Pulmonary Pathology Flashcards

1
Q

dynein motors are driven by

A
  • ATP
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2
Q

pathogenesis of bronchiectasis

A
  • impaired mucus flow
  • microbial colonization
  • microbial products leading to damage and mucus hypersecretion
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3
Q

pathogenesis of cystic fibrosis

A
  • failed chloride pump leaves mucus dehydrated so iyou can’t move it
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4
Q

PCD structure of cilia

A
  • normal 9+2 structure

- no dynein arms

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5
Q

Charcot Leyden Crystals and Curschmann Spirals are seen in what condition

A
  • asthma
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6
Q

what are Charcot Leyden crystals

A
  • degranulated eosinophils
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7
Q

pathology of chronic bronchitis

A
  • mucous cellular and glandular hyperplasia (increase in number and size and produce more mucous)
  • submucosal chronic inflammation
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8
Q

two major categories of emphysema

A
  • cigarette smoking

- alpha 1 antitrypsin deficiency

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9
Q

upper lobe emphysema is what type

caused by

A
  • centrilobar

- cigarette smoking

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10
Q

lower lobe emphysema is what type

caused by

A
  • panlobar

- alpha 1 antitrypisin deficiency

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11
Q

big pathology of emphysema

A
  • increased elastase activity in the lung
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12
Q

how cigarette smoking contributes to emphysema

A
  • generates more elastase and inhibits alpha 1 antitrypsin which normally inhibits elastase
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13
Q

how alpha 1 antitrypsin deficiency contributes to emphysema

how

A
  • can’t inhibit elastase

- alpha 1 antitrypisin is stuck in the rER of hepatocytes

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14
Q

alpha 1 antitrypsin deficiency genetic pattern

deficiency in which gene

most common allele

A
  • autosomal recessive
  • loss of function in SERPINA1
  • Z
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15
Q

BOOP (bronchiolitis obliterans/organizing pneumonia) symptoms

A
  • acute cough
  • dyspnea
  • fever
  • malase
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16
Q

BOOP when idiopathic

A
  • COP (cryptogenic organizing pneumonia)
17
Q

BOOP treatment

A
  • most patients respond to corticosteroids
18
Q

BOOP radiology

A
  • multiple patchy focal airspace infiltrates
19
Q

BOOP pathology

A
  • patchy fibromyxoid plugs in distal bronchioles and alveoli