BMS TEST 2
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Questions and Answers

Which structure in the nervous system is responsible for integrating and processing sensory information?

  • Cerebellum
  • Basal ganglia
  • Cerebral cortex (correct)
  • Dorsal root ganglia
  • Which part of the nervous system helps regulate the activities of the autonomic nervous system?

  • Medulla
  • Pons
  • Enteric ganglia (correct)
  • Midbrain
  • What is the primary function of the cerebellum in the nervous system?

  • Coordination of movement (correct)
  • Conscious perception
  • Regulation of the autonomic nervous system
  • Language and speech processing
  • Which structure in the nervous system contains the cell bodies of neurons that bring most sensory information from the peripheral nervous system to the central nervous system?

    <p>Dorsal root ganglia</p> Signup and view all the answers

    Which part of the brain is responsible for the formation, storage, and retrieval of memories?

    <p>Limbic structures</p> Signup and view all the answers

    What is the primary function of the axons in the nervous system?

    <p>Transmitting electrical signals between neurons</p> Signup and view all the answers

    Which area of the brain is primarily responsible for planning and abstract thinking?

    <p>Frontal and parietal lobes</p> Signup and view all the answers

    Which brain structure is involved in the formation of new memories?

    <p>Limbic lobe</p> Signup and view all the answers

    Where are memories typically stored in the brain?

    <p>Cortex near the associated sensory area</p> Signup and view all the answers

    Which lobe is primarily responsible for hearing?

    <p>Temporal lobe</p> Signup and view all the answers

    Which area of the brain is involved in the perception of touch and proprioception (awareness of body position)?

    <p>Postcentral gyrus</p> Signup and view all the answers

    What is the primary function of the occipital lobe?

    <p>Vision</p> Signup and view all the answers

    What is the primary function of the peripheral nervous system?

    <p>To detect stimuli and relay information to the central nervous system</p> Signup and view all the answers

    Which part of the nervous system is responsible for integrating sensory information and generating responses?

    <p>The central nervous system</p> Signup and view all the answers

    What are the two main divisions of the nervous system?

    <p>Central and peripheral</p> Signup and view all the answers

    Which of the following is NOT a major anatomic structure of the central nervous system?

    <p>Peripheral nerves</p> Signup and view all the answers

    Which part of the nervous system is responsible for controlling the digestive system?

    <p>Enteric nervous system</p> Signup and view all the answers

    Which of the following is NOT a component of the neurologic physical exam?

    <p>Endocrine system evaluation</p> Signup and view all the answers

    What is the purpose of the Romberg sign test?

    <p>To assess the function of the dorsal columns</p> Signup and view all the answers

    What is the expected outcome if the dorsal columns are damaged in the Romberg test?

    <p>The patient will not be able to maintain balance with eyes closed</p> Signup and view all the answers

    What is the purpose of the corticospinal tract test, also known as the pronator drift test?

    <p>To identify damage to the corticospinal tract</p> Signup and view all the answers

    What is the expected outcome of the corticospinal tract test if there is damage to the corticospinal tract?

    <p>The patient's arm will drift to a more pronated position, and the hand will close</p> Signup and view all the answers

    Which brain structures are part of the corticospinal tract?

    <p>The precentral gyrus and prefrontal cortex</p> Signup and view all the answers

    Which neurological function is primarily evaluated by the tests described in the text?

    <p>Motor coordination</p> Signup and view all the answers

    Which deep structure in the cerebrum regulates movements and behaviors?

    <p>The basal ganglia</p> Signup and view all the answers

    What is the primary function of the thalamus?

    <p>Relaying sensory information to the cortex</p> Signup and view all the answers

    Which of the following is a key function of the cerebellum?

    <p>Comparing sensory feedback to planned movements and making rapid adjustments</p> Signup and view all the answers

    What is the main difference between the gray matter and white matter in the spinal cord?

    <p>Gray matter contains cell bodies and unmyelinated/lightly myelinated axons, while white matter contains myelinated axons</p> Signup and view all the answers

    What is the primary role of the dorsal horn of the spinal cord gray matter?

    <p>To integrate and relay sensory information to the brain</p> Signup and view all the answers

    Why are neurons and axons in the central nervous system (brain and spinal cord) less able to regenerate compared to the peripheral nervous system?

    <p>The central nervous system is isolated from the rest of the body by the meninges and cerebrospinal fluid</p> Signup and view all the answers

    Which function of Cranial Nerve VII is responsible for controlling facial movements, such as eye opening, pursed lips, and raised eyebrows?

    <p>Somatic motor</p> Signup and view all the answers

    Which branch of Cranial Nerve VII is responsible for providing taste sensation from the anterior two-thirds of the tongue?

    <p>Special sense (taste)</p> Signup and view all the answers

    Which of the following is NOT a function of Cranial Nerve VII?

    <p>Providing somatic sensation from the eye muscles</p> Signup and view all the answers

    Where does Cranial Nerve VII exit the pons and enter the facial canal?

    <p>Internal acoustic meatus</p> Signup and view all the answers

    What is the primary function of the autonomic motor branch of Cranial Nerve VII?

    <p>Providing input to the salivary and tear glands</p> Signup and view all the answers

    Which of the following is a key function of Cranial Nerve VII that is NOT mentioned in the text?

    <p>None of the above</p> Signup and view all the answers

    Which cranial nerve is primarily responsible for vision?

    <p>Cranial Nerve II</p> Signup and view all the answers

    How would you test for anosmia (loss of smell)?

    <p>Ask the patient to identify distinctive smells</p> Signup and view all the answers

    Which cranial nerve is responsible for controlling pupillary dilation and constriction?

    <p>Cranial Nerve III</p> Signup and view all the answers

    Which of the following tests is used to assess central vision?

    <p>Snellen eye chart</p> Signup and view all the answers

    Which cranial nerve is responsible for directing the gaze laterally (abducting the eyeball)?

    <p>Cranial Nerve VI</p> Signup and view all the answers

    What is the common skull entry/exit point for Cranial Nerves III, IV, and VI?

    <p>Superior orbital fissure</p> Signup and view all the answers

    What is the primary function of cranial nerve I (olfactory nerve)?

    <p>Detecting and transmitting olfactory (smell) sensations</p> Signup and view all the answers

    Where are the nuclei (cell bodies) of most cranial nerves located?

    <p>Brainstem</p> Signup and view all the answers

    What type of information is NOT typically conveyed by cranial nerves?

    <p>Visceral motor information (involuntary muscle control)</p> Signup and view all the answers

    Which cranial nerve's nuclei are located in the midbrain?

    <p>Oculomotor (CN III) and Trochlear (CN IV)</p> Signup and view all the answers

    Which cranial nerve is responsible for controlling the muscles of facial expression?

    <p>Facial (CN VII)</p> Signup and view all the answers

    Which of the following statements about cranial nerves is NOT true?

    <p>Their nuclei are located in the cerebral cortex</p> Signup and view all the answers

    What is the primary function of the vagus nerve (Cranial Nerve X)?

    <p>Controlling the muscles involved in swallowing and vocalization</p> Signup and view all the answers

    How can the function of the vagus nerve (Cranial Nerve X) be tested?

    <p>By stimulating the posterior aspect of the pharynx and observing the gag reflex</p> Signup and view all the answers

    Which of the following is NOT a function of the vagus nerve (Cranial Nerve X)?

    <p>Controlling the muscles involved in facial expressions</p> Signup and view all the answers

    What is the meaning of the term 'vagus' in relation to the vagus nerve (Cranial Nerve X)?

    <p>It refers to the wandering or extensive distribution of the nerve</p> Signup and view all the answers

    Which of the following is NOT a function of the vagus nerve (Cranial Nerve X)?

    <p>Controlling the movements of the eyes</p> Signup and view all the answers

    What is a potential limitation of using the gag reflex test to assess the function of the vagus nerve (Cranial Nerve X)?

    <p>All of the above</p> Signup and view all the answers

    What is the primary function of the vagus nerve (cranial nerve X)?

    <p>Motor control of the vocal cords and palate elevation</p> Signup and view all the answers

    How is the function of the accessory nerve (cranial nerve XI) tested?

    <p>Having the patient shrug their shoulders and turn their head against resistance</p> Signup and view all the answers

    What is the primary function of the hypoglossal nerve (cranial nerve XII)?

    <p>Motor control of the muscles of the tongue for speech and swallowing</p> Signup and view all the answers

    Which of the following statements about the accessory nerve (cranial nerve XI) is true?

    <p>It is not considered a true cranial nerve, as its cell bodies are located in the cervical spinal cord</p> Signup and view all the answers

    Which of the following is NOT a typical way to test the function of the vagus nerve (cranial nerve X)?

    <p>Assessing the patient's ability to track objects with their eyes</p> Signup and view all the answers

    What is the expected outcome if the hypoglossal nerve (cranial nerve XII) is damaged?

    <p>Difficulty swallowing and speaking clearly due to tongue muscle impairment</p> Signup and view all the answers

    Which sugar is an aldose in the provided structures?

    <p>Glucose</p> Signup and view all the answers

    What is the configuration of Idose?

    <p>L</p> Signup and view all the answers

    In the context provided, which sugar is a ketose?

    <p>Fructose</p> Signup and view all the answers

    Which sugar among the ones listed is an epimer of Mannose?

    <p>Galactose</p> Signup and view all the answers

    What type of stereoisomers are Glucose and Idose?

    <p><strong>Epimers</strong></p> Signup and view all the answers

    Which term describes stereoisomers that are not mirror images of each other?

    <p><strong>Diastereomers</strong></p> Signup and view all the answers

    D-Glucose and D-Mannose are examples of which type of stereoisomer?

    <p><strong>Epimers</strong></p> Signup and view all the answers

    Fructose and Galactose are examples of sugars that differ in what functional group?

    <p><strong>Ketone group</strong></p> Signup and view all the answers

    Ketoses and Aldoses are differentiated based on the presence of which functional group?

    <p><strong>Aldehyde group</strong></p> Signup and view all the answers

    Which term describes stereoisomers that are mirror images of each other?

    <p>Enantiomers</p> Signup and view all the answers

    Which of the following is a key difference between glucose and fructose as indicated in the text?

    <p>Glucose is an aldose while fructose is a ketose</p> Signup and view all the answers

    According to the information provided, which of the following is true about the relationship between glucose and fructose?

    <p>Glucose and fructose are converted via an isomerization reaction</p> Signup and view all the answers

    What is the key difference between stereoisomers and structural isomers as described in the text?

    <p>Stereoisomers have the same atoms in the same order, but different spatial arrangement, while structural isomers have the same atoms but not in the same order</p> Signup and view all the answers

    According to the information provided, which of the following statements about the D and L designations for monosaccharides is correct?

    <p>D-glucose and L-glucose are assigned based on the position of the hydroxyl group attached to the chiral carbon furthest from the aldehyde or ketone group</p> Signup and view all the answers

    What is the key difference between epimers and diastereomers as described in the text?

    <p>Epimers differ at only one chiral carbon, while diastereomers may or may not differ at only one chiral carbon</p> Signup and view all the answers

    What physical property of Glycosaminoglycans (GAGs) allows them to have a 'slippery' texture?

    <p>Hydration</p> Signup and view all the answers

    Which feature of Glycosaminoglycans (GAGs) contributes to their ability to be 'squished' under pressure and then 'expand' when water returns?

    <p>Resilience</p> Signup and view all the answers

    In glycoconjugates, such as proteoglycans, how are carbohydrates typically attached to proteins?

    <p>By covalent bonds</p> Signup and view all the answers

    What is the main function of glycoconjugates like glycoproteins in biological systems?

    <p>Cell-cell recognition</p> Signup and view all the answers

    Which characteristic makes Glycosaminoglycans (GAGs) resistant to pressure?

    <p>Negative charges</p> Signup and view all the answers

    What specific feature of glycoconjugates like glycolipids distinguishes them from other molecules?

    <p>Carbohydrate attachment</p> Signup and view all the answers

    What is the significance of the branches in amylopectin compared to amylose?

    <p>The branches allow for more efficient storage of glucose molecules.</p> Signup and view all the answers

    What is the main difference between the reducing and non-reducing ends of a polysaccharide like starch or glycogen?

    <p>The reducing end is where new glucose units are added during synthesis, while the non-reducing end is where glucose is released during breakdown.</p> Signup and view all the answers

    What is the main difference between the structure of glycogen and amylopectin?

    <p>Glycogen has more branch points than amylopectin.</p> Signup and view all the answers

    What is the main function of glycosaminoglycans (GAGs) in the body?

    <p>GAGs serve as structural components in the extracellular matrix.</p> Signup and view all the answers

    Which of the following statements about the D and L designations for monosaccharides is correct?

    <p>D-Glucose and D-Mannose are diastereomers.</p> Signup and view all the answers

    What is the main difference between amylose and amylopectin in terms of their linkages?

    <p>Amylose contains only alpha(1,4) linkages, while amylopectin contains a mix of alpha(1,4) and alpha(1,6) linkages.</p> Signup and view all the answers

    What type of linkage connects carbohydrates to the amino acid serine in O-glycosidic bonds?

    <p>O-glycosidic linkage</p> Signup and view all the answers

    In N-glycosidic bonds, to which amino acid R-group does the carbohydrate attach?

    <p>Asparagine</p> Signup and view all the answers

    Which type of glycoconjugate involves the attachment of glycosaminoglycans (GAGs) via O-linkages?

    <p>Proteoglycans</p> Signup and view all the answers

    In glycoproteins, what type of carbohydrate moieties are typically attached via O- or N-glycosidic linkages?

    <p>Mono-, di-, or oligosaccharides (but not GAGs)</p> Signup and view all the answers

    Which amino acid is involved in the formation of N-glycosidic linkages with carbohydrates?

    <p>Asparagine</p> Signup and view all the answers

    What type of carbohydrate linkage is typically involved in the attachment of oligosaccharides to asparagine residues?

    <p>N-glycosidic</p> Signup and view all the answers

    What is the primary function of deoxyribose in biological systems?

