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Questions and Answers
What is the role of mRNA in protein synthesis?
What is the role of mRNA in protein synthesis?
Which statement accurately describes the function of lysosomes?
Which statement accurately describes the function of lysosomes?
In which process does the ribosome play a key role?
In which process does the ribosome play a key role?
What occurs after mRNA detaches from the ribosome?
What occurs after mRNA detaches from the ribosome?
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Which type of transport does not require energy?
Which type of transport does not require energy?
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What characterizes facilitated diffusion?
What characterizes facilitated diffusion?
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Which process involves the uptake of fluids into a cell?
Which process involves the uptake of fluids into a cell?
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Which type of cellular adaptation leads to an increase in cell size without an increase in cell number?
Which type of cellular adaptation leads to an increase in cell size without an increase in cell number?
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What is the main distinguishing feature of dysplasia compared to reversible adaptations?
What is the main distinguishing feature of dysplasia compared to reversible adaptations?
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Which of the following is NOT a cause of cellular injury?
Which of the following is NOT a cause of cellular injury?
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What role do free radicals play in the immune response?
What role do free radicals play in the immune response?
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What best describes necrosis?
What best describes necrosis?
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Which of the following descriptions of active transport is accurate?
Which of the following descriptions of active transport is accurate?
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What characteristic differentiates malignant tumors from benign tumors?
What characteristic differentiates malignant tumors from benign tumors?
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What clinical presentation is associated with hypernatremia?
What clinical presentation is associated with hypernatremia?
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Which phase of cancer development is characterized by the binding of electrophilic intermediates to DNA?
Which phase of cancer development is characterized by the binding of electrophilic intermediates to DNA?
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What is a common effect of hypokalemia on the body?
What is a common effect of hypokalemia on the body?
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What does the capillary hydrostatic pressure primarily do?
What does the capillary hydrostatic pressure primarily do?
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Which of the following is a hallmark of cancer related to cell growth signaling?
Which of the following is a hallmark of cancer related to cell growth signaling?
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Which symptom is typically linked to hyponatremia?
Which symptom is typically linked to hyponatremia?
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What is the significance of Starlings' forces in fluid regulation?
What is the significance of Starlings' forces in fluid regulation?
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How does hypercalcemia manifest in clinical symptoms?
How does hypercalcemia manifest in clinical symptoms?
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What does the promotion phase in cancer development involve?
What does the promotion phase in cancer development involve?
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What occurs when fluid filtration exceeds reabsorption in the capillary space?
What occurs when fluid filtration exceeds reabsorption in the capillary space?
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How does the Renin-Angiotensin-Aldosterone System (RAAS) primarily increase blood pressure?
How does the Renin-Angiotensin-Aldosterone System (RAAS) primarily increase blood pressure?
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What hormone is released in response to decreased plasma volume and acts on the kidneys?
What hormone is released in response to decreased plasma volume and acts on the kidneys?
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What is the effect of angiotensin II in the body?
What is the effect of angiotensin II in the body?
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What triggers the release of renin from the kidneys?
What triggers the release of renin from the kidneys?
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What condition is characterized by inadequate levels of ADH?
What condition is characterized by inadequate levels of ADH?
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Which physiological response is triggered when plasma osmolarity increases?
Which physiological response is triggered when plasma osmolarity increases?
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What is the function of aldosterone in the body?
What is the function of aldosterone in the body?
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What is the primary role of mRNA in the process of transcription?
What is the primary role of mRNA in the process of transcription?
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What occurs to the finished protein after translation?
What occurs to the finished protein after translation?
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What is the main function of peroxisomes in the cell?
What is the main function of peroxisomes in the cell?
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Which type of transport does NOT require energy from the cell?
Which type of transport does NOT require energy from the cell?
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How do lysosomes differ from peroxisomes in their function?
How do lysosomes differ from peroxisomes in their function?
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What type of transport requires extra energy to move substances against a concentration gradient?
What type of transport requires extra energy to move substances against a concentration gradient?
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Which of the following adaptations results in the increase in the number of cells?
Which of the following adaptations results in the increase in the number of cells?
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Which adaptation type involves a change in the morphology of a cell into another type of normal tissue?
Which adaptation type involves a change in the morphology of a cell into another type of normal tissue?
