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NURS 5315 ADVANCED PATHOPHYSIOLOGY UTA EXAM, Exams of Pathophysiology

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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NURS 5315 ADVANCED PATHOPHYSIOLOGY UTA EXAM 1 (LATEST
2025 / 2026 UPDATE) REAL QUESTIONS AND VERIFIED ANSWERS
| 100% CORRECT | ALREADY GRADED A+.
“What can Reactive Oxygen Species cause? - CORRECT ANSWER 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"
"Atrophy examples - CORRECT ANSWER Physiologic atrophy- shrinking of the thymus
gland during childhood.
Disuse atrophy- someone that ends up being paralyzed"
"Hypertrophy - CORRECT ANSWER Increase in SIZE of cells, which will lead to increase in
size of organ. Caused by hormonal stimulation or increased functional demand."
"Hypertrophy examples - CORRECT ANSWER 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*"
"Hypoxic injury clinical manifestations - CORRECT ANSWER 1. Increased CK (muscle and
heart)
2. Increased LDH (muscle, liver, lung, heart, RBC, brain)
3. Increased ALT and AST (liver)
4. Increased troponin (heart)"
"What lab values are elevated as we age? - CORRECT ANSWER Interleukin 1, tumor necrosis
factor-alpha, and C-reactive protein"
"Role of hepatocytes - CORRECT ANSWER Acetyl CoA is processed by hepatocytes and
transforms to 3 ketone bodies:
1. Acetoacetate
2. Acetone
3. B-hydroxybutyrate"
"Role of mitochondria - CORRECT ANSWER Ketogenesis: occurs mostly in the hepatocytes"
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Download NURS 5315 ADVANCED PATHOPHYSIOLOGY UTA EXAM and more Exams Pathophysiology in PDF only on Docsity!

NURS 5315 ADVANCED PATHOPHYSIOLOGY UTA EXAM 1 (LATEST

2025 / 2026 UPDATE) REAL QUESTIONS AND VERIFIED ANSWERS

| 100% CORRECT | ALREADY GRADED A+.

“What can Reactive Oxygen Species cause? - CORRECT ANSWER 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"

"Atrophy examples - CORRECT ANSWER Physiologic atrophy- shrinking of the thymus

gland during childhood. Disuse atrophy- someone that ends up being paralyzed"

"Hypertrophy - CORRECT ANSWER Increase in SIZE of cells, which will lead to increase in

size of organ. Caused by hormonal stimulation or increased functional demand."

"Hypertrophy examples - CORRECT ANSWER 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"

"Hypoxic injury clinical manifestations - CORRECT ANSWER 1. Increased CK (muscle and

heart)

  1. Increased LDH (muscle, liver, lung, heart, RBC, brain)
  2. Increased ALT and AST (liver)
  3. Increased troponin (heart)"

"What lab values are elevated as we age? - CORRECT ANSWER Interleukin 1, tumor necrosis

factor-alpha, and C-reactive protein"

"Role of hepatocytes - CORRECT ANSWER Acetyl CoA is processed by hepatocytes and

transforms to 3 ketone bodies:

  1. Acetoacetate
  2. Acetone
  3. B-hydroxybutyrate"

"Role of mitochondria - CORRECT ANSWER Ketogenesis: occurs mostly in the hepatocytes"

"What triggers ketogenesis? - CORRECT ANSWER Unavailability of glucose. Keto diet = no

sugar. Starvation and Type 2 DM can lead to this."

"Role of Acetyl-CoA - CORRECT ANSWER Returns to citric acid cycle and combines with

oxaloacetate to form citrate. Also transforms into ketone bodies by hepatocytes"

"Oxaloacetate - CORRECT ANSWER Used in gluconeogenesis (process of getting sugars from

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."

