Altered Cellular and Tissue Biology
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Questions and Answers

What is the primary characteristic of atrophy in cellular adaptation?

  • Increase in cell number
  • Decrease in cell size (correct)
  • Reprogramming of stem cells
  • Replacement of one cell type with another
  • Which condition is an example of physiological hypertrophy?

  • Ear cells changing to skin cells
  • Heart muscle growth due to hypertension
  • Enlargement of muscles with increased exercise (correct)
  • Increased cell division in the lining of the uterus
  • What distinguishes hyperplasia from hypertrophy?

  • Hypertrophy is an increase in cell number
  • Hypertrophy and hyperplasia cannot occur simultaneously
  • Hyperplasia involves an increase in cell division (correct)
  • Hyperplasia results in larger cells
  • Which type of cellular adaptation involves the replacement of one mature cell type by another?

    <p>Metaplasia</p> Signup and view all the answers

    Which of the following statements about dysplasia is true?

    <p>It does not necessarily lead to cancer</p> Signup and view all the answers

    What is a key feature of pathologic hypertrophy in the heart?

    <p>It is secondary to diseases such as hypertension</p> Signup and view all the answers

    What triggers compensatory hyperplasia in the liver?

    <p>Removal of part of the liver</p> Signup and view all the answers

    In which situation would metaplasia most likely occur?

    <p>Due to chronic inflammation or irritation</p> Signup and view all the answers

    What is the first phase of nociception?

    <p>Transduction</p> Signup and view all the answers

    Which neurotransmitter acts as a pain inhibitor in the spinal cord?

    <p>GABA</p> Signup and view all the answers

    What role does modulation play in nociception?

    <p>It suppresses or facilitates the transmission of pain signals.</p> Signup and view all the answers

    Which of the following neurotransmitters enhances pain perception?

    <p>Glutamate</p> Signup and view all the answers

    What is the primary function of nociceptors in pain processing?

    <p>They conduct pain impulses to the spinal cord.</p> Signup and view all the answers

    What is the most common cause of cell injury related to oxygen deprivation?

    <p>Hypoxia</p> Signup and view all the answers

    What occurs after hypoxia leads to a reduced ATP production in cells?

    <p>Na+/K+-ATPase failure</p> Signup and view all the answers

    Which type of injury is specifically associated with oxidative stress due to reactive oxygen species?

    <p>Reperfusion injury</p> Signup and view all the answers

    Which of the following is an external source of reactive oxygen species (ROS)?

    <p>Radiation</p> Signup and view all the answers

    What is one effect of lactic acid production in cells due to hypoxia?

    <p>Cell swelling</p> Signup and view all the answers

    What mechanism does carbon monoxide use to cause tissue injury?

    <p>Binding to hemoglobin instead of oxygen</p> Signup and view all the answers

    Which of the following is NOT a result of free radical activity?

    <p>Increased ATP production</p> Signup and view all the answers

    What is the role of biological activation of toxic metabolites in cell injury?

    <p>Creating toxic byproducts like NAPQI</p> Signup and view all the answers

    Which of the following statements about irreversible injury is true?

    <p>Irreversible injury may result from prolonged ischemia.</p> Signup and view all the answers

    What is the most common type of cellular accumulation caused by hypoxia?

    <p>Water accumulation</p> Signup and view all the answers

    Which systemic sign is NOT typically associated with cell injury?

    <p>Weight gain</p> Signup and view all the answers

    In what condition does metastatic calcification typically occur?

    <p>Hyperparathyroidism</p> Signup and view all the answers

    What role does calcium play in cellular functions under normal conditions?

    <p>Acts as a second messenger</p> Signup and view all the answers

    Which of the following best describes dystrophic calcifications?

    <p>Calcium deposits in dead or dying tissues</p> Signup and view all the answers

    What is the result of hypoxia on ATP production and ion exchange in cells?

    <p>Reduced ATP production and failure of Na+/K+-ATPase</p> Signup and view all the answers

    Which factor is NOT related to immunological inflammatory conditions?

    <p>Hypoxia</p> Signup and view all the answers

    What characterizes necrosis compared to apoptosis?

    <p>It involves swelling and rupture of cells.</p> Signup and view all the answers

    Which type of necrosis is specifically associated with tuberculosis?

    <p>Caseous necrosis</p> Signup and view all the answers

    In which condition does fat necrosis occur?

    <p>Acute pancreatitis</p> Signup and view all the answers

    What is a common outcome of coagulative necrosis?

    <p>Firm, pale tissue indicative of infarcts</p> Signup and view all the answers

    Which statement best describes dry gangrene?