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What is a key characteristic of necrosis compared to apoptosis?
What is a key characteristic of necrosis compared to apoptosis?
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Which of the following can serve as a cause of cellular injury?
Which of the following can serve as a cause of cellular injury?
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What is the effect of having too many free radicals in the body?
What is the effect of having too many free radicals in the body?
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Which type of cellular adaptation is classified as non-reversible?
Which type of cellular adaptation is classified as non-reversible?
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What process involves the endocytosis of fluids in cells?
What process involves the endocytosis of fluids in cells?
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What happens when fluid filtration out of capillaries exceeds the reabsorption?
What happens when fluid filtration out of capillaries exceeds the reabsorption?
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How does angiotensin II primarily affect the cardiovascular system?
How does angiotensin II primarily affect the cardiovascular system?
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What is the role of aldosterone in the body?
What is the role of aldosterone in the body?
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Which mechanism triggers the release of ADH from the posterior pituitary?
Which mechanism triggers the release of ADH from the posterior pituitary?
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What condition is characterized by inadequate levels of ADH?
What condition is characterized by inadequate levels of ADH?
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What initiates the RAAS when there is a drop in blood pressure?
What initiates the RAAS when there is a drop in blood pressure?
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What does the conversion of angiotensinogen to angiotensin I require?
What does the conversion of angiotensinogen to angiotensin I require?
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When plasma osmolarity increases, what is the physiological response?
When plasma osmolarity increases, what is the physiological response?
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What is a characteristic of malignant tumors?
What is a characteristic of malignant tumors?
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What symptom is associated with hyperkalemia?
What symptom is associated with hyperkalemia?
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During which cancer development phase does DNA get altered due to carcinogen exposure?
During which cancer development phase does DNA get altered due to carcinogen exposure?
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What is the primary effect of increased capillary hydrostatic pressure?
What is the primary effect of increased capillary hydrostatic pressure?
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What condition is characterized by an excess of sodium in the blood?
What condition is characterized by an excess of sodium in the blood?
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What is a common clinical presentation of hypocalcemia?
What is a common clinical presentation of hypocalcemia?
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Which electrolyte imbalance can lead to changes in EKG and arrhythmias?
Which electrolyte imbalance can lead to changes in EKG and arrhythmias?
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What role does the RAAS have in fluid regulation?
What role does the RAAS have in fluid regulation?
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What type of cell death is described as tidy and energy-dependent?
What type of cell death is described as tidy and energy-dependent?
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Which condition typically presents with signs of confusion and lethargy due to low sodium levels?
Which condition typically presents with signs of confusion and lethargy due to low sodium levels?
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Which vitamin is crucial for maintaining hemoglobin in a 2+ state?
Which vitamin is crucial for maintaining hemoglobin in a 2+ state?
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What condition is characterized by a left shift in the oxygen hemoglobin dissociation curve?
What condition is characterized by a left shift in the oxygen hemoglobin dissociation curve?
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In the recycling of hemoglobin, what is the fate of heme after RBC disposal?
In the recycling of hemoglobin, what is the fate of heme after RBC disposal?
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What happens to hemoglobin during conditions of acidosis?
What happens to hemoglobin during conditions of acidosis?
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Which nutrient is involved in the synthesis of the heme ring?
Which nutrient is involved in the synthesis of the heme ring?
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What is a hallmark characteristic of microcytic hypochromic anemia?
What is a hallmark characteristic of microcytic hypochromic anemia?
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Which statement about sickle cell anemia is true?
Which statement about sickle cell anemia is true?
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What is a common cause for normocytic normochromic anemia?
What is a common cause for normocytic normochromic anemia?
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What results from a decrease in oxygen levels in the blood for individuals with sickle cell anemia?
What results from a decrease in oxygen levels in the blood for individuals with sickle cell anemia?
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What would you expect to find in a CBC report for a person with macrocytic normochromic anemia?
What would you expect to find in a CBC report for a person with macrocytic normochromic anemia?
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Which condition typically leads to microcytic hypochromic anemia?
Which condition typically leads to microcytic hypochromic anemia?
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What symptoms are associated with sickle cell anemia?
What symptoms are associated with sickle cell anemia?
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What are the expected hematocrit levels for a healthy adult male?
What are the expected hematocrit levels for a healthy adult male?