"Breast cancer site of metastasis? - CORRECT ANSWER Bones, lung, liver, brain"

"Head and neck cancer site of metastasis? - CORRECT ANSWER Lymphatics, liver, bones"

"Sarcoma site of metastasis? - CORRECT ANSWER Lungs"

"Melanoma site of metastasis? - CORRECT ANSWER Lymphatics, lung, liver, brain, GI"

"Origin of cancer from adeno? - CORRECT ANSWER Glandular Epithelial"

"TNM Staging System - CORRECT ANSWER T= tumor spread

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"

"BRCA gene - CORRECT ANSWER Increases risk for developing ovarian, breast, and prostate

cancer"

  1. Decreased oncotic pressure
  2. Increased capillary membrane permeability
  3. Lymphatic channel obstruction"

"Hyperkalemia clinical manifestations - CORRECT ANSWER Syncope, weakness,

paresthesia, paralysis, cardiac arrest"

"Relationship between calcium and phosphorous? - CORRECT ANSWER React OPPOSITELY.

When calcium rises, phosphate falls, and vice versa. Regulated by PTH, vitamin D, and calcitonin."

"Hypercalcemia effect on action potential - CORRECT ANSWER Hypercalcemia decreases

cell permeability to Na+ --> threshold potential farther from RMP --> LESS EXCITABLE."

"Hypocalcemia effect on action potential - CORRECT ANSWER Hypocalcemia increases cell

permeability to Na+ --> threshold potential closer to RMP --> MORE EXCITABLE"

"Hypocalcemia clinical manifestations - CORRECT ANSWER Tetany, hyperreflexia,

paresthesia, seizures, dysrhythmias"

"Hypercalcemia clinical manifestations - CORRECT ANSWER Polyuria, renal stones, nausea,

vomiting, constipation, weakness, fatigue, confusion, coma"

"Huntingtons disease - CORRECT ANSWER Diseased dominant allele"

"Cystic fibrosis - CORRECT ANSWER Autosomal recessive"

"Phenylkenonuria - CORRECT ANSWER Homozygous recessive"

"Clastogens - CORRECT ANSWER Harmful agents which damage chromosomes. Ex:

radiation"

"Hypoxic injury pathophysiology - CORRECT ANSWER Lack of O2 --> decrease in

mitochondrial function --> decreased ATP --> increases anaerobic metabolism. Also causes cessation of protein synthesis."

Atrophy - CORRECT ANSWER E. Cells decrease in size

P. Still functional Physiologic: thymus gland in early childhood

Pathological: disuse"

"Hypertrophy - CORRECT ANSWER E. Increase in cell size

P. Increased workload Physiologic: weightlifting Pathologic: cardiomegaly from HTN"

"Hyperplasia - CORRECT ANSWER E. Increase in cell number

P. Increased cellular division Physiologic: liver regeneration Pathologic: endometrial- usually r/t hormones"

"Dysplasia - CORRECT ANSWER E. Cells change in size, shape, organization

P. AKA atypical hyperplasia, a disorderly proliferation Physiologic: N/A Pathologic: squamous dysplasia of cervix from HPV"

"Metaplasia - CORRECT ANSWER E. one cell type replaced with another

P. reprogramming of stem cells, reversible Physiologic: N/A Pathologic: stratified squamous cells in bronchial lining r/t cigarette smoke"

"Hypoxia injury - CORRECT ANSWER E. inadequate oxygenation of tissues

P. decrease in mitochondrial function, decreased production of ATP increases anaerobic metabolism. eventual cell death. C.M. hypoxia, cyanosis, cognitive impairment, lethargy"

"Free radical and ROS - CORRECT ANSWER E. normal byproduct of ATP production, will

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"

"Ethanol - CORRECT ANSWER E. mood altering drug, long term effects on liver and

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"

"Oncosis - CORRECT ANSWER Na and H2O enter cell and cause swelling. Organ increases in

weight, becomes distended and pale. Associated with high fever, hypocalcemia, certain infections"

"Alpha Fetoprotein Origin - CORRECT ANSWER Liver and germ cell tumors"

"Carcinoembryonic Antigen - CORRECT ANSWER GI, pancreas, lung, breast tumors"

"Beta Human Chorionic gonadotropin origin - CORRECT ANSWER germ cell tumors"

"Prostate Specific Antigen - CORRECT ANSWER prostate tumors"

"Carcino- - CORRECT ANSWER from epithelial tissue- renal cell carcinoma"

"Sarco- - CORRECT ANSWER from connective tissue- chondrosarcoma"

