Exam 1 Flashcards

1
Q

What are local manifestations of the inflammatory response? (Chapter 6 - Innate Immunity: Inflammation & Wound Healing)

A

The cardinal sign of inflammation
1). Erythema (redness)
2). Heat
3). Edema (swelling)
4). Pain
5). Loss of function

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2
Q

What are the functions of lymphocytes?
(Chapter 6 - Innate Immunity: Inflammation & Wound Healing)

A

Lymphocytes are white blood cells that activate macrophages and initiate specific, protective immune responses against pathogens and cancer (p. 144)
-B lymphocytes: produce antibodies via humoral immunity (process of adaptive immunity manifested by antibody production)

-T lymphocytes: acts against virus-infected cells and tumor cells and are responsible for cell-mediated immunity in which they kill targets DIRECTLY or stimulate the activity of other leukocytes.
*Functions of T-lymphocytes include:
1). Secreting cytokines (cells that control inflammation)
2). Stimulating B-lymphocytes
3). Killing virally infected cells
4). Killing malignant cells

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3
Q

What manifestations would you see with anaphylactic reactions? (Chapter 8 - Alterations in Immunity)

A

Anaphylaxis is defined as the the most RAPID and SEVERE immediate hypersensitivity reaction that occurs within MINUTES of re-exposure to the antigen.

Manifestations: bronchospasm, hypotension, urticaria, conjunctivitis. Edema of the throat (swelling of the throat) can also occur. These are all severe reactions that can lead to shock and death (p. 175).

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4
Q

What cells release histamine in the body and what would you expect as a direct response?
(Chapter 8 - Alterations in Immunity)

A

Mast cells and basophils release histamine in the body.

What’s expected as a direct response? Local edema, smooth muscle contraction, and mucous secretion (p. 175).

Side note: Histamine is associated with Type I hypersensitivity reactions which are mediated by antigen-specific immunoglobulin E (IgE) and the products of tissue mast cells (p. 175).

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5
Q

What is the most severe consequence of anaphylactic reactions to a type I hypersensitivity?
(Chapter 8 - Alterations in Immunity)

A

Anaphylactic shock resulting in a life-threatening drop in BP is the most severe consequence of anaphylactic reactions. Shock and death may occur due to bronchospasms, hypotension, and edema of the throat (p. 175).

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6
Q

List the type of cancer treatments.
(Chapter 11 - Cancer Biology)

A

1). Surgery
2). Radiation therapy
3). Chemotherapy
4). Immunotherapy
5). Targeted disruption of cancer

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7
Q

What is the function of the angiogenic factor, vascular endothelial growth factor (VEGF) in cancer?
(Chapter 11 - Cancer Biology)

A

VEGF inhibits angiogenesis and diminishes tumor growth. Angiogenic factors and angiogenic inhibitors normally CONTROL the development of new vessels (p. 239).
&raquo_space; Angiogenesis is responsible for formation of new blood vessels (p. 149)

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8
Q

Which cancers are likely secondary factors for construction workers from occupational hazards?
(Chapter 12 - Cancer Epidemiology)

A

Mesothelioma (due to particulate matter and carcinogens) and melanoma (due to sun exposure).

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9
Q

Which cancers are most prevalent with viruses and cervical cancer?
(Chapter 11 - Cancer Biology)

A

Human papillomavirus causes cervical cancer (p. 243).
&raquo_space;>But there are specific strains of HPV that have the HIGHEST RISK for developing cervical cancer which are: HPV-16, HPV-18, HPV-31, HPV-45.

Other cancers most prevalent with viruses are (p. 243):
1). Epstein-Barr virus (EBV)
2). Hepatitis B & C (HBV, HCV)
3). Kaposi sarcoma herpesvirus (HSHV)

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10
Q

Which cancers are most prevalent while sunbathing?
(Chapter 12 - Cancer Epidemiology)

A

Basal cell carcinoma (BCC) and melanoma (p. 288).

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11
Q

What is the most common routes for the spread of metastases through the lymphatic system (Select all that apply)?
(Chapter 11 - Cancer Biology)

A

Blood vessels and the cardiovascular system (p. 255).