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What is the primary role of EPO in the body?
What is the primary role of EPO in the body?
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Which components are necessary for the synthesis of hemoglobin?
Which components are necessary for the synthesis of hemoglobin?
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What is the primary difference between plasma and serum?
What is the primary difference between plasma and serum?
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Which cell line is responsible for producing red blood cells?
Which cell line is responsible for producing red blood cells?
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What effect does low iron availability have on hemoglobin levels?
What effect does low iron availability have on hemoglobin levels?
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Which plasma protein is primarily responsible for maintaining oncotic pressure?
Which plasma protein is primarily responsible for maintaining oncotic pressure?
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Which statement accurately describes the process of hemoglobin recycling?
Which statement accurately describes the process of hemoglobin recycling?
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How does a decrease in oxygen levels in the blood influence EPO production?
How does a decrease in oxygen levels in the blood influence EPO production?
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What is a characteristic feature of metabolic acidosis?
What is a characteristic feature of metabolic acidosis?
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Which condition is likely to cause respiratory alkalosis?
Which condition is likely to cause respiratory alkalosis?
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In the diagnosis of acid-base imbalances, what does a normal anion gap indicate?
In the diagnosis of acid-base imbalances, what does a normal anion gap indicate?
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What must be assessed first when interpreting a patient's acid-base status?
What must be assessed first when interpreting a patient's acid-base status?
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Which of the following is true about respiratory acidosis?
Which of the following is true about respiratory acidosis?
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What is the primary function of copper in hemoglobin synthesis?
What is the primary function of copper in hemoglobin synthesis?
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Which condition leads to a right shift in the oxygen-hemoglobin disassociation curve?
Which condition leads to a right shift in the oxygen-hemoglobin disassociation curve?
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What happens to the heme ring during the recycling of hemoglobin?
What happens to the heme ring during the recycling of hemoglobin?
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Which vitamins are necessary to make the heme ring in hemoglobin?
Which vitamins are necessary to make the heme ring in hemoglobin?
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What is the role of albumin in hemoglobin recycling?
What is the role of albumin in hemoglobin recycling?
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What classification of anemia is characterized by normal cells and normal color?
What classification of anemia is characterized by normal cells and normal color?
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Which of these anemias results from defects in hemoglobin synthesis due to insufficient heme?
Which of these anemias results from defects in hemoglobin synthesis due to insufficient heme?
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What is a common cause of macrocytic normochromic anemia?
What is a common cause of macrocytic normochromic anemia?
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What is a key symptom of sickle cell anemia?
What is a key symptom of sickle cell anemia?
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What would you expect to see in the Complete Blood Count (CBC) report for a patient with anemia?
What would you expect to see in the Complete Blood Count (CBC) report for a patient with anemia?
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What is the effect of low oxygen on red blood cells in sickle cell anemia?
What is the effect of low oxygen on red blood cells in sickle cell anemia?
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What hemoglobin level indicates anemia in men?
What hemoglobin level indicates anemia in men?
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What is a hallmark characteristic of sickle cell anemia?
What is a hallmark characteristic of sickle cell anemia?
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What is the primary deficiency associated with hemophilia A?
What is the primary deficiency associated with hemophilia A?
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Which of the following substances helps inhibit platelet aggregation?
Which of the following substances helps inhibit platelet aggregation?
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Which vitamin is essential for the functionality of several coagulation factors?
Which vitamin is essential for the functionality of several coagulation factors?
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What is the role of anti-thrombin III in blood coagulation?
What is the role of anti-thrombin III in blood coagulation?
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What does the PT lab test measure concerning blood coagulation?
What does the PT lab test measure concerning blood coagulation?
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What is the primary difference between plasma and serum?
What is the primary difference between plasma and serum?
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Which cell line is responsible for producing red blood cells?
Which cell line is responsible for producing red blood cells?
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What hormone is responsible for promoting the formation of red blood cells in response to low oxygen levels?
What hormone is responsible for promoting the formation of red blood cells in response to low oxygen levels?
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What is a key function of albumin found in plasma?
What is a key function of albumin found in plasma?
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Which element is essential for the production of hemoglobin?
Which element is essential for the production of hemoglobin?
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What occurs in the kidneys when oxygen levels are detected to be low?
What occurs in the kidneys when oxygen levels are detected to be low?
