344 chap 1, 2, 3 Flashcards

1
Q

the cell surface is surrounded by a fuzzy layer called the cell coat or

A

glycocalyx

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2
Q

the cell coat contain tissue transplant ___

A

antigens

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3
Q

ribosomes are the site of ___ synthesis

A

protein

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4
Q

The ER functions as a tubular communication system through which substances can be

A

transported

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5
Q

mitochondria contain their own ___ which is used for protein synthesis

A

DNA

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6
Q

slender, stiff tubular structures that influence cell shape

A

microtubules

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7
Q

provide a means of moving organelles through the cytoplasm

A

microtubules

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8
Q

for cilia, flagella, and centrioles

A

microtubules

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9
Q

dynamic, thin, threadlike structures that are important in cell movement and organelle positioning

A

microfilaments

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10
Q

supporting and maintaining the shape of cells and participate in numerous cellular processes

A

intermediate filaments

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11
Q

2 pathways for energy conversion are

A

anaerobic glycolytic pathway and aerobic pathway

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12
Q

anaerobic glycolytic pathway occurs in the

A

cytoplasm

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13
Q

aerobic pathway occurs in the

A

mitochondria

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14
Q

the most efficient pathway is the __ __ cycle and __ __ chain

A

citric acid cycle and electron transport chain

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15
Q

The “citric acid cycle and electron transport chain” pathway converts __ to ATP

A

ADP

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16
Q

The glycolytic pathway in the cytoplasm involves the breakdown of glucose to form

A

ATP

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17
Q

The glycolytic pathway can function without oxygen by producing __ __

A

lactic acid

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18
Q

Cells communicate with each other using chemical messengers that bind to receptors. The 3 kinds of receptors are G protein linked, __ linked, and ___ linked

A

enzyme linked and channel linked

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19
Q

One type of enzyme linked receptor is widely used in hormonal control of cell function and involves the activation of an enzyme that catalyzes the formation of

A

cAMP

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20
Q

term for when there is no net movement of a particular ion across a membrane

A

equilibrium potential

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21
Q

tissue type that forms that functional components of glandular structures

A

epithelial

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22
Q

The most abundant connective tissue cells:

A

fibroblasts

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23
Q

Type of cell that makes collagen, elastic, reticular fibers, etc

A

fibroblasts

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24
Q

unlike skeletal, smooth muscle depends on extracellular ___ ions for contraction

A

extracellular calcium

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25
Q

atrophied cells reduce their size and __ consumption

A

oxygen

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26
Q

atrophied cells reduce the __ and __ of their organelles

A

size and number

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27
Q

in atrophied cells, there’s also less ___ synthesis

A

protein

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28
Q

during atrophy, proteins that are to be destroyed are bound to another protein called ubiquitin and then degrade by organelles called

A

proteasomes

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29
Q
Disuse
denervation
no endocrine stimulus 
no nutrition
no blood flow are all causes of
A

atrophy

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30
Q

hypertrophy can occur from normal and ___ conditions

A

abnormal

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31
Q

the enlargement of a remaining organ or tissue portion after part has been lost is called ___ hypertrophy

A

compensatory hypertrophy

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32
Q

ATP depletion
mechanical forces
activation of cell degradation products
and hormonal factors are initiating signals for

A

hypertrophy

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33
Q

An increase in the number of cells in an organ

A

hyperplasia

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34
Q

hyperplasia can only happen in cells that are able to divide

A

mitotically

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35
Q

an example of hyperplasia is skin

A

warts

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36
Q

a reversible change in which one adult cell type is replaced by another adult cell type

A

metaplasia

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37
Q

Metaplasia involves the reprogramming of undifferentiated

A

stem cells

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38
Q

occurs in response to chronic irritation or inflammation (a better suited cell type takes over to deal with the problem)

