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BMS3031 - Molecular mechanisms of disease - S1 2026

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What does the graph below indicate about nephron number and birth weight?

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In the graph above P = protein, C = carbohydrates and F = fat. This data comes from a study on rats that were subjected to fetal growth restriction. 

Pregnant mice were fed one of the two diets, indicated in the diagram above, and the nephron number in the kidneys of their offspring was determined. What can we conclude about the impact of the maternal diet on the nephron number of the rat offspring?

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In the graph below each symbol represents a distinct district or borough. What does the data in the figure above indicate?

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Advances in renal imaging have raised the possibility that

nephron number in the human kidney could be accurately determined non‑invasively

during life. Nephron endowment is established before birth and inter‑individual

variation is thought to influence susceptibility to renal disease later in

life. Reduced nephron number has been associated with compensatory

hyperfiltration, increased glomerular pressure, and progressive nephron loss

over time.

What would be the most significant clinical impact of being

able to determine nephron number in a living individual?

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Biopsies from affected tissues in autoimmune disease reveal

dense infiltrates of activated CD4⁺ helper T cells and CD8⁺ cytotoxic T cells

producing inflammatory cytokines such as IFN‑γ

and TNF. No infectious organisms are detected, and host cells display

self-antigens.

Which explanation BEST accounts for how these T

cells contribute to disease progression?

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Biopsies from inflamed tissues in patients with an

autoimmune disorder reveal large numbers of infiltrating CD4⁺ helper T cells

and CD8⁺ cytotoxic T cells. These cells produce pro-inflammatory cytokines such

as IFN-γ and TNF and are observed in close proximity to damaged host cells

expressing self-antigens. Further analysis shows no evidence of ongoing

infection within the affected tissue.

Which explanation BEST accounts for the

contribution of these T cells to disease progression?

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The pathogenesis of antibody‑mediated autoimmune disease

involves a combination of immune tolerance defects and external influences.

While loss of central or peripheral tolerance is necessary for autoimmunity to

occur, population studies suggest that no single immune checkpoint failure

fully explains disease onset in most patients.

Which of the following is most commonly

associated with the initiation of antibody‑mediated autoimmune disease?

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Autoantibody production reflects a breakdown of immune self‑regulation,

but the underlying cause varies among individuals. Studies of patients with

systemic autoimmune diseases reveal that multiple immune abnormalities may be

present, yet one factor is most consistently associated with disease

susceptibility.

Which factor is most frequently identified as

the primary driver behind the development of antibody‑mediated autoimmune disease?

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Genome-wide association studies in patients with systemic

lupus erythematosus identify variants in genes regulating interferon responses,

antigen presentation, and lymphocyte activation thresholds. Many of these

variants influence immune signalling rather than directly damaging tissues.

Which interpretation BEST explains how these

findings inform our understanding of SLE pathogenesis?

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Genome-wide association studies in patients with systemic lupus

erythematosus identify risk variants in genes involved in interferon

signalling, antigen presentation, and regulation of lymphocyte activation. Many

of these variants alter immune signalling thresholds rather than directly

causing tissue damage.

Which interpretation BEST explains how these findings

contribute to understanding the pathogenesis of systemic lupus erythematosus?

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