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Which blood components are primarily produced by the lymphoid cell line?
Which blood components are primarily produced by the lymphoid cell line?
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What happens to EPO production when oxygen levels in the blood increase?
What happens to EPO production when oxygen levels in the blood increase?
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Study Notes
Protein Synthesis
- Protein synthesis involves transcription, translation, and transportation.
- Transcription copies a gene's DNA sequence into mRNA. mRNA carries instructions.
- Translation: mRNA binds to ribosomes on the rough ER; tRNA brings amino acids to build the protein. mRNA detaches once the protein is complete.
- Transportation: The Golgi apparatus modifies the finished protein, packaged into secretory vesicles for release.
Waste Removal
- Lysosomes and peroxisomes are responsible for cellular cleanup.
- Peroxisomes detoxify molecules using catalase and oxidases; they contain free radicals like hydrogen peroxide.
- Lysosomes digest larger components (organelles, bacteria, dead cells) using digestive enzymes in a low-pH environment.
Cellular Transport
- Passive mediated transport doesn't require energy; it moves substances with a concentration gradient.
- Simple diffusion: movement across a membrane without protein channels.
- Facilitated diffusion: movement across a membrane using protein channels.
- Active transport requires energy; it moves substances against a concentration gradient.
- The Na-K ATPase pump maintains low intracellular sodium and high potassium, opposite of extracellular concentrations.
- Pinocytosis (fluid endocytosis) and phagocytosis are also methods of cellular transport.
Cellular Adaptation and Injury
-
Reversible adaptations:
- Atrophy: cell shrinkage without cell death.
- Hypertrophy: cell enlargement.
- Hyperplasia: increase in cell number.
- Metaplasia: change in cell type.
- Dysplasia: irreversible adaptation, a precursor to disease.
- Cellular injury causes: ischemia, hypoxia, chemical agents, physical agents, infections, stressors, genetic defects, nutritional deficiencies, aging.
- Biochemical responses to injury: Free radicals, unstable molecules that react with others, can be beneficial in moderation but cause damage in excess.
-
Apoptosis/Necrosis:
- Necrosis: messy cell death with swelling and bursting; usually pathological; does not require energy.
- Apoptosis: programmed cell death; tidy and controlled; requires energy.
Neoplasia (Cancer)
- General hallmarks of cancer: self-sufficient growth pathways (often due to oncogene mutations or tumor suppressor gene inactivation).
-
Benign vs. Malignant:
- Benign: slow-growing, resemble normal tissue, don't invade or metastasize (often end in "-oma").
- Malignant: variable growth rate, invade surrounding tissue, metastasize; cells are poorly differentiated.
-
Cancer spread:
- Initiation phase: carcinogen exposure causing DNA damage.
- Promotion phase: proliferation of cells with altered DNA, potentially leading to a neoplasm.
Fluid Regulation
-
Electrolyte Imbalances:
-
Sodium imbalances:
- Hypernatremia (high blood sodium): "fried salts" (flushed skin, restlessness, increased BP/fluid retention, edema, decreased urine output, dry skin, agitation, low fever, thirst, seizures).
- Hyponatremia (low blood sodium): "salt loss" (stupor, anorexia, lethargy, tachycardia, limp muscles, orthostatic hypotension, seizures/coma, stomach cramps).
-
Potassium imbalances:
- Hypokalemia (low blood potassium): "Ned has many strange symptoms" (nausea, EKG changes/arrhythmias, decreased reflexes/fatigue, hypotension, muscle weakness/paralysis, shallow breathing, slow GI tract).
- Hyperkalemia (high blood potassium): "murder" (muscle weakness, urine abnormalities, respiratory distress, decreased cardiac contractility, decreased BP and HR, decreased reflexes).
-
Calcium imbalances:
- Hypocalcemia (low blood calcium): "cahbs go numb" (cramps, anxiety/irritability, heart failure, bronchospasm/stridor, numbness/tingling/paralysis).
- Hypercalcemia (high blood calcium): "back me" (bone pain, arrhythmias, cardiac arrest, kidney stones, muscle weakness, excessive urine output).
-
Sodium imbalances:
- Starling's forces: govern fluid movement between capillaries and interstitial space. Interstitial hydrostatic pressure, interstitial oncotic pressure, capillary oncotic pressure, and capillary hydrostatic pressure all contribute.