    <p>It is a component of RNA, which carries genetic information.</p> Signup and view all the answers

    What is the key difference between amino sugars and deoxyribose, as described in the text?

    <p>Amino sugars have an amino group (-NH2) instead of a hydroxyl group (-OH) on the carbon atom.</p> Signup and view all the answers

    What is the structural name for the disaccharide maltose, as described in the text?

    <p>-D-glucopyranosyl-(14)--D-glucopyranose</p> Signup and view all the answers

    Where do the 'gluco' parts of the names for disaccharides come from, as mentioned in the text?

    <p>They refer to the presence of glucose units in the disaccharides.</p> Signup and view all the answers

    What is the key difference between glucose and fructose as indicated in the text?

    <p>Glucose is an aldose, while fructose is a ketose.</p> Signup and view all the answers

    What type of reaction is involved in the formation of glycosides?

    <p>Glycosylation reaction</p> Signup and view all the answers

    Which of the following is a key difference between glucose and fructose as described in the text?

    <p>Glucose has an aldehyde group, while fructose has a ketone group</p> Signup and view all the answers

    What is the purpose of the glycosidic bond formed in the synthesis of glycosides?

    <p>To attach an alcohol to the anomeric carbon of a monosaccharide</p> Signup and view all the answers

    What is the primary function of cardiac glycosides like digoxin as described in the text?

    <p>To improve the contraction of the heart</p> Signup and view all the answers

    Which of the following is a key structural feature of monosaccharides discussed in the text?

    <p>They can form cyclic structures</p> Signup and view all the answers

    Which metabolic pathway is used to break down glucose for energy in living cells?

    <p>Glycolysis</p> Signup and view all the answers

    What is the key difference between glucose and fructose as indicated in the text?

    <p>Glucose is an aldose, while fructose is a ketose.</p> Signup and view all the answers

    What is the structural feature that can be used to distinguish the 'gluco' from the 'galacto' monosaccharides?

    <p>The presence of a hydroxyl group at the C-4 position</p> Signup and view all the answers

    What is the primary fuel used by red blood cells (RBCs) for energy, as they lack mitochondria?

    <p>Glucose</p> Signup and view all the answers

    Which of the following is a component of the disaccharide sucrose?

    <p>Glucose and fructose</p> Signup and view all the answers

    What is the sweetness of fructose compared to sucrose, as mentioned in the text?

    <p>Twice as sweet as sucrose</p> Signup and view all the answers

    What is the significance of the non-reducing ends in homopolysaccharides?

    <p>They are involved in creating branch points</p> Signup and view all the answers

    Which carbon in amylose is considered as the reducing end?

    <p>C1</p> Signup and view all the answers

    What type of linkages are present in cellulose's D-glucose structure?

    <p>Beta (1,4) links</p> Signup and view all the answers

    Which is true about the branch point links in amylopectin?

    <p>They involve beta (1,6) links</p> Signup and view all the answers

    Which part of homopolysaccharides creates more non-reducing ends?

    <p>Branch points</p> Signup and view all the answers

    What distinguishes the reducing end from the non-reducing end in homopolysaccharides?

    <p>Attachment to the next monosaccharide</p> Signup and view all the answers

    What type of glycosidic linkage does isomaltose have?

    <p>α(1→4)</p> Signup and view all the answers

    Which of the following statements about sucrose is correct?

    <p>It has an α,β(1→2) glycosidic linkage between glucose and fructose.</p> Signup and view all the answers

    Why is the fructose unit in sucrose referred to as a 'furanose'?

    <p>Because it adopts a five-membered ring structure.</p> Signup and view all the answers

    Which of the following sugars is a reducing sugar?

    <p>Both maltose and lactose</p> Signup and view all the answers

    What is the primary reason for the structural difference between maltose and isomaltose?

    <p>The type of glycosidic linkage</p> Signup and view all the answers

    Which of the following statements about the glycosidic linkages in sucrose is correct?

    <p>The glucose unit has an α-linkage, and the fructose unit has a β-linkage.</p> Signup and view all the answers

    What is the main function of cellulose in plant cell walls?

    <p>Provides structural support</p> Signup and view all the answers

    How are cows and termites able to digest cellulose, which humans cannot?

    <p>Cows and termites have gut microbes that produce cellulases to digest cellulose.</p> Signup and view all the answers

    What is the structural difference between the reducing and non-reducing ends of cellulose?

    <p>The reducing end has a free aldehyde group, while the non-reducing end has a free hydroxyl group.</p> Signup and view all the answers

    What is the primary difference between homopolysaccharides and heteropolysaccharides?

    <p>Homopolysaccharides are made up of a single type of monosaccharide, while heteropolysaccharides are made up of multiple types of monosaccharides.</p> Signup and view all the answers

    What is the primary function of cellulose in the human body?

    <p>Cellulose is used as dietary fiber to aid digestion.</p> Signup and view all the answers

    What is the significance of the branched structure of amylopectin compared to the linear structure of amylose?

    <p>The branched structure of amylopectin allows for greater storage of energy, while the linear structure of amylose limits energy storage capacity.</p> Signup and view all the answers

    What is the key difference between homopolysaccharides and heteropolysaccharides?

    <p>Homopolysaccharides are made up of a single type of monosaccharide, while heteropolysaccharides are made up of multiple types of monosaccharides.</p> Signup and view all the answers

    Which of the following is NOT a common monosaccharide found in glycosaminoglycans (GAGs)?

    <p>Fructose</p> Signup and view all the answers

    What type of modification is commonly found in the monosaccharides that make up glycosaminoglycans (GAGs)?

    <p>Acetylation</p> Signup and view all the answers

    What is the primary function of glycosaminoglycans (GAGs) in the body?

    <p>To provide structural support and resist compression</p> Signup and view all the answers

    Which of the following monosaccharides is an epimer of glucose?

    <p>Mannose</p> Signup and view all the answers

    What is the structural difference between glucuronic acid and iduronic acid?

    <p>Glucuronic acid has a different stereochemistry at the C-5 position compared to iduronic acid.</p> Signup and view all the answers

    Where does the hypothalamus sit in relation to the thalamus?

    <p>Below the thalamus</p> Signup and view all the answers

    Which gland is directly connected to the hypothalamus?

    <p>Pituitary gland</p> Signup and view all the answers

    What is the general process in the hypothalamic-pituitary system for hormone secretion?

    <p>Hypothalamic signal regulates pituitary cell release</p> Signup and view all the answers

    Which hormone controls water balance in the body and is secreted by the posterior pituitary?

    <p>Antidiuretic hormone (ADH)</p> Signup and view all the answers

    What do anterior pituitary hormones control?

    <p>Endocrine glands like thyroid and adrenal gland</p> Signup and view all the answers

    In the hypothalamic-pituitary system, what do hypothalamic neurons project to in the pituitary gland?

    <p>Posterior aspect of the pituitary</p> Signup and view all the answers

    What is the primary role of the effector in a homeostatic system?

    <p>To change the value of the regulated variable</p> Signup and view all the answers

    What is a common feature of disease states as discussed in the text?

    <p>Altered set points causing instability</p> Signup and view all the answers

    In the given example of a homeostatic system regulating pH, what is the non-regulated variable?

    <p>Respiratory rate</p> Signup and view all the answers

    Which regulatory mechanism tends to result in an exponential 'increase' in a system's output?

    <p>Positive feedback loop</p> Signup and view all the answers

    Which of the following statements about the relationship between homeostasis and negative feedback loops is true?

    <p>Homeostasis can use negative feedback loops, but not all negative feedback loops are homeostatic</p> Signup and view all the answers

    What is a characteristic of positive feedback loops based on the text?

    <p>The limiting event ends the feedback loop</p> Signup and view all the answers

    In which disease is hypertension described as a 'set point error'?

    <p>Hypertension itself</p> Signup and view all the answers

    In the simplest negative feedback loop given (A -> B -> C -> A+B+C), what is the role of component C?

    <p>It is the negative feedback signal</p> Signup and view all the answers

    What is the primary function of the controller in a homeostatic system?

    <p>To detect deviations from the setpoint</p> Signup and view all the answers

    What does redundancy indicate in the regulation of vital parameters according to the text?

    <p>Greater number of systems regulating a vital parameter</p> Signup and view all the answers

    Which term describes an oscillation in a regulated variable as a typical feature of homeostatic systems?

    <p>'Oscillations' in the regulated variable</p> Signup and view all the answers

    In the context of homeostasis, what is the purpose of the setpoint?

    <p>It is the target value for the regulated variable</p> Signup and view all the answers

    What happens when ADH is secreted?

    <p>More water is kept in the bloodstream</p> Signup and view all the answers

    How is blood osmolarity detected in the body?

    <p>By osmoreceptors in the hypothalamus</p> Signup and view all the answers

    What regulates the release of thyroid hormone?

    <p>Hypothalamus</p> Signup and view all the answers

    How does thyroid hormone negatively affect the anterior pituitary and hypothalamus?

    <p>It inhibits their function</p> Signup and view all the answers

    Which structure is involved in an example of anterior pituitary signaling besides ADH and thyroid hormone?

    <p>Pituitary gland</p> Signup and view all the answers

    What is a typical characteristic of hypothalamic-pituitary signaling?

    <p>Negative feedback loops</p> Signup and view all the answers

    Which statement best describes the concept of homeostasis at the cellular level?

    <p>The molecular and biochemical networks that maintain cellular homeostasis are complex and difficult to measure.</p> Signup and view all the answers

    What is the primary reason for maintaining homeostasis at the organism level?

    <p>To ensure that individual cells are not exposed to a hostile environment.</p> Signup and view all the answers

    In the process of paracrine signaling, what is the role of the soluble messenger produced by Cell A?

    <p>It diffuses to Cell B and binds to a membrane receptor, initiating an intracellular signal in Cell B.</p> Signup and view all the answers

    Which type of intercellular signaling involves direct contact between membrane receptors and their ligands?

    <p>Contact signaling</p> Signup and view all the answers

    What is a key difference between contact signaling and paracrine signaling?

    <p>Paracrine signaling involves soluble messengers, while contact signaling does not.</p> Signup and view all the answers

    Which statement best describes the relationship between homeostasis at the cellular level and the organism level?

    <p>Maintaining organism-level homeostasis helps create a favorable environment for cellular homeostasis.</p> Signup and view all the answers

    According to the mass balance model, what happens to the concentration of substance Z in the reservoir if the amount removed is decreased?

    <p>Z reaches a new steady state at a higher concentration</p> Signup and view all the answers

    What is a key assumption of the mass balance model?

    <p>The system has a constant volume</p> Signup and view all the answers

    Which of the following statements about the mass balance model is true?

    <p>The system is initially at a steady state</p> Signup and view all the answers

    What is the primary purpose of the mass balance model?

    <p>To show the balance between addition and removal of a substance</p> Signup and view all the answers

    What happens to the mass balance system if the rate of Z addition is increased?

    <p>A new steady state is reached with a higher concentration of Z</p> Signup and view all the answers

    Which of the following statements about the mass balance model is false?

    <p>It assumes a variable rate of Z addition</p> Signup and view all the answers

    According to Boyle's Law, what happens to the volume of a gas when the pressure is increased?

    <p>The volume of the gas decreases.</p> Signup and view all the answers

    What is the primary mechanism by which ventilation occurs, according to the information provided?

    <p>Pressure gradients and Poiseuille's law.</p> Signup and view all the answers

    During inspiration, how does the pressure in the alveoli compare to atmospheric pressure?

    <p>The alveolar pressure is lower than atmospheric pressure.</p> Signup and view all the answers

    Which major muscles contract during expiration, according to the information provided?

    <p>Intercostal muscles and abdominal muscles.</p> Signup and view all the answers

    How does the pleural fluid help transmit force from the muscles that change the volume of the thoracic cavity?

    <p>The pleural fluid acts as a lubricant, allowing the muscles to easily change the volume of the thoracic cavity.</p> Signup and view all the answers

    What is the major muscle that contracts during inspiration, according to the information provided?

    <p>Diaphragm.</p> Signup and view all the answers

    What is the approximate alveolar ventilation rate mentioned in the text?

    <p>4.4 L/min</p> Signup and view all the answers

    What is the concentration of CO2 in the alveoli according to the text?

    <p>40 mm Hg</p> Signup and view all the answers

    What is the concentration of carbon dioxide in the pulmonary arterial blood according to the text?

    <p>45 mm Hg</p> Signup and view all the answers

    What is the cardiac output to the lung mentioned in the text?

    <p>5 L/min</p> Signup and view all the answers

    What happens to the arterial CO2 concentration if ventilation is cut in half to 2.2 L/min?

    <p>It increases</p> Signup and view all the answers

    How accurate is the calculation for the effect of hypoventilation on arterial CO2?

    <p>Somewhat inaccurate but not terribly so</p> Signup and view all the answers

    According to Laplace's Law, what happens to the tension on the walls of a cylindrical or spherical structure as the radius increases?

    <p>The tension increases</p> Signup and view all the answers

    If the pressure inside a cylindrical structure increases, what happens to the tension on the walls according to Laplace's Law?

    <p>The tension increases</p> Signup and view all the answers

    What is the relationship between the thickness of the wall and the tension on the walls, according to Laplace's Law?

    <p>The tension is inversely proportional to the thickness</p> Signup and view all the answers

    In the case of an aneurysm, where there is a pathological increase in the diameter of a blood vessel, what impact does this have on the tension or stress across the wall of the vessel?

    <p>The tension increases</p> Signup and view all the answers

    Which of the following structures in the body are examples of cylindrical or spherical objects that Laplace's Law applies to?

    <p>All of the above</p> Signup and view all the answers

    What is the primary reason for the relevance of Laplace's Law in the context of the body?

    <p>To understand the tension on the walls of cylindrical or spherical structures</p> Signup and view all the answers

    What is the primary effect of the increased radius of the ventricle in dilated cardiomyopathy?

    <p>The heart uses more energy to counteract the wall tension when contracting</p> Signup and view all the answers

    What is the relationship between ventilation and blood flow according to the provided information?

