FHDT: Pathology Week 3 Flashcards

1
Q

Congenital malformations are associated with
Answer

acquisition in utero

chromosomal defects

familial tendency

genetic transmission

maternal drug ingestion
A

acquisition in utero

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2
Q

Disorderly arrangement of maturing squamous of epithelium of the skin with an intact basement membrane is by definition
Answer

hyperplasia

metaplasia

neoplasia

dysplasia

anaplasia
A

dysplasia

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3
Q

A mass composed of a mixture of normal tissues NOT native to the location and in abnormal amount or arrangement is called a(n)
Answer

hamartoma

teratoma

mixed tumor

choristoma

embryonal tumor
A

choristoma

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4
Q

An increase in the size of an organ caused by an increase in the number of cells is called
Answer

hypertrophy

regeneration

hyperplasia

metaplasia

atrophy
A

hyperplasia

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5
Q

Loss of orderly maturation of epithelium is by definition
Answer

hyperplasia

metaplasia

neoplasia

Anaplasia

Dysplasia
A

Dysplasia.
Dysplasia is loss of orderly maturation of epithelium, disordered growth and maturation.

Not Anaplasia b/c anaplasia is loss of differentiation in cells

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6
Q

An acquired decrease in the size of a normally developed tissue or organ is
Answer

hypoplasia

neoplasia

metaplasia

atrophy

aplasia
A

atrophy.
Atrophy: Is a decrease in the size of a normally formed tissue or organ, resulting from a decrease either in the size of individual cells or in the number of cells composing the tissue.

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7
Q

A mass composed of normal tissues native to the location but in abnormal amount or arrangement is called a(n)
Answer

hamartoma

teratoma

mixed tumor

choristoma

embryonal tumor
A

hamartoma

Hamartoma- Is a tumor-like mass resulting from the overgrowth of mature, histologically normal cells and tissue that normally occur in the affected part, but often with one element predominating.

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8
Q

Mature squamous epithelium replacing the pseudostratified columnar epithelium normally in bronchial lining is an example of
Answer

hyperplasia

Metaplasia

neoplasia

dysplasia

anaplasia
A

Metaplasia
Metaplasia is an abnormality of cellular differentiation in which one type of mature cell is replaced by a different and the latter is not normal for the tissue involved.

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9
Q

An increase in the size of an organ caused by an increase in the size of the constituent cells but not an increase in their number is called
Answer

hypertrophy

regeneration

metaplasia

hyperplasia

atrophy
A

hypertrophy

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10
Q

A congenital decrease in the size of a developing tissue or organ is
Answer

atrophy

neoplasia

metaplasia

hypoplasia

aplasia
A

hypoplasia.

Agenesis is the failure of an organ to develop due to failure of the primordial organ to develop. It’s the failure of an organ to develop during embryonic growth and development due to the absence of primordial tissue
aplasia is the defective development resulting in the absence of all or part of an organ or tissue.

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11
Q

Metaplasia is thought to be caused in most cases by
Answer

genetic mutation

oncogenic virus

chronic irritation

immunologic reaction

congenital defect
A

chronic irritation

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12
Q

Mature squamous epithelium in bronchial lining is an example of
Answer

hyperplasia

metaplasia

neoplasia

dysplasia

anaplasia
A

metaplasia

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13
Q

A cervical biopsy of a 24-year-old woman shows maturated squamous epithelium replacing the expected cuboidal mucosal surface of the endocervical glands. This is an example of
Answer

anaplasia

dysplasia

hyperplasia

metaplasia

neoplasia
A

metaplasia

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14
Q

Autolysis is produced by
Answer

antibodies

endogenous enzymes

phagocytic leukocytes

bacterial enzymes

anoxia
A

endogenous enzymes

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15
Q

Lethally injured cells show an increase in
Answer

adenosine triphosphate activity

pH

RNA synthesis

sodium content
A

sodium content

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16
Q

Electron microscopic examination of cell reveals a simple swelling of the mitochondria and endoplasmic reticulum without any significant additional abnormality. Which of the following is true?
Answer

this is inconsistent with changes observed with cell injury

the likelihood of functional derangement in very low, if  at all

this is consistent with hypoxic cellular injury

these changes would not be manifested with light microscope
A

this is consistent with hypoxic cellular injury

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17
Q

Of the following, which would require the greatest duration of time to show evidence of cell injury in association with sustained occlusion of an supplying artery?
Answer

brain

heart

epidermis

liver

kidney
A

epidermis.

Not brain, b/c brain would be one of the first to show evidence of cell injury b/c neurons are very susceptible to hypoxic cell injury.

