x x x
are saclike structures that originate from the Golgi complex and contain more than 40 digestiv
x x x x x x x x x x x x x x
e enzymes called hydrolases, which catalyze bonds in proteins, lipids, nucleic acids, and carb
x x x x x x x x x x x x x
ohydrates. Oxyhydrosomes are involved in enzyme production.
x x x x x x x
x
PTS: 1 x x REF: Page 8 x x x
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK x x x x x
x
4. Which cell component is capable of cellular autodigestion when it is released during cell injury
x x x x x x x x x x x x x x
? x
a. Ribosome c. Smooth endoplasmic reticulum x x x x x
b. Golgi complex d. Lysosomes x x x x
x
x
ANS: D x x
The lysosomal membrane acts as a protective shield between the powerful digestive enzymes
x x x x x x x x x x x x x
within the lysosome and the cytoplasm, preventing their leakage into the cytoplasmic matrix.
x x x x x x x x x x x x x
Disruption of the membrane by various treatments or cellular injury leads to a release of the ly
x x x x x x x x x x x x x x x x
sosomal enzymes, which can then react with their specific substrates, causing cellular self-
x x x x x x x x x x x x
digestion. The other options do not correctly describe this process.
x x x x x x x x x x
x
PTS: 1 x x REF: Pages 7-8 x x x
x
5. What is the sequence of steps in the development of a digestive enzyme by the pancreas cells fr
x x x x x x x x x x x x x x x x x
om the initial transcription to the release from the cell?
x x x x x x x x x x
a. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the ribosome fo
x x x x x x x x x x x x x x x
r synthesis, and is transported in a secretory vesicle to the cell membrane.
x x x x x x x x x x x x x
b. The enzyme is transcribed from RNA by DNA in the nucleus, proceeds to the lysosome fo
x x x x x x x x x x x x x x x
r synthesis, and is transported in an encapsulated membrane to the cell membrane.
x x x x x x x x x x x x x
c. The enzyme is transcribed by the mitochondria in the nucleus, proceeds to the ribosome f
x x x x x x x x x x x x x x
or synthesis, and is transported in a cytoskeleton to the cell membrane.
x x x x x x x x x x x x
d. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the
x x x x x x x x x x x x x x
Golgi complex for synthesis, and is transported in a cytosol to the cell membrane.
x x x x x x x x x x x x x x
x
x
ANS: A x x
The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the ribosome for sy
x x x x x x x x x x x x x x x x
nthesis, and is transported in a secretory vesicle to the cell membrane. The other options do no
x x x x x x x x x x x x x x x x
t correctly describe this process.
x x x x x
x
NURSINGTB.COM
PTS: 1 x x REF: Page 7 | Figure 1-5 x x x x x x x
x
6. During which phase of the cell cycle is DNA synthesized?
x x x x x x x x x x
a. G1 c. G2 x x x
b. S d. M x x x
x
x
ANS: B x x
The four designated phases of the cell cycle are: (1) the G1 phase (G = gap), which is the perio
x x x x x x x x x x x x x x x x x x x
d between the M phase (M = mitosis) and the start of DNA synthesis; (2) the S phase (S = synt
x x x x x x x x x x x x x x x x x x x x
hesis), during which DNA is synthesized in the cell nucleus; (3) the G2 phase, during which R
x x x x x x x x x x x x x x x x
NA and protein synthesis occurs, the period between the completion of DNA synthesis and th
x x x x x x x x x x x x x x
e next phase (M); and (4) the M phase, which includes nuclear and cytoplasmic division.
x x x x x x x x x x x x x x x
x
PTS: 1 x x REF: Page 37 x x x
x
7. What organic compound facilitates transportation across cell membranes by acting as receptors
x x x x x x x x x x x
, transport channels for electrolytes, and enzymes to drive active pumps?
x x x x x x x x x x x
a. Lipids c. Proteins x x x
b. Proteases d. Carbohydrates x x x
x
NURSINGTB.COM
, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK x x x x x
x
ANS: C x x
Proteins act as (1) recognition and binding units (receptors) for substances moving in and out
x x x x x x x x x x x x x x x
of the cell; (2) pores or transport channels for various electrically charged particles called ions
x x x x x x x x x x x x x x
or electrolytes and specific carriers for amino acids and monosaccharides; and (3) specific en
x x x x x x x x x x x x x x
zymes that drive active pumps that promote the concentration of certain ions, particularly pot
x x x x x x x x x x x x x
assium (K+), within the cell while keeping concentrations of other ions, for example, sodium (
x x x x x x x x x x x x x x
Na+), below the concentrations found in the extracellular environment. The other options do n
x x x x x x x x x x x x x
ot correctly describe this process.
x x x x x
x
PTS: 1 x x REF: Page 13 | Page 15 x x x x x x x
x
8. Understanding the various steps of proteolytic cascades, such as caspase- x x x x x x x x x
mediated apoptosis and complement cascades, may be useful in designing drug therapy for whi
x x x x x x x x x x x x x
ch human diseases?
x x x
a. Cardiac and vascular disorders x x x x
b. Autoimmune and malignant disorders x x x x
c. Gastrointestinal and renal disorders x x x x
d. Endocrine and gastrointestinal disorders x x x x
x
x
ANS: B x x
Understanding the various steps involved in this process is crucial for designing drug interven
x x x x x x x x x x x x x
tions. Dysregulation of proteases features prominently in many human diseases, including ca
x x x x x x x x x x x
ncer, autoimmunity, and neurodegenerative disorders. The other options do not correctly des
x x x x x x x x x x x
cribe this process. x x x
x
PTS: 1 x x REF: Page 15 x x x
x
9. Which structure prevents water-
x x x
soluble molecules from entering cells across the plasma membrane?
x x x x x x x x x NURSINGTB.COM
a. Carbohydrate chains x x c. Membrane channel proteins
x x x x
b. Glycoprotein channels x x d. Lipid bilayer
x x x
x
x
ANS: D x x
The bilayer’s structure accounts for one of the essential functions of the plasma membrane. It
x x x x x x x x x x x x x x x
is impermeable to most water-
x x x x
soluble molecules (molecules that dissolve in water) because the water-
x x x x x x x x x
soluble molecules are insoluble in the oily core region. The bilayer serves as a barrier to the di
x x x x x x x x x x x x x x x x x
ffusion of water and hydrophilic substances while allowing lipid-
x x x x x x x x
soluble molecules, such as oxygen (O2) and carbon dioxide (CO2), to diffuse through it readil
x x x x x x x x x x x x x x
y. The other options do not correctly describe this process.
x x x x x x x x x x
x
PTS: 1 x x REF: Pages 12-13 x x x
x
10. The fluid mosaic model explains:
x x x x x
a. How a cell membrane functions x x x x x
b. Why our bodies appear to be solid x x x x x x x
c. How tissue is differentiated x x x x
d. How fluid moves between the intracellular and extracellular compartments
x x x x x x x x x
x
x
NURSINGTB.COM