A

metaplasia

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39
Q

deranged cell growth of a specific tissue

A

dysplasia

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40
Q

dysplasia results in cells that can vary in size, shape, and

A

organization

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41
Q

dysplasia is strongly implicated as causing

A

cancer

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42
Q

intracellular accumulations can be things from outside the cell or abnormal things made ___ the cell. Can also be normal things made in the cell

A

inside

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43
Q

dystrophic calcification is too much calcium in

A

dead/dying tissue

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44
Q

too much calcium in living tissue is called ___ calcification

A

metastatic calcification

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45
Q
physical trauma 
radiation
chemical
biological agents
nutrition imbalance are the 5 causes of
A

cell injury

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46
Q

Alternating current is ___ dangerous than direct current

A

more

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47
Q

ionizing radiation affects cells by directly hitting target molecules in the cell or by producing __ __

A

free radicals

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48
Q

cells most vulnerable to radiation are those that rapidly

A

divide

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49
Q

skin damage from UV radiation is thought to be caused by reactive oxygen species and by damage to ____ producing processes of the skin

A

melanin

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50
Q

unlike ionizing radiation which directly breaks chemical bonds, NON-ionizing radiation causes ___ and ___ of atoms/molecules

A

vibration and rotation

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51
Q

A cardinal sign of lead toxicity is

A

anemia

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52
Q

the main source of symptoms for lead poisoning are in __ __ tract

A

G I

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53
Q

the effects of injurious agents can be categorized into 3 groups

  1. free ___s
  2. hypoxia and ___ depletion
  3. disruption of intracellular ___ homeostasis
A

radicals, ATP, calcium

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54
Q

free radicals can damage cell ____s, inactivate e_____s, and damage D___

A

membranes, enzymes, DNA

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55
Q

normal products of mitochondrial respiration and energy metabolism, and are normally removed by antioxidative systems

A

ROS (radical oxygen species)

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56
Q

a condition where the generation of ROS exceeds the ability to eliminate it

A

Oxidative stress

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57
Q

Hypoxia deprives the cell of oxygen and disrupts the generation of

A

ATP

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58
Q

In contrast to pure hypoxia, which depends on the oxygen content of the blood and affects the entire body, ischemia involves a limited number of vessels and ___ damage

A

local

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59
Q

hypoxia can be detected by testing the blood for ___ which leak out of the cell during hypoxia

A

enzymes

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60
Q

3 outcomes of cell injury

A

Reversible injury, apoptosis with cell removal, cell death with necrosis

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61
Q

2 patterns of reversible cell injury are ___ing and ___y change

A

swelling and fatty change

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62
Q

apoptosis has an extrinsic and ___ pathway

A

intrinsic

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63
Q

The apoptosis pathways are carried out by enzymes called ____ which are present in the cell as procaspases

A

caspases

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64
Q

The extrinsic pathway involves proteins that bind to cell surface molecules called ___ receptors

A

death receptors

65
Q

Cell death in a tissue that is still part of a living person

A

Necrosis

66
Q

Necrosis differs from apoptosis in that it involves ____ enzyme digestion, loss of cell ____ integrity, and initiation of ____tory response

A

unregulated, membrane, inflammatory response

67
Q

occurs when some of the cell dies but its catalytic enzymes are not destroyed

A

liquefication necrosis

68
Q

During ___ necrosis, acidosis develops and denatures the enzymatic and structural proteins of the cell

A

coagulation necrosis

69
Q

infarction occurs when there’s no ___ supply

A

blood

70
Q

a distinctive form of necrosis in which the dead cells persist indefinitely as cheese-like debris

A

caseous necrosis

71
Q

term for when a large amount of tissue undergoes necrosis

A

gangrene

72
Q

In ___ gangrene, the area shrinks, wrinkles, turns brown or black

A

dry gangrene

73
Q

Dry gangrene has a distinct line between ___ and ___ tissue

A

dead and living

74
Q

In wet gangrene the area is ___ and ___ and theres a bad smell

A

cold and swollen

75
Q

One explanation of replicative senescence is related to the length of the outermost regions of each chromosome, called

