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S09 Pathology 1a
Quiz 1
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05/14/2009

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Term
atrophy
Definition
___ is when a cell becomes smaller to survive. It may be due to decreased use / blood supply / nutrition or hormones.
Term
hypertrophy
Definition
___ is when a cell becomes larger in response to demand. It may be due to increased workload or hormones.
Term
hyperplasia
Definition
___ is when cells increase in number. This may be due to hormones or growth factors.
Term
hyperplasia / neoplasia
Definition
___ is controlled while ___ is uncontrolled proliferation of cells.
Term
metaplasia
Definition
____ is when a cell is replaced by another type of cell... caused by environmental stress.
Term
hypoxia
Definition
___ is the loss of a cell's ability to carry on sufficient aerobic oxidative respiration.
Term
hypoxia
Definition
___ is the most common cause of cell injury and death.
Term
1. Too little oxygen in the blood or 2. Hemoglobin problems
Definition
What are the two ways that hypoxia occurs?
Term
ischemia
Definition
___ is the loss of arterial blood flow. This is the most common cause of hypoxia.
Term
ischemia
Definition
Occlusion of arteries, occlusion of veins and shunting of arterial blood are local factors that cause ___.
Term
ischemia
Definition
Failure of the heart to pump enough blood (congestive heart failure) is the most common systemic cause of ____.
Term
free radicals
Definition
___ ___ are unstable compounds with unpaired electrons.
Term
Free radicals
Definition
Ionizing radiation, inflammation, CCl4 and acetaminophen are all examples of ___ ___.
Term
cyanide
Definition
___ causes chemical injury by preventing oxidative phosphorylation.
Term
DNA
Definition
Damage to ___ cause cell death and malignant transformation. This is the main site for cell damage.
Term
mitochondria
Definition
___ is the first site of reversible injury.
Term
edema; It reflects damage to water transport
Definition
___ is the first observable change of reversible injury.
Term
Irreversible
Definition
(Reversible/Irreversible) is when a cell switches to anaerobic metabolism.
Term
heterophagy
Definition
___ is when phaagocytic vacuoles fuse with lysosome in PMN / macrophage.
Term
autophagy
Definition
___ is when an autophagic vacuole surrounds damaged organelles.
Term
Lipofuscin granules
Definition
___ ___ contain undigested often pigmented particles. AKA "Wear and tear" pigment of cell.
Term
smooth endoplasmic reticulum
Definition
Barbiturates stimulate proliferation of ___ in hepatocytes. This helps the liver metabolize the drug.
Term
cytoskeleton
Definition
___ defects affect locomotion of cell/organelle. Microtubules, intermediate filaments, actin and myosin are examples.
Term
fatty change
Definition
___ ___ reflects damage to lipid transport and is caused by increased FFA synthesis, decreased FA oxidation, lipoproteins, alcoholism, malnutrition, diabetes and obesity.
Term
exogenous
Definition
Carbon is the most common ___ pigmentation.
Term
hemosiderin
Definition
___ are macrophages in a bruise that are endogenous pigments that accumulate intracellularly in response to cell injury.
Term
autolysis
Definition
___ is when enzymes from the cell itself digest cell contents.
Term
heterolysis
Definition
___ is when enzymes from arriving inflammatory cells digest the cell contents.
Term

pyknosis => shrinks (caused by clumping chromosomes, "pick a clump of boogers out of your nose")

karyorrhexis => fragments (karyon = nucleus, rhexis = rupture)

karyolysis = dissolves (karyone = nucleus, lysis = breakdown/dissolve)

 