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18
Q

Cloudy swelling, hydropic change and fatty change are all examples of
Answer

early neoplastic change

hyaline change

patterns of cell death

postmortem artefact

reversible cell injury
A

reversible cell injury

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19
Q

Fatty change is most commonly seen in the
Answer

heart

kidney

spleen

lung

liver
A

liver

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20
Q

In association with cell injury each of the following is characteristically decreased EXCEPT:
Answer

oxidative phosphorylation

ATP

pH

glycolysis

protein synthesis
A

glycolysis

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21
Q

The first point of attack of hypoxia inducing cell injury is:
Answer

the plasma membrane

oxidative phosphorylation by mitochondria

protein synthesis by rough endoplasmic   reticulum

enzymes of the lysosomes

the genetic apparatus of the nucleus
A

oxidative phosphorylation by mitochondria

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22
Q

A myocardial infarct is a good example of
Answer

caseous necrosis

enzymatic fat necrosis

liquefactive necrosis

coagulative necrosis

gangrenous necrosis
A

coagulative necrosis

Liquefactive necrosis is always seen in brain and is seen elsewhere as abscesses

Caseous necrosis=TB and granulomas

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23
Q

Which of the following is the first sign of anoxic cell injury?
Answer

cell swelling

vacuolization

karyorrhexis

mitochondrial calcification

pyknosis
A

cell swelling

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24
Q

Accumulation of fat in the liver following administration of carbon tetrachloride results from
Answer

an increased uptake of blood triglycerides

a decrease in fatty acid oxidation

inhibition of lipoprotein synthesis

enhanced synthesis of free fatty acids

increased synthesis of glycerides
A

inhibition of lipoprotein synthesis

Carbon tetrachloride inhibits lipoprotein synthesis causing accumulation of fat in the liver. Need lipoproteins to carry lipids out, so without them, the lipids accumulate in the hepatocytes

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25
Q

Ultrastructural changes seen with reversible injury include each of the following EXCEPT:
Answer

myelin figures

blebs on the cell surface

blunting of the microvilli

swelling of the mitochondria

dense, calcium rich granules
A

dense, calcium rich granules
Signs of reversible cell injury are: Myelin figures, blebs on the cell surface, blunting of the microvilli, and swelling of the mitochondria.

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26
Q

In ischemic cell injury there is an
Answer

efflux of K+ and Na+

influx of K+ and Ca++

influx of K+ and H2O

influx of Na+ and Ca++

influx of Na+ and K+
A

influx of Na+ and Ca++

In ischemic cell injury there is an influx of Na+ and Ca2+

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27
Q

The most common cause of hypoxia associated with significant amount of cell injury is:
Answer

chronic obstructive pulmonary disease

anemia

carbon monoxide poisoning

vascular occlusion

cardiorespiratory failure
A

vascular occlusion

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28
Q

Each of the following concerning increased activity of phosphofructokinase is TRUE, EXCEPT:
Answer

stimulated by an increase in ATP

results in a decrease in intracellular pH

associated with a decrease in intracellular glycogen

results in ATP generation from glycogen

indirectly associated with the early clumping of nuclear chromatin
A

stimulated by an increase in ATP

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29
Q
  1. Following a myocardial infarction, the increased level of the serum enzyme creatine kinase is due to
    Answermitochondrial swellingnuclear lysisincreased permeability of plasma membranesincreased endoplasmic reticulumincreased golgi activity
A

increased permeability of plasma membranes

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30
Q

A-
An-
ex. Agenesis

A

Without

agenesis= without beginning

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31
Q

Angio-

ex. angioplasty

A

vessel

32
Q

Crypto-

ex. Cryptoorchidism
ex. cryptogenic

A

hidden
cryptoorchidism= undescended (hidden) testes
Cryptogenic= of hidden or unkown origin

33
Q

Dys-

ex. dysplasia

A

bad

dysplasia=bad growth/maturation

34
Q

Mega-

ex. Splenomegaly

A

Large

splenomegaly=enlarged spleen

35
Q

Tele-

ex. telangiectasis
ex. telomeres

A

End
telomeres= ends of chromosomes
telangiectasis=Expansion or dilatation of small blood vessel

36
Q

Meta-

ex. Metaplasia

A

after, between
Metaplasia= after, between growth
Metaplasia is an abnormality of cellular differentiation in which one type of mature cell is replaced by a different and the latter is not normal for the tissue involved.

