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SAMPLE EXAM QUESTIONS PATHOLOGY 300: HUMAN DISEASE February, 2008 SECTION 1. Choose the correct answer: 1. Which of the following is NOT true about misfolded proteins: 1 they can be refolded by protein chaperones 2 they may be ubiquitinated and subsequently digested 3 they can accumulate within the cell and trigger apoptosis 4 they accumulate within neurons in some neurodegenerative diseases 5 they depress the synthesis of protein chaperones Text, p 22 2. Coagulative necrosis is a characteristic feature seen in: 1 the brain following ischemic death of neurons 2 the heart following a myocardial infarct 3 the lung following a severe, but localized bacterial infection 4 the liver following excessive consumption of alcohol 5 the lung following infection with Mycobacterium tuberculosis Text, p 10 3. Which of the following is NOT associated with free radical injury to cells: 1 lipid peroxidation in membranes 2 increased production of ATP in mitochondria 3 structural lesions in DNA 4 initiation of chain reactions that increase tissue damage 5 cross-linking of proteins Text, p 17 SECTION 2. Choose the answer according to the following code: Choose 1 if only A + C are correct 2 if only B + D are correct 3 if only A + B + C are correct 4 if only A + C + E are correct 5 if all are correct 4. Which of the following situations normally require the process of apoptosis: A development of the human hand during embryogenesis B atrophy of limb muscles during prolonged inactivity C T cell killing of cells infected by viruses D formation of a granuloma in the lung of a patient with tuberculosis E continual turnover of epithelial cells in the skin and intestinal lining Text, p 19 5. Which of the following are true about ischemic cell injury: A mitochondrial production of ATP is markedly reduced B activity of the Na-K pump in the plasma membrane is reduced C the cell gains Na and water, and begins to swell D glycolysis is elevated and lactic acid accumulates E protein synthesis is reduced Text, p18 6. Factors associated with Type 1 hypersensitivity include: A increased production of IgE B peripheral vasoconstriction C reaction of antigen with bound IgE D granuloma formation in response to antigen exposure E release of prostaglandins and leukotrienes from mast cells Text, p 121 7. During an inflammatory reaction, the quantity of exudate in the interstitium is related to: A the osmotic pressure of the interstitial fluid B the quantity of chemical mediators (histamine, bradykinin...) released C the extent of injury to endothelial cells D the number of regenerating capillaries in the area E the hydrostatic pressure in the microcirculation Text, p 34 SECTION 3: Decide if each statement in the pair is true or false If they are both true, decide if the second is the cause of the first Choose the correct answer according to the following code: Choose 1 if True, True, causally related 2 if True, True, unrelated 3 if True, False 4 if False, True 5 if False, False 8. Hypertrophy is never observed in uterine smooth muscle BECAUSE Uterine smooth muscle can undergo hyperplasia in response to hormone stimulation Text, p 3 9. The extent of a myocardial infarct can be estimated by quantifying plasma enzyme levels BECAUSE Necrotic cell death is accompanied by release of intracellular enzymes into the circulation Text, p 18 10. Neurological abnormalities are common in patients with AIDS BECAUSE HIV selectively infects cortical neurons and triggers extensive neuronal lysis Text, p 162 MIDTERM EXAM Thursday, February 21, 7 - 8:30 pm in FIELDHOUSE AUDITORIUM (LEA 132) Exam questions cover material from lectures 1-12 (Jan 3 - Feb 12). BRING YOUR ID