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12
Q

Inflammation as an etiology of cancer development would be linked to which disorder?
(Chapter 11 - Cancer Biology

A

Ulcerative colitis. One’s risk increases 30-fold for developing colon cancer as a result of this disorder (p. 242).

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13
Q

What do tumor markers consist of?
(Chapter 11 - Cancer Biology)

A

Hormones, enzymes, genes, antigens, and antibodies (p. 250).

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14
Q

T3 N1 M0 indicates which kind of cancer and how would you describe it?
(Chapter 11 - Cancer Biology)

A

T stands for primary tumor size, N stands for regional lymph nodes, and M stands for distant metastasis (p. 249).

Cancer staging:
>Stage 1: cancer is confined to the organ of origin
>Stage 2: cancer that is invasive locally
>Stage 3: cancer that has spread to regional structures such as lymph nodes
>Stage 4: cancer that has spread to distant sites (metastasis)

This type of cancer (T3 N1 M0) is Stage 3.

T3 - the cancer has spread to regional structures such as lymph nodes
N1 - lymph nodes are involved
M0 - indicates there are no metastases

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15
Q

What is the karyotype for a patient diagnosed with Turner’s syndrome?
(Chapter 2 - Genes & Genetic Diseases)

A

45,X (p. 47).

Genetic condition that affects females and results in missing sex chromosome (X).

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16
Q

The genetic disorder with XXY chromosomes is?
Chapter 2 - Genes & Genetic Diseases)

A

Klinefelter syndrome in which an individual has 2 X chromosomes and one Y chromosome in each cell (47,XXY).
P. 47

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17
Q

Mutations that do not change an amino acid’s sequences are known as what?
(Chapter 2 - Genes & Genetic Diseases)

A

Silent mutations. These mutations have no consequences (p. 41).

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18
Q

Known the difference in recurrent risk of autosomal dominant diseases.
(Chapter 2 - Genes & Genetic Diseases)

A

When one parent is affected an autosomal dominant disease (and is heterozygous) and the other is unaffected, the recurrent risk for each child is 1/2 (50%). Examples of autosomal diseases are Huntington’s disease and Marfan syndrome (p. 52).

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19
Q

What happens when homologous chromosomes fail to separate?
(Chapter 2 - Genes & Genetic Diseases)

A

Nondisjunction which results in aneuploidy (the presence of extra or missing chromosomes) from sister chromatids failing to separate normally during meiosis or mitosis (p. 45).

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20
Q

What are the nitrogenous bases for DNA molecules?
(Chapter 2 - Genes & Genetic Diseases)

A

Adenine (A) - purine
Thymine (T) - pyrimidine

Guanine (G) - purine
Cytosine (C) - pyrimidine

(p. 40)

21
Q

What are the 3 basic components of DNA?
(Chapter 2 - Genes & Genetic Diseases)

A

Five-carbon monosaccharide deoxyribose
Phosphate molecule
One of the four nitrogenous bases

(p. 40)

22
Q

Define Down syndrome.
(Chapter 2 - Genes & Genetic Diseases)

A

It is a genetic condition caused by aneuploidy (the presence of extra or missing chromosomes) in which there is a full or partial extra copy of chromosome 21 (p. 46).

23
Q

Be able to note DNA strands, regions, sequence, and what would be a complimentary strand.
(Chapter 2 - Genes & Genetic Diseases)

A

A complimentary strand of DNA would result in adenine pairing up with thymine and cytosine pairing up with guanine. Uracil replaces thymine in RNA strands (p. 40).

24
Q

What is the difference between somatic cells and gametes?
(Chapter 2 - Genes & Genetic Diseases)

A

Gametes are the sperm and egg cells that have 23 chromosomes each and are haploid cells formed from diploid cells by meiosis (p. 44).

Somatic cells are body cells excluding the gametes that have 46 chromosomes each and are diploid cells formed through mitosis and cytokinesis (p. 44).

25
Q

What phase of catabolism produces the most ATP?
(Chapter 1 - Cellular Biology)

A

The citric acid cycle (p. 17).

26
Q

In which region of the cell would most of the genetic information be contained when undergoing DNA replication?
(Chapter 1 - Cellular Biology)

A

The nucleus (p. 3).

Although PROFESSOR is saying nucleolus is the answer for exam (face plant).

