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NURS 5315 ADVANCED PATHOPHYSIOLOGY UTA EXAM 1 (LATEST 2025 / 2026 UPDATE) REAL QUESTIONS AND VERIFIED ANSWERS | 100% CORRECT | ALREADY GRADED A+.
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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"
gland during childhood. Disuse atrophy- someone that ends up being paralyzed"
size of organ. Caused by hormonal stimulation or increased functional demand."
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"
heart)
factor-alpha, and C-reactive protein"
transforms to 3 ketone bodies:
sugar. Starvation and Type 2 DM can lead to this."
oxaloacetate to form citrate. Also transforms into ketone bodies by hepatocytes"
carbs). During starvation or uncontrolled diabetes, oxaloacetate levels are insufficient because it has been completely used by gluconeogenesis. Depletion of oxaloacetate increases amount of Acetyl CoA."
TX= main tumor not measured T0= tumor cannot be found T1=T4=size or extent of main tumor. Higher the number, larger it is N= node involvement NX= cannot be measured N0=no cancer in lymph nodes N1-N3= number of lymph nodes. Higher the number, the more lymph nodes that contain cancer M= presence of metastasis MX=cannot be measured M0=cancer has not spread to other parts of body M1=Cancer has spread to other parts of body"
cancer"
paresthesia, paralysis, cardiac arrest"
When calcium rises, phosphate falls, and vice versa. Regulated by PTH, vitamin D, and calcitonin."
cell permeability to Na+ --> threshold potential farther from RMP --> LESS EXCITABLE."
permeability to Na+ --> threshold potential closer to RMP --> MORE EXCITABLE"
paresthesia, seizures, dysrhythmias"
vomiting, constipation, weakness, fatigue, confusion, coma"
radiation"
mitochondrial function --> decreased ATP --> increases anaerobic metabolism. Also causes cessation of protein synthesis."
P. Still functional Physiologic: thymus gland in early childhood
Pathological: disuse"
P. Increased workload Physiologic: weightlifting Pathologic: cardiomegaly from HTN"
P. Increased cellular division Physiologic: liver regeneration Pathologic: endometrial- usually r/t hormones"
P. AKA atypical hyperplasia, a disorderly proliferation Physiologic: N/A Pathologic: squamous dysplasia of cervix from HPV"
P. reprogramming of stem cells, reversible Physiologic: N/A Pathologic: stratified squamous cells in bronchial lining r/t cigarette smoke"
P. decrease in mitochondrial function, decreased production of ATP increases anaerobic metabolism. eventual cell death. C.M. hypoxia, cyanosis, cognitive impairment, lethargy"
overwhelm the mitochondria- exhaust intracellular antioxidants P. lipid peroxidation, damage proteins, fragment DNA C.M. development in Alzheimer's, heart disease, Parkinson's disease, Amyotrophic Lateral Sclerosis"
nutritional status P. metabolized by liver, generates free radicals C.M. CNS depression, nutrient deficiencies-Mag, Vit B6, thiamine, PO4, inflammation and fatty infiltration of liver, hepatomegaly, leads to liver failure irreversible"
weight, becomes distended and pale. Associated with high fever, hypocalcemia, certain infections"
glandular or squamous cells- cervix"
liver"
tract"
surrounding tissues. Cells then may invade blood and lymphatic vessels. They must survive in circulation, then enter and survive in a new location. Then the cells can multiply and form a new tumor."
