Smart Sparrow Pracs Flashcards

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1
Q

What cell type are absorptive cells more likely to be?

A

Columnar

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2
Q

What do adherens junctions and desmosomes use to bind to adjacent cells?

A

Cadherens

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3
Q

What are the components of ECM?

A
Fibrillin 
Proteoglycans 
Water 
Collagen 
Glycoproteins
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4
Q

The dermis of the skin contains cells with scattered spindled/elongated nuclei. What are they?

A

Fibroblasts

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5
Q

What is the difference between suppurative, fibrinous and serous exudate?

A

Suppurative: neutrophils predominates
Fibrinous: fibrin predominates
Serous: Fluid predominates

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6
Q

When does granulation tissue form? What does it consist of?

A

When the tissue attempts to heal after injury, infection or acute inflammatory response by repair.
It consists of: fibroblasts, myofibroblasts, inflammatory cells - mostly macrophages and lymphocytes -, oesema from leaky, newly formed capillaries and some ECM which increases as time progresses.

The granulation tissue will replace necrotic debris as it is removed by macrophages.

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7
Q

Compare and contrast the cells of acute and chronic inflammation

A

Acute inflammation: polymorphonuclear leukocytes or neutrophils
Chronic: Mononuclear

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8
Q

Tuberculosis is an infection characterised by a specific type of chronic inflammation. What is it called?

A

Granulomatous inflammation - collection of macrophages

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9
Q

Approximately how long does it take granulation tissue to fully form?

A

At least a week

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10
Q

Name the layers of a blood vessel

A

From inside the lumen out

  1. Tunica intima
  2. Internal elastic lamina (when present)
  3. Tunica media
  4. External elastic lamina (when present)
  5. Tunica adventitia
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11
Q

Name the type of tight junction that holds endothelial cells together

A

Fascia occludens: this is a discontinuous tight junction found between most endothelial cells.
In the brain, tight junctions form a continuous rim around the circumference of the cell i.e. zonula occludens type

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12
Q

What is the function of vasa vasorum?

A

To supply oxygen and nutrients to the outer media in vessels with thick walls - the distance is too great for adequate perfusion from the vessel lumen

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13
Q

In which layer of the blood vessel are dissections found?

A

Usually the outer media

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14
Q

What is Marfan Syndrome? What are sufferers at risk of developing?

A

Marfan Syndrome is a genetic defect for fibrillin 1, resulting in inadequate formation of elastic fibres which arefragemented.
They are at risk of developing dissection

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15
Q

What are some possible complications of an aortic dissection?

A

Hemopericardium
Cardiac tamponade
Blood may dissect to coronary arteries –> severe chest pain (distal dissection), findings that suggest a stroke (carotid dissection) or MI (coronary dissection

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16
Q

where are most aortic aneurysms of aorta found?

A

Below renal arteries

17
Q

Potential complications of pneumonia ?

A
Hypoxaemia 
Septicaemia 
Empyema 
Abscess formation
Dissemination of bacteria to other organs 
Possibly bronchiectasis
18
Q

What do Chief cells secrete?

A

Pepsinogen

19
Q

What do G cells secrete?

A

Gastrin

20
Q

What do D cells secrete?

A

Somatostatin

21
Q

What do ECL cells secrete?

A

Histamine

22
Q

Where do mucous cells reside?

A

In the pit of gastric glands - they are at the surface

23
Q

What cells reside at the base of gastric glands?

A

Enterendocrine cells

24
Q

What are the components of gastric juice?

A

Salt, water, Hcl, pepsin, intrinsic factor (absorbs B12 in terminal ileum) and mucous

25
Q

What are three regulatory molecules that stimulate acid secretion (both neural and endocrine)

A

Ach from vagus nerve
Gastrin, released in duodenum and gastric antrum by G cells
Histamine, from ECL cells in gastric gland

26
Q

Where would you find gastrin receptors?

A

On ECL membrane