    <p>Ventilation and blood flow are directly proportional</p> Signup and view all the answers

    Why does the calculated arterial CO2 level of 91 mmHg seem inaccurate according to the text?

    <p>A number of other parameters would correct for the rising carbon dioxide levels</p> Signup and view all the answers

    What is the key difference between glucose and fructose as described in the text?

    <p>Glucose has a linear structure while fructose has a ring structure</p> Signup and view all the answers

    Which of the following is a characteristic of the Archaea domain?

    <p>Use inorganic energy sources like hydrogen sulfide and ammonia</p> Signup and view all the answers

    Which phylum of bacteria is known for being deeply branching and thermophilic (heat-loving)?

    <p>Deinococcus-Thermus</p> Signup and view all the answers

    Which of the following is a true statement about the rRNA sequence comparison used to construct phylogenetic trees?

    <p>rRNA sequences are more similar between land plants and green algae than between green algae and mammals</p> Signup and view all the answers

    Which of the following phyla of bacteria is known for containing purple non-sulfur bacteria?

    <p>Proteobacteria</p> Signup and view all the answers

    Which of the following is a characteristic of Gram-positive bacteria?

    <p>They have a thick peptidoglycan layer and no outer membrane</p> Signup and view all the answers

    Which phylum of bacteria is known for containing green sulfur bacteria?

    <p>Chlorobi</p> Signup and view all the answers

    Which phylum of bacteria is known for containing nitrifying bacteria?

    <p>Proteobacteria</p> Signup and view all the answers

    What is a distinguishing characteristic of purple phototrophs?

    <p>Use sulfur in their metabolism</p> Signup and view all the answers

    Which group of gram-positive bacteria is known to frequently form endospores?

    <p>Clostridia</p> Signup and view all the answers

    What distinguishes Mycoplasmas from other low G+C gram-positive bacteria?

    <p>Lacking cell walls</p> Signup and view all the answers

    Which type of sugar is typical in the peptidoglycan layer of a Gram-positive cell wall?

    <p>Ribose</p> Signup and view all the answers

    Which low G+C gram-positive bacteria is characterized by distinctive colonies on agar plates?

    <p>Mycoplasma</p> Signup and view all the answers

    In which group of low G+C gram-positive bacteria can you find members capable of invading white blood cells?

    <p>Listeria</p> Signup and view all the answers

    What staining technique is used to identify acid-fast bacteria like Mycobacterium and Nocardia?

    <p>Ziehl-Neelsen acid-fast staining</p> Signup and view all the answers

    Which bacterial group reproduces by spores at the ends of filaments and has subgroups including Actinomyces, Nocardia, and Streptomyces?

    <p>Actinomycetes</p> Signup and view all the answers

    Which bacteria are known for their waxy cell walls that reject crystal violet in Gram staining?

    <p>Nocardia</p> Signup and view all the answers

    Which group of bacteria consists of rod-shaped species, including C.diptheriae, that reproduce by snapping division seen as V-shapes or pallisades?

    <p>Corynebacterium</p> Signup and view all the answers

    Which bacterial group exclusively consists of aerobic species that take months to grow on plates and include famous members like M.leprae and M.tuberculosis?

    <p>Myobacteria</p> Signup and view all the answers

    Which feature distinguishes Actinobacteria like Corynebacterium and Mycobacterium from other bacterial groups based on the provided text?

    <p>Branching filaments</p> Signup and view all the answers

    Why is it significant that all the representatives of deeply branching bacteria are autotrophic?

    <p>Autotrophs can produce their own food through photosynthesis or chemosynthesis, which allows them to thrive in extreme environments.</p> Signup and view all the answers

    Why is it significant that many of the deeply branching bacteria live in hot, acidic, anaerobic environments and can withstand high levels of UV radiation?

    <p>These bacteria have adapted to survive in harsh conditions, allowing them to outcompete other organisms in their environment.</p> Signup and view all the answers

    How does the color of a phototrophic bacterium's pigment molecule determine the wavelengths it reflects?

    <p>The pigment molecule absorbs all wavelengths except the one it reflects, which determines the color of the bacterium.</p> Signup and view all the answers

    What is the main difference between cyanobacteria (formerly known as blue-green algae) and other phototrophic bacteria?

    <p>Cyanobacteria are the only phototrophic bacteria that can perform oxygenic photosynthesis, like plants and algae.</p> Signup and view all the answers

    Which of the following is a unique characteristic of the photosynthetic process in cyanobacteria (blue-green algae)?

    <p>Cyanobacteria can fix atmospheric nitrogen, which is then used to synthesize amino acids and other nitrogen-containing compounds.</p> Signup and view all the answers

    How do the photosynthetic pigments in phototrophic bacteria differ from the photosynthetic pigments found in plants and algae?

    <p>Phototrophic bacteria have a wider range of photosynthetic pigments, including carotenoids and bacteriochlorophylls, which allow them to absorb a broader spectrum of light.</p> Signup and view all the answers

    What is the main purpose of the thylakoid membranes in phototrophic bacteria?

    <p>The thylakoid membranes in phototrophic bacteria provide a large surface area for the absorption of light energy, which is then used to drive the production of ATP.</p> Signup and view all the answers

    What is the primary way that humans can become infected with diseases according to the passage?

    <p>From contact with asymptomatic carriers</p> Signup and view all the answers

    Which of the following is considered a 'portal of entry' for pathogens to infect the human body according to the passage?

    <p>All of the above</p> Signup and view all the answers

    What is the primary function of the skin as a 'microbiotic barrier' according to the information provided?

    <p>To provide a physical barrier against microbe entry</p> Signup and view all the answers

    What is the main purpose of the mucous membranes in the body according to the passage?

    <p>To be the most common portals of entry for pathogens</p> Signup and view all the answers

    What is the key difference between 'contamination' and 'infection' as described in the passage?

    <p>Contamination refers to microbes in or on the body, while infection refers to microbes successfully invading the body</p> Signup and view all the answers

    According to the information provided, which of the following is considered a 'non-living reservoir' for the movement of microbes into human hosts?

    <p>All of the above</p> Signup and view all the answers

    What is the primary characteristic that distinguishes mutualism from other symbiotic relationships?

    <p>Both organisms directly benefit from the interaction</p> Signup and view all the answers

    Which of the following is an example of a parasitic relationship mentioned in the text?

    <p>Tapeworm and its host</p> Signup and view all the answers

    What is the primary mechanism by which normal microbiota can become opportunistic pathogens?

    <p>Introduction to an unusual site in the body or changes in population</p> Signup and view all the answers

    Which of the following is NOT listed as a potential source of human diseases in the text?

    <p>Plant sources</p> Signup and view all the answers

    In the context of symbiotic relationships, what does the term 'commensalism' refer to?

    <p>A relationship where one organism benefits and the other is unaffected</p> Signup and view all the answers

    Which of the following is an example of a mutualistic relationship mentioned in the text?

    <p>Humans and Honeyguides</p> Signup and view all the answers

    What is the primary role of enzymes like hyaluronidase and collagenase produced by invasive bacteria?

    <p>To dissolve chemicals and structures in the body's tissues, aiding invasion</p> Signup and view all the answers

    Which of the following best describes the difference between pathogenicity and virulence?

    <p>Pathogenicity refers to the ability to cause disease, while virulence refers to the degree of pathogenicity.</p> Signup and view all the answers

    Which of the following is an example of a highly virulent pathogen mentioned in the text?

    <p>Francisella tularensis (rabbit fever)</p> Signup and view all the answers

    What is the purpose of coagulase produced by some bacteria?

    <p>To initiate the formation of blood clots</p> Signup and view all the answers

    Which of the following terms refers to the objective, measurable characteristics of a disease?

    <p>Signs</p> Signup and view all the answers

    What is the primary distinction between a disease and a syndrome, according to the text?

    <p>A disease is characterized by a single symptom, while a syndrome is a group of symptoms.</p> Signup and view all the answers

    What is the primary role of exotoxins produced by bacteria?

    <p>To kill host cells</p> Signup and view all the answers

    Which of the following is a mechanism by which bacteria can evade phagocytosis?

    <p>Forming a capsule</p> Signup and view all the answers

    What is the primary role of endotoxins released by Gram-negative bacteria?

    <p>Induce fever and inflammation</p> Signup and view all the answers

    Which mode of disease transmission involves the transfer of pathogens through contaminated objects?

    <p>Indirect contact transmission</p> Signup and view all the answers

    Which of the following is a characteristic of acute infectious diseases?

    <p>Develops rapidly with severe symptoms</p> Signup and view all the answers

    Which mode of disease transmission involves the transfer of pathogens through living organisms?

    <p>Vector transmission</p> Signup and view all the answers

    What is the key difference between subacute disease and latent disease according to the text?

    <p>Subacute disease has shorter durations and milder severities compared to latent disease</p> Signup and view all the answers

    Which characteristic distinguishes a contagious disease from a communicable disease?

    <p>Contagious diseases are easily transmitted between hosts, while communicable diseases are not</p> Signup and view all the answers

    What is the primary focus of epidemiology according to the text?

    <p>Epidemiology focuses on the study of where and when diseases occur, and how they spread within populations</p> Signup and view all the answers

    What is the key difference between incidence and prevalence of a disease according to the text?

    <p>Incidence measures the number of new cases, while prevalence measures the total number of cases at a given time</p> Signup and view all the answers

    What is the primary cause of nosocomial infections?

    <p>Transmission of pathogens between staff and patients, and among patients</p> Signup and view all the answers

    What is the primary focus of hospital epidemiology according to the text?

    <p>Analyzing the occurrence of nosocomial infections in healthcare settings</p> Signup and view all the answers

    Which of the following is a characteristic of RNA viral shapes?

    <p>Helical shape</p> Signup and view all the answers

    What is the function of polyhedron in viral shapes?

    <p>Capsid symmetry</p> Signup and view all the answers

    In viral propagation, what is calculated by counting Plaque Forming Units (PFU)?

    <p>Virus titer</p> Signup and view all the answers

    Which cellular effect is observed during the development of cytopathic effects by viruses?

    <p>Cell lysis</p> Signup and view all the answers

    What is a distinguishing feature of complex viruses in terms of structure?

    <p>Enveloped capsid</p> Signup and view all the answers

    What is an example of a continuous cell line used in virology studies?

    <p>3T3 cells</p> Signup and view all the answers

    What determines the classification of viruses in the Classical System?

    <p>Nature of the nucleic acid in virion</p> Signup and view all the answers

    What is the primary function of viral glycoproteins in the attachment process of animal viruses?

    <p>Membrane fusion with the host cell</p> Signup and view all the answers

    How do enveloped viruses differ from naked virions?

    <p>Enveloped viruses acquire a membrane from the host cell</p> Signup and view all the answers

    In viral size, where does a bacteriophage T4 fall within the range of measured diameters?

    <p>$ ext{50 nm}$</p> Signup and view all the answers

    What is the key determinant of a virus's host range?

    <p>Viral glycoproteins</p> Signup and view all the answers

    How do animal viruses enter host cells through direct penetration?

    <p>Through viral genome attachment to cytoplasmic membrane receptors</p> Signup and view all the answers

    What is a distinguishing feature of influenza viruses in terms of their structure?

    <p>$ ext{50 nm}$ size</p> Signup and view all the answers

    What role does the tail fiber of bacteriophages play in their mechanism of action?

    <p>Aids in viral attachment to host cells</p> Signup and view all the answers

    What was the key discovery that led to the identification of viruses in the late 1800s?

    <p>Passing tobacco plant sap through a porcelain filter that trapped bacteria</p> Signup and view all the answers

    What is the key difference between the lytic and lysogenic cycles of bacteriophages?

    <p>The lytic cycle leads to the immediate destruction of the host cell, while the lysogenic cycle allows the viral genome to integrate into the host's chromosome.</p> Signup and view all the answers

    Which of the following is a key step in the infectious cycle of a virus?

    <p>Attachment to the host cell</p> Signup and view all the answers

    What is the primary function of the capsid in a virus?

    <p>To provide a protective shell for the viral nucleic acid</p> Signup and view all the answers

    What is the main difference between monolayer and suspension cell cultures used in virology?

    <p>Monolayer cultures grow on a solid surface, while suspension cultures grow in a liquid medium.</p> Signup and view all the answers

    What is the primary purpose of using electron microscopy in virology?

    <p>To measure the size and shape of viral particles</p> Signup and view all the answers

    What was the key discovery that led to the crystallization of the tobacco mosaic virus?

    <p>Extracting the virus from the infected plant material</p> Signup and view all the answers

    What is the process by which the cytoplasmic membrane of the host engulfs the virus known as?

    <p>Endocytosis</p> Signup and view all the answers

    Which of the following is NOT a possible form of viral nucleic acid mentioned in the text?

    <p>Single stranded DNA</p> Signup and view all the answers

    What is the term used to describe DNA or RNA with covalently attached protein mentioned in the text?

    <p>Nucleoprotein</p> Signup and view all the answers

    Which classification system categorizes viruses based on genome type and viral proteins?

    <p>Baltimore Classification</p> Signup and view all the answers

    What characteristic differentiates Double-Stranded RNA (DSRNA) from Gapped DNA?

    <p>Presence of gaps in the sequence</p> Signup and view all the answers

    In the Baltimore Classification, which category does Reverse Transcriptase (-) Strand RNA belong to?

    <p>(−) Strand RNA viruses</p> Signup and view all the answers

    What type of genomic structure is characteristic of Single-Stranded DNA (SSDNA) viruses?

    <p>Linear</p> Signup and view all the answers

    Which feature distinguishes Positive Strand RNA viruses from Negative Strand RNA viruses?

    <p>(+) or (-) sense nucleic acid</p> Signup and view all the answers

    'Central Dogma' is related to which aspect of classifying viruses?

    <p>'DNA makes RNA makes protein' flow of genetic information</p> Signup and view all the answers

    Which type of collagen is most abundant in the dense regular connective tissue?

