Study Guide: Key Concepts in
Pathophysiology Unit 1: Chapters 1, 20,
21,24, 25, 2, 5, 6, & 7
Chapter 1: Homeostasis & Cellular Adaptation
Definition and importance of homeostasis
Different types of cellular adaptation: atrophy, hypertrophy,
hyperplasia, metaplasia, anaplasia, dysplasia
o Define all types and know the differences
Define- Necrosis
Chapter 1: Disease Process
Diagnosis, Etiology
Signs and symptoms definition
Disease prognosis- Morbidity and Mortality definitions
Chapter 20: Neoplasia & Cellular Growth
Neoplasms: benign vs malignant tumors
o Know the difference between
Benign tumors are cohesive and well differentiated
cells
Malignant tumors- not well differentiated, abnormal
growth, more likely to spread- metastasis
Terminology: Differentiation, Mitosis, Mutation, Apoptosis
Anaplasia as a marker for aggressive cancer growth
Cancer symptoms: Cachexia- define
Chapter 21: Genetics & Disease Inheritance
Examples of common genetic disorders (autosomal dominate,
recessive and X-linked) and the probability of a child inheriting
carrier status vs having the disease
o Down syndrome (Trisomy 21)
Punnett squares (what is it) and their role in predicting genetic
trait inheritance
Chapter 24 & 25: Aging & Physiological Changes and
Immobility
Effects of aging on drug metabolism and excretion-delayed
Risk factors for fluid and electrolyte imbalances in older adults
Effects of immobility on muscle mass and common complications of
immobility
Chapter 26: Stress & Adaptation
Eustress vs. distress and their physiological effects
The body's response to positive vs. negative stressors
Chapter 2: Fluids, Electrolytes, & Acid-Base Imbalances
Thirst controlled by hypothalamus- neurons called osmoreceptors
send signals of thirst
Signs and symptoms of fluid volume deficit (dehydration) and
fluid overload
o The role of osmoreceptors in fluid regulation
The role of the kidneys in acid-base balance, fluid, and electrolyte
regulation
o RAAS (Renin-Angiotensin-Aldosterone System) and blood
pressure control
Osmosis vs. Diffusion and Hydrostatic pressure and Osmotic
pressure in fluid balance regulation in blood vessels
o Osmotic pressure is the “pulling” pressure of albumin (plasma
protein) pulling fluid back into blood vessels
o Hydrostatic pressure is the “pushing” pressure of heart and
pushes fluid out of the blood vessels
Purpose/ use case of hypotonic, isotonic, hypertonic solutions- define
what they will do to the fluid.
Normal sodium, potassium, calcium, and magnesium levels and
their associated imbalances- Know the normal range
o The importance of potassium, magnesium, and calcium
regulation in preventing cardiac arrhythmias
Potassium Imbalances- biggest symptom/concern
Cardiac Dysrhythmias
Sodium Imbalances- biggest symptom/concern
Neurological changes
o Low sodium- drowsiness/stupor
o High sodium- confusion/agitation
Dehydration symptoms- dry skin and
mucous membranes, flushed skin,
weakness
Calcium Imbalances- biggest symptom/concern
Muscle and tendon
o Low calcium- hypersensitivity- increased
tendon reflexes, muscle spams, Tetany, and
facial muscle spasms
o High calcium- reduced muscle firing- decreased
tendon reflexes, muscle flaccidity, generalized
weakness
Magnesium Imbalances- biggest symptom/concern
Cardiac Dysrhythmias
Blood pH regulation and values indicating acidosis (<7.35) and
alkalosis (>7.45)
o ABG interpretation for identifying respiratory vs. metabolic
disturbances
o R-O-M-E
Chapter 5: Inflammation & Immune Response
Cardinal signs of inflammation (local and systemic)
o Local- rubor and swelling, increased pain
The difference between acute and chronic inflammation
The role of histamine and other chemical mediators in inflammatory
response
Concepts of autoimmune disorders and opportunistic infections
Chapter 6: Infection Control & Immunity
Methods of infection prevention, including hand hygiene
Ways of acquiring immunity (active vs. passive)
Routes of disease transmission (e.g., fomites, airborne, droplet,
vector-borne)
Health care-associated infections (HAIs) and highest-risk patients
(e.g., clients with indwelling catheters- CAUTIs)
Stages of infection progression (e.g., prodromal stage as the
most infectious period)
Opportunistic Infections: Normal Flora decreased
o The host as altered or weakened immune system
WBC Count changes display possible infections
o Leukocytosis- elevated= infection
o Leukopenia- decreased= some viral infections, or cancers, HIV
Chapter 7: Blood & Immune System
Leukopenia vs. leukocytosis and their clinical significance
T cells and B cells in adaptive immunity and their function in lymph
nodes
Types of hypersensitivity reactions, including Type I
(anaphylaxis-most important)