Chap1: Growth Adaptations Flashcards

1
Q

An increase, decrease, or change in stress on an organ can result in what

A

growth adaptations

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2
Q

Define hypertrophy

A

increase in size of cell

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3
Q

define hyperplasia

A

increase in number of cell

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4
Q

MOA for hypertrophy

A

gene activation
protein synthesis
production of organelles

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5
Q

MOA for hyperplasia

A

production of new cells from stem cells

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6
Q

Give an example when hyperplasia and hypertrophy occur together

A

uterus duging pregnancy

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7
Q

name 3 permanent cells in the body

A

cardiac muscle
skeletal muscle
nerve

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8
Q

do permanent cells undergo hyperplasia or hypertrophy

A

hypertrophy only

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9
Q

what is an example of a pathologic hyperplasia that does increase the risk of cancer

A

Benign prostatic hyperplasia

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10
Q

define atrophy

A

decrease in stress leads to decrease in organ size

-either or decrease in number and/or size

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11
Q

in atrophy how does it decrease cell number

A

apoptosis

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12
Q

In atrophy what are 2 processes that decrease size

A
  1. ubiquitin-proteosome degradation

2. autophagy of cellular components

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13
Q

what happens in the ubiquitin-proteosome degradation

A

ubiquitin- tags on intermediate filaments of the cytoskeleton
proteosomes - destroy them

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14
Q

what happens in autophagy of cellular components

A

generation of autophagic vacuoles

-vacuoles fuse with lysosomes ( hydrolytic enzymes break down cellular components)

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15
Q

define metaplasia

A

change in stress on an organ leads to a change in cell type

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16
Q

why does metaplasia occur

A

metaplastic cells are better able to handle the new stress

17
Q

What is the classic examples of metaplasia

A

Barrett esophagus

18
Q

what is the epithelium lining of the esophagus

A

nonkeratinizing squamous epithelium

19
Q

acid reflex from the stomach causes metaplasia of the lower esophagus to turn into what

A

non-ciliated, mucin-producing columnar cells

20
Q

Metaplasia occurs via _____, which then produce the new cell type

A

reprogramming of stem cells

21
Q

Metaplasia is ___ in theory, with removal of the driving stressor

A

reversible

22
Q

Under persistent stress, metaplasia can progress to what

A

dysplasia and eventually result in cancer

23
Q

what type of metaplasia carries no increased risk of cancer

A

apocrine metaplasia of breast

24
Q

A deficiency in what vitamin can result in metaplasia

A

vitamin A

25
Q

Vitamin A is necessary for differentiation of what epithelium cells

A

columnar epithelium of conjunctiva

26
Q

during vitamin A deficiency what metaplasia occurs

A

goblet cell/columnar epithelium of conjunctiva into keratinizing squamous epithelium

27
Q

xerophthalmia

A

dry eye

28
Q

Xerophthalmia leads to the destruction of what

A

keratomalacia

blindness

29
Q

keratomalacia

A

destruction of cornea

30
Q

what kind of tissue can undergo metaplasia

A

mesenchymal ( connective) tissue

31
Q

what is a classic examples of mesenchymal tissue undergoing metaplasia

A

myositis ossificans

-tissue within muscle changes to bones during healing after trauma

32
Q

define dysplasia

A

disordered cellular growth

-proliferation of precancerous cells

33
Q

Give an example of dysplasia

A

cervical intraepithelial neoplasia (CIN)

34
Q

dysplasia is ___, in theory with alleviation of inciting stress. If stress persists, dysplasia progress to carcinoma which is ____

A

reverisble

irreversible

35
Q

define aplasia

A

failure of cell production during embryogensis

36
Q

hypoplasia define

A

decrease in cell production during embryogenesis, resulting in a relatively small organ.

37
Q

name an example of aplasia

A

unilateral renal agenesis

38
Q

name an example of hypoplasia

A

streak ovary in Turner syndrome

39
Q

name 5 growth adaptations

A
  1. Hyperplasia/hypertrophy
  2. Atrophy
  3. Metaplasia
  4. Dysplasia
  5. Aplasia/hypoplasia