CTL week 12 Flashcards

1
Q

what are the 5 major aspects of disease processes?

A

what are the 5 major aspects of disease processes?

Answer:
- Aetiology (the cause, genetic and/or acquired)

  • Pathogenesis (sequence of cellular, biochemical, and molecular events that occur after exposure of cell/tissue to an injurious agent)
  • Morphological changes (structural alterations in cell/tissue that are characteristics of disease)
  • Functional abnormalities (end result of structural changes in cells/tissue)
  • Clinical manifestations (functional consequences of changes)
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2
Q

what can trigger Aetiology (the cause of disease)?

hint: t.i.n.t.i.g

A

what can trigger Aetiology (the cause of disease)?

Answer:

  • toxin
  • infections
  • nutritional imbalances
  • trauma
  • immunologic abnormalities
  • genetic abnormalities
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3
Q

physiological adaptations

A

physiological adaptations: response to normal stimuli

Answer: - responses of cells to normal stimulation by hormones or endogenous chemical mediators

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4
Q

Pathological adaptations

A

Pathological adaptations: response from stress to escape injury

Answer: responses to stress that allow cells to modulate their structure and function to escape injury.

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5
Q

what is hypertrophy?
why does it happen
is it physiological or pathological

A

what is hypertrophy

Answer: increase in size of cells
occurs when cells are incapable of dividing
can be physiological or pathological

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6
Q

what is hyperplasia
why does it happen
is it physiological or pathological

A

what is hyperplasia

Answer: increase in the number of cells
occurs when cells are capable of dividing
can be physiological or pathological

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7
Q

physiological hyperplasia

A

physiological hyperplasia

Answer:
occurs when a portion of the tissue is removed
hormonal // compensatory hyperplasia

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8
Q

Pathologic hyperplasia

A

Pathologic hyperplasia

Answer: most forms caused by excessive hormonal or growth factor stimulation

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9
Q

what is Atrophy

is it physiological or pathological

A

what is Atrophy

Answer:

  • reduction in the size or organ b/c decrease in cell size & number
  • can be physiological or pathological
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10
Q

what is Metaplasia

A

what is Metaplasia

Answer:
- Reversible change in which one adult cell type is replaced by another adult cell type (b/c need to withstand adverse environment)

change b/c reprogramming of the stem or undifferentiated mesenchymal cells

results in some loss of function

If persistent, can initiate malignant transformation.

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11
Q

what is the hallmark for irreversible injury?

A

what is the hallmark for irreversible injury?

Answer:

  • reduced oxidative phosphorylation with resultant depletion of ATP
  • cellular swelling from changes in ion concentration and water influx because lack of ATP to generate Na+/K+ pump
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12
Q

what are the 2 main pathways of death for cells

A

what are the 2 main pathways of death for cells

Answer: necrosis and apoptosis

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13
Q

what is necrosis
what happens in necrosis
what body response is initiated
what might cause necrosis

A

what is necrosis

Answer:
- unregulated enzymatic digestion of cell components

  • occurs when damage to membrane is severe (enzymes in lysosomes leak into cytoplasm and digest the cell)
  • initiates inflammation, b/c cell content leak into ECF
  • cell death b/c of ischemia, toxins, infectious agents, trauma
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14
Q

what is Apoptosis
what might causes Apoptosis
what mediated the activation of Apoptosis

what happens in necrosis
what body response is initiated

A

what is Apoptosis

Answer:
- regulated cell death, eliminate cells that are not needed. breaks cell down into ‘bit size pieces’. no leakage.

  • occurs when lack of growth factors, or DNA, or proteins are damaged beyond repair.
  • mediated by the activation of Caspases
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15
Q

what happens in reversible cell injury

morphologic alterations in injured cells

A

what happens in reversible cell injury

Answer:

  • plasma membrane “blebbling” (cell swells)
  • loss of microvilli
  • mitochondrial swelling
  • dilation of ER with detachment of ribosomes
  • clumping of chromatin
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16
Q

what happens in morphologic alterations in dying cells

A

what happens in morphologic alterations in dying cells

Answer: 2 options, either necrosis or apoptosis

In NECROSIS

  • nuclear shrinkage, fragmentation, and dissolution
  • plasma membrane & organelle breakdown
  • calcification
  • leakage and enzymatic digestion of cellular contents

In APOPTOSIS

  • nuclear chromatin condensation
  • formation of apoptoic bodies