    <p>Type I collagen</p> Signup and view all the answers

    What is a common symptom of atopic dermatitis?

    <p>Pruritus</p> Signup and view all the answers

    Which component of ground substance provides resistance to compression?

    <p>Glycosaminoglycans (GAGs)</p> Signup and view all the answers

    Which cranial nerve is primarily responsible for controlling facial movements like eye opening and raised eyebrows?

    <p>Cranial Nerve VII</p> Signup and view all the answers

    What is the function of confocal microscopy in studying tissues?

    <p>Viewing tissues in a specific plane</p> Signup and view all the answers

    What is the main structural difference between loose connective tissue and dense irregular connective tissue?

    <p>The density of collagen fibers</p> Signup and view all the answers

    What is the primary function of desmosomes in epithelial cells?

    <p>To provide structural stability to the cell</p> Signup and view all the answers

    How do hemidesmosomes differ from desmosomes in their structure and function?

    <p>Hemidesmosomes bind to components of the basement membrane, while desmosomes bind to adjacent cells</p> Signup and view all the answers

    Which cellular junctions contribute to the barrier function of the epithelium that restricts the movement of substances from the apical to basal side?

    <p>Tight junctions and adherens junctions</p> Signup and view all the answers

    What is the primary function of hemidesmosomes in epithelial cells?

    <p>To anchor the cell to the basement membrane</p> Signup and view all the answers

    Which type of cellular junction is responsible for determining the apical-basal polarity of epithelial cells?

    <p>Tight junctions</p> Signup and view all the answers

    How do desmosomes and adherens junctions differ in their intracellular components?

    <p>Adherens junctions connect to actin filaments, while desmosomes connect to intermediate filaments</p> Signup and view all the answers

    What is the primary purpose of fixation in histological tissue preparation?

    <p>To cross-link proteins and inactivate degrading enzymes</p> Signup and view all the answers

    Which type of microscopy allows for the visualization of structures at the molecular level?

    <p>Electron microscopy</p> Signup and view all the answers

    What is the purpose of dehydration and clearing in histological tissue preparation?

    <p>To remove water from the tissue and replace it with alcohol</p> Signup and view all the answers

    How are tissues typically prepared for imaging in a scanning electron microscope?

    <p>By coating them with a thin layer of gold</p> Signup and view all the answers

    What is the primary advantage of confocal microscopy over traditional fluorescence microscopy?

    <p>It eliminates out-of-focus light from other focal planes</p> Signup and view all the answers

    Which step in histological tissue preparation involves embedding the tissue in a substance like paraffin wax?

    <p>Infiltration and embedding</p> Signup and view all the answers

    What is the primary function of laminin in the extracellular matrix (ECM)?

    <p>Binding to type IV collagen and integrins of hemidesmosomes</p> Signup and view all the answers

    Which component of proteoglycans is primarily responsible for their high water retention capacity in the ECM?

    <p>The shorter GAG chains attached to the linking proteins</p> Signup and view all the answers

    What is a primary function of proteoglycans in the extracellular matrix (ECM)?

    <p>Storing and releasing growth factors</p> Signup and view all the answers

    Which of the following is a common source of pathology related to epithelial and connective tissue interfaces?

    <p>All of the above</p> Signup and view all the answers

    What is the primary function of a stratified squamous epithelium, such as the skin?

    <p>Protection and barrier function</p> Signup and view all the answers

    Which of the following is a function of fibronectin in the extracellular matrix (ECM)?

    <p>Binding to collagen and GAGs on proteoglycans</p> Signup and view all the answers

    What is the primary purpose of histology according to the information provided?

    <p>To study the structure and function of cells and tissues in the body</p> Signup and view all the answers

    What type of stain is particularly effective at highlighting glycoproteins and glycogen according to the text?

    <p>Periodic acid-Schiff (PAS)</p> Signup and view all the answers

    Which of the following histological stains is best suited for visualizing muscle fibers, nuclei, and collagen?

    <p>Masson's trichrome</p> Signup and view all the answers

    What is the primary function of the Periodic acid-Schiff (PAS) stain according to the information provided?

    <p>To visualize glycoproteins, glycogen, and mucus</p> Signup and view all the answers

    Which histological stain is particularly effective at highlighting the distinction between the cytoplasm and nuclei in the small intestine?

    <p>Hematoxylin and eosin (H&amp;E)</p> Signup and view all the answers

    What is the primary function of the Masson's trichrome stain according to the information provided?

    <p>To visualize connective tissue, nuclei, and cytoplasm</p> Signup and view all the answers

    What is a typical finding under the microscope in cases of irreversible cellular injury?

    <p>Decreased integrity of mitochondrial membranes</p> Signup and view all the answers

    Which mechanism of injury is NOT associated with necrosis as described in the text?

    <p>Increased DNA repair</p> Signup and view all the answers

    What distinguishes necrosis from programmed cell death according to the text?

    <p>Requirement for protein synthesis</p> Signup and view all the answers

    Which term describes the late-stage nuclear fragmentation in necrosis?

    <p>Karyorrhexis</p> Signup and view all the answers

    What is a key characteristic of necrosis compared to apoptosis according to the text?

    <p>Disorganized cellular signaling</p> Signup and view all the answers

    Which of the following is NOT a direct consequence of irreversible cellular injury?

    <p>Enhanced DNA repair</p> Signup and view all the answers

    What is the typical cause of fat necrosis in the pancreas and peritoneal cavity?

    <p>Liquefaction of fat cell membranes by activated pancreatic lipases</p> Signup and view all the answers

    Which process may occur if necrotic cells and debris are not destroyed and reabsorbed?

    <p>Mineralization with calcium salts</p> Signup and view all the answers

    Which mineral is involved in producing the grossly visible chalky white areas in fat necrosis?

    <p>Calcium</p> Signup and view all the answers

    What is the process through which most necrotic cells and debris disappear?

    <p>Phagocytosis by leukocytes</p> Signup and view all the answers

    What may happen if necrotic cells and debris are not removed from tissues?

    <p>Attraction of mineral deposits</p> Signup and view all the answers

    What is the main outcome if activated pancreatic enzymes escape from acinar cells and ducts?

    <p>Liquefaction of fat cell membranes</p> Signup and view all the answers

    What is a necessary condition for lysosomal enzymes to become activated and cause unreguated enzymatic degradation of cell components?

    <p>Injury to lysosomal membranes</p> Signup and view all the answers

    Which of the following is NOT one of the consequences of unreguated lysosomal enzyme activity mentioned in the text?

    <p>Depletion of ATP stores</p> Signup and view all the answers

    What is a potential consequence of damage to the cytoskeleton according to the text?

    <p>Cell membrane detachment and susceptibility to rupture</p> Signup and view all the answers

    Which of the following enzymes is NOT mentioned as being present in lysosomes?

    <p>Lipases</p> Signup and view all the answers

    What is a potential cause of cytoskeletal damage mentioned in the text?

    <p>Increased cytosolic calcium leading to protease activation</p> Signup and view all the answers

    Which of the following is NOT a potential consequence of cell membrane detachment from the cytoskeleton according to the text?

    <p>Increased membrane rigidity</p> Signup and view all the answers

    What is the primary function of cytochrome C when it leaks into the cytosol during apoptosis?

    <p>Activate caspase enzymes indirectly through APAF</p> Signup and view all the answers

    What is the role of the BH3-only molecules in the regulation of apoptosis?

    <p>They inhibit the anti-apoptotic BH proteins</p> Signup and view all the answers

    Which of the following is a common trigger for the activation of the mitochondrial leak channel (Bax/Bak)?

    <p>Lack of growth signals</p> Signup and view all the answers

    What is the primary function of the executioner caspases (e.g., caspase-3 and caspase-6) in the apoptotic pathway?

    <p>Degrade cellular components and dismantle the cell</p> Signup and view all the answers

    Which of the following statements accurately describes the role of the anti-apoptotic and pro-apoptotic BH protein families?

    <p>They counteract each other's effects on apoptosis</p> Signup and view all the answers

    What is the primary function of the apoptosis-activating factor (APAF) in the apoptotic pathway?

    <p>Activate the executioner caspases</p> Signup and view all the answers

    What is the major difference between autophagy and macroautophagy as described in the text?

    <p>Autophagy selectively targets malfunctioning organelles, while macroautophagy targets cell materials for digestion.</p> Signup and view all the answers

    What is the main cause of pathologic atrophy according to the text?

    <p>Compression of tissue</p> Signup and view all the answers

    In pathologic calcification, which process leads to the final formation of crystalline calcium phosphate?

    <p>Deposition of calcium near the membrane</p> Signup and view all the answers

    What is a distinguishing feature of metastatic calcification compared to dystrophic calcification?

    <p>Metastatic calcification is associated with hypercalcemia, whereas dystrophic calcification has no abnormalities in serum calcium.</p> Signup and view all the answers

    Which cellular stresses can activate the autophagy pathway according to the text?

    <p>Nutrient deprivation</p> Signup and view all the answers

    What is a characteristic feature of coagulative necrosis?

    <p>Presence of fragmented cells with no inflammation</p> Signup and view all the answers

    What is the primary function of the stratum corneum layer of the epidermis?

    <p>To provide mechanical protection</p> Signup and view all the answers

    Which of the following components of the stratum corneum is responsible for aggregating keratin into large macrofibrils?

    <p>Filaggrin</p> Signup and view all the answers

    What is the typical thickness range of the epidermis layer of the skin?

    <p>0.4 - 1.4 mm</p> Signup and view all the answers

    Which layer of the epidermis is only present in thick skin areas like the palms and soles?

    <p>Stratum lucidum</p> Signup and view all the answers

    What is the primary function of the dermis layer of the skin?

    <p>Facilitating sensory perception</p> Signup and view all the answers

    What is the approximate total surface area of the skin for an adult human?

    <p>8 lbs, 1.5 - 2 m^2</p> Signup and view all the answers

    Which anatomical structure is responsible for supplying a capillary network to the hair bulb?

    <p>The dermal papilla</p> Signup and view all the answers

    Which layer of the hair shaft is filled with hard keratin?

    <p>Cortex</p> Signup and view all the answers

    Which part of the skin is described as having the highest density of hair follicles?

    <p>The face</p> Signup and view all the answers

    Which of the following areas of the skin is described as being completely without hair?

    <p>Palms and soles</p> Signup and view all the answers

    What is the total number of hairs on the human body according to the text?

    <p>5 million hairs</p> Signup and view all the answers

    Which layer of the hair shaft is described as having a structure that looks like 'tiles' or 'shingles'?

    <p>Cuticle</p> Signup and view all the answers

    Which stratum is responsible for the synthesis of keratin and other proteins?

    <p>Stratum spinosum</p> Signup and view all the answers

    What is the primary function of the stratum lucidum?

    <p>Protection, similar to the stratum corneum</p> Signup and view all the answers

    Which stratum contains lamellar granules that help reduce water loss?

    <p>Stratum granulosum</p> Signup and view all the answers

    What is the primary function of the tonofibrils in the stratum spinosum?

    <p>Provide structural support</p> Signup and view all the answers

    Which stratum is the thickest in most skin?

    <p>Stratum spinosum</p> Signup and view all the answers

    Which stratum is found only in thick skin like palms, soles, and digits?

    <p>Stratum lucidum</p> Signup and view all the answers

    What is the primary structural component of collagen fibres?

    <p>Tropocollagen</p> Signup and view all the answers

    What is the unique amino acid sequence pattern found in collagen?

    <p>Gly-X-Y</p> Signup and view all the answers

    What is the role of hydroxyproline and proline in the collagen structure?

    <p>They introduce sharp twists or kinks in the molecule</p> Signup and view all the answers

    Which vitamin is crucial for the formation and crosslinking of collagen?

    <p>Vitamin C</p> Signup and view all the answers

    Where does the final assembly of fibril-forming collagens occur?

    <p>In the extracellular space</p> Signup and view all the answers

    What is the primary function of glycosaminoglycans (GAGs) in the extracellular matrix?

    <p>Regulating water balance and compression resistance</p> Signup and view all the answers

    What is the primary function of the arrector pili muscles in hair follicles?

    <p>To contract and cause the hair shaft to stand more erect</p> Signup and view all the answers

    What is the primary function of the hair root plexus?

    <p>To provide sensory feedback from the hair follicle</p> Signup and view all the answers

    What is the role of epidermal stem cells in the hair growth cycle?

    <p>They produce progenitor cells that give rise to the matrix of the new hair bulb</p> Signup and view all the answers

    What is the primary function of the hypodermis/subcutaneous tissue?

    <p>To store fat and insulate against heat loss</p> Signup and view all the answers

    What is the primary location of the stem cells responsible for hair growth?

    <p>In the external root sheath near the attachment points of the arrector pili</p> Signup and view all the answers

    What is the primary function of the vessels located in the superficial region of the hypodermis?

    <p>To facilitate heat transfer and insulation</p> Signup and view all the answers

    What is the role of cyclin-Cdk complexes in the cell cycle?

    <p>Activating specific target proteins for phosphorylation</p> Signup and view all the answers

    What is the function of the anaphase promoting complex (APC/C) mentioned in the text?

    <p>Polyubiquitinating target proteins for proteolytic destruction</p> Signup and view all the answers

    How do cyclin-Cdk complexes induce different effects at different times during the cell cycle?

    <p>Through changes in the accessibility of Cdk substrates</p> Signup and view all the answers

    Which protein family does the anaphase promoting complex (APC/C) belong to?

    <p>Ubiquitin ligase family of enzymes</p> Signup and view all the answers

    What is the requirement for full activation of cyclin-Cdk complexes?

    <p>Interaction with cyclin activating kinase (CAK)</p> Signup and view all the answers

    Which process is regulated by anaphase promoting complex (APC/C) through polyubiquitination?

    <p>Proteolytic destruction of specific target proteins</p> Signup and view all the answers

    What is the primary function of cyclin-Cdk complexes in the cell cycle?

