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An oophorectomized monkey is treated with high doses of estrogen.

Which of the
following changes is most likely to occur in the endometrium after 1 year of
treatment?
Atrophy
Hyperplasia (ANSWER)
Hypertrophy
Hypoplasia
Metaplasia

Which of the following muscle cell components helps spread the depolarization of
the muscle cell membranes throughout the interior of muscle cells?
Actin
Myosin
T tubule (ANSWER)
Tropomyosin
Troponin
Z disk

A new drug is developed that prevents the demyelinization occurring in the progress
of multiple sclerosis. The drug protects the cells responsible for the synthesis
and maintenance of myelin in the central nervous system. These cells are most
likely which of the following?
Astrocyte
Ependymal cell
Microglial cell
Oligodendrocyte (ANSWER)
Schwann cell

A 10-year-old boy undergoes an appendectomy. Granulation tissue develops normally


at the incision site. Tissue remodeling begins at this site with degradation of
collagen in the extracellular matrix by which of the following proteins?
Cytokines
Lipoxygenases
Metalloproteinase (ANSWER)
Nitric oxide
Plasminogen activator

In which of the following nuclear structures is DNA actively transcribed to rRNA?


Envelope
Lamina
Matrix
Nucleolus (ANSWER)
Pore

A 22-year-old man is brought to the emergency department in respiratory distress 15


minutes after he was stung on the arm by a wasp. His pulse is 100/min, respirations
are 30/min, and blood pressure is 100/60 mm Hg. Physical examination shows grunting
respirations and subcostal retractions. Expiratory wheezes are heard over both lung
fields. There is generalized urticaria. Secretion of the molecule causing this
patient�s symptoms is most likely mediated by which of the following?
Activation of complement
Activation of mast cell (ANSWER)
Activation of T lymphocytes
Production of IgA
Production of IgG
Production of IgM

A 66-year-old man with Zollinger-Ellison syndrome undergoes a gastrectomy. He is


informed that he will require treatment with intramuscular vitamin B12
(cyanocobalamin) for the rest of his life. This therapy is necessary because this
patient lacks which of the following types of cells?
Chief
G (gastrin)
Goblet
Mucous neck
Parietal (ANSWER)

Beginning with protein synthesis in membrane-bound ribosomes, hepatocytes secrete


proteins into the circulation via which of the following mechanisms?
Active transport through the cell membrane
Diffusion through the cell membrane
Transport by microtubules and exocytosis
Transport in vesicles and exocytosis (ANSWER)
Transport through pores in the cell membrane

Which of the following is required to transport fatty acids across the inner
mitochondrial membrane?
Acyl carrier protein
Albumin
Carnitine (ANSWER)
Chylomicrons
Creatinine
Lecithin-cholesterol acyltransferase

An experiment is conducted in which the mitochondrial content of various tissues is


studied. It is found that the mitochondrial content is directly proportional to the
amount of energy one cell is required to generate and expend. The mitochondrial
content is most likely greatest in which of the following types of cells?
Cardiac muscle cells (ANSWER)
Chondrocytes
Endothelial cells
Epidermal cells
Hepatocytes
Osteocytes
White adipocytes

A 45-year-old man without a history of bleeding or excessive bruising dies suddenly


due to rupture of an aortic dissection. Genetic analysis at autopsy shows a defect
in the gene for fibrillin. Which of the following events most likely occurs with
defective fibrillin?
Elastic fibers in the extracellular matrix are not correctly formed (ANSWER)
Hyaluronic acid in proteoglycans is not sulfated on the proper hydroxyl residues
Intermediate filaments are not assembled in endothelial cells
Shorter side chains of chondroitin sulfate are present on the proteoglycans
Tubulin is not polymerized correctly due to the lack of GTP in endothelial cells

A 42-year-old woman comes to the physician for a follow-up examination after two
separate Pap smears have shown dysplastic epithelial cells. Results of a molecular
diagnostic test show DNA that encodes high-risk versions of the human
papillomavirus E6 and E7 proteins. The viral E6 protein binds to the cellular p53
tumor suppressor gene, causing it to be degraded. Which of the following best
describes the mechanism by which the E6 protein causes cervical cancer?
Arrests the cell cycle
Enhances tissue invasion and metastasis
Inhibits telomerase expression
Prevents apoptosis (ANSWER)
Sustains angiogenesis
A 90-year-old woman is brought to the emergency department 30 minutes after she
fell while climbing the steps into her house. Physical examination shows tenderness
over the right shin area. An x-ray of the right lower extremity shows a fracture of
the tibia. A DEXA scan shows decreased bone density. Increased activity of which of
the following cell types is the most likely cause of the decrease in bone mass in
this patient?
Chondrocytes
Osteoblasts
Osteoclasts (ANSWER)
Osteocytes
Osteoprogenitor cells

A 50-year-old man comes to the physician because of a cough productive of large


quantities of mucus for 6 months. He has smoked 1 pack of cigarettes daily for 25
years. Which of the following cell types is the most likely cause of the increase
in this patient�s secretion of mucus?
Columnar ciliated epithelial cells
Goblet cells (ANSWER)
Interstitial cells
Macrophages
Pneumocyte epithelial cells

A 65-year-old man with severe atherosclerotic coronary artery disease comes to the
emergency department because of a 12-hour history of chest pain. Plasma activity of
the MB isozyme of creatine kinase (MB-CK) is markedly increased. Which of the
following processes is the most likely explanation for the increased plasma MB-CK?
Cell membrane damage (ANSWER)
Endoplasmic reticulum dilation
Mitochondrial swelling
Polysome dissociation
Sodium pump dysfunction

During an experimental study, an investigator finds that the regulation of cell


cycle and programmed cell death may be initiated by the mitochondrion. The
interaction of the mitochondrion with the activation of the caspase family of
proteases and subsequent apoptosis is most likely mediated by which of the
following?
Calcium release
cAMP production
Cytochrome c release (ANSWER)
GTP binding
Nitric oxide release

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