- Edema formation: Imbalances in Starling's forces (e.g., increased capillary hydrostatic pressure due to hypertension from RAAS overactivation) lead to fluid filtration exceeding reabsorption.
- RAAS (Renin-Angiotensin-Aldosterone System): regulates blood pressure and volume; renin release leads to angiotensin II production, causing vasoconstriction and aldosterone release (sodium and water retention).
- ADH (Antidiuretic Hormone): produced by the pituitary gland; promotes water reabsorption by the kidneys, increasing blood volume and decreasing plasma osmolarity; deficiency causes diabetes insipidus.
Hemoglobin and Oxygen Transport
- SPO2: Percentage of hemoglobin carrying oxygen.
- Hemoglobin synthesis requires: Vitamin C (keeps iron in 2+ state), copper (transports iron), B6 and pantothenic acid (heme ring synthesis), folate, B12, and B2 (hemoglobin transport).
- Hemoglobin recycling: Senescent RBCs are phagocytosed by macrophages in the spleen. Heme is broken down into iron and bilirubin. Bilirubin is processed by the liver and excreted. Iron is transported by transferrin to the bone marrow for erythropoiesis and stored in the spleen.
Oxygen-Hemoglobin Dissociation Curve
- Left shift (increased hemoglobin affinity for oxygen): Alkalosis, low temperature, low partial pressure of CO2.
- Right shift (decreased hemoglobin affinity for oxygen): Acidosis, high temperature, high partial pressure of CO2.
Anemia Classifications
- Normocytic normochromic: Normal cell size and color. Caused by low RBC production (bone marrow defects, crowding, leukemia, chronic disease) or increased RBC destruction (hemorrhage, hemolysis, malignancy).
- Microcytic hypochromic: Small, pale cells. Caused by insufficient heme synthesis (chronic blood loss, iron deficiency, hemoglobin defects).
- Macrocytic normochromic: Large cells, normal color. Caused by folate or B12 deficiency.
Anemia CBC Findings
- Decreased hemoglobin and hematocrit.
- Altered RBC size and shape.
- Hemoglobin below 13.5 g/dL (men) or 12.0 g/dL (women).
- Hematocrit below 35-47% (women) or 40-52% (men).
Sickle Cell Anemia
- Autosomal recessive disorder causing defective hemoglobin (HbS).
- HbS polymerization leads to sickled, rigid RBCs.
- Sickled RBCs obstruct blood flow, causing pain crises, organ damage (acute chest syndrome, glomerular disease) and increased susceptibility to infections.
- Low oxygen levels trigger sickling.
Blood Components
- Plasma: Liquid portion of blood (anticoagulated); contains water, proteins (albumin, globulins, clotting factors), and other solutes. Albumin maintains oncotic pressure; globulins contribute to immune defense.
- Serum: Liquid remaining after blood clotting; lacks clotting factors.
Hematopoiesis
- Myeloid cell line: Produces erythrocytes (RBCs), granulocytes (neutrophils, eosinophils, basophils), monocytes, and platelets.
- Lymphoid cell line: Produces lymphocytes (B cells and T cells).
Erythropoietin (EPO)
- Hormone produced by the kidneys that stimulates erythrocyte production.
- Low blood oxygen levels trigger EPO release, increasing RBC production and hemoglobin levels.
- Increased oxygen levels suppress EPO production.
Hemoglobin Function and Production
- Iron-containing protein in RBCs that transports oxygen and carbon dioxide.
- Iron is essential for hemoglobin synthesis.
- Hemoglobin is produced in bone marrow.
- Recycling involves breakdown in the spleen and liver, with iron re-use.
Anemia Classifications
- Normocytic normochromic anemia: Normal cell size and color; caused by low RBC production (bone marrow defects, crowding, leukemia, chronic disease) or high RBC consumption (hemorrhage, hemolysis, malignancy).
- Microcytic hypochromic anemia: Small, pale cells; due to insufficient heme and hemoglobin synthesis (iron deficiency, chronic blood loss, hemoglobin defects).
- Macrocytic normochromic anemia: Large cells, normal color; typically caused by folate or B12 deficiency.
Anemia Complete Blood Count (CBC) Findings
- Decreased hemoglobin and hematocrit.