    <p>To regulate the progression through different phases of the cell cycle</p> Signup and view all the answers

    Which cyclin-Cdk complex is responsible for triggering progression through the Start transition?

    <p>Cyclin E - Cdk2</p> Signup and view all the answers

    What is the primary function of the cyclin A-Cdk1/Cdk2 complex?

    <p>Initiating chromosome duplication during the S phase</p> Signup and view all the answers

    Which cyclin-Cdk complex is responsible for stimulating entry into mitosis at the G2/M transition?

    <p>Cyclin B - Cdk1</p> Signup and view all the answers

    What happens to the levels of cyclin B during the cell cycle?

    <p>They decrease in mid-mitosis</p> Signup and view all the answers

    Which cyclin-Cdk complex is needed for progression through the Start transition, also known as the G1/S checkpoint?

    <p>Cyclin D - Cdk4/Cdk6</p> Signup and view all the answers

    What is the primary function of the molecular mechanisms described in the passage, which include Cdk inhibitory proteins (CKIs) and proteins coded by tumor suppressor genes?

    <p>To pause the cell cycle in response to unfavorable conditions</p> Signup and view all the answers

    What is the primary mechanism that prevents premature activation of the M-Cdk complex?

    <p>Inhibitory phosphorylation by the Wee1 kinase</p> Signup and view all the answers

    Which of the following is a key event that occurs at the end of mitosis, as described in the passage?

    <p>Dephosphorylation of Cdk targets by various phosphatases</p> Signup and view all the answers

    According to the passage, which of the following is a key reason why progression through the cell cycle can be paused at the G1 checkpoint?

    <p>Both a and b</p> Signup and view all the answers

    Which protein acts as an inhibitor of sister chromatid separation during early mitosis?

    <p>Securin</p> Signup and view all the answers

    How do the Cdk inhibitory proteins (CKIs) described in the passage function to regulate the cell cycle?

    <p>They inactivate cyclin-Cdk complexes to pause the cell cycle</p> Signup and view all the answers

    What is the primary mechanism that triggers sister chromatid separation and progression to anaphase?

    <p>Ubiquitin-mediated proteolysis of securin</p> Signup and view all the answers

    At which stage of mitosis does the metaphase-to-anaphase checkpoint occur?

    <p>Metaphase</p> Signup and view all the answers

    What is the primary function of the dephosphorylation of Cdk targets described in the passage as occurring at the end of mitosis?

    <p>To allow for the completion of telophase and cytokinesis</p> Signup and view all the answers

    According to the passage, which of the following is a key reason why progression through the cell cycle can be paused at the G2/M checkpoint?

    <p>Both b and c</p> Signup and view all the answers

    What is the role of the Cdc25 phosphatase in the regulation of the M-Cdk complex?

    <p>It activates the M-Cdk complex by dephosphorylation</p> Signup and view all the answers

    Which of the following is the correct order of events during mitosis?

    <p>Prophase → Prometaphase → Metaphase → Anaphase → Telophase</p> Signup and view all the answers

    Which cyclin-cdk complex is inhibited by p16 according to the text?

    <p>G1-Cdk complex</p> Signup and view all the answers

    What is the function of Cyclin A-Cdk2 & Cyclin A-Cdk1 (S-Cdk complex) according to the text?

    <p>Stimulate chromosome duplication</p> Signup and view all the answers

    Which protein recognizes and binds damaged DNA in cells according to the text?

    <p>p53</p> Signup and view all the answers

    What happens to p53 in the presence of DNA damage according to the text?

    <p>It will be phosphorylated</p> Signup and view all the answers

    Which CKI is associated with inhibiting CyclinE-cdk2 (G1/S-cdk complex) according to the text?

    <p>p21</p> Signup and view all the answers

    What is the primary function of RB (Retinoblastoma protein) as mentioned in the text?

    <p>Triggers progression through Start Transition</p> Signup and view all the answers

    Which phase of the cell cycle is DNA replication known to occur?

    <p>S phase</p> Signup and view all the answers

    What is the primary purpose of the DNA double helix structure during DNA replication?

    <p>To provide a template for its own duplication</p> Signup and view all the answers

    Which of the following is a key step in the process of DNA replication?

    <p>Primer removal</p> Signup and view all the answers

    What type of bonding helps contribute to the stability of the DNA double helix structure?

    <p>Hydrogen bonds</p> Signup and view all the answers

    What is the primary purpose of the semi-conservative replication of the DNA double helix?

    <p>To ensure the accurate transmission of genetic information to daughter cells</p> Signup and view all the answers

    What is the primary function of the DNA replication process during the cell cycle?

    <p>To ensure the accurate duplication of the genetic material</p> Signup and view all the answers

    What is the main reason why the DNA double helix must be 'opened up' or separated during DNA replication?

    <p>To enable the unwinding of the DNA helix and the synthesis of new strands</p> Signup and view all the answers

    What type of bonds does DNA Helicase break to unwind the double helix?

    <p>Hydrogen bonds</p> Signup and view all the answers

    What is the direction of nucleotide polymerization during DNA replication?

    <p>Opposite to the overall direction of DNA chain growth</p> Signup and view all the answers

    How many RNA primers are required on the leading strand during DNA replication?

    <p>One primer is required at the start of replication</p> Signup and view all the answers

    What is the primary function of the single-stranded DNA binding proteins at the replication fork?

    <p>To bind tightly and cooperatively to stabilize the single-strand conformation</p> Signup and view all the answers

    What is the function of DNA topoisomerase during DNA replication?

    <p>It breaks the phosphodiester bonds to relieve superhelical tension</p> Signup and view all the answers

    What is the primary reason why DNA Polymerase requires a primer to begin DNA synthesis?

    <p>DNA Polymerase can only elongate an existing strand of DNA</p> Signup and view all the answers

    What happens to the RNA primers used during DNA replication?

    <p>They are removed by a DNA repair system and replaced with DNA</p> Signup and view all the answers

    What is the key difference between the leading strand and the lagging strand during DNA replication?

    <p>The leading strand is synthesized continuously, while the lagging strand is synthesized discontinuously.</p> Signup and view all the answers

    What is the purpose of the Okazaki fragments during DNA replication?

    <p>They are temporary segments of DNA that are later joined together on the lagging strand</p> Signup and view all the answers

    Which enzyme is responsible for creating the RNA primers that serve as the starting point for DNA synthesis at the replication fork?

    <p>DNA Primase</p> Signup and view all the answers

    What is the primary function of the replication fork during DNA replication?

    <p>To unwind the double helix and expose the single-stranded DNA template</p> Signup and view all the answers

    How does DNA ligase function during DNA replication?

    <p>It joins the 3' end of a new DNA fragment with the 5' end of the previous fragment</p> Signup and view all the answers

    What is the significance of the asymmetric structure of the replication fork with respect to the synthesis of the leading and lagging strands?

    <p>It enables the synthesis of the leading strand in a continuous manner and the lagging strand in a discontinuous manner.</p> Signup and view all the answers

    What is the role of DNA topoisomerase in relieving supercoiling during DNA replication?

    <p>It breaks the phosphodiester bonds to allow the DNA sections to rotate and relieve tension</p> Signup and view all the answers

    During DNA replication in Eukaryotes, when does histone synthesis primarily occur?

    <p>Interphase of the cell cycle</p> Signup and view all the answers

    Which proteins assist in the formation of histone octomers and nucleosomes during histone synthesis?

    <p>Histone chaperones</p> Signup and view all the answers

    What must be synthesized in Eukaryotes to package newly replicated DNA into nucleosomes?

    <p>Histones</p> Signup and view all the answers

    When does DNA topoisomerase reform the phosphodiester bond after replication?

    <p>After replication</p> Signup and view all the answers

    Which phase of the cell cycle is associated with histone synthesis?

    <p>S phase</p> Signup and view all the answers

    What is required for the packaging of newly replicated DNA into nucleosomes in Eukaryotes?

    <p>Histones</p> Signup and view all the answers

    Which enzymes or proteins are needed for each step of DNA synthesis in Eukaryotes?

    <p>Helicase and Polymerase</p> Signup and view all the answers

    'Histone chaperones' primarily assist in the formation of which structures during DNA replication?

    <p>'Histone octomers &amp; nucleosomes'</p> Signup and view all the answers

    'DNA topoisomerase' reforms the phosphodiester bond as it leaves after what process?

    <p>'DNA replication'</p> Signup and view all the answers

    What is the primary cause of Marfan syndrome according to the text?

    <p>A defect in the gene for fibrillin-1</p> Signup and view all the answers

    What is the prevalence of Marfan syndrome according to the text?

    <p>1 in 5,000</p> Signup and view all the answers

    Which of the following is a characteristic clinical finding of Marfan syndrome according to the text?

    <p>Dislocation of the lens</p> Signup and view all the answers

    What is the primary cardiovascular change associated with Marfan syndrome according to the text?

    <p>Mitral valve prolapse</p> Signup and view all the answers

    What percentage of Marfan syndrome cases are familial according to the text?

    <p>75-85%</p> Signup and view all the answers

    Which of the following explains the increased skeletal growth seen in Marfan syndrome according to the text?

    <p>Increased bioavailability of TGF-beta</p> Signup and view all the answers

    In X-linked recessive inheritance, how is the mutant gene typically passed down within families?

    <p>From affected males to their obligate carrier daughters</p> Signup and view all the answers

    What is a distinguishing feature of X-linked recessive disorders in terms of how they manifest?

    <p>Manifestation in males only</p> Signup and view all the answers

    Which of the following clinical features is characteristic of Hemophilia A, an X-linked recessive disorder?

    <p>Mucosal bleeding and hematomas in joint spaces (hemarthrosis)</p> Signup and view all the answers

    How does X-linked recessive inheritance differ from autosomal dominant inheritance?

    <p>Only males are affected in X-linked inheritance</p> Signup and view all the answers

    What is a key characteristic of autosomal recessive disorders?

    <p>The expression of the defect tends to be more uniform than in autosomal dominant disorders.</p> Signup and view all the answers

    What is the risk of autosomal recessive disorders manifesting when there is consanguinity?

    <p>Increased risk of manifestation with offspring from homozygotes and heterozygotes</p> Signup and view all the answers

    What is a common consequence of an enzyme defect in autosomal recessive disorders?

    <p>All of the above</p> Signup and view all the answers

    Which statement accurately describes the transmission pattern seen in X-linked recessive disorders?

    <p>'Knight's move' pattern of transmission observed</p> Signup and view all the answers

    In heterozygotes for an autosomal recessive disorder, what is typically observed regarding enzyme levels?

    <p>Equal amounts of normal and defective enzyme are synthesized.</p> Signup and view all the answers

    What is a common characteristic of autosomal dominant disorders?

    <p>Incomplete penetrance is common.</p> Signup and view all the answers

    What is a potential consequence of an accumulation of a substrate due to an enzyme defect?

    <p>The substrate can be toxic in high concentrations.</p> Signup and view all the answers

    What is a common characteristic of many of the mutated genes associated with autosomal recessive disorders?

    <p>They encode enzymes.</p> Signup and view all the answers

    What is the fundamental difference between frameshift mutations and non-frameshifting indels?

    <p>Frameshift mutations result in a complete loss of protein function, while non-frameshifting indels may still produce a functional protein.</p> Signup and view all the answers

    What is the primary reason for the difference in phenotypic expression between individuals with the same autosomal dominant disorder?

    <p>Both penetrance and expressivity contribute to the variability in phenotypic expression.</p> Signup and view all the answers

    What is the primary mechanism by which autosomal dominant disorders arise?

    <p>Loss-of-function mutations that result in reduced or no production of a functional protein.</p> Signup and view all the answers

    Which of the following statements about point mutations is true?

    <p>Nonsense mutations can lead to premature termination of translation.</p> Signup and view all the answers

    Which of the following statements about Mendelian disorders is correct?

    <p>Mendelian disorders are typically caused by mutations in single genes with large effects.</p> Signup and view all the answers

    What is a potential advantage of having a heterozygous genotype for certain genetic disorders?

    <p>Increased resistance to certain infectious diseases, like HIV or malaria.</p> Signup and view all the answers

    What is the primary cause of the accumulation of glucosylceramide in Gaucher disease?

    <p>Deficiency in the enzyme glucocerebrosidase</p> Signup and view all the answers

    Which of the following is NOT a common finding in Gaucher disease type I?

    <p>Rapid neurological deterioration</p> Signup and view all the answers

    What is the primary mechanism by which lysosomal storage diseases lead to cellular dysfunction?

    <p>Interference with cellular function due to numerous, enlarged lysosomes</p> Signup and view all the answers

    Which of the following statements about X-linked disorders is correct?

    <p>Affected males do not transmit the disorder to their sons</p> Signup and view all the answers

    What is the primary reason for the accumulation of metabolites in phagocytic cells in Gaucher disease?

    <p>Phagocytic cells are responsible for clearing dying cells</p> Signup and view all the answers

    What is the primary consequence of the secondary storage problem in lysosomal storage diseases?

    <p>Impaired autophagy and cellular housecleaning</p> Signup and view all the answers

    What is the primary function of the alimentary canal?

    <p>To absorb nutrients from ingested food</p> Signup and view all the answers

    Which of the following is NOT a component of the alimentary canal?

    <p>Liver</p> Signup and view all the answers

    What is the primary function of the accessory digestive organs?

    <p>To secrete substances into the alimentary canal</p> Signup and view all the answers

    Which of the following is a component of the large intestine?

    <p>Appendix</p> Signup and view all the answers

    What is the embryological origin of the accessory digestive organs?

    <p>They develop as outgrowths of the early alimentary canal</p> Signup and view all the answers

    Which of the following statements about the histologic layers of the alimentary canal is correct?

    <p>The histologic layers are typical and surround a lumen</p> Signup and view all the answers

    Which of the following is NOT a component of the small intestine?

    <p>Cecum</p> Signup and view all the answers

    What is the main function of the gall bladder?

    <p>Storage of digestive enzymes</p> Signup and view all the answers

    Which layer of the alimentary canal optimizes mixing and exposure of epithelial cells to lumen contents?