ability N= whether lymph nodes are involved M= extra nodal involvement (liver, lungs)"
280-295 mOsm"
nutrients- 20%"
concentration of solute to one of higher concentration"
exerted by solute molecules of a given compartment"
vessels, the force of fluid against the walls of a compartment- venous obstruction, Na and water retention"
compartment, attracts water from interstitial space back into the capillary- losses or diminished albumin"
arterial space- ECF changes will cause changes in the EABV in the same direction"
deficit, Na excess, or hypotension. Causes kidneys to reabsorb water, increasing plasma volume"
elevated triglycerides or serum proteins"
osmotic pressure leads to fluid shift from intracellular to extracellular"
r/t intake or renal impairment"
Type II DM for hypokalemia"
potassium to escape during acidosis, visa versa for alkalosis"
adrenergic antagonists cause K+ movement into the cell. Alpha adrenergic receptors shift K+ out of the cell"
cell via osmosis. K+ will also shift out, causing hyperkalemia."
and allowing K+ to leave cell"
tubule system"
increases= other one decreases, rehulated by PTH, Vit D, calcitonin"
keeping balance. when mag is low, more K+ exits the call, and is excreted via the kidneys."
alkalosis decreases ionized Ca+ and may cause symptoms of hypocalcemia"
calcium levels will also be low as there is less protein available for binding"
diminished renal excretion of hydrogen C.M hyperventilation (compensatory), h/a, n/v/d, dehydration, hypotension pH <7.4 HCO3 <22"
C.M. slow, shallow respirations, irritability, twitching, s/s of hypokalemia pH >7.4 HCO3 >26"
C.M. restless, confused, seizures, tachycardia pH <7.4 PaCO2 >44"
drugs C.M. light-headed, confused, tetany pH >7.4 PaCO2 <38" "pH normal HCO3 normal
frequency in a population"
Less excitable. Weakness, hyporeflexia, fatigue, lethargy, confusion, encephalopathy, depressed T waves"
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."
of mitosis. Can ONLY happen in cells that are capable of mitosis (cell division)."
epidermal cells.
mature cells due to persistent, severe cell injury or irritation"
of the cervix that must undergo treatment."
another cell). Exposure to chronic stressors, injury or irritation, like smoking or hydrochloric acid from heart burn"
squamous cells (chronic smokers). Less common is change from squamous to columnar cells, like in Barrett Esophagus caused by heart burn."
glandular or squamous origin. Sites including cervix, skin, oral cavity, esophagus, and bronchus"
asphyxiation, drowning)
Triggers oxygen intermediates which causes cell membrane damage and mitochondrial calcium overload. Xanthine dehydrogenase --> xanthine oxidate. This makes large amounts of free radicals, superoxide, and hydrogen peroxide. Causes cell membrane damage and mitochondrial calcium overload"
impaired. Seen in tissue transplantation, ischemic syndromes of the heart, liver, intestines, kidneys, and cerebrum."
shell. This makes the molecule unstable. Cause cellular injury, aging, and disease to occur."
ATP production in mitochondria. ROS can overwhelm the mitochondria and exhaust intracellular antioxidants. Also produced by absorption of high energy sources like radiation or UV light."
infiltration, hepatomegaly, acute liver necrosis, suppressed fatty acid oxidation. Chronic ethanol use is mainly seen in the stomach and liver, and is caused by free radicals. Elevated anion gap and osmolar gap >10 is diagnostic"
blood flow. (ie: heart attack, cold leg, MI)"
cellular proliferation that would result in a large body. Clinical implications: neurodegenerative disease, ischemic injury, death of virus infected cells"
autophagy is triggered. During times of metabolic stress, autophagy provides ATP and other macromolecules for energy and cell survival. When stress progresses, it leads to cell death"
which results in chronic inflammation"
neurons and glial cells in the brain"
but no evidence of metastasis"
Autosomal recessive"
radical/ROS"
differentiated cancer cells look more like normal cells and tend to grow and spread more slowly than poorly differentiated or undifferentiated cancer cells."