"-oma - CORRECT ANSWER benign tumor- lipoma"

"Carcinoma in situ - CORRECT ANSWER preinvasive epithelial malignant tumors of

glandular or squamous cells- cervix"

"-blastoma - CORRECT ANSWER from blasts or immature cells- neuroblastoma"

"Lung ca metastasis - CORRECT ANSWER Multiple organs including brain"

"Colorectal ca metastasis - CORRECT ANSWER Liver, lungs"

"Testicular ca metastasis - CORRECT ANSWER Liver, lungs, brain"

"Prostate ca metastasis - CORRECT ANSWER Bones (especially lumbar spine), liver"

"Breast ca metastasis - CORRECT ANSWER Liver, lungs, brain, bones"

"Head and neck ca metastasis - CORRECT ANSWER Liver, bones, lymphatics"

"Ovarian ca metastasis - CORRECT ANSWER Peritoneal surfaces, diaphragm, omentum,

liver"

"Sarcoma metastasis - CORRECT ANSWER Lungs"

"Melanoma metastasis - CORRECT ANSWER In transit lymphatics, lung, liver, brain, GI

tract"

"Mechanisms of ca metastasis - CORRECT ANSWER Local invasion, followed by invasion of

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."

"TNM staging system - CORRECT ANSWER T= tumor size >/= correlates with metastatic

ability N= whether lymph nodes are involved M= extra nodal involvement (liver, lungs)"

"Intravascular fluid compartment - CORRECT ANSWER In venous system- 20%"

"Osmolality - CORRECT ANSWER The measure of solute concentration in a fluid.

280-295 mOsm"

"Interstitial fluid compartment - CORRECT ANSWER Surrounds the cells and bathes them in

nutrients- 20%"

"Intracellular fluid compartment - CORRECT ANSWER Within the cells- 40% uk"

"Osmosis - CORRECT ANSWER Passive- the movement of water from an area of low

concentration of solute to one of higher concentration"

"Osmotic pressure - CORRECT ANSWER Pulling- the amount of pressure or force that is

exerted by solute molecules of a given compartment"

"Hydrostatic pressure - CORRECT ANSWER Blood pressure- pushes fluid outside of the

vessels, the force of fluid against the walls of a compartment- venous obstruction, Na and water retention"

"Oncotic pressure - CORRECT ANSWER Colloid pressure keeps water inside the

compartment, attracts water from interstitial space back into the capillary- losses or diminished albumin"

"Effective arterial blood volume - CORRECT ANSWER The amount of blood within the

arterial space- ECF changes will cause changes in the EABV in the same direction"

"Antidiuretic hormone - CORRECT ANSWER Secreted by pituitary gland in response to water

deficit, Na excess, or hypotension. Causes kidneys to reabsorb water, increasing plasma volume"

"isotonic hyponatremia - CORRECT ANSWER mOsm 280-295- not true hypovolemia- from

elevated triglycerides or serum proteins"

"hypertonic hyponatremia - CORRECT ANSWER mOsm >295- from solutes other than Na-

osmotic pressure leads to fluid shift from intracellular to extracellular"

"hypotonic hyponatremia - CORRECT ANSWER mOsm <280 and urine Na >100- fluid excess

r/t intake or renal impairment"

"insulin effect on K+ - CORRECT ANSWER K+ enters cell with glucose transport. Monitor

Type II DM for hypokalemia"

"acid base balance effect on K+ - CORRECT ANSWER hydrogen enters cell, allowing

potassium to escape during acidosis, visa versa for alkalosis"

"Adrenergic agents effect on K+ - CORRECT ANSWER albuterol, beta blockers, and alpha

adrenergic antagonists cause K+ movement into the cell. Alpha adrenergic receptors shift K+ out of the cell"

"Osmolality effect on K+ - CORRECT ANSWER hyperosmolality causes water to shift out of

cell via osmosis. K+ will also shift out, causing hyperkalemia."