    <p>Submucosa</p> Signup and view all the answers

    What is the primary role of the parietal peritoneum?

    <p>Absorption of nutrients</p> Signup and view all the answers

    Which component helps to make hydrophobic molecules water soluble for elimination by the kidney?

    <p>Ingested proteins</p> Signup and view all the answers

    Which structure in the nervous system contains the neurons that bring sensory information from the peripheral to the central nervous system?

    <p>Myenteric plexus</p> Signup and view all the answers

    What is the primary role of goblet cells in the alimentary canal?

    <p>Secretion of digestive enzymes</p> Signup and view all the answers

    What is the function of Peyer's patches located in the Jejunum?

    <p>Production of intrinsic factor</p> Signup and view all the answers

    What is the main difference between rigidity guarding and rigidity?

    <p>Rigidity guarding is voluntary while rigidity is involuntary.</p> Signup and view all the answers

    What is the primary cause of rigidity?

    <p>Chemical irritation of the parietal peritoneum lining</p> Signup and view all the answers

    Which of the following is NOT a common cause of chemical irritation leading to rigidity?

    <p>Appendicitis</p> Signup and view all the answers

    Which region of the abdomen is associated with pain from the small intestine, cecum, or appendix?

    <p>Umbilical</p> Signup and view all the answers

    Which condition is characterized by a large, firm liver with an irregular edge?

    <p>Hepatocellular carcinoma</p> Signup and view all the answers

    What is a possible cause of pain in the left hypochondriac region of the abdomen?

    <p>Stomach disorder</p> Signup and view all the answers

    Which of the following statements about hepatomegaly (enlarged liver) is correct?

    <p>Hepatomegaly can cause changes in the consistency of the liver.</p> Signup and view all the answers

    Which condition is associated with a large liver with a firm, nontender edge?

    <p>Liver cirrhosis</p> Signup and view all the answers

    What is a potential cause of abdominal pain in the left iliac region?

    <p>Diverticulitis</p> Signup and view all the answers

    What is the main characteristic of decreased (hypoactive) bowel sounds according to the passage?

    <p>Suggests more emergent conditions like bowel obstruction, peritonitis, or intestinal ischemia</p> Signup and view all the answers

    How long should a clinician listen for bowel sounds before assuming their absence, according to the text?

    <p>The text does not specify a recommended listening time</p> Signup and view all the answers

    What is the key difference between abdominal pain and abdominal tenderness according to the passage?

    <p>Abdominal pain is always present, while tenderness only occurs with palpation</p> Signup and view all the answers

    According to the passage, which of the following can cause 'deep' or 'visceral' abdominal pain?

    <p>Both stretching/ischemia of the GI tract and thoracic pathologies</p> Signup and view all the answers

    What is the key distinction between guarding and rigidity according to the passage?

    <p>Guarding refers to voluntary muscle contraction, while rigidity is involuntary</p> Signup and view all the answers

    What is the primary function of the mucous membranes in the body according to the passage?

    <p>To secrete mucus that lubricates and protects the underlying tissues</p> Signup and view all the answers

    What term is used to describe tumour cells that resemble normal cells both morphologically and functionally?

    <p>Well differentiated</p> Signup and view all the answers

    Which characteristic is typical of poorly differentiated (anaplastic) tumour cells?

    <p>Presence of large numbers and abnormal mitoses</p> Signup and view all the answers

    What is a common feature of anaplasia in malignant tumours?

    <p>Loss of differentiation</p> Signup and view all the answers

    What does the term 'pleomorphism' refer to in the context of anaplasia?

    <p>Variability in cell size and shape</p> Signup and view all the answers

    Which of the following is a characteristic of anaplastic tumour cells?

    <p>Disproportionally large nuclei &amp; nucleoli</p> Signup and view all the answers

    What visual characteristics are indicative of anaplasia according to Pathologic Basis of Disease?

    <p>Figure 7.9 on page 272</p> Signup and view all the answers

    In the context of anaplasia, what do nuclei containing abundant chromatin that stain darker indicate?

    <p>Abnormal nuclear morphology</p> Signup and view all the answers

    What is a key distinguishing characteristic of malignant tumors compared to benign tumors?

    <p>Malignant tumors demonstrate local invasion into adjacent normal tissue</p> Signup and view all the answers

    Which of the following is a key characteristic that distinguishes benign tumors from malignant tumors?

    <p>Benign tumors have a progressive and slow rate of growth, while malignant tumors have a rapid and erratic growth rate</p> Signup and view all the answers

    According to the provided information, what is a key difference between benign and malignant tumors in terms of local invasion?

    <p>Benign tumors are well-demarcated and do not demonstrate local invasion, while malignant tumors are locally invasive</p> Signup and view all the answers

    What is a key difference between benign and malignant tumors in terms of their metastatic potential?

    <p>Malignant tumors frequently demonstrate metastasis, while benign tumors do not</p> Signup and view all the answers

    Which of the following is a key distinguishing characteristic of the differentiation status of benign versus malignant tumors?

    <p>Malignant tumors are poorly differentiated (anaplastic), while benign tumors are well differentiated</p> Signup and view all the answers

    According to the information provided, which of the following is a key characteristic that distinguishes the mitotic activity of benign versus malignant tumors?

    <p>Malignant tumors have numerous and abnormal mitotic figures, while benign tumors have minimal mitotic figures</p> Signup and view all the answers

    What is a key difference between benign and malignant tumors in terms of their local invasion?

    <p>Malignant tumors are locally invasive, while benign tumors are well-demarcated</p> Signup and view all the answers

    What is a key distinguishing feature of benign versus malignant tumors in terms of their growth rate?

    <p>Benign tumors have a progressive and slow growth rate, while malignant tumors have an erratic and rapid growth rate</p> Signup and view all the answers

    What is the key characteristic that distinguishes malignant tumors from benign tumors?

    <p>Malignant tumors have uncoordinated and excessive growth that continues beyond cessation of growth stimuli, while benign tumors have coordinated growth.</p> Signup and view all the answers

    What is the main difference between a 'carcinoma' and a 'sarcoma' in terms of tumor classification?

    <p>Carcinomas are tumors of epithelial cell origin, while sarcomas are tumors of mesenchymal/mesodermal origin.</p> Signup and view all the answers

    According to the passage, which of the following is a key characteristic of benign tumors?

    <p>Benign tumors remain localized at their site of origin.</p> Signup and view all the answers

    What is the main difference between the terms 'neoplasia' and 'tumour' as used in the passage?

    <p>'Neoplasia' refers to a new growth, while 'tumour' refers to an abnormal mass of tissue.</p> Signup and view all the answers

    Which of the following is a characteristic of malignant tumors according to the passage?

    <p>Malignant tumors invade and destroy adjacent structures and spread to distant sites.</p> Signup and view all the answers

    According to the passage, which of the following is a common exception to the "-oma" suffix typically denoting a benign tumor?

    <p>Lymphoma</p> Signup and view all the answers

    How is RB typically inactivated in most human cancers?

    <p>Loss of function mutation involving both RB alleles</p> Signup and view all the answers

    Which gene is most frequently mutated in human cancer?

    <p>p53</p> Signup and view all the answers

    What is one role of p53 in the presence of DNA damage?

    <p>Inducing cellular senescence</p> Signup and view all the answers

    How can mutated p53 contribute to carcinogenesis?

    <p>Escaping DNA mutations</p> Signup and view all the answers

    Which function is NOT regulated by p53?

    <p>Cell membrane synthesis</p> Signup and view all the answers

    Which checkpoint does RB facilitate passing through?

    <p>G0/G1 checkpoint</p> Signup and view all the answers

    What is the primary reason for cancer cells' reliance on aerobic glycolysis (Warburg effect) for ATP production?

    <p>To facilitate rapid cell division and growth by providing biosynthetic precursors</p> Signup and view all the answers

    Which of the following is NOT considered a hallmark of cancer cells?

    <p>Reliance on oxidative phosphorylation for energy production</p> Signup and view all the answers

    Which gene/pathway is commonly dysregulated in colorectal cancers, contributing to the loss of contact inhibition and metastasis?

    <p>E-cadherin</p> Signup and view all the answers

    Which of the following cell cycle regulators is NOT mentioned as being dysregulated in a significant majority of human cancers?

    <p>p53</p> Signup and view all the answers

    Which of the following is a tumor suppressor gene mentioned in the text?

    <p>RB</p> Signup and view all the answers

    Which pathway is mentioned in the context of the APC gene's role in colorectal cancers?

    <p>Wnt-β-catenin pathway</p> Signup and view all the answers

    Which of the following best describes the process of tumour progression?

    <p>Tumours evolve genetically, with the fittest subclones dominating the tumour mass</p> Signup and view all the answers

    What is the primary role of oncogenes in tumour development?

    <p>Promote excessive cell growth, even in the absence of normal growth-promoting signals</p> Signup and view all the answers

    Which of the following proto-oncogenes is NOT mentioned in the text as being discussed in more detail?

    <p>p53</p> Signup and view all the answers

    What is a common characteristic of tumours that recur after therapy?

    <p>They are almost always found to be resistant to the initial treatment</p> Signup and view all the answers

    Which of the following is NOT a potential type of oncoprotein encoded by oncogenes?

    <p>Tumour suppressor proteins</p> Signup and view all the answers

    According to the information provided, what is the primary reason for the genetic evolution of tumours?

    <p>The survival and selection of the fittest tumour subclones</p> Signup and view all the answers

    Which of the following statements about the Ras protein is true?

    <p>It is a downstream component of receptor tyrosine kinase signaling pathways.</p> Signup and view all the answers

    What is the primary role of the PI3K family of proteins in cancer?

    <p>Inhibiting apoptosis and promoting cell proliferation.</p> Signup and view all the answers

    Which of the following statements about the Myc protein is correct?

    <p>It is an immediate early response gene induced by Ras/MAPK signaling.</p> Signup and view all the answers

    Which of the following cancers is most likely to have a mutated version of the RAS gene?

    <p>Pancreatic adenocarcinoma</p> Signup and view all the answers

    Which of the following statements about the PI3K protein is true?

    <p>It is a downstream component of receptor tyrosine kinase signaling pathways.</p> Signup and view all the answers

    What is a key function of the Myc protein in cancer development?

    <p>Increasing cell proliferation and growth when activated.</p> Signup and view all the answers

    What is the main cause of mutations leading to carcinogenesis according to the text?

    <p>Both UV radiation and ionizing radiation</p> Signup and view all the answers

    Which of the following viruses is associated with leukemia?

    <p>Human T-cell Leukemia Virus Type 1 (HTLV-1)</p> Signup and view all the answers

    What is the fundamental difference between oncogenes and tumor suppressor genes?

    <p>Oncogenes promote cell division, while tumor suppressor genes inhibit it</p> Signup and view all the answers

    Which of the following DNA viruses is associated with Merkel cell carcinoma?

    <p>Merkel cell Polyomavirus</p> Signup and view all the answers

    Which virus is mentioned in the text as being associated with hepatocellular carcinoma?

    <p>Hepatitis B Virus (HBV)</p> Signup and view all the answers

    What is suggested as a study question in the text?

    <p>Build a table comparing oncogenes and tumor suppressor genes</p> Signup and view all the answers

    What is the key difference between the central nervous system (CNS) and the peripheral nervous system (PNS)?

    <p>The CNS is located within the brain and spinal cord, while the PNS consists of nerves that connect the CNS to the rest of the body.</p> Signup and view all the answers

    Which of the following is a characteristic of the autonomic nervous system?

    <p>It is part of the peripheral nervous system.</p> Signup and view all the answers

    What is the primary function of the glial cells in the nervous system?

    <p>To provide structural support and insulation for neurons.</p> Signup and view all the answers

    Which of the following is a key difference between the central nervous system (CNS) and the peripheral nervous system (PNS)?

    <p>The CNS is protected by the blood-brain barrier, while the PNS is not.</p> Signup and view all the answers

    What is the primary function of the ventricular system and cerebrospinal fluid (CSF) in the nervous system?

    <p>To cushion and protect the brain and spinal cord.</p> Signup and view all the answers

    Which of the following is a key modality of the peripheral nervous system (PNS)?

    <p>All of the above.</p> Signup and view all the answers

    What is the primary role of epineurium in protecting peripheral nerves?

    <p>Actively controlling the entry of white blood cells into neurons</p> Signup and view all the answers

    Which component of a neuron is responsible for protein synthesis for the rest of the neuron?

    <p>Nissl substance</p> Signup and view all the answers

    Why are mature, 'mushroom-shaped' dendritic spines considered more effective in transmitting information?

    <p>They are larger and broader, providing more effective synapses.</p> Signup and view all the answers

    What is the significance of the close proximity between axon terminals and dendritic spines in neurons?

    <p>To enhance synaptic effectiveness</p> Signup and view all the answers

    Which type of cells are crucial for repair in most tissues, including peripheral nerves?

    <p>Leukocytes</p> Signup and view all the answers

    Where is the key protein synthesis site for the rest of the neuron located?

    <p>Soma (cell body)</p> Signup and view all the answers

    Which part of the nervous system controls the autonomic nervous system?

    <p>Brain</p> Signup and view all the answers

    What is the primary function of the sympathetic nervous system?

    <p>Increase glucose availability</p> Signup and view all the answers

    Which cranial nerve is responsible for parasympathetic control over pupillary muscles?

    <p>CN III</p> Signup and view all the answers

    What is the function of the corticospinal tract in motor control?

    <p>Control voluntary skeletal muscles below the neck</p> Signup and view all the answers

    In which location are the ganglia of the sympathetic nervous system typically found?

    <p>Prevertebral ganglia</p> Signup and view all the answers

    Which of the following is true regarding the parasympathetic nervous system?

    <p>Decreases digestive function</p> Signup and view all the answers

    What is the primary function of the axon hillock?

    <p>To initiate action potentials</p> Signup and view all the answers

    Which of the following is NOT a characteristic of multipolar neurons?