A

telomeres

76
Q

premature aging is aka pro___

A

progeria

77
Q

biologic agents are different from other injurious agents because they can

A

replicate and continue to cause damage

78
Q

the biggest danger with calcium overload is that it activates

A

enzymes

79
Q

acute inflammation is characterized by the ___ of fluid and plasma proteins

A

exudation

80
Q

acute inflammation is also characterized by the emigration of

A

leukocytes

81
Q

chronic inflammation is often associated with the ___ of blood vessels (angiogenesis)

A

proliferation of blood vessels

82
Q

chronic inflammation is associated with f___

A

fibrosis

83
Q

acute and chronic inflammation can co____

A

coexist

84
Q

the main leukocytes of acute inflammation are

A

neutrophils

85
Q

the main leukocytes of chronic are macrophages, lymphocytes, eosinophils, and ___ cells

A

mast cells

86
Q

platelets are aka t____

A

thrombocytes

87
Q

most numerous leukocytes

A

neutrophils

88
Q

neutrophils are the ___ cell to arrive at the site of injury

A

first

89
Q

eosinophils play an important role in

A

allergic reactions

90
Q

another leukocyte that helps with allergic reactions

A

basophils

91
Q

macrophages are especially important in maintaining ___ inflammation

A

chronic

92
Q

chronic inflammation is also associated with tissue n___

A

necrosis

93
Q

the combination of systemic responses and increases in serum proteins that can occur in acute inflammation is called the

A

acute phase response

94
Q

2 stages of acute inflammation:

A

vascular and cellular

95
Q

protein-rich fluid

A

exudate

96
Q

the loss of plasma ___ reduces intracapillary osmotic pressure and increases interstitial fluid osmotic pressure. This increases movement from vessels to tissue

A

protein

97
Q

acute inflammation, pattern of vascular change that occurs from minor injury. Develops rapidly, short duration.

A

immediate transient response

98
Q

pattern of vascular change that accompanies injuries like radiation or sun burn

A

delayed response

99
Q

the sequence of events in the cellular response: 1. m____ and a___ 2. t_____ 3. c____ 4. a____ and p____

A

margination and adhesion
transmigration
chemotaxis
activation and phagocytosis

100
Q

margination is the process of ___ accumulation

A

leukocyte

101
Q

endothelial cells express cell adhesion molecules that cause leukocytes to roll along their surface. this is called t____

A

tethering

102
Q

the advanced binding of binding of an antigen to microbe or particle is called op____

A

opsonization

103
Q

plasma-derived mediators of inflammation are the kallikrein-kininogen system, the c_____ factors, and the c____ proteins

A

coagulating factors

complement proteins

104
Q

plasma derived mediators are synthesized in what organ?

A

the liver

105
Q

K___s are products of the liver and factors in the coagulation system

A

kinins

106
Q

One kinin, b_____, causes permeability and pain

A

bradykinin

107
Q

the complement system proteins cause vasodilation/permeability, recruit leukocytes, and increase

A

phagocytosis

108
Q

histamine and serotonin are classified as vasoactive a___

A

amines

109
Q

serotonin is found mostly in p___

A

platelets

110
Q

release of a_____ acid by phospholipids of the membrane starts the process of making the eicosanoid mediators

A

arachidonic acid

111
Q

the cyclooxygensae pathway leads synthesis of p____

A

prostaglandins

112
Q

the lipoxygenase pathway leads to synthesis of l____

A

leukotrienes

113
Q

arachidonic acid allows for the l___ pathway and c____ pathway

A

lipoxygenase pathway and cyclooxygenase pathway

114
Q

histamine and leukotrienes have similar functions, but histamine is produced rapidly, where are leukotrienes are slower but more