27
Q

Which cellular function is being described when an isolated cell absorbs oxygen and uses it to transform nutrients into energy?
(Chapter 1 - Cellular Biology)

A

Respiration (p. 3).

28
Q

Which electrolyte outside of the cell should be closely monitored compared in relation to water?
(Chapter 5 - Fluids & Electrolytes, Acids & Bases)

A

Sodium. Sodium imbalances occur with gains or losses of body water. Water imbalances develop with gains or losses of salt (p. 117).

29
Q

Apoptosis is a condition defined as what?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Programmed cell death from cellular self-destruction (p. 102).

30
Q

Fractures to the hyoid bone, trachea, and cricoid cartilage is a result of what injury?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Manual strangulation from an assailant’s hand compressing the neck of the victim to the point where death by asphyxiation occurs (p. 93).

31
Q

Name the characteristics of eukaryotes.
(Chapter 1 - Cellular Biology)

A

1). Membrane bound organelles
2). Well-defined nucleus
3). Cell membrane

(p. 1)

32
Q

Once a patient has suffered a myocardial infarction secondary to atherosclerosis and ischemia, what is expected to be seen as a result of reperfusion?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Free radical formation and a continued rise in troponin levels (p. 78).

33
Q

Chest pain on exertion is an example of hypoxia injury t secondary to what?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Ischemia - reduced supply of blood and therefore oxygen (p. 78).

34
Q

What do myocardial cells do when there is an increased workload on a cardiac patient?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

The myocardial cells become enlarged as a result of hypertrophy (p. 75).

35
Q

Cellular injury may be caused by what?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

1). Hypoxia
2). Chemical agents (i.e., lead, carbon monoxide, ethanol)
3). Free radicals
4). Immunologic reactions
5). Infectious agents
6). Physical and mechanical factors
7). Genetic factors
8). Nutritional imbalances

(p.77)

36
Q

Name the predominant extracellular cation that would needed to be corrected in an electrolyte imbalance.
(Chapter 5 - Fluids & Electrolytes, Acids & Bases)

A

Sodium (p. 115)

37
Q

Osmotic (oncotic) pressure is determined by the effect of colloids or?
(Chapter 1 - Cellular Biology)

A

Plasma proteins (p. 21).

Oncotic pressure aka colloid osmotic pressure is induced by plasma proteins and is responsible for pulling water into the capillaries (p. 21 & 112).

38
Q

Name 4 basic types of tissues.
(Chapter 1 - Cellular Biology)

A

1). Connective tissue
2). Epithelial tissue
3). Nerve (neural) tissue
4). Muscle tissue

(p. 28)

39
Q

Deficiency in what ion impairs muscle contraction, causing a marathon runner to become fatigued?
(Chapter 1 - Cellular Biology)

A

Adenosine triphosphate (ATP)
(p. 17)

40
Q

What abnormal change in a cell is strongly associated with cancer?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Dysplasia (p. 76).

41
Q

Phagocytosis is an action of what white blood cells?
(Chapter 6 - Innate Immunity: Inflammation & Wound Healing)

A

Macrophages.

42
Q

Describe somatic cell death.
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Somatic cell death refers to the systemic death of the entire body in which there is complete cessation of respiration and circulation (p. 106)

43
Q

The term for the muscle stiffening 14 hours after death is:
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Rigor mortis (p. 106).

44
Q

What changes would you see in atrophy?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Decrease in cell size, most commonly affected skeletal muscle, heart muscle, secondary sex organs, and the brain (p. 74).

45
Q

If the mitochondrial cell was destroyed, cessation of what process would occur?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

ATP production (p. 77).

46
Q

What is the difference between ischemia and anoxia?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Ischemia refers to REDUCED supply of blood and therefore oxygen (p. 77).

Anoxia refers to the TOTAL LACK of oxygen (p. 78).

47
Q

Increased numbers of cells in response to increased functional requirements are a response to prolonged injury known as?
(Chapter 4 - Altered Cellular & Tissue Biology)

A

Hyperplasia (p. 75).

48
Q

An extrinsic factor of micro insults that would affect cell aging and death is?
(Chapter 12 - Cancer Epidemiology)

A

Ultraviolet (UV) light (p. 258).

49
Q

What process happens when energy is released?
(Chapter 1 - Cellular Biology)

A

Catabolism (p. 15).