Definition
___ is when the nucleus shrinks. ___ is when the nucleus fragments. ___ is when the nucleus dissolves.
Term
coagulative necrosis
Definition
In ___ necrosis, the outline of cell is preserved for days. A heart attack is a classic example.
Term
liquefactive necrosis
Definition
In ____ necrosis, the cell is dissolved by enzymes. Infiltration of PMNs and dead cell components may lead to an abscess.
Term
caseous necrosis
Definition
___ necrosis is a combination of coagulation and liquifactive necrosis. It forms a white, cheesy appearance with granulomas.
Term
granuloma
Definition
___ are cells surrounded by lymphocytes and macrophages.
Term
enzymatic fat necrosis
Definition
In ___ ___ necrosis, lipases digest fat cells. Triglycerides released from cell binds with calcium to form soaps.
Term
saponification
Definition
___ is the formation of soaps, as in enzymatic fat necrosis.
Term
dystrophic
Definition
___ pathologic calcification occurs in areas of long-term necrosis and in atherosclerosis.
Term
metastatic
Definition
___ pathologic calcification occurs when hypercalcemia causes calcium deposits in normal tissue.
Term
acute
Definition
___ inflammation is an early and immediate response to injury.
Term
rubor, dolor, calor, tumor
Definition
___ = redness, __ = pain, ___ = heat, ___ = swelling
Term
vascular and early cellular
Definition
Acute inflammation has a ___ stage and a ___ stage.
Term
vascular
Definition
The ___ stage of acute inflammation includes vasoconstriction followed by vasodilation which then leads to a slowing of circulation.
Term
vasoconstriction, vasodilation, plasma
Definition
In the vascular stage of acute inflammation, ___ lasts seconds and is followed by ____ when blood flow increases and endothelial cells contract. Circulation then slows and ___ exits vessels into tissues causing swelling. Blood cells concentrate in dilated vessels and slow down (stasis).
Term
early cellular stage
Definition
The ___ stage of acute inflammation includes margination and pavementing.
Term
margination
Definition
___ is when white blood cells move to periphery of vessels as flow slows in the early cellular stage of acute inflammation.
Term
pavementing
Definition
___ is when white blood cells line the blood vessels around the edges in the early cellular stage of acute inflammation.
Term
True!!
Definition
T/F: White cells adhere to endothelial cells before they squeeze through openings and move into the tissues in acute inflammation.
Term
Complement (C5A) and arachidonic acid metabolites (especially leukotriene B4)
Definition
___ and ___ are considered "smelly stuff" that mediate chemotaxis wherein white cells follow chemical gradient to site of injury ("Sniff their way")
Term
osponins (especially IgG and C3b)
Definition
___ mediate phagocytosis in acute inflammation.
Term
IgG and C3b
Definition
___ and ___ are opsonins that mediate phagocytosis.
Term
Visible results = pale initially --> redness due to hyperemia --> tissue edema due to exudate.
Definition
Explain the triple response of Lewis.
Term
PMNs, macrophages
Definition
___ are the main cell type and 1st to arrive. ___ may also be present.
Term
WBC
Definition
Defects in ___ function lead to impaired immunity by affecting chemotaxis, phagocytosis and degranulation.
Term
chemotaxis or phagocytosis
Definition
Defects in ____ or ____ may present as diabetes mellitus.
Term
degranulation
Definition
Defects in ___ may present as chronic granulomatous disease --> poor oxygen formation / susceptible to catalase(+) bacteria (staph) / severe periodontal disease.
Term
Staph
Definition
___ are catalase (+) bacteria.
Term
exudate
Definition
___ contains fluids, immunoglobulins and WBCs.
Term
serous
Definition
___ exudate is a watery fluid with low molecular weight characteristic of milder injury. Ex: burn blister
Term
fibrinous exudate
Definition
___ exudate is characteristic of severe injury that occurs in areas of greater vascular permeability. It contains fibrin which is a high molecular weight protein. Ex: pericarditis in rheumatic fever
Term
serous / fibrinous
Definition
A blister is an example of ___ exudate. Pericarditis in rheumatic fever is an example of ___ exudate.
Term
purulent
Definition
___ exudate is also known as suppuration and contains WBCs / necrotic debris / bacteria. Ex: abscess
Term
sanguinous (sang means blood)
Definition
___ exudate contains blood. Ex: traumatic blood blister
Term
purulent / sanguinous
Definition
Abscess is an example of ___ exudate. Traumatic blood blister is an example of ____ exudate.
Term
chemical mediators that cause acute and chronic inflammation
Definition
Vasoactive amines, plasma proteases, arachidonic acid metabolites and cytokines are ___ ___ that cause acute and chronic inflammation.
Term
vasoactive amines
Definition
Histamine and serotonin are ___ ___.
Term
Histamine
Definition
___ is the principle mediator (vasoactive amine) of immediate response. It causes dilation of arterioles --> increased vascular permeability.
Term
serotonin
Definition
___ (5HT) is a vasoactive amine stored in platelets that is released when platelets aggregate. It has a questionable effect in human inflammatory process.
Term
bradykinin / complement
Definition
____ and ___ are plasma proteases.
Term
bradykinin
Definition
___ is a plasma protease that causes arteriole dilation, increased vasc permeability of venules and smooth muscle contraction.
Term
classical / alternate
Definition
Complement in the ___ pathway are activated by antibody/antigen complex. In the ___ pathway they are activated by bacterial endotoxins.
Term
C3a and C5a (anaphylotoxins)
Definition
___ and ___ are complements that cause histamine release. This causes vasodilation and vascular permeability.
Term
C3a / C5a
Definition
___ and ___ are anaphylotoxins that cause vasodilation and vascular permeability.
Term
C5a ("stick" has 5 letters)
Definition
___ is a complement that causes PMNs to stick to endothelium and helps with chemotaxis.
Term
C3b
Definition
___ opsonin attaches to bacterial walls then the C5-8 MAC lyses cell membranes.
Term
phospholipases / steroids
Definition
Arachidonic acid metabolites are released from cell membranes by ____. They are inhibited by ____ and deal with cycloxygenase and lipoxygenase pathways.
Term
cycloxygenase pathway inhibited by NSAIDs
Definition
___ pathway produces prostaglandins / thromboxanes. It is inhibited by ___.
Term
PGD2 / PGE2 / PGF2
Definition
___ / ___ and ___ are arachidonic acid metabolites in the cycloxygenase pathway that cause vasodilation and edema.
Term
TXA2
Definition
___ is an arachidonic acid metabolite in the cycloxygenase pathway that cause vasoconstriction and increased platelet aggregation.
Term
lipoxygenase pathway --> leukotrienes, LTB4 (chemotaxis/neutrophil comes B4 vasoconstriction/bronchospasm/increased permeability), LTC4 / LTD4 / LTE4
Definition
___ pathway produces leukotrienes. ___ causes chemotaxis / neutrophil aggregation. ___ / ___ / ___ causes vasoconstriction / bronchospasm / increased permeability.
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