- Altered RBC size and shape.
- Hemoglobin <13.5 g/dL for men, <12.0 g/dL for women.
- Hematocrit 35-47% for women, 40-52% for men.
Sickle Cell Anemia
- Autosomal recessive disorder; defective hemoglobin (HbS) leads to fragile, sickle-shaped RBCs.
- Symptoms: Pain crises, edema, acute chest syndrome, glomerular disease, infections.
- Low oxygen causes RBC sickling, clumping, and vaso-occlusion.
- HbS is less efficient at carrying oxygen.
Acid-Base Imbalances
- Metabolic acidosis: Low pH, low bicarbonate; excess acid or bicarbonate loss. Anion gap helps differentiate causes (normal vs. elevated).
- Metabolic alkalosis: High pH, high bicarbonate; loss of acid.
- Respiratory acidosis: Low pH, high carbon dioxide; hypoventilation.
- Respiratory alkalosis: High pH, low carbon dioxide; hyperventilation.
Acid-Base Interpretation
- Consider patient history.
- Assess pH (acidosis/alkalosis).
- Evaluate bicarbonate (high, low, normal).
- Evaluate carbon dioxide (high, low, normal).
- Determine if pH and abnormal values move in the same (metabolic) or opposite (respiratory) directions.
- Anion gap (normal 12 mmol/L): Helps in diagnosing metabolic acidosis (low bicarbonate vs. high acid).
Blood Components: Plasma vs. Serum
- Plasma: Liquid portion of blood with anticoagulants; contains water, proteins (albumin, globulins, clotting factors), and other solutes.
- Serum: Liquid remaining after blood clotting; lacks clotting factors.
Myeloid vs. Lymphoid Cell Lines
- Myeloid: Produces RBCs, WBCs (neutrophils, lymphocytes, monocytes, eosinophils, basophils), and platelets.
- Lymphoid: Produces B and T lymphocytes.
Erythropoietin (EPO)
- Hormone produced by the kidneys; stimulates RBC production.
- Low blood oxygen triggers EPO release, increasing RBCs and hemoglobin levels to improve oxygen-carrying capacity.
- EPO production decreases when blood oxygen levels are adequate.
Hemoglobin
- Iron-containing protein in RBCs; carries oxygen and returns carbon dioxide.
- Iron, vitamin C, copper, B6, pantothenic acid, folate, B12, and B2 are necessary for its synthesis.
- RBCs are recycled in the spleen; macrophages break down heme into iron and bilirubin.
- Iron is transported by transferrin; bilirubin is processed by the liver.
- SpO2 reflects the percentage of hemoglobin carrying oxygen.
Oxygen-Hemoglobin Dissociation Curve: Shifts
- Left shift (increased affinity of hemoglobin for oxygen): Alkalosis, low temperature, low partial pressure of CO2.
- Right shift (decreased affinity; oxygen release to tissues): Acidosis, high temperature.
Hemophilia
- Hemophilia A: Factor VIII deficiency (produced in endothelium).
- Hemophilia B (Christmas disease): Factor IX deficiency.
- von Willebrand factor (vWF) carries factor VIII and promotes platelet adhesion and aggregation.
Blood Clotting: Platelets
- Regulate blood flow to injured vessels.
- Form platelet plugs.
- Activate clotting cascade.
- Initiate tissue repair.
- Participate in clot breakdown.
Blood Clotting: Counteractions
- Endothelial surfaces release prostaglandins (inhibit platelet aggregation) and nitric oxide (inhibits platelet adhesion and aggregation).
- Proteins C and S (vitamin K-dependent) inactivate clotting factors.
- Tissue factor inhibitor and antithrombin III inhibit thrombin activity.
Vitamin K
- Essential for the synthesis of functional clotting factors II, VII, IX, X, and proteins C and S.
- Obtained from diet (plants) and intestinal bacteria.
Lab Tests
- D-dimers: Indicate fibrinolysis (clot breakdown).
- Prothrombin time (PT): Measures time for blood to clot.
Studying That Suits You
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Description
Test your understanding of key concepts in cell biology, including protein synthesis, cell transport mechanisms, and cellular adaptations. This quiz covers important topics such as the role of mRNA, lysosome functions, and the characteristics of tumors and hypernatremia.