H+ (positive charge). Binds calcium (about 40%)."
losses or diminished production of plasma albumin. Causes fluid to move into the interstitial space, resulting in EDEMA."
compartment. PULLS."
response to water deficit, sodium excess, or low BP. Causes kidneys to reabsorb water thus increasing intervascular/plasma fluid."
volume. Low blood volume --> renin --> angiotensinogen --> angiotensin 1 --> ACE (angiotensin converting enzyme) converts angiotensin 1 to angiotensin 2 -->causes arterial vasoconstriction --
release of aldosterone --> renal Na+ and H2O reabsorption and K+ excretion. Produces LESS urine and blood volume INCREASES. Manages BP - when body constricts, BP increases"
heart to decrease blood volume by promoting urinary excretion of Na+ and H2O. Decreases blood volume. Opposite of RAAS."
concentration, causing INCREASED osmolality. Causes cells to SHRINK."
to become more dilute, causes cells to SWELL."
turgor, dry mucous membranes, sunken eyes, sunken fontanels (in babies), decreased urine output, fatigue"
movement in affected area"
oncotic pressure" "Glomerular disease, trauma victims, hemorrhage, burns, and cirrhosis of the liver can result in
obstruction --> increased hydrostatic pressure --> fluid is pushed out of the vascular space into the interstitial space"
protein production --> decreased oncotic pressure and osmotic pressure --> fluid moves into the interstitium"
times of inflammation (trauma, crushing injuries, burns, neoplastic diseases, allergic reactions, infections). Increased capillary permeability allows large amounts of fluid to escape and enter the interstitial space."
channels are blocked because of infection or tumor. Proteins and fluids are not reabsorbed and accumulate in the interstitial space, causing lymphedema."
loss.
Patho: Body will compensate by hyperventilation or Kussmaul respirations, increased ionized calcium"
(gastric suctioning, excessive vomiting, diuretic use) Clinical Manifestations: Hypokalemia, cardiac arrhythmias, hyperactive reflexes, hypocalcemia weakness, slow shallow respirations Patho: Hypokalemia, decreased ionized calcium"
impaired respiratory musculature from Guillian Barre or multiple sclerosis, OSA, asthma, ARDS, COPD, PNA Clinical Manifestations: Headache, restlessness, blurred vision, apprehension, lethargy, muscle twitching, tremors, convulsions Patho: Hypoventilation (mechanical ventilation may be required)"
high altitudes, fever, sepsis, anemia, anxiety, hepatic failure, salicylate overdose Clinical Manifestations: dizziness, confusion, paresthesias, convulsions, seizures, coma"
Ammonium"
Adenine, cytosine, guanine, thymine Thymine <--> adenine Guanine <--> cytosine"
hydrogen bond between the bases, leaving a single strand with each base unpaired. The consistent pairing of TA and GC is key to accurate replication. DNA polymerase travels along a single DNA strand, adding the correct nucleotides to the free end of each new strand."
formation from DNA. Uracil <--> adenine Guanine <--> cytosine"
mRNA"
with tRNA and ribosomes to create amino acids"
chromosomes. Reproduce through meiosis. When the sperm and egg join, the two sets of 23 chromosomes form a complete set of 46 chromosomes."
pairs of chromosomes. Reproduce through mitosis. 23 pairs of chromosomes or 46 chromosomes total."
46 chromosomes Ex: Liver, bronchial and epithelial tissues are normally polyploid. A zygote having 3 or 4 copies of each chromosome, rather than 2 has triploidy or tetraploidy which almost always results in spontaneous abortion/stillborn."
multiple of 23 chromosomes (can contain more or less, like 45 or 47). Caused by nondisjunction (failure for the chromosomes to divide properly). Ex: Spontaneous abortion, still born, birth defects"
chromosomes are all chromosomes which do not have any relation to gender. Ex: Trisomy 13, 18, 21 (can survive, others don't survive). Trisomy 21 causes down syndrome (low IQ, low nasal bridge, poor muscle tone, short stature, lower life expectancy)"
serious than autosomal aneuploidy. Atypical number of X or Y. Ex: Trisomy X, Turner syndrome, Klinefelter"
of DNA. Ex: Cri de chat "cry of the cat" syndrome"