37
Q
  • Myalgia

ex. Myalgia

A

pain

myalgia=muscle pain

38
Q
  • ectasia

ex. Atelectasis and Bronchiectasis

A

expansion
atelectasis=Atelectasis is the collapse of part or (much less commonly) all of a lung.
Bronchiectasis=expansion and/or dilation of the bronchi

39
Q
  • genic

ex. oncogenic

A

production

oncogenic= produces cancer

40
Q
  • oid

ex. fibroid

A

like/similar

fibroid=fiber like. It’ a tumor consisting of smooth muscles resembling fibrous tissue.

41
Q
  • philia

ex. zoophilia

A

love/affinity

zoophilia= love of animals/ affinity for animals

42
Q
  • rhea
    ex. rhinorrhea
    ex. amenorrhea
A

-flow
rhinorrhea=runny nose
amenorrhea= no menstrual flow

43
Q
  • rhexis

ex. karyorrhexis

A

-rupture

karyorrhexis= rupture of the nucleus

44
Q

The death of cells or tissue w/in a living body is termed

A. Cytolysis
B. Necrosis
C.Putrefaction
D. Autolysis
E. Somatic death
A

B. Necrosis

45
Q

Inflammation is best defined as

A. Cellular changes as a result of injury
B. Exudation of polymorphonuclear leukocytes
C. Hemodynamic changes as a result of injury
D. Increased vascular permeability due to chemical mediators
E. Local reaction of a tissue to injury

A

E. Local reaction of a tissue to injury

46
Q

An example of a reversible injury is

A. pyknosis
B. cytoplasmic vacuoles
C. rupture of cell membrane
D. Karyolysis
E. karyorrhexis
A

B. cytoplasmic vacuoles

47
Q

An example of irreversible injury is

A. cellular edema
B. chromatin clumping
C. cytoplasmic inclusions
D. mitochondrial swelling
E. rupture of cell membrane
A

E. rupture of cell membrane

48
Q

Which tissue is the most susceptible to liquefactive necrosis following ischemic injury?

A. pancreas
B. liver
C. spleen
D. brain
E. intestine
A

D. brain

49
Q

Coagulative necrosis usually results from

A. abscess formation
B. ischemia
C. trauma
D. tuberculosis
E. syphillis
A

B. ischemia

50
Q

Of the following, which most characteristically causes coagulative necrosis?

A. bacterial infection
B. obstruction of blood flow
C. decrease in hormones
D. genetic enzyme abnormality
E. alcoholism
A

B. obstruction of blood flow

51
Q

Which of the following conditions is dependent upon hypercalcemia?

A. metastatic calcification
B. ossification
C. cornification
D. dystrophic calcification
E. gout
A

A. metastatic calcification
Metastatic calcification is deposition of calcium in normal tissue. It’s the result of hypercalcemia and/or increased serum phosphate.

Not D. because dystrophic calcification is calcification of necrotic or previously damaged tissue. In dystrophic calcification, the calcium level is normal.

Not C, because cornification is the conversion of squamous epithelial cells into a keratinized horny material, such as hair, or nails.

52
Q
Phagocytosis is enhanced by 
A. Cl
B. bradykinin
C. lysozyme
D. opsonin
E. serotonin
A

D. opsonin

53
Q

In acute inflammation, as compared to chronic inflammation, there will be more

A. lymphocytes
B. fibrosis
C. plasma cells
D. neutrophils

A

D. neutrophils

Neutrophils are the major cells of acute inflammation.
Not A because lymphocytes are the cells of chronic inflammation

54
Q

Tissue necrosis is usually followed immediately by

A. atrophy
B. inflammation
C. regeneration
D. repair
E. resolution
A

B. inflammation

55
Q

The acute red discoloration of the skin in the earliest stages of inflammation is caused by

A. cyanosis
B. edema of the dermis
C. hyperemia of the blood vessels of the dermis
D. increased amount of pigment in the basal layers of the epidermis
E. lymphangiectasis

A

C. hyperemia of the blood vessels of the dermis

56
Q

If the following events were put in sequence as they occur in an inflammatory reaction, which would occur third?
A. emigration of leukocytes
B. phagocytosis and enzymatic digestion
C. slowing of blood flow and red cell concentration
D. vascular dilatation and increased permeability

A

A. emigration of leukocytes

Emigration of leukocytes occurs third.