    <p>Their cell bodies receive sensory information directly</p> Signup and view all the answers

    What is the primary function of pseudo-unipolar neurons?

    <p>To transmit somatic sensory information to the CNS</p> Signup and view all the answers

    Which of the following is NOT a component of the general sensory system?

    <p>Motor neurons</p> Signup and view all the answers

    What is the primary function of bipolar neurons?

    <p>To detect special senses like vision and hearing</p> Signup and view all the answers

    Which of the following is a key step in the sensation process?

    <p>Detection of a physical or chemical stimulus by a receptor</p> Signup and view all the answers

    Which neurotransmitter is the major one involved in the Parasympathetic Nervous System?

    <p>Acetylcholine</p> Signup and view all the answers

    Which cranial nerves are involved in the Parasympathetic Nervous System outflow?

    <p>CN 3, 7, 10</p> Signup and view all the answers

    Where do sacral spinal nerves originate and target?

    <p>Originate in sacral spinal cord and target organs in the abdomen and pelvis</p> Signup and view all the answers

    Where are ganglia located in relation to target organs in the Parasympathetic Nervous System?

    <p>Closer to the target organs</p> Signup and view all the answers

    Which nerves are responsible for visceral efferents up to the proximal large bowel in the Parasympathetic Nervous System?

    <p>Vagus nerve and Sacral nerves</p> Signup and view all the answers

    Which regions of the body do Sacral nerves target in the Parasympathetic Nervous System?

    <p>Abdomen and pelvis</p> Signup and view all the answers

    Which of the following molecules is NOT mentioned as an allosteric inhibitor of pyruvate kinase?

    <p>ADP</p> Signup and view all the answers

    How does insulin affect the expression of glycolytic enzymes according to the passage?

    <p>Insulin promotes the transcription of hexokinase, PFK-1, and pyruvate kinase.</p> Signup and view all the answers

    Which of the following is a key difference between glucose and fructose metabolism as described in the text?

    <p>Fructose metabolism bypasses the first two regulated steps of glycolysis.</p> Signup and view all the answers

    What is the primary function of fructose-1-phosphate in the fructose metabolism pathway described in the text?

    <p>It is a substrate for glycolysis.</p> Signup and view all the answers

    How does glucagon affect the expression of glycolytic enzymes according to the passage?

    <p>Glucagon inhibits the transcription of hexokinase, PFK-1, and pyruvate kinase.</p> Signup and view all the answers

    Which of the following is NOT listed as a bypass reaction in the regulation of gluconeogenesis?

    <p>Fructose-6-phosphatase</p> Signup and view all the answers

    What is the key product of the pentose phosphate shunt?

    <p>NADPH</p> Signup and view all the answers

    How is the activity of glucose-6-phosphate dehydrogenase regulated?

    <p>Both allosteric regulation by NADPH and hormonal regulation by insulin</p> Signup and view all the answers

    What is the role of glycogen synthase in the glycogenesis pathway?

    <p>It catalyzes the addition of glucose units to the growing glycogen chain</p> Signup and view all the answers

    Which enzyme is needed to commit glucose-6-phosphate to the glycolysis pathway?

    <p>Hexokinase</p> Signup and view all the answers

    What are the three irreversible enzymes that regulate glycolysis?

    <p>Hexokinase, phosphofructokinase, and pyruvate kinase</p> Signup and view all the answers

    What reaction does hexokinase catalyze in glycolysis?

    <p>Conversion of glucose to glucose-6-phosphate</p> Signup and view all the answers

    Which enzyme catalyzes the conversion of pyruvate to oxaloacetate in gluconeogenesis?

    <p>Lactate dehydrogenase</p> Signup and view all the answers

    What is the allosteric activator of pyruvate carboxylase in the context of gluconeogenesis?

    <p>Acetyl CoA</p> Signup and view all the answers

    Which enzyme is needed to commit glucose-6-phosphate to glycolysis?

    <p>Hexokinase</p> Signup and view all the answers

    What reaction does FBP-1 catalyze in the context of gluconeogenesis?

    <p>Conversion of fructose-1,6-bisphosphate to fructose 2,6-bisphosphate</p> Signup and view all the answers

    Which hormone promotes the activation of FBP-2 leading to lower levels of Fructose-2,6-bisphosphate?

    <p>Glucagon</p> Signup and view all the answers

    What can glucagon induce the transcription of in the context of gluconeogenesis?

    <p>PEP carboxykinase</p> Signup and view all the answers

    In individuals with G6PD deficiency, what is a common trigger for hemolytic anemia?

    <p>Exposure to oxidant stress</p> Signup and view all the answers

    Which population group is reported to have the highest prevalence of G6PD deficiency?

    <p>Those of Middle Eastern, Mediterranean, and tropical African or Asian descent</p> Signup and view all the answers

    What is the pathway through which Glucose-6-P can be committed to glycolysis?

    <p>Pentose Phosphate Shunt</p> Signup and view all the answers

    Which molecule is directly converted to Ribose-5-phosphate in the non-oxidative phase of the Pentose Phosphate Pathway?

    <p>Ribulose-5-P</p> Signup and view all the answers

    What is the role of Ribose-5-phosphate in the Pentose Phosphate Pathway?

    <p>Used in DNA and RNA synthesis</p> Signup and view all the answers

    Which enzyme is essential for converting Glucose-6-P into Glycogen for storage?

    <p>Glycogen Synthase</p> Signup and view all the answers

    What is the primary purpose of the pentose phosphate pathway?

    <p>To generate NADPH and ribose-5-phosphate</p> Signup and view all the answers

    Which of the following accurately describes the oxidative phase of the pentose phosphate pathway?

    <p>It generates $CO_2$ as a byproduct</p> Signup and view all the answers

    Which enzyme is the rate-limiting step in the oxidative phase of the pentose phosphate pathway?

    <p>Glucose-6-phosphate dehydrogenase (G6PD)</p> Signup and view all the answers

    What is the primary function of NADPH generated in the pentose phosphate pathway?

    <p>To reduce glutathione and maintain cellular antioxidant levels</p> Signup and view all the answers

    Which of the following statements about the non-oxidative phase of the pentose phosphate pathway is correct?

    <p>It converts ribose-5-phosphate into glyceraldehyde-3-phosphate and fructose-6-phosphate</p> Signup and view all the answers

    Why is the pentose phosphate pathway considered a 'shunt' from glycolysis?

    <p>It 'shunts' molecules into and out of the glycolytic pathway</p> Signup and view all the answers

    Where does the pentose phosphate shunt primarily take place?

    <p>Cytoplasm</p> Signup and view all the answers

    Which enzyme is responsible for the conversion of glucose-6-phosphate to 6-phosphogluconolactone in the pentose phosphate shunt?

    <p>Glucose-6-Phosphate Dehydrogenase</p> Signup and view all the answers

    What is the primary function of glycogen phosphorylase in glycogenolysis?

    <p>Break down glycogen to glucose</p> Signup and view all the answers

    Which hormone inhibits glycogenolysis and stimulates glycogenesis?

    <p>Insulin</p> Signup and view all the answers

    In the glycolysis pathway, what is the final product derived from the conversion of pyruvate?

    <p>Acetyl CoA</p> Signup and view all the answers

    Which enzyme catalyzes the conversion of fructose-1,6-bisphosphate to fructose-6-phosphate in glycolysis?

    <p>Fructose Bisphosphatase</p> Signup and view all the answers

    What is the net ATP produced from one molecule of glucose during glycolysis?

    <p>2 ATP</p> Signup and view all the answers

    What is the fate of NADH generated during glycolysis under aerobic conditions?

    <p>Donated to complex I of the electron transport chain</p> Signup and view all the answers

    What is the primary function of glycogen synthase?

    <p>Catalyze formation of glycogen from glucose</p> Signup and view all the answers

    What is the primary purpose of the pentose phosphate shunt?

    <p>To generate NADPH and precursors for nucleotide synthesis</p> Signup and view all the answers

    Which enzyme catalyzes the irreversible step in glycolysis that commits glucose to being metabolized?

    <p>Phosphofructokinase-1 (PFK-1)</p> Signup and view all the answers

    Which of the following is a key regulatory enzyme in gluconeogenesis?

    <p>Fructose-1,6-bisphosphatase</p> Signup and view all the answers

    What is the primary function of glycogenolysis?

    <p>To break down glycogen into glucose-6-phosphate</p> Signup and view all the answers

    Which of the following is a key difference between glycolysis and gluconeogenesis?

    <p>Glycolysis is an energy-producing pathway, while gluconeogenesis is an energy-consuming pathway</p> Signup and view all the answers

    Which of the following is a key regulatory mechanism for glycolysis and gluconeogenesis?

    <p>All of the above</p> Signup and view all the answers

    What is the primary function of the pentose phosphate shunt in cells?

    <p>To produce NADPH for anabolic reactions</p> Signup and view all the answers

    Which of the following statements about fructose metabolism is true?

    <p>Fructose is first converted to fructose-6-phosphate before entering glycolysis</p> Signup and view all the answers

    What is the primary purpose of the Goldman Field equation mentioned in the text?

    <p>To predict the membrane potential when the membrane is permeable to more than one ion</p> Signup and view all the answers

    Which type of channels are mentioned in the text as being able to open or close in response to a variety of stimuli?

    <p>All of the above</p> Signup and view all the answers

    What is the primary requirement for the production of an action potential according to the text?

    <p>Both a and b</p> Signup and view all the answers

    What is the key characteristic of the membrane voltage change during an action potential as described in the text?

    <p>The membrane becomes more positive (depolarized)</p> Signup and view all the answers

    Where in the nervous system do action potentials occur according to the text?

    <p>In the axon, axon hillock, and synaptic terminal</p> Signup and view all the answers

    What is the primary role of channels in the movement of ions across the cell membrane according to the text?

    <p>Channels are necessary because membranes are poorly permeable to charged particles</p> Signup and view all the answers

    What is the relationship between axon diameter and conduction velocity for both myelinated and unmyelinated fibers?

    <p>Directly proportional</p> Signup and view all the answers

    In a myelinated axon, what is the main function of the nodes of Ranvier?

    <p>Expressing voltage-gated channels</p> Signup and view all the answers

    What happens at the nodes of Ranvier during saltatory conduction in a myelinated axon?

    <p>Voltage-gated channels are expressed</p> Signup and view all the answers

    Which type of fiber conducts impulses the fastest based on the information provided?

    <p>A Fibers - Largest fibers, myelinated</p> Signup and view all the answers

    What is the primary function of the neurotransmitter vesicles in the presynaptic terminal?

    <p>Package and release neurotransmitters</p> Signup and view all the answers

    What is the purpose of myelin insulation in a myelinated axon during saltatory conduction?

    <p>To provide electrical insulation for faster conduction</p> Signup and view all the answers

    What is the primary role of sodium voltage-gated channels (Na+ VGC) in the axon hillock and axon?

    <p>To initiate and propagate the action potential</p> Signup and view all the answers

    What is the primary function of the Na+/K+ ATPase during the resting membrane potential?

    <p>To actively transport sodium out and potassium into the cell</p> Signup and view all the answers

    What is the primary cause of the depolarization step during the action potential?

    <p>The opening of sodium voltage-gated channels</p> Signup and view all the answers

    What is the primary mechanism that drives the repolarization step during the action potential?

    <p>The opening of potassium voltage-gated channels</p> Signup and view all the answers

    What is the role of the activation gate in the sodium voltage-gated channel?

    <p>It allows the channel to open when the threshold is reached</p> Signup and view all the answers

    What is the primary function of potassium leak channels during the resting membrane potential?

    <p>To facilitate the diffusion of potassium ions out of the cell</p> Signup and view all the answers

    Why is the membrane potential of a neuron close to, but not the same as, the equilibrium (Nernst) potential for potassium?

    <p>The neuron membrane is more permeable to potassium than other ions, but not perfectly permeable to potassium alone.</p> Signup and view all the answers

    What is the primary factor that determines the magnitude of the Nernst potential for a specific ion?

    <p>The concentration gradient of the ion across the membrane.</p> Signup and view all the answers

    If the membrane potential of a neuron is equal to the Nernst potential for a particular ion, what can be inferred about the movement of that ion across the membrane?

    <p>The ion is moving in both directions at equal rates.</p> Signup and view all the answers

    According to the Nernst equation, what would happen to the Nernst potential for an ion if the extracellular concentration of that ion increased while the intracellular concentration remained constant?

    <p>The Nernst potential would become more negative.</p> Signup and view all the answers

    Which of the following statements about the resting membrane potential of a neuron is true?

    <p>It is primarily determined by the permeability of the membrane to potassium ions.</p> Signup and view all the answers

    What is the primary reason for the separation of charges across the membrane of a neuron, which creates the voltage (potential energy) mentioned in the text?

    <p>The differential permeability of the membrane to different ions.</p> Signup and view all the answers

    What is the primary role of calcium in synaptic transmission?

    <p>To bind to neurotransmitter-filled vesicles and trigger their fusion with the presynaptic membrane</p> Signup and view all the answers

    What are the key players involved in the regulated release of neurotransmitter vesicles?

    <p>v-SNAREs, t-SNAREs, complexin, and synaptotagmin</p> Signup and view all the answers

    What is the primary function of complexin in the synaptic vesicle release process?

    <p>To prevent premature release of neurotransmitters after v-SNAREs and t-SNAREs engage</p> Signup and view all the answers

    What is the approximate time frame for neurotransmitter release after the arrival of an action potential at the presynaptic terminal?

    <p>Milliseconds (1-5 ms)</p> Signup and view all the answers

    What is the primary role of v-SNAREs in the synaptic vesicle release process?

    <p>To 'force' the vesicle to fuse with the presynaptic membrane and dock with t-SNAREs</p> Signup and view all the answers

    What is the significance of the action potential in the synaptic transmission process?

    <p>To open calcium channels in the presynaptic terminal, leading to calcium-induced exocytosis of neurotransmitters</p> Signup and view all the answers

    What is the primary difference between cerebrosides and gangliosides as mentioned in the text?