A

potent

115
Q

T___ and IL-1 are two of the major cytokines that mediate inflammation

A

TNF and IL-1

116
Q

The major source of TNF and IL-1 is

A

macrophages

117
Q

the main role of chemokines is to __ and ___ immune cells

A

recruit and direct

118
Q

___ oxide plays multiple roles in inflammation

A

nitric oxide

119
Q

exudate, watery and low in protein

A

serous exudate

120
Q

exudate, occur with severe damage to vessels or significant leakage of RBCs

A

hemorrhagic exudate

121
Q

exudate, thick and sticky meshwork

A

fibrinous exudate

122
Q

exudate, necrotic cells

A

membranous exudate

123
Q

exudate, pus and degraded WBC, tissue debris

A

purulent exudate

124
Q

“pyogenic” means

A

pus forming

125
Q

a localized area of inflammation containing a purulent exudate

A

abscess

126
Q

a site of inflammation where an epithelial surface has become necrotic and eroded

A

ulceration

127
Q

acute inflammation ends in one of 3 ways: R____, progression to ___ ___, or ____/____

A

Resolution, progression to chronic inflammation, or scarring/fibrosis

128
Q

histamine, bradykinin, arachidonic metabolites, PAF are ___-derived mediators of inflammation

A

cell-derived

129
Q

chronic inflammation is characterized by mononuclear cells, an_____, and f____

A

angiogenesis and fibrosis

130
Q

a granulomatous lesion is a distinctive form of __ __

A

chronic inflammation

131
Q

In a granulomatous lesion, there’s a mass of macrophages surrounded by ___

A

lymphocytes

132
Q

the macrophages in the granulomatous are called e____, they wall off the casual agent (eg a splinter)

A

epitheliods

133
Q

the most prominent SYSTEMIC manifestations of inflammation include the acute ___ ___, changes in ___ count, and ___

A

acute phase response
WBC count
fever

134
Q

word for an increase in WBC

A

leukocytosis

135
Q

refers to heat transfer through the circulation of air currents

A

convection

136
Q

fever can be caused by a number of microorganisms and substances that are collectively called

A

pyrogens

137
Q

in ____ fever, the temperature returns to normal at least once a day

A

intermittent fever

138
Q

In ___ fever, the temp doesn’t return to normal but varies a few degrees in either direction

A

remittent fever

139
Q

critical to analysis of fever pattern is the relation of __ rate to temperature

A

heart rate

140
Q
  1. prodrome
  2. chill
  3. flush
  4. defervescence
    are stages of
A

fever

141
Q

which part of a fever- mild headache, fatigue, aches

A

prodromal

142
Q

which part of fever- temp is rising but you feel cold. Skin pale with goosebumps

A

chill

143
Q

which part of the fever- sweating starts

A

defervescence

144
Q

in the elderly, even __ rise in temp can indicate fever

A

slight

145
Q

in the elderly, fever can go undetected because

A

they have a lower base line temp

146
Q

the primary role of ___ junctions is to prevent cell separation

A

adhering

147
Q

___ DNA is inherited maternally

A

mitochondrial DNA

148
Q

the process by which molecules pass through a semi permeable membrane

A

osmosis

149
Q

Most important function of the Endoplasmic Reticulum is that it’s a

A

tubular communication system

150
Q

apoptosis is regulated by which organelle

A

mitochondria

151
Q

the phrase “irreversibly damaged” cells pertains to which process

A

cell death aka necrosis

152
Q
vomiting
seizures
coma
ataxia
and papilledema are symptoms of
A

encephalopathy

153
Q

a client with deficiency in calcium, zinc, or iron is at increased risk for ___ absorption

A

lead

154
Q

jaundice and abdominal pain from taking too much acetaminophen means this organ is affect:

A

liver

155
Q

the increase of a cell’s storage of normal body substances like lipids etc is called

A

normal cellular accumulation

156
Q

systemic inflammatory response syndrome is caused by

A

sepsis (major bacterial infection)

157
Q

most likely cause of fever in children under 1 and females 1 to 2 is

A

UTI

158
Q

the most accurate and comfortable route for getting an elderly person’s temp is

A

tympanic

159
Q

a site that is inflammed, necrotic, eroded

A

ulceration