    <p>Arterial blood supply is absent while venous flow continues.</p> Signup and view all the answers

    What is the defining difference between wet gangrene and dry gangrene?

    <p>Wet gangrene involves necrotic tissue becoming liquefied.</p> Signup and view all the answers

    Which type of necrosis is specifically associated with immune-mediated damage?

    <p>Fibrinoid necrosis</p> Signup and view all the answers

    What condition is associated with the accumulation of urate, resulting in gout?

    <p>Uric acid production</p> Signup and view all the answers

    Which type of nociceptor is responsible for transmitting sharp pain from mechanical stimuli?

    <p>A-delta fibers</p> Signup and view all the answers

    What is the primary function of the inhibitory interneurons in pain transmission?

    <p>Modulating pain transmission</p> Signup and view all the answers

    Which tract is responsible for carrying slow impulses related to dull chronic pain and temperature?

    <p>Paleospinothalamic tract</p> Signup and view all the answers

    What term describes the maximum intensity of pain that a person can endure?

    <p>Pain tolerance</p> Signup and view all the answers

    Which statement best describes the effect of inhibitory neurotransmitters on pain transmission?

    <p>They reduce the number of pain messages transmitted.</p> Signup and view all the answers

    Study Notes

    Altered Cellular and Tissue Biology

    • Cells adapt and protect themselves from injury through five types of adaptive changes:
      • Atrophy: Decrease in cell size, can affect organs or tissues.
        • Physiological: Occurs during development, like the thymus shrinking.
        • Pathological: Caused by changes in blood supply or workload.
      • Hypertrophy: Increase in cell size, often affecting organs or tissues.
        • Physiological: Muscles grow with increased use, as seen in the heart. This is reversible.
        • Pathological: Cardiac hypertrophy, in response to hypertension or coronary artery disease, is irreversible.
      • Hyperplasia: Increase in cell number due to increased cell division. Can affect organs.
        • Physiological: Liver regeneration after injury, or uterine lining thickening.
        • Pathological: Abnormal proliferation of cells can be a sign of cancer.
      • Metaplasia: Mature cell type is replaced by another mature cell type. This is reversible.
        • Examples include: smoking causing a change in lung cell types.
      • Dysplasia: Deranged cell growth, atypical hyperplasia. Abnormal changes in cell shape, size, or organization. Not necessarily cancer but can progress to cancer. Always pathological.

    Cell Injury

    • Caused by:
      • Hypoxia: Insufficient oxygen supply.
        • Anoxia: complete deprivation of oxygen.
        • Common cause of cell injury
      • Free Radicals: Reactive oxygen species (ROS) such as H2O2, ●OH, O2.
        • Oxidative stress: imbalance between free radical generation and antioxidant defenses.
        • Leads to lipid peroxidation and membrane damage.
      • Toxic injuries: Direct damage, overdose, and biological activation.
      • Infections: Microorganisms invading and damaging tissues.

    Cellular Accumulations

    • Normal substances produced in excess or abnormal substances or exogenous materials not catabolized effectively.
    • Water: Cell Swelling (most reversible effect of hypoxia); occurs when water moves into the cell.
    • Calcium: (acts as second messenger) normally has low concentration. Causes cellular damage when accumulated inside cells.

    Cell Death

    • Apoptosis: Programmed cell death.
    • Necrosis: Unregulated cell death (injury); causes cell swelling and rupture.

    Types of Necrosis

    • Caseous necrosis: White, soft, and cheesy tissue (e.g., in Tuberculosis).
    • Fat necrosis: Chalky, white areas in tissues (e.g., in acute pancreatitis).
    • Fibrinoid necrosis: Thickened, pinkish-red vessel walls (e.g., in immune reactions).
    • Gangrene: Areas of necrotic tissue due to ischemia (e.g. in a limb or bowel).
      • Dry gangrene: Tissue is dry and firm.
      • Wet gangrene: Tissue is swollen and contains fluid; often found in venous blood flow issues.

    Neuropathic Pain

    • Result of damage to the peripheral or central nervous systems.
    • Can lead to chronic pain.

    Nociception: The Processing of Potentially Harmful Stimuli

    • Transduction: Conversion of stimuli to an electrical signal.
    • Transmission: Conduction of signals along nerve pathways.
    • Perception: Awareness of the pain.
    • Modulation: Modification of pain signaling.

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    Description

    This quiz explores the mechanisms of cellular adaptation and the five types of adaptive changes: atrophy, hypertrophy, hyperplasia, metaplasia, and dysplasia. Understand how these processes affect tissue health and contribute to various pathological conditions. Ideal for students studying advanced biology or medicine.

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