Cellular Basis of Disease Flashcards

1
Q

Define “risk factor”

A

Something which confers an increased risk of developing disease

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2
Q

Define “predisposition”

A

Increased susceptibility to developing a disease - usually inherited

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3
Q

Define “pathogenesis”

A

Pathological mechanism resulting in clinical disease

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4
Q

Define “aetiology”

A

The cause of a disease

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5
Q

Define “dysplasia”

A

Abnormal cytological appearance and tissue architecture

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6
Q

Define “metaplasia”

A

Conversion of one type of differentiated tissue to another

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7
Q

What is the difference between metaplasia and transdifferentiation?

A

Metaplasia occurs at tissue level, whereas transdifferentiation is one cell type converting into another

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8
Q

Define “benign”

A

Uncontrolled focal proliferation of well differentiated cells

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9
Q

How can “coagulative necrosis” be identified microscopically?

A

Cell outlines are retained, however the cytoplasmic / nuclear details are lost.

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10
Q

How is coagulative necrosis usually caused? Give examples of organs commonly affected by coagulative necrosis

A

Caused by sudden ischaemia, can be visualised in heart, kidney or spleen

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11
Q

What is the most common type of necrosis?

A

Coagulative

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12
Q

How can “liquefactive necrosis” be identified microscopically?

A

Loss of tissue architecture / structure, appears homogenous

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13
Q

In what organs can liquefactive necrosis identified?

A

In cerebral infarction

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14
Q

What type of necrosis is visualised in a TB granuloma?

A

Caseating necrosis

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15
Q

How can “caseating necrosis” be identified?

A

Cheese-like, core of granuloma of inflammatory cells not digested completely

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16
Q

Define “hyperplasia”

A

An increase in cell number

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17
Q

Define “hypertrophy”

A

An increase in cell size

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18
Q

Acidic dyes react to what cellular components?

A

Cationic / basic components i.e. proteins

19
Q

Basic dyes react to which cellular components?

A

Anionic / acidic components i.e. nucleic acids, extracellular material

20
Q

In H&E stain, which is the acidic and which is the basic component?

A

Haematoxylin: Basic
Eosin: Acidic

21
Q

What does Haematoxylin stain and which colour?

A

Stains nucleic acids purplish blue

22
Q

What does Eosin stain and which colour?

A

Stains cytoplasm pink

23
Q

Are benign structures slow or fast growing?

A

Slow growing

24
Q

Compare the appearance of tumour edges in both Benign and Malignant structures

A

Benign: Smooth due to expansile growth, may be encapsulated

Malignant: Irregular, due to infiltrative growth

25
Define "atrophy"
A decrease in size and number of cells
26
Give six examples of chromosomal aberrations
1. Inversion 2. Translocation 3. Ring 4. Isochrome 5. Deletion 6. Duplication
27
Give 3 examples of aneuploidy conditions
Down syndrome Edwards syndrome Patau syndrome
28
What is a Robertsonian translocation?
Two participating chromosomes break at their centromeres and the long arms fuse to form a single, large chromosome with a single centromere
29
Type I hypersensitivity reactions are mediated by what?
IgE
30
Type II hypersensitivity reactions are mediated by what?
IgG
31
Type III hypersensitivity reactions are mediated by what?
IgG
32
Type IV hypersensitivity reactions are mediated by what?
T cells
33
Type I hypersensitivity reactions involve what type of antigen?
Soluble antigen
34
Type II hypersensitivity reactions involve what type of antigen?
Cell-associated antigen
35
Type III hypersensitivity reactions involve what type of antigen?
Soluble antigen
36
Type IV hypersensitivity reactions involve what type of antigen?
Soluble antigen or cell-associated antigen
37
What is the mechanism behind Type I Hypersensitivity reactions?
IgE induced mast cell activation
38
What is the mechanism behind Type II Hypersensitivity reactions?
Complement mediated phagocytosis
39
What is the mechanism behind Type III Hypersensitivity reactions?
Tissue damage induced by immune complexes
40
What is the mechanism behind Type IV Hypersensitivity reactions?
T-cell mediated inflammation or cytotoxicity
41
Give 3 examples of Type I hypersensitivity reactions
Allergic rhinitis Asthma Systemic anaphylaxis
42
Give 2 examples of Type II hypersensitivity reactions
Chronic urticaria | Penicillin allergy
43
Give 2 examples of Type III hypersensitivity reactions
Serum sickness | Arthus reaction
44
Give 4 examples of Type IV hypersensitivity reactions
Multiple Schlerosis Contact dermatitis Crohn's disease Rheumatoid arthritis