Chapter 6 Pathophysiology Flashcards

1
Q

Epithelial tissue

A
  • lines hollow organs within the body
  • provides a protective barrier
  • plays roles in the absorption of nutrients in the intestines and secretion of various body substances
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2
Q

Connective tissue

A
  • binds other types of tissues together
  • bone and cartilage are subtypes of connective tissue
  • Adipose tissue is a special type of connective tissue that contains large amounts of lipids (fat)
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3
Q

Extracellular matrix

A
  • nonliving substance consisting of protein fibers, nonfibrous protein, and fluid that separates connective tissue cells from one another
  • collagen is the major protein within the extracellular matrix
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4
Q

Muscle tissue

A

-characterized by its ability to contract
-enclosed by fascia
-structually, stirated or nonstirated (also called smooth)
-functionally, voluntary or involuntary
3 types: skeletal (stirated, voluntary)
cardiac (stirated, involuntary)
smooth (nonstirated, involuntary)

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5
Q

Nerve tissue

A

-transmits nerve impulses

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6
Q

Axons

A

conducts electrical impulses away from the cell

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7
Q

Dendrites

A

receive electrical impulses from the axons of other nerve cells and conduct them toward the cell body

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8
Q

Synapse

A

the gap that separates nerve cells

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9
Q

Cell signaling

A

process by which cells communicate electrochemically

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10
Q

Ligands

A

molecules that bind to any receptor, leading to any reaction

-common ligands are hormones, neurotransmitters and electrolytes

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11
Q

Atrophy

A

decrease in cell size

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12
Q

Hypertrophy

A

increase in size of cells

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13
Q

Hyperplasia

A

increase in number of cells

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14
Q

Dysplasia

A

alteration in form

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15
Q

Metaplasia

A

refers to the reversible, cellular adaptation in which one adult cell type is replaced by another adult cell type (cancer)

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16
Q

Plasma

A
  • 55% of blood

- composed of 91% water, and 9% plasma proteins

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17
Q

Plasma proteins include (4)

A
  • albumin (maintains osmotic pressure)
  • globulin
  • fibrinogen
  • prothrombin (assists during clotting)
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18
Q

Edema

A
  • occurs when excess fluid builds up in the interstitial space
  • peripheral edema is the most common
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19
Q

Ascites

A

abnormal accumulation of fluid in the peritoneal cavity

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20
Q

Edema causes

A
  • increased capillary pressure
  • decreased colloidal osmotic pressure in the capillaries
  • decreased production of plasma proteins
  • lymphatic vessel obstruction due to infection
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21
Q

3 types of receptors that monitors the body’s state of hydration

A
  • osmoreceptors, monitor extracellular fluid osmolarity
  • volume-sensitive receptors, located in the atria
  • baroreceptors, found primarily in the carotid artery, aorta, and kidneys
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22
Q

Sodium is regulated primarily by

A

Renin-angiotensin-aldosterone system (RAAS)

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23
Q

Renin

A

protein released by the kidneys into the bloodstream in response to changes in blood pressure, blood flow, the amount of sodium in the tubular fluid, and glomerular filtration rate

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24
Q

Angiotensin 2

A
  • stimulates sodium resorption by the renal tubules

- responsible for stimulating the secretion of aldosterone

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25
Q

Aldosterone

A

acts on the kidneys to increase the reabsorption of sodium into the blood and enhance the elimination of potassium in the urine

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26
Q

Tonicity

A

refers to the tension exerted on a cell due to water movement across the cell membrane

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27
Q

when cells are placed in an isotonic solution

A

they neither shrink nor swell

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28
Q

when cells are placed in a hypertonic solution

A

water is pulled out of the cells and they shrink

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29
Q

when cells are placed in a hypotonic solution

A

they swell

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30
Q

isotonic fluid deficit

A

decrease in extracellular fluid with proportionate losses of sodium and water

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31
Q

isotonic fluid excess

A

proportionate increase in both sodium and water in the extracellular fluid compartment

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32
Q

hypertonic fluid deficit

A

excess body water loss without a proportionate sodium loss

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33
Q

hypotonic fluid deficit

A

excessive sodium loss with less water loss

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34
Q

Normal physiologic pH range

A

7.35 to 7.45

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35
Q

Buffers

A

molecules that modulate changes in pH

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36
Q

pH greater than 7.45 is called

A

alkalosis

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37
Q

pH less than 7.35 is called

A

acidosis

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38
Q

Kussmaul respirations

A

deep, rapid, sighing ventilations

39
Q

Hypoxic injury

A
  • common, and often deadly cause of cellular injury
  • result from decreased amounts of oxygen in the air or loss of hemoglobin function, a decreased number of rbc’s, disease of the respiratory or cardiovascular system, or loss of cytochrome function
40
Q

Free radicals

A

randomly attack cells and membranes to “steal back” missing electrons

41
Q

Types of cell injuries

A
  • hypoxia
  • ischemia
  • chemical
  • infectious
  • immunologic
  • physical
  • inflammatory
42
Q

Virulence

A

measures the disease-causing ability of a micro-organism

43
Q

Location of virus replication

A

inside the host cell

44
Q

2 ways an abnormal gene may develop

A
  • mutation of the gene during meiosis

- heredity

45
Q

Apoptosis

A
  • normal cell death
  • die in well-defined clusters
  • can be activated prematurely by pathologic factors
46
Q

Simple necrosis

A

refers to areas of necrosis where the gross and microscopic tissue and some of the cells are recognizable

47
Q

Derived necrosis

A

includes caseation necrosis, dry gangrene, fat necrosis, and liquefaction necrosis

