1 - Adaptive Changes Flashcards

1
Q

Which of the following is/are most likely to undergo hypertrophy as an adaptive response?
(a) Bone marrow
(b) Cardiac muscle
(c) Gingival epithelium
(d) Intestinal epithelium
(e) Skeletal muscle

A

(b) and (e); Cardiac and skeletal muscle

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2
Q

Define the term hypertrophy and give one example of a veterinary condition in which hypertrophy is a prominent feature.

A

Hypertrophy is a cellular change in which an organ enlarges due to the size of its constituent cells increasing (typically due increased to synthesis of cytoplasmic organelles).

Hypertrophy is prominent in:
- Hypertrophic cardiomyopathy
- Increased skeletal muscle mass due to exercise

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3
Q

Give three reasons why a tissue or organ might undergo atrophy.

A

Atrophy of an organ can be due to (accept any three):
- Decreased nutrition or blood supply
- Disuse
- Loss of innervation
- Pressure / compression
- Loss of endocrine stimulation

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4
Q

FILL IN THE BLANKS. You examine a dog with heart disease. Its pulmonic valve is stenotic, meaning the heart has to work harder to eject blood from the (a) [heart chamber] into the (b) [blood vessel]. The myocardial cells will most likely undergo (c) [adaptive process] to cope with the extra workload.

A

(a) Right ventricle; (b) Pulmonary trunk; (c) Hypertrophy

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5
Q

Define the term metaplasia and give one example of a veterinary condition in which metaplasia is a prominent feature.

A

Metaplasia is a cellular change in which one fully differentiated adult cell type converts to a different adult cell type. It is often, but not always, a protective response to continued injury. Examples include:
- Squamous metaplasia in vitamin A deficiency
- Osseous metaplasia in the lungs of old dogs
- Osseous metaplasia in the dura mater of old dogs.

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6
Q

Name the process whereby a uterus returns to its normal size after parturition.

A

Involution

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7
Q

Give an example of organ or tissue involution in domestic animals.

A

Any of the following:
- Uterus returns to its normal size after parturition
- Mammary gland returns to its normal size after weaning
- Thymus withers at maturity

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8
Q

Choose any that apply. Lack of hormonal stimulation of an organ tends to cause …
(a) atrophy
(b) dysplasia
(c) hyperplasia
(d) hypertrophy
(e) metaplasia

A

(a) atrophy

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9
Q

Clearly explain the key difference(s) between hyperplasia and neoplasia.

A

Hyperplasia is generally protective, helpful, controlled and reversible. It has a clear stimulus, and will stop once this stimulus is removed. Neoplasia, on the other hand, is harmful and uncontrolled cell division. There is no clear stimulus that can be withdrawn to stop it; it progresses autonomously.

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10
Q

Define the term hyperplasia and give one example of a veterinary condition in which hyperplasia is a prominent feature.

A

Hyperplasia is a cellular change in which an organ enlarges due to an increase in the number of its constituent cells. Hyperplasia is prominent in:
- Benign prostatic hyperplasia in uncastrated dogs
- Renal secondary hyperparathyroidism
- Nodular hyperplasia of the spleen
- Nodular hyperplasia of the liver
- Gingival hyperplasia in brachycephalic dogs
- Mammary fibroadenomatous hyperplasia in young, unspayed cats
- Pretty much any healing response (including the bone marrow hyperplasia seen when there is increased demand for red or white blood cells)

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11
Q

Fibrous tissue in chronic, non-healing wounds can sometimes turn to cartilage. This is an example of chondroid …
(a) atrophy
(b) dysplasia
(c) hyperplasia
(d) involution
(e) metaplasia

A

(e) metaplasia

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12
Q

Hypoplasia and atrophy both result in structures that are smaller than normal. Explain the difference between the two.

A

Hypoplasia means that an organ or structure never reached full size during development. Atrophy, on the other hand, means that an organ or structure reached full size but then shrunk under the influence of some pathologic process.

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13
Q

Atrophy and agenesis both result in structures that are smaller than normal. Explain the difference between the two.

A

Agenesis means that an organ or structure never formed during development. Atrophy, on the other hand, means that an organ or structure reached full size but then shrunk under the influence of some pathologic process.

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14
Q

Define the term atrophy.

A

Atrophy is a decrease in the size or amount of a cell, tissue, or organ after normal size has been reached. It is caused by a decreased number and/or size of cells. The general cause is inadequate cellular nutrition for any reason, where synthesis of proteins is exceeded by degradation or loss. Cells regress to a smaller cell size and survive, but with decreased function.

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15
Q

What is the term for a decrease in the size or amount of a cell, tissue, or organ after normal size has been reached?

A

Atrophy

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16
Q

True or false, and why: Cells undergoing atrophy usually die.

A

False. Cells regress to a smaller cell size and survive, but with decreased function.

17
Q

Atrophy may be caused by all the following EXCEPT:
(a) Chronic irritation
(b) Compensating for loss of part of an organ
(c) Decreased nutrition
(d) Disuse
(e) Interruption of nerve supply
(f) Loss of endocrine stimulation
(g) Pressure
(h) Reduced blood supply
(i) Vitamin A deficiency

A

(a) Chronic irritation
(b) Compensating for loss of part of an organ
(i) Vitamin A deficiency

18
Q

What is the term for the process by which organs reduce in size as a normal, physiologic process (i.e., not pathologic)? An example of this process is mammary gland shrinkage after weaning of offspring.

