SARAP Flashcards
City dwellers’ adaptation to air pollutants.
a) Squamous metaplasia
b) Glandular metaplasia
c) Osseous metaplasia
d) Bronchial mucous hyperplasia
a) Squamous metaplasia
In hypoxemia, the following are the cellular happening:
a) Decrease cytocelic gly
b) Increase cellular pH
c) Increase translational problem
d) Increase cellular impermeability
c) Increase translational problem
Free radicals most commonly destroy the:
a) smooth ER
b) rough ER
c) nucleus
d) phospholipid bilayer membrane
d) phospholipid bilayer membrane
Which of the following is an example of an ultrastructure finding in reversible cell injury?
a) Pyknosis
b) lysosomal rupture
c) blebbing
d) mitochondrial vacuolization
c) blebbing
Which of the following is an irreversible ultra structural change?
a) Lysosomal rupture
b) autophagy
c) chromatin clumping
d) endoplasmic reticulum swelling
a) Lysosomal rupture
What’s the right sequence of cell change during injury/death?
a) Function retains until cell death
b) Function loss occurs RIGHT after cell death
c) Cell death precede all functional & histologic change
d) Ultrastructural changes antedate eosinophilic changes
d) Ultrastructural changes antedate eosinophilic changes
Not true of hypoxic injury:
a) Hydropic degeneration
b) Anaerobic respiratory mechanisms terminated
c) Protein synthesis, transport and packaging deranged
d) Reactive oxygen species produced
b) Anaerobic respiratory mechanisms terminated
In this organ, hypoxic death is due predominantly to antolysis rather than protein denaturation
a) lungs
b) GIT
c) Brain
d) Testis
c) Brain
True of saponification in enzymatic fat necrosis:
a) Release of enzymes in hypercalcemic milieu
b) Release of fatty acids despite of normal calcium levels
c) Neutrophil digestion and calcium deposition
d) Release of fatty acids. The process of saponification
b) Release of fatty acids despite normal calcium levels
Preservation of cellular outline but with loss of cellular detail is due to:
a) Protein denaturation
b) autolysis
c) autophagy
d) infarction
a) Protein denaturation
The pattern of necrosis in myocardial infarction is:
a) coagulation necrosis
b) fat necrosis
c) liquefactive necrosis
d) cafeation necrosis
a) coagulation necrosis
Refers to focal accumulation of carbon pigment lader macrophages is the connective tissues of lung parenchyma
a) steatosis
b) xanthoma
c) cholesterolosis
d) anthracosis
d) anthracosis
Changes in a chronic smoker
Squamous metaplasia
The first manifestation of almost all cell injury
a) Fat accumulation
b) Dystrophic calcification
c) Hyaline
d) Cellular swelling
d) Cellular swelling
Focal accumulation of carbon
Anthracosis
In this type of cellular adaptation, there’s a marked increase in number of autophagosomes accompanied by a decrease in number of myofilaments, ER, and mitochondria
a) hypertrophy
b) hyperplasia
c) atrophy
d) metaplasia
d) metaplasia
A reversible change or alteration in adult cells characterized by variation in size, shape and orientation:
a) metaplasia
b) dysplasia
c) hyperplasia
d) atrophy
b) dysplasia
Increased hormonal stimulation may cause cells to undergo
a) Metaplasia
b) Hyperplasia
c) Dysplasia
d) Atrophy
b) Hyperplasia
The most common mechanism facilitating increased vascular permeability
a) Endothelial injury
b) leukocyte – mediated endothelial injury
c) Gaps due to endothelial contraction
d) increased transcytosis
c) Gaps due to endothelial contraction
- Sources of histamine and serotonin is/are
a) mast cells
b) Basophils
c) platelet
d) AOTA
D) mast cells, basophils, platelets
Which of the following generates prostaglandin and thromboxanes
a) lipoxygenase
b) cycloxgenase
c) kinins
d) complement
B) cycloxygenase
Which is/are true about acute inflammation?
a) In chemotaxis, the injurious agent goes to the phagocytic cell for phagocytes
b) In activation of phagocytic all, secretions are not only confined to phagosome but also leaks out to the extracellular matrix
c) Leukocyte adhesion consists of migration, rolling, and adhesion
d) B and C are true
d) B and C are true
Dominant cell in chronic inflammation
d) Macrophage
Protein C, fibronectin and amyloid proteins are examples of
a) chemokines
b) acute phase protein
c) cytokines
d) complement
b) acute phase protein
Leukoid reaction occurs when:
a) leukocyte count reaches 15,000-20,000 cells/mL
b) leukocyte count reaches 40,000 – 100,000 cells/mL
c) leukocyte count drops 5,000 – 10,000 cells/mL
d) leukocyte count drops 1,000 – 5,000 cell/mL
b) leukocyte count reaches 40,000 – 100,000 cells/mL
Which statement is correct?
a) In acute inflammation, the major players are mononuclear inflammatory cells
b) The most common cause of leukocyte defect is bone marrow suppression
c) The chemical mediators of inflammation does not have the potential to have harmful effects
d) Kinin, clotting, fibrinolytic, and complement cascades are interellated systems that are activated by factor V
B. the most common cause of leukocyte defect is bone marrow suppression
In A, it should be “polymorphonuclear cells” i.e. neutrophils”; in C, they have the potential to cause harmful effects, that’s why they are regulated; in D, it is factor XII not factor V
effects of tumor necrosis factor
a) increase fibroblast proliferation
b) decrease acute phase proteins
c) increase anticoagulant activity
d) decrease cytokine secretion
a) increase fibroblast proliferation
True of Nitric Oxide
a) pleiomorphic of vasodilation
b) aka endothelium-derived relaxation factor
c) inhibits platelet aggregation and adhesion
d) all of the above
b) aka endothelium-derived relaxation factor
- Outcome/s of acute inflammation
a) resolution
b) abscess formation
c) chronic inflammation
d) all of the above
d) all of the above
Which of the following organs is normally involved in low-level proliferation but is capable of rapid replication upon stimulation?
a) Skeletal muscle
b) liver
c) bone marrow
d) neurons
b) liver
A cell producing substances that affect target cells in close proximity:
a) Paracrine
b) Endocrine
c) Paracrine
d) Ecrine
c) Paracrine
This allows ECM to sketch and recoil
a) Fibrillin
b) Colllagen
c) Elastin
d) Cartilage
c) Elastin
True of collagen?
a) Type 1: predominant in skin & bones
b) has at least 5 types
c) type 2: in basement membrane
d) Enzymatic activity Vitamin E
a) Type 1: predominant in skin & bones
Vessel function in adult tissues is:
a) vasculogenesis
b) angiogenesis
c) neovascularisation
d) Both B and C
d) Both B and C
True of granulation tissue
a) hallmark o malignancy
b) proliferating blood vessels
c) pink, soft, granular, loose ECM
d) All of the above
d) All of the above
Characterized by wound contraction in which the size of the wound is markedly decreased by the action of myofibroblast
a) healing by first intention
b) healing by second intention
c) fibrosis
d) scar formation
b) healing by second intention
Same type of tissue replaced the injured one
a) replacement
b) regeneration
c) hyperplasia
b) regeneration