    <p>Headgroup composition</p> Signup and view all the answers

    What is the common feature shared by all sphingolipids according to the text?

    <p>Fatty acid linkage to sphingosine</p> Signup and view all the answers

    What distinguishes glycosphingolipids from phospholipids?

    <p>Head group composition</p> Signup and view all the answers

    Which fatty acid derivative serves as a physiological vasodilator?

    <p>Eicosanoids</p> Signup and view all the answers

    What is the consequence of the accumulation of sphingolipids in the body?

    <p>Neuronal cell damage</p> Signup and view all the answers

    What is the defining feature of wax esters compared to other lipid structures?

    <p>Connection to hydrocarbon alcohols</p> Signup and view all the answers

    What are the three categories of isoprenoids?

    <p>Terpenes, Mixed Terpenes, Steroids</p> Signup and view all the answers

    What is the name given to a terpene consisting of 6 isoprene units?

    <p>Triterpene</p> Signup and view all the answers

    Which of the following is an example of a mixed terpene?

    <p>Coenzyme Q (CoQ)</p> Signup and view all the answers

    What is the starting molecule for cholesterol synthesis and ketogenesis?

    <p>Acetyl CoA</p> Signup and view all the answers

    What is the rate-limiting enzyme in cholesterol synthesis?

    <p>HMG-CoA reductase</p> Signup and view all the answers

    How does high cholesterol affect the rate-limiting enzyme in its synthesis?

    <p>It inhibits the enzyme</p> Signup and view all the answers

    What do phospholipids and glycosphingolipids have in common in terms of structure?

    <p>Both contain a backbone</p> Signup and view all the answers

    Which lipid structure involves a ceramide consisting of sphingosine and an additional fatty acid chain?

    <p>Glycosphingolipids</p> Signup and view all the answers

    Where is Glycerol-3-P produced from in the liver and adipose tissues?

    <p>Glucose</p> Signup and view all the answers

    What is used as the carrier for the activation of fatty acids before they are added to Glycerol-3-P?

    <p>ATP</p> Signup and view all the answers

    Following the addition of fatty acids to Glycerol-3-P, what is the next step in producing phospholipids?

    <p>Transformation into phosphatidic acid</p> Signup and view all the answers

    Which head group is characteristic of Phospholipids?

    <p>-serine, -ethanolamine, -inositol, -choline</p> Signup and view all the answers

    What enzyme is responsible for adding a phosphate group to glycerol during the synthesis of the glycerol-3-phosphate backbone?

    <p>Glycerol kinase</p> Signup and view all the answers

    What enzyme catalyzes the conversion of dihydroxyacetone phosphate (DHAP) to glycerol-3-phosphate?

    <p>Glycerol-3-phosphate dehydrogenase</p> Signup and view all the answers

    What is the role of the coenzyme A (CoA) in lipogenesis?

    <p>It acts as a carrier for fatty acid chains and transfers them to the glycerol-3-phosphate backbone.</p> Signup and view all the answers

    Which enzyme is responsible for transferring the first two fatty acid chains to the glycerol-3-phosphate backbone?

    <p>Acyl transferase</p> Signup and view all the answers

    What is the intermediate formed after the addition of the first two fatty acid chains to the glycerol-3-phosphate backbone?

    <p>Phosphatidic acid</p> Signup and view all the answers

    Which enzyme is responsible for removing the phosphate group from phosphatidic acid and adding the third fatty acid chain to form a triacylglycerol (triglyceride)?

    <p>Phosphatidic acid phosphatase</p> Signup and view all the answers

    What class of drugs inhibits the rate-limiting enzyme HMG-CoA reductase in cholesterol synthesis?

    <p>Statins</p> Signup and view all the answers

    Which of the following isoprenoid compounds is an intermediate in cholesterol synthesis?

    <p>Squalene</p> Signup and view all the answers

    What is a primary function of cholesterol synthesized in the liver?

    <p>Formation of bile</p> Signup and view all the answers

    After binding to receptors on cells, what happens to low-density lipoprotein (LDL) particles?

    <p>They are degraded, releasing cholesterol</p> Signup and view all the answers

    Why do cells need cholesterol?

    <p>To build cell membranes</p> Signup and view all the answers

    What is the initial metabolic precursor for cholesterol biosynthesis?

    <p>Acetyl CoA</p> Signup and view all the answers

    What is the primary cause of the symptoms of raised intracranial pressure in non-communicating hydrocephalus?

    <p>Blockage of the cerebral aqueduct</p> Signup and view all the answers

    Which of the following is a key symptom of normal pressure hydrocephalus (NPH) that differentiates it from other types of hydrocephalus?

    <p>Headache</p> Signup and view all the answers

    What is the primary cause of the difficulty walking (spasticity) seen in hydrocephalus?

    <p>Increased ventricular volume</p> Signup and view all the answers

    What is the key difference between non-communicating hydrocephalus and normal pressure hydrocephalus (NPH) described in the passage?

    <p>The age distribution of the patients</p> Signup and view all the answers

    What is the primary reason given in the passage for why the cause of normal pressure hydrocephalus (NPH) is not well understood?

    <p>The ventricular volume is increased but subarachnoid volume is not</p> Signup and view all the answers

    What is the primary symptom of normal pressure hydrocephalus (NPH) that is rare in other types of hydrocephalus?

    <p>Headache</p> Signup and view all the answers

    Which symptom often occurs as part of the prodrome phase of a migraine?

    <p>Neck discomfort</p> Signup and view all the answers

    What is a common characteristic of the aura phase in migraines?

    <p>Heaviness of limbs</p> Signup and view all the answers

    Which criteria are needed for a diagnosis of migraine based on the text?

    <p>At least 2 unilateral throbbing headaches with moderate intensity</p> Signup and view all the answers

    Which symptom is NOT part of the POUND screen used for migraines?

    <p>Numbness or tingling</p> Signup and view all the answers

    What is a common feature of the visual disturbances during the aura phase of migraines?

    <p>Peripheral vision loss</p> Signup and view all the answers

    Which symptom is NOT commonly associated with the prodrome phase of migraines?

    <p>Unilateral throbbing pain</p> Signup and view all the answers

    What is the primary cause of pain in migraine headaches?

    <p>Imbalance in the modulation of pain sensation from trigeminal afferents</p> Signup and view all the answers

    Which pathway is primarily involved in the transmission of migraine pain signals?

    <p>Trigeminovascular input → trigeminal ganglion → thalamus → cortex</p> Signup and view all the answers

    Which group of medications acts on the receptors important in the trigeminal nucleus and thalamus to treat migraines?

    <p>Triptans (5-HT1 receptor agonists)</p> Signup and view all the answers

    What is the most appropriate epidemiological definition of migraine described in the passage?

    <p>A benign, recurring headache associated with neurologic symptoms like nausea and vomiting</p> Signup and view all the answers

    Which brain region is likely to play a key role in modulating the pain signals in migraine?

    <p>Dorsal raphe nucleus</p> Signup and view all the answers

    According to the passage, which statement about migraine triggers is correct?

    <p>Migraines can be associated with triggers, but not necessarily</p> Signup and view all the answers

    Which tissue/structure is most likely to produce the fluid that accumulates in the ventricles during communicating hydrocephalus?

    <p>Choroid plexus</p> Signup and view all the answers

    What is the primary consequence of cerebral edema, as described in the passage?

    <p>Flattening of the gyri and narrowing of the sulci</p> Signup and view all the answers

    According to the passage, what is the primary cause of most cases of hydrocephalus?

    <p>Impaired flow and resorption of CSF</p> Signup and view all the answers

    How does the appearance of the patient with hydrocephalus differ depending on the age of presentation?

    <p>Before closure of cranial sutures, it results in macrocephaly, while after closure, it results in enlargement of the ventricles</p> Signup and view all the answers

    What is the key difference between communicating hydrocephalus and other forms of hydrocephalus?

    <p>Communicating hydrocephalus involves enlargement of the entire ventricular system, while other forms do not</p> Signup and view all the answers

    What is the typical rate of CSF production by the choroid plexus, as mentioned in the passage?

    <p>0.3 ml/min</p> Signup and view all the answers

    What is the primary neurotransmitter implicated in the pathogenesis of migraine headaches?

    <p>CGRP</p> Signup and view all the answers

    What is the proposed mechanism by which the 'spreading depression' wave leads to the neurological symptoms of migraine?

    <p>It causes a refractory period in the affected cortical areas, preventing normal synaptic excitation</p> Signup and view all the answers

    What is the current understanding of the etiology of migraine headaches?

    <p>It has a strong genetic component, but the specific genes involved are difficult to identify</p> Signup and view all the answers

    What is the primary mechanism of action of the monoclonal antibodies used for migraine prevention?

    <p>They bind and eliminate CGRP, preventing it from activating its receptor</p> Signup and view all the answers

    What is the primary function of the trigeminal ganglion in the pathogenesis of migraine?

    <p>It is the site of CGRP release, which activates nociceptors and increases pain sensation</p> Signup and view all the answers

    What is the primary mechanism by which sumatriptan, a common migraine medication, is thought to be effective?

    <p>It causes vasoconstriction, reducing blood flow and pain</p> Signup and view all the answers

    Which type of herniation is described as the most common in the text?

    <p>Subfalcine herniation</p> Signup and view all the answers

    What are the two main symptoms associated with compression of the cingulate gyrus or the nearby anterior cerebral artery, according to the text?

    <p>Weakness of the contralateral leg and limbic symptoms like apathy, difficulty making decisions, and indifference</p> Signup and view all the answers

    According to the information provided, what is the primary cause of the increased intracranial pressure that leads to herniation?

    <p>Brain tumor</p> Signup and view all the answers

    What is the primary function of the limbic lobe, which contains the cingulate gyrus?

    <p>Emotional processing and memory</p> Signup and view all the answers

    Which of the following is NOT a key feature of subfalcine herniation described in the text?

    <p>Displacement of the brain stem</p> Signup and view all the answers

    What is the primary reason why increased intracranial pressure can lead to herniation, according to the information provided?

    <p>The brain is enclosed within the rigid skull, limiting its ability to expand</p> Signup and view all the answers

    What is the primary concern with transtentorial herniation?

    <p>Compression of the midbrain and pons</p> Signup and view all the answers

    What is the primary concern with tonsillar herniation?

    <p>Brainstem compression and respiratory/cardiac dysfunction</p> Signup and view all the answers

    What is the primary mechanism by which necrotic cellular damage occurs in the central nervous system?

    <p>Accumulation of intracellular calcium</p> Signup and view all the answers

    Which of the following is a common characteristic of tumors that recur after therapy?

    <p>All of the above</p> Signup and view all the answers

    What is the primary role of oncogenes in tumor development?

    <p>All of the above</p> Signup and view all the answers

    What is the primary function of the Na+/K+ ATPase during the resting membrane potential?

    <p>Maintaining the concentration gradients of Na+ and K+</p> Signup and view all the answers

    What is the key reason why brain tissue deprived of blood flow (ischemia) becomes depolarized?

    <p>Disruption of the sodium-potassium pump leading to membrane depolarization</p> Signup and view all the answers

    How can the depolarization of neurons during ischemia be linked to 'unregulated' neurotransmitter release?

    <p>Depolarization opens calcium channels, leading to increased intracellular calcium and exocytosis of neurotransmitters</p> Signup and view all the answers

    How can the unregulated neurotransmitter release during ischemia impact free radical production?

    <p>Excess neurotransmitters activate receptors that stimulate nitric oxide synthase, leading to increased nitric oxide production</p> Signup and view all the answers

    What is a key feature of the 'red neuron' appearance observed in acute neuronal injury?

    <p>Increased eosinophilia and pyknosis of the nucleus</p> Signup and view all the answers

    What is the primary mechanism by which nitric oxide (NO) can become a more toxic free radical species in the brain?

    <p>Nitric oxide is converted to peroxynitrite (ONOO-) through reaction with superoxide</p> Signup and view all the answers

    How does the appearance of 'red neurons' on H&E staining differ from normal neurons?

    <p>Red neurons have a more intense eosinophilic staining of the cytoplasm compared to normal neurons</p> Signup and view all the answers

    What is the primary role of astrocytic gliosis in the central nervous system?

    <p>To buffer excitotoxins and maintain the blood-brain barrier</p> Signup and view all the answers

    Which of the following is NOT a characteristic of microglial activation in response to injury?

    <p>Formation of a glial scar to contain the injury</p> Signup and view all the answers

    What is the primary mechanism of neuronal injury during the early phase of ischemic stroke?

    <p>Excitotoxicity and calcium influx</p> Signup and view all the answers

    Which of the following is a characteristic of liquefactive necrosis in the central nervous system?

    <p>Accumulation of leukocytes and purulent inflammation</p> Signup and view all the answers

    Which of the following is a common intracellular inclusion seen in neurological diseases?

    <p>Lewy bodies in Parkinson's disease</p> Signup and view all the answers

    What is the primary role of nitric oxide production in neuronal cells during ischemia?

    <p>To promote excitotoxicity and cell death</p> Signup and view all the answers

    What is the primary characteristic of gemistocytic astrocytes?

    <p>They are hyperproliferative and hyperplastic astrocytes</p> Signup and view all the answers

    What is a key benefit of astrocytic gliosis following neuronal injury?

    <p>It may help with synaptogenesis or formation of new synapses after injury</p> Signup and view all the answers

    What is a key histological feature of subacute or chronic neuronal injury?

    <p>Reactive gliosis with proliferation and hypertrophy of astrocytes</p> Signup and view all the answers

    How does neuronal cell loss typically manifest in subacute or chronic neurological diseases?

    <p>It is difficult to detect as neurons are lost gradually over time</p> Signup and view all the answers

    What is a common mechanism underlying neuronal cell loss in chronic neurological conditions?

    <p>Apoptosis or programmed cell death without inflammation</p> Signup and view all the answers

    What morphological change occurs in activated microglial cells during chronic neuronal injury?

    <p>Their processes become shorter and thicker or 'fatter'</p> Signup and view all the answers

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