A

Involution

19
Q

Define the term involution.

A

Involution is the process by which organs reduce in size as a normal, physiologic process (i.e., not pathologic). An example of this process is mammary gland shrinkage after weaning of offspring.

20
Q

What is the term for the process whereby an organ increases in size and weight because of an increase in cell number? (i.e., Cells divide and become more numerous.)

A

Hyperplasia

21
Q

What is the term for the process whereby an organ increases in size and weight because of an increase in cell size (i.e., Cells become bigger because they synthesize more organelles.)

A

Hypertrophy

22
Q

What is the term for the process whereby one adult (differentiated) cell type or epithelium type is replaced by another adult cell type or epithelium type.

A

Metaplasia

23
Q

Define the term hyperplasia.

A

Hyperplasia is the process whereby an organ increases in size and weight because of an increase in cell number. (i.e., Cells divide and become more numerous.)

24
Q

Define the term hypertrophy.

A

Hypertrophy is the process whereby an organ increases in size and weight because of an increase in cell size (i.e., Cells become bigger because they synthesize more organelles.)

25
Q

Define the term metaplasia.

A

Metaplasia is the process whereby one adult (differentiated) cell type or epithelium type is replaced by another adult cell type or epithelium type.

26
Q

What does the suffix -megaly mean when attached to an organ (e.g., cardiomegaly, hepatomegaly)?

A

Enlargement. It does not specify whether the enlargement is caused by hypertrophy or hyperplasia.

27
Q

What is the non-specific term for enlargement of the heart?

A

Cardiomegaly

28
Q

What is the non-specific term for enlargement of the liver?

A

Hepatomegaly

29
Q

What is the non-specific term for enlargement of the spleen?

A

Splenomegaly

30
Q

What is the non-specific term for enlargement of the head?

A

Craniomegaly

31
Q

Some cell types can no longer divide and so cannot undergo hyperplasia. What type of cells are these?
(a) Labile
(b) Permanent
(c) Stable

A

(b) Permanent

32
Q

Some cell types readily divide to replace those that are lost (i.e., hyperplasia is common). What type of cells are these?
(a) Labile
(b) Permanent
(c) Stable

A

(a) Labile

33
Q

Some cell types can divide (undergo hyperplasia) when required by injury or physiologic demand, but in between these demands are relatively quiescent. What type of cells are these?
(a) Labile
(b) Permanent
(c) Stable

A

(c) Stable

34
Q

What does the term “labile” mean, in the context of cell division?

A

Labile cell types readily divide to replace those that are lost (i.e., hyperplasia is common). Examples are epithelium (e.g., skin, Intestinal lining cells) and bone marrow cells.

35
Q

What does the term “stable” mean, in the context of cell division?

A

Stable cell types can divide (undergo hyperplasia) when required by injury or physiologic demand, but in between these demands are relatively quiescent. Examples are bone cells, cartilage cells, smooth muscle cells, and hepatocytes.

36
Q

What does the term “permanent” mean, in the context of cell division?

A

Permanent cell types can no longer divide and so cannot undergo hyperplasia. Examples are striated muscle cells (skeletal and cardiac), and neurons.

37
Q

Which of the following are LABILE cells?

(a) Bone forming cells (e.g., osteoblasts)
(b) Bone marrow cells
(c) Cardiac muscle cells
(d) Cartilage cells
(e) Epidermal cells of the skin
(f) Hepatocytes
(g) Intestinal lining cells
(h) Neurons
(i) Skeletal muscle cells
(j) Smooth muscle cells

A

(b) Bone marrow cells
(e) Epidermal cells of the skin
(g) Intestinal lining cells

Labile cell types readily divide to replace those that are lost (i.e., hyperplasia is common).

38
Q

Which of the following are STABLE cells?

(a) Bone forming cells (e.g., osteoblasts)
(b) Bone marrow cells
(c) Cardiac muscle cells
(d) Cartilage cells
(e) Epidermal cells of the skin
(f) Hepatocytes
(g) Intestinal lining cells
(h) Neurons
(i) Skeletal muscle cells
(j) Smooth muscle cells

A

(a) Bone forming cells (e.g., osteoblasts)
(d) Cartilage cells
(f) Hepatocytes
(j) Smooth muscle cells

Stable cell types can divide (undergo hyperplasia) when required by injury or physiologic demand, but in between these demands are relatively quiescent.

39
Q

Which of the following are PERMANENT cells?

(a) Bone forming cells (e.g., osteoblasts)
(b) Bone marrow cells
(c) Cardiac muscle cells
(d) Cartilage cells
(e) Epidermal cells of the skin
(f) Hepatocytes
(g) Intestinal lining cells
(h) Neurons
(i) Skeletal muscle cells
(j) Smooth muscle cells

A

(c) Cardiac muscle cells
(h) Neurons
(i) Skeletal muscle cells

Permanent cell types can no longer divide and so cannot undergo hyperplasia.