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Pathphysio 1 101- 125

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

What is the missing link in the pathogenesis of endemic goiter: Iodine deficiency → decreased synthesis of thyroid hormones (T3, T4) → decreased concentration of T3, T4 in the blood →? → hyperplasia of the thyroid gland:

a)

increased secretion of thyrotropin

b)

increased secretion of somatostatin

c)

increased secretion of somatomedins

d)

decreased secretion of thyroliberin

e)

decreased secretion of corticoliberin

2.

Where is the pathological process localized?

a)

pituitary gland

b)

hypothalamus

c)

cerebral cortex

d)

thalamus

e)

thyroid gland

3.

What manifestation of hypothyroidism is typical for childhood?

a)

mental retardation

b)

accelerated physical development

c)

early closure of growth zones

d)

early closure of fontanelles

e)

premature puberty

4.

The missing link in the pathogenesis of hyperpigmentation of the skin and mucous membranes in Addison's disease: Cortisol deficiency → by a feedback mechanism, increased secretion of …? → increased deposition of melanin in the skin and mucous membranes → hyperpigmentation

a)

ACTH

b)

ADH

c)

STH

d)

TSH

e)

LH

5.

In gigantism, after immunohistochemical examination, the most common is

a)

somatotropinoma

b)

prolactosomatotropinoma

c)

prolactinoma

d)

adenomas secreting GH, LH, FSH

e)

pheochromocytoma

6.

In the pathogenesis of this hyperglycemia, the most important is:

a)

activation of gluconeogenesis

b)

activation of lipogenesis

c)

activation of glycogenogenesis

d)

inhibition of glycogenolysis

e)

inhibition of lipolysis

7.

In the development of polyuria in the diabetes insipidus, an important role is played by:

a)

activation of the sympathoadrenal system

b)

development of secondary aldosteronism

c)

calcium metabolism disorder

d)

increased permeability of aquaporins

e)

glycosuria

8.

The main link in the pathogenesis of Cushing's disease is:

a)

decreased ACTH levels

b)

decreased sensitivity of hypothalamic-pituitary system to corticosteroids

c)

development of severe electrolyte disturbances

d)

development of invasive pituitary macroadenoma

e)

hyperglycemia

9.

Thyroid cells that secrete thyroxine and triiodothyronine are called:

a)

parafollicular cells

b)

A cells

c)

D cells

d)

C cells

e)

B cells

10.

Hyperthyroidism is caused by increased production of thyroid hormones in:

a)

chronic autoimmune thyroiditis

b)

subacute thyroiditis

c)

postpartum thyroiditis

d)

Graves' disease

e)

myxedema

11.

What will a blood hormone test reveal?

a)

increased cortisol, decreased ACTH

b)

increased cortisol and ACTH

c)

decreased cortisol and ACTH

d)

increased aldosterone and ACTH

e)

decreased cortisol, increased ACTH

12.

Laboratory blood tests will reveal:

a)

decreased TSH, increased T4, TSH receptor antibodies

b)

increased TSH and T4, thyroglobulin antibodies

c)

decreased TSH and T4

d)

increased ACTH and cortisol

e)

increased ACTH and aldosterone

13.

What will the patient's blood test reveal?

a)

decreased cholesterol

b)

increased glucose

c)

increased TSH, decreased T3, T4

d)

decreased TSH, decreased T3, T4

e)

antibodies to TSH receptors

14.

What will most likely be revealed by a study of blood hormones in this patient?

a)

increased glucocorticoids and ACTH

b)

decreased cortisol and ACTH

c)

decreased cortisol, increased ACTH

d)

increased thyroxine and TSH

e)

increased aldosterone and ACTH

15.

The leading link in the pathogenesis of ketoacidotic diabetic coma?

a)

pronounced dehydration of cells

b)

sharp hyperglycemia

c)

hyperosmia of blood and intercellular fluid

d)

significant accumulation of lactic acid

e)

hyperketonemia and uncompensated acidosis

16.

What is the most likely cause of the enlarged thyroid gland in this patient?

a)

Excessive iodine intake

b)

Lack of iodine in water and food

c)

Hereditary disease

d)

Thyroid tumor

e)

Treatment with iodine

17.

Which of the following laboratory values is most typical for hypothyroidism?

a)

Low TSH and high T4

b)

High TSH and low T4

c)

High TSH and high T4

d)

Low TSH and low T4

e)

Normal TSH and T4

18.

Which of the following sets of laboratory values is most consistent with the expected findings for this girl's disorder?

a)

hypernatremia, low urine osmolarity and specific gravity

b)

hypernatremia, high urine osmolarity and specific gravity

c)

hyponatremia, low urine osmolarity and specific gravity

d)

hyponatremia, high urine osmolarity and specific gravity

e)

normal blood sodium, normal urine osmolarity and specific gravity

19.

What changes in fat metabolism are possible in the patient?

a)

Increased ketone body levels and normal cholesterol levels

b)

Increased cholesterol and ketone bodies

c)

Normal cholesterol and ketone bodies

d)

Decreased cholesterol levels

e)

Decreased ketone bodies

20.

What caused the occurrence of these symptoms in this case?

a)

diabetes insipidus

b)

nephrogenic diabetes insipidus

c)

insulin resistance

d)

diabetes mellitus type 1

e)

diabetes mellitus type 2

21.

Which of the following is the MOST important non-immune mechanism of chronic renal failure progression?

a)

reduced load on functioning nephrons

b)

suppression of the kallikrein-kinin system activity

c)

compensatory hyperfiltration in intact nephrons

d)

reduced formation of cytokines and oxygen free radicals

e)

production of autoantibodies against glomerular basement membrane antigens

22.

Which of the following is the MOST important in the pathogenesis of uremia?

a)

impaired filtration and removal of nitrogenous waste from the body

b)

hyperosmolal hyperhydration

c)

development of alkalosis

d)

dehydration of the body

e)

hypercalcemia

23.

Which of the following is the MOST likely complication of hereditary renal phosphate diabetes?

a)

hyperphosphatemia

b)

decreased urinary phosphorus excretion

c)

decreased urinary calcium excretion

d)

demineralization of bone tissue

e)

hyperglycemia

24.

Which of the following is the MOST likely cause of proximal tubular acidosis?

a)

increased ammoniogenesis

b)

decreased tubular secretion of hydrogen ions

c)

excessive reabsorption of sodium ions

d)

decreased ammoniogenesis

e)

impaired reabsorption of bicarbonates

25.

Which laboratory indicator will MOST confirm this pathology?

a)

decreased creatinine clearance

b)

hyposthenuria

c)

isosthenuria

d)

cylindruria

e)

glucosuria