"Cell lysis effect on K+ - CORRECT ANSWER intracellular K+ is released into bloodstream"

"Exercise effect on K+ - CORRECT ANSWER cellular ATP is diminished, opening K+ channels

and allowing K+ to leave cell"

"Kidneys effect on K+ - CORRECT ANSWER excretion and absorption of K+ is regulated by

tubule system"

"calcium and phosphorus relationship - CORRECT ANSWER inverse relationship- if one

increases= other one decreases, rehulated by PTH, Vit D, calcitonin"

"magnesium and potassium - CORRECT ANSWER mag inhibits the potassium channels,

keeping balance. when mag is low, more K+ exits the call, and is excreted via the kidneys."

"calcium and ionized calcium - CORRECT ANSWER acidosis increases ionized Ca+

alkalosis decreases ionized Ca+ and may cause symptoms of hypocalcemia"

"calcium and albumin - CORRECT ANSWER When blood levels of albumin are low, serum

calcium levels will also be low as there is less protein available for binding"

"metabolic acidosis - CORRECT ANSWER E. increased acid production, loss of bicarb,

diminished renal excretion of hydrogen C.M hyperventilation (compensatory), h/a, n/v/d, dehydration, hypotension pH <7.4 HCO3 <22"

"metabolic alkalosis - CORRECT ANSWER E. GI loss, diuretic use

C.M. slow, shallow respirations, irritability, twitching, s/s of hypokalemia pH >7.4 HCO3 >26"

"respiratory acidosis - CORRECT ANSWER E. cns depression, airway abnormalities

C.M. restless, confused, seizures, tachycardia pH <7.4 PaCO2 >44"

"respiratory alkalosis - CORRECT ANSWER E. usually anxiety, PE, chf, salicylate OD, illegal

drugs C.M. light-headed, confused, tetany pH >7.4 PaCO2 <38" "pH normal HCO3 normal

PaCO2 normal - CORRECT ANSWER 7.35-7.

"Allele - CORRECT ANSWER Paired genes on autosomal chromosomes"

"Locus - CORRECT ANSWER Position in which a gene occupies on a chromosome"

"Phenotype - CORRECT ANSWER Outward appearance of an individual"

"Genotype - CORRECT ANSWER A map of ones specific genes"

"Polymorphic - CORRECT ANSWER Two or more alleles which occur with an appreciable

frequency in a population"

"Homozygous - CORRECT ANSWER Two dominant or recessive alleles"

"Hypercalcemia and action potentials - CORRECT ANSWER Decreased permeability to Na+.

Less excitable. Weakness, hyporeflexia, fatigue, lethargy, confusion, encephalopathy, depressed T waves"

"Atrophy - CORRECT ANSWER 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."

"Hyperplasia - CORRECT ANSWER Increase in NUMBER of cells. Results from increased rate

of mitosis. Can ONLY happen in cells that are capable of mitosis (cell division)."

"Hyperplasia examples - CORRECT ANSWER 1. Thickening of skin because of hyperplasia of

epidermal cells.

  1. Hormonal hyperplasia- occurs in estrogen dependent organs like uterus and breast.
  2. Compensatory hyperplasia- liver regenerates, callus on skin
  3. Pathologic hyperplasia- estrogen is unopposed by progesterone and the endometrial lining undergoes hyperplasia and increased risk for endometrial cancer"

"Dysplasia - CORRECT ANSWER abnormal changes in the size, shape, and organization of

mature cells due to persistent, severe cell injury or irritation"

"Dysplasia examples - CORRECT ANSWER Pre cancer pap smears often show dysplastic cells

of the cervix that must undergo treatment."

"Metaplasia - CORRECT ANSWER Changed cell that is REVERSIBLE (one cell is replaced by

another cell). Exposure to chronic stressors, injury or irritation, like smoking or hydrochloric acid from heart burn"

"Metaplasia examples - CORRECT ANSWER Most common is change from columnar cells to

squamous cells (chronic smokers). Less common is change from squamous to columnar cells, like in Barrett Esophagus caused by heart burn."