48
Q

Dry gangrene

A

invasion and putrefaction of necrotic tissue after the blood supply is compromised

49
Q

caseation necrosis

A

loss of all features of the tissue and cells

50
Q

Factors causing disease (4)

A
  • genetic
  • environmental
  • age-related
  • sex-associated
51
Q

Studies of disease: definitions of incidence, prevalence and mortality

A
  • incidence: frequency of disease occurance
  • prevalence: number of cases in a particular population over time
  • mortality: number of deaths from a disease in a given population
52
Q

genetic risk

A

passed through generations by inheritance of a gene

53
Q

familial tendency

A

cluster in family groups despite lack of evidence for heritable gene-associated abnormalities

54
Q

Autosomal recessive

A
  • pattern of inheritance that involves genes located on autosomes
  • a person needs to inherit two copies of the gene to show the trait
55
Q

Autosomal dominant

A

person only needs to inherit one copy of particular gene to show trait

56
Q

hemolytic anemia:

A

increased destruction of red blood cells

57
Q

hemochromatosis:

A

body absorbs more iron than it needs

58
Q

gout:

A

abnormal accumulation of uric acid

59
Q

perfusion:

A

delivery of oxygen and nutrients and removal of waters from the cells, organs, and tissues by the circulatory system

60
Q

hypoperfusion:

A

occurs when the level of tissue perfusion decreases below normal

61
Q

2 types of shock

A

Central: includes cardiogenic and obstructive
Peripheral: includes hypovolemic and distributive

62
Q

cardiogenic shock:

A

heart cannot circulate enough blood to maintain adequate peripheral oxygen delivery

63
Q

obstructive shock:

A

blood flow becomes blocked in the heart or vessels

64
Q

hypovolemic shock:

A

circulating blood volume is unable to deliver adequate oxygen and nutrients to the body.

2 types:

  • exogenous
  • endogenous
65
Q

distributive shock:

A
occurs when there is widespread dilation of the resistance vessels, the capacitance vessels, or both. The circulating blood volume then pools in the expanded vascular beds, and tissue perfusion decreases.
3 most common types:
-anaphylactic
-septic
-neurogenic
66
Q

multiple organ dysfunction syndrome (MODS):

A
  • progressive condition usually characterized by concurrent failure of several organs
  • mortality rate of 60%-90%
67
Q

2 primary lymphoid tissues:

A
  • bone marrow

- thymus gland

68
Q

red bone marrow:

A

essential for formation of mature blood cells; it produces B lymphocytes

69
Q

lymph:

A

thin, watery fluid that bathes the tissues of the body

70
Q

mucosal-associated lymphoid tissue (MALT):

A

contain immune cells that are in a position to intercept pathogens before they reach the general circulation

71
Q

5 types of leukocytes:

A
  • basophils
  • eosinophils
  • neutrophils
  • monocytes
  • lymphocytes
72
Q

mast cells:

A

play a role in allergic reactions, immunity, and wound healing

73
Q

native immunity:

A

nonspecific cellular response that is the first line of defense against pathogens and is associated with the initial inflammatory response

74
Q

acquired immunity:

A

method by which armies of cells respond to an immune stimulant when body is exposed to a foreign substance or disease and produces antibodies to that invader

75
Q

hapten:

A

substance that normally does not stimulate an immune response but that can be combined with an antigen and, at a later time, initiate a specific antibody response on its own

76
Q

immunoglobulins:

A
  • antibodies secreted by B cells

- Y-shaped protein that bind only on a specific antigen

77
Q

killer t cells:

A

destroy the antigen

78
Q

helper t cells:

A

activate many immune cells

79
Q

suppressor t cells:

A

suppress the activity of other lymphocytes so they do not destroy normal tissue

80
Q

memory t cells:

A

remember the reaction for the next time it is needed

81
Q

chemotaxins:

A

attract leukocytes from the circulation to help fight the infection

82
Q

fibrin:

A

protein that bonds to form a blood clot

83
Q

cellular event sequence

A
  1. margination
  2. activation
  3. adhesion
  4. transmigration
  5. chemotaxis
84
Q

cytokines:

A

products of cells that affect the function of other cells

85
Q

interleukins:

A

attract white blood cells to the sites of injury and invasion

86
Q

interferon:

A

protein produced by cells when invaded by viruses

87
Q

function of lymphokines

A

stimulate leukocytes

88
Q

4 steps of wound healing

A
  • repair of damaged tissue
  • removal of inflammatory debris
  • restoration of tissues
  • regeneration of cells
89
Q

labile cells:

A

divide continuously, so organs derived from these cells heal completely

90
Q

stable cells:

A

replaced by regeneration from remaining cells, which are stimulated to enter mitosis

91
Q

permanent cells:

A

cannot be replaced, scar tissue is laid down instead

92
Q

4 types of hypersensitivity reactions

A

type 1- an acute reaction that occurs in response to a stimulus
type 2- are cytotoxic and classically involve the combination of IgG or IgM antibodies with antigens on the cell membrane
type 3- involve primarily IgG antibodies that form immune complexes with antigen to recruit phagocytic cells, to a site where they can release inflammatory cytokines
type 4- allergic responses, also known as cell-mediated hypersensitivity, are primarily mediated by soluble molecules that are released by specifically activated T cells

93
Q

Rh factor:

A
  • antigen that is present in the red blood cells

- blood types are based on the presence or absence of these specific antigens

94
Q

general adaptation syndrome: 3 stages

A

-introduced by Hans Selye in the 1920s
-characterizes a 3 stage reaction to stressors, both physical and emotional
Stage 1: Alarm
Stage 2: Resistance
Stage 3: Exhaustion