chapter 4 Flashcards

1
Q

Define cellular accumulation (infiltration)

A

accumulation of abnormal substances in a normal cell such as water, lipids, and carbohydrates, glycogen, proteins, pigments, calcium, urate. accumulation can lead to cell injury

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2
Q

Define coagulative necrosis. Where would you see this kind of necrosis

A

cell death that occurs when blood flow to the cell stops or slows. can occur in the kidneys, heart and adrenal glands

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3
Q

define liquefactive necrosis. where would you see this kind of necrosis?

A

partial or complete dissolution of dead tissue and transformation into a liquid, viscous mass.

-neurons and glial cells of the brain
-hydrolytic enzymes
-can be caused by bacterial infections

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4
Q

define caseous necrosis. give an example of caseous necrosis.

A

a combination of coagulative and liquefaction necrosis

ex: tuberculous pulmonary infection

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5
Q

define fat necrosis. where would you find this kind of necrosis

A

death of fat tissues
can be found in the breast, pancreas, and other abdominal organs

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6
Q

define gangrenous necrosis

A

death of tissue from severe hypoxic injury
dry vs. wet
dry: no circulation
wet: bacteria

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7
Q

define atrophy. what can cause atrophy?

A

decreased in cellular size

○ Disuse and reduced functional demand
§ Casted limb
○ Insufficient nutrients
○ Decreased blood flow
○ Persistent call injury
§ Chronic inflammation (prolonged viral/bacterial infections
○ Aging

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8
Q

define hypertrophy.

A

increase in cellular size as well as an increase in the amount of functioning tissue mass

-results from an increase in workload
-can be normal or from pathological conditions

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9
Q

define dysplasia

A

deranged cellular growth of a specific tissue that results in cells that vary in size, shape, and appearance
○ Is strongly implicated as a precursor of cancer
○ But, dysplasia is an adaptive process, and does now always lead to cancer
○ In many cases, the dysplastic cells revert to their former structure and function
§ Ie. Uterine cervix
□ Pap test usually for diagnostics

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10
Q

define metaplasia

A

replacement of one type of cell with another

○ Usually occurs in response to chronic irritation and inflammation and allows for substitution of cells that are better able to survive under circumstances in which a more fragile cell type might succumb
Ie. Stratified squamous epithelial cells are substituted for the ciliated columnar epithelial cells in the trachea and large airways of a habitual cigarette smoker

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11
Q

what are some common causes of cellular injury?

A

single most common cause of cellular injury–> hypoxic injury

free radicals and reactive oxygen species

chemical injury

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12
Q

What is the difference between apoptosis and autophagy?

A

apoptosis: programmed cellular death

autophagy: self-destructive and survival mechanism
- cytoplasmic contents delivered to lysosomes for degradation
- contributes to the aging process

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13
Q

common themes of cell injury and death

A

cell injury and death come from a failure to maintain a function. injury can face maladaptive changes but will eventually face death

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14
Q

_______ is an increase in the number of cells, resulting from an increased rate of cellular division

a. atrophy
b. metaplasia
c. hypertrophy
d. hyperplasia

A

d. hyperplasia

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15
Q

“eating of self” is a self-destructive process and a survival mechanism. the correct term for this process is

a. necroptosis
b. autophagy
c. necrosis
d. apoptosis

A

b. autophagy

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16
Q

_______ refers to abnormal changes in the size, shape, and organization of mature cells

a. hypertrophy
b. hyperplasia
c. dysplasia
d. metaplasia

A

d. dysplasia

17
Q

______ is the reversible replacement of one mature cell type by another, sometimes less differentiated, cell type

a. dysplasia
b. metaplasia
c. hyperplasia
d. atrophy

A

b. metaplasia

18
Q

__________is a decrease in cellular size caused by aging, disuse, or insufficient blood flow

a. atrophy
b. dysplasia
c. hypertrophy
d. metaplasia

A

a. atrophy

19
Q

________ is the lack of sufficient oxygen in cells and is the most common cause of cellular injury

a. ischemia
b. hypoxia
c. senescence
d. apoptosis

A

b. hypoxia

20
Q

Mechanisms of cellular injury involve which of the following (choose all that apply)

a. temperature extremes
b. mechanical stress
c. noise
d. ionizing radiation
e. genetic factor
f. epigenetic factors
d. nutritional imbalances

A

all of the above

21
Q

cellular accumulations are otherwise known as infiltrates. which of the following are examples of infiltration that can cause alteration in cellular metabolism? SELECT ALL THAT APPLY

a. calcium
b. proteins
c. lipids
d. carbohydrates
e. pigments

A

all of the above