"Carcinoma in situ - CORRECT ANSWER Pre-invasive epithelial malignant tumors of

glandular or squamous origin. Sites including cervix, skin, oral cavity, esophagus, and bronchus"

"Hypoxic injury - CORRECT ANSWER 1. Decrease in oxygen in the air (high altitudes,

asphyxiation, drowning)

  1. Loss of hemoglobin function (hemorrhage or sickle cell anemia)
  2. Decrease in production of red blood cells (anemia or leukemia)
  1. Diseases of cardiopulmonary systems (ischemia, blood supply loss, arteriosclerosis)"

"Reperfusion injury - CORRECT ANSWER Oxygen supply is restored to ischemic tissues.

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"

"Reperfusion injury clinical manifestations - CORRECT ANSWER White blood cell count is

impaired. Seen in tissue transplantation, ischemic syndromes of the heart, liver, intestines, kidneys, and cerebrum."

"Free Radical - CORRECT ANSWER Molecules that have an unpaired electron on its outer

shell. This makes the molecule unstable. Cause cellular injury, aging, and disease to occur."

"Reactive Oxygen Species (ROS) - CORRECT ANSWER Produced as a normal byproduct of

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."

"Ethanol - CORRECT ANSWER Acute affects in the liver include inflammation, fatty

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"

"Infarct - CORRECT ANSWER Form of necrosis that is a SUDDEN insufficiency of arterial

blood flow. (ie: heart attack, cold leg, MI)"

"Apoptosis - CORRECT ANSWER Programmed cell death (normal). Needed to prevent

cellular proliferation that would result in a large body. Clinical implications: neurodegenerative disease, ischemic injury, death of virus infected cells"

"Autophagy - CORRECT ANSWER Autodigestion of the cell. When cells lack nutrition,

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"

"Aging - CORRECT ANSWER Body released more cytokines and proinflammatory substances

which results in chronic inflammation"

"Liquefactive necrosis - CORRECT ANSWER Commonly results from ischemic injury to

neurons and glial cells in the brain"

"What does T3N2M0 in cancer staging mean? - CORRECT ANSWER large, with local nodes

but no evidence of metastasis"

"What kind of genetics does a person with cystic fibrosis have? - CORRECT ANSWER

Autosomal recessive"

"Which type of cellular injury can cause Alzheimers? - CORRECT ANSWER Free

radical/ROS"

"Well differentiated vs undifferentiated cancer cells - CORRECT ANSWER Well-

differentiated cancer cells look more like normal cells and tend to grow and spread more slowly than poorly differentiated or undifferentiated cancer cells."

"What is the main plasma protein? - CORRECT ANSWER Albumin (negative charge). Buffers

H+ (positive charge). Binds calcium (about 40%)."

"What does a decreased plasma oncotic pressure mean? - CORRECT ANSWER Results from

losses or diminished production of plasma albumin. Causes fluid to move into the interstitial space, resulting in EDEMA."

"Oncotic pressure - CORRECT ANSWER Force that KEEPS water/fluid within a

compartment. PULLS."

"Antidiuretic hormone - CORRECT ANSWER VASOPRESSIN. Secreted by pituitary gland in

response to water deficit, sodium excess, or low BP. Causes kidneys to reabsorb water thus increasing intervascular/plasma fluid."

"Renin Angiotensin Aldosterone System (RAAS) - CORRECT ANSWER Activated by low blood

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"

"Normal plasma osmolality - CORRECT ANSWER 280-295 mOsm/kg"

"Natriuretic hormones - CORRECT ANSWER ANP and BNP. Hormones released from the

heart to decrease blood volume by promoting urinary excretion of Na+ and H2O. Decreases blood volume. Opposite of RAAS."

"How does a hypertonic solution alter osmolality? - CORRECT ANSWER Increases solute

concentration, causing INCREASED osmolality. Causes cells to SHRINK."

"How does a hypotonic solution alter osmolality? - CORRECT ANSWER Intravascular space

to become more dilute, causes cells to SWELL."