1st. D- vascular dilatation and increased permeability
2nd. C-slowing of blood flow and red cell concentration
3rd. A- emigration of leukocytes
4th. B-phagocytosis and enzymatic digestion

57
Q
Her
Majesty
Reads
Across the
English
Channel
Again
Proudly
A

Mnemonic for order of events following acute inflammation

  1. Hemostasis
  2. Margination-movement of white blood cells from central axial stream to periphery
  3. Rolling-tumbling of leukocytes along endothelial lining
  4. Adhesion-Attachment of white blood cells to the endothelial lining
  5. Emigration- movement of leukocytes out of endothelial vessels through interendothelial junctions
  6. Chemotaxis- leukocytes move to site of injury
  7. Aggregation- accumulation of leukocytes at site of injury
  8. Phagocytosis
58
Q

Movement of white blood cells from central axial stream to periphery

A

Margination

59
Q

Tumbling of leukocytes along endothelial lining

A

Rolling

60
Q

Attachment of white blood cells to the endothelial lining

A

Adhesion

61
Q

Movement of leukocytes out of endothelial vessels through interendothelial junctions

A

Emigration

62
Q

Leukocytes move to site of injury

A

Chemotaxis

63
Q

Accumulation of leukocytes at site of injury

A

Aggregation

64
Q

Which of the following events in acute inflammation occurs first?

A. chemotaxis
B. emigration
C. hemostasis
D. margination
E. phagocytosis
A

C. hemostasis

Remember mnemonic:
Her- Hemostasis
Majesty-Margination
Rode-Rolling
Across the-Adhesion
English-Emigration
Channel-Chemotaxis
Again-Aggregation
Proudly-Phagocytosis
65
Q

Migration of leukocytes directly toward a foreign substance or an injured tissue is called

A. diapedesis
B. exudation
C. emigration
D. anaphylaxis
E. chemotaxis
A

E. chemotaxis

66
Q

Enzymes responsible for suppuration are derived chiefly from

A. tissue
B. serum
C. neutrophils
D. lymphocytes
E. plasma cells
A

C. neutrophils

67
Q

The tumor of inflammation is due predominantly to

A. arteriolar dilation
B. venous dilation
C. capillary dilation
D. increased intracellular fluid
E. increased extracellular fluid
A

E. increased extracellular fluid.

Edema is increased fluid in the ISF

68
Q

The principal mechanism by which vascular permeability is altered in acute inflammation is

A. disruption of vascular basement membrane
B. acceleration of vesicular transport
C. separation of endothelial junctions
D. increased hydrostatic pressure
E. increased osmotic pressure of tissue fluid

A

C. separation of endothelial junctions

69
Q

Which part of the microcirculation is most consistently involved in the permeability changes and exudation of acute inflammation?

A. small arteries
B. arterioles
C. capillaries
D. venules
E. veins
A

D. venules

70
Q

Of those listed, the earliest chemical mediator of inflammation is

A. histamine
B. Hageman factor
C. bradykinin
D. serotonin
E. kallikrein
A

A. histamine

71
Q

The most important complement-derived chemotactic factor for neutrophils is

A. C1
B. C3a
C. C4
D. C5A
E.C5b67
A

D. C5A

72
Q

Multinucleated giant cells of the foreign body type originate from

A. nuclear division of granulocytes
B. atypical regeneration of epithelium
C. megakaryocytes
D. fusion or nuclear division of macrophages
E. multiplication of nuclei in surrounding fibrocytes

A

D. fusion or nuclear division of macrophages

73
Q

Which of the following cells is most abundant in an abscess?

A. eosinophil
B. lymphocyte
C. macrophage
D. neutrophil
E. plasma cell
A

D. neutrophil

74
Q

A granuloma is

A. a small nodule of granulation tissue
B. a tumor compose dof granulocytes
C. a small hard mass of fibroblasts and collagen
D. composed primarily of mononuclear phagocytes

A

D. composed primarily of mononuclear phagocytes

75
Q

The tensile strength of a healing or healed wound is largely contributed by

A. angioblasts
B. fibroblasts
C. collagen
D. macrophages

A

C. collagen

76
Q

An infarct of the liver is healed by

A. complete resolution
B. organization
C. no repair
D. orderly regeneration
E. disorderly regeneration
A

B. organization
Organization=fibroplasia/fibrosis/scarring
Infarcts heal by organization (fibrosis), because the stromal cells are damaged.

Not regeneration (D, or E), because for regeneration to occur only the parenchyma can be damaged, the stromal cells can NOT be damaged

77
Q

The least complicated repair of an incisional wound is referred to as

A. healing by resolution
B. the secondary wound phenomenon
C. healing by primary (first) intention
D. remodeling
E. healing by secondary (second) intention
A

C. healing by primary (first) intention

Healing by primary (first) intention- occurs with clean wounds when there has been little tissue damage and the wound edges are closely approximated. Classic example is a surgical incision

Healing by secondary (second) intention-occurs in wounds that have large tissue defects and when the two edges of the wound are not in contact. It requires larger amounts of granulation tissue to fill in the defect . It’s often accompanied by significant wound contraction. It often results in larger residual scars