"Fluid volume deficit (dehydration) clinical manifestations - CORRECT ANSWER Poor skin

turgor, dry mucous membranes, sunken eyes, sunken fontanels (in babies), decreased urine output, fatigue"

"Edema clinical manifestations - CORRECT ANSWER Pitting, swelling, puffiness, limited

movement in affected area"

"Liver disease and protein malnutrition can result in what? - CORRECT ANSWER Decreased

oncotic pressure" "Glomerular disease, trauma victims, hemorrhage, burns, and cirrhosis of the liver can result in

what? - CORRECT ANSWER Decreased oncotic pressure"

"How does edema cause increased hydrostatic pressure? - CORRECT ANSWER Venous

obstruction --> increased hydrostatic pressure --> fluid is pushed out of the vascular space into the interstitial space"

"How does edema cause decreased oncotic pressure? - CORRECT ANSWER Decreased plasma

protein production --> decreased oncotic pressure and osmotic pressure --> fluid moves into the interstitium"

"How does edema cause increased capillary permeability? - CORRECT ANSWER Results from

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."

"How does edema cause lymphatic channel obstruction? - CORRECT ANSWER Lymphatic

channels are blocked because of infection or tumor. Proteins and fluids are not reabsorbed and accumulate in the interstitial space, causing lymphedema."

"Hypovolemic hypernatremia - CORRECT ANSWER Occurs as a result of sodium and water

loss.

Patho: Body will compensate by hyperventilation or Kussmaul respirations, increased ionized calcium"

"Metabolic alkalosis - CORRECT ANSWER Causes: Excess of bicarbonate, deficiency of H+

(gastric suctioning, excessive vomiting, diuretic use) Clinical Manifestations: Hypokalemia, cardiac arrhythmias, hyperactive reflexes, hypocalcemia weakness, slow shallow respirations Patho: Hypokalemia, decreased ionized calcium"

"Respiratory Acidosis - CORRECT ANSWER Causes: Hypoventilation, respiratory depression,

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)"

"Respiratory Alkalosis - CORRECT ANSWER Causes: Hyperventilation, hypoxemia, PE, CHF,

high altitudes, fever, sepsis, anemia, anxiety, hepatic failure, salicylate overdose Clinical Manifestations: dizziness, confusion, paresthesias, convulsions, seizures, coma"

"Chronic metabolic acidosis will enhance resorption of what? - CORRECT ANSWER

Ammonium"

"What are the 4 nitrogenous bases of DNA? How do they pair up? - CORRECT ANSWER

Adenine, cytosine, guanine, thymine Thymine <--> adenine Guanine <--> cytosine"

"How does DNA replication occur? - CORRECT ANSWER Consists of breaking the weak

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."

"What is RNA? - CORRECT ANSWER Responsible for transcription, translation, protein

formation from DNA. Uracil <--> adenine Guanine <--> cytosine"

"Transcription - CORRECT ANSWER RNA is synthesized from DNA resulting in creating of

mRNA"

"Translation - CORRECT ANSWER RNA directs synthesis of polypeptides. mRNA interacts

with tRNA and ribosomes to create amino acids"

"Gamete cell - CORRECT ANSWER Mature sperm or egg cell. Haploid, contain 23

chromosomes. Reproduce through meiosis. When the sperm and egg join, the two sets of 23 chromosomes form a complete set of 46 chromosomes."

"Somatic cells - CORRECT ANSWER All other cells in the body. Diploid, 46 chromosomes or 23

pairs of chromosomes. Reproduce through mitosis. 23 pairs of chromosomes or 46 chromosomes total."

"Polyploidy and its clinical manifestations - CORRECT ANSWER When a cell has more than

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."

"Aneuploidy and its clinical manifestations - CORRECT ANSWER Cells that do not contain

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"

"Autosomal aneuploidy and its clinical manifestations - CORRECT ANSWER Autosomal

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)"

"Sex chromosome aneuploidy and its clinical manifestations - CORRECT ANSWER Less

serious than autosomal aneuploidy. Atypical number of X or Y. Ex: Trisomy X, Turner syndrome, Klinefelter"

"Turner syndrome - CORRECT ANSWER Sex-linked monosomy"

"Klinefelter's syndrome - CORRECT ANSWER Sex linked trisomy"

"Down syndrome - CORRECT ANSWER Autosomal trisomy"

"Chromosomal deletion and examples - CORRECT ANSWER Broken chromosomes and loss

of DNA. Ex: Cri de chat "cry of the cat" syndrome"