Cell Injury and Death Quiz

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Questions and Answers

Which type of hyperplasia involves the enlargement of organs due to hormonal stimulation?

  • Pathological hyperplasia
  • Physiological hyperplasia (correct)
  • Metaplastic hyperplasia
  • Compensatory hyperplasia

What is the process called where one type of adult tissue is replaced by another type?

  • Hyperplasia
  • Dysplasia
  • Metaplasia (correct)
  • Atrophy

Atrophy can result from which of the following factors?

  • Nutritional deficiencies (correct)
  • Increased workload
  • Chronic disease (correct)
  • Hormonal changes (correct)

How do hormones influence cell growth?

<p>By regulating metabolic rates (D)</p> Signup and view all the answers

What effect does aging have on cells?

<p>Decreased response to stress (C)</p> Signup and view all the answers

Which of the following cellular changes is least likely to occur in atrophy?

<p>Increased cell function (B)</p> Signup and view all the answers

In which scenario would metaplasia most commonly occur?

<p>Response to chronic irritation (D)</p> Signup and view all the answers

Which statement regarding hyperplasia is false?

<p>It is always a pathological condition. (B)</p> Signup and view all the answers

Which process involves an increase in the number of cells in a tissue due to a stimulus?

<p>Hyperplasia (C)</p> Signup and view all the answers

What is the main mechanism behind atrophy?

<p>Decreased cell size or number (D)</p> Signup and view all the answers

Which condition describes a change in cell type due to an irritating stimulus?

<p>Metaplasia (C)</p> Signup and view all the answers

What hormonal influence is most commonly associated with stimulating cell growth?

<p>Estrogen (B)</p> Signup and view all the answers

How does aging typically affect cells?

<p>Accumulation of damage and reduced function (B)</p> Signup and view all the answers

Which of the following is a reversible condition resulting from stress on cells?

<p>Hypertrophy (C)</p> Signup and view all the answers

Which factor is least likely to contribute to cell injury associated with aging?

<p>Increased cellular regeneration (D)</p> Signup and view all the answers

What type of immune response can lead to cell damage?

<p>Autoinflammatory response (B)</p> Signup and view all the answers

What is the main mechanism for cell death in highly proliferative tissues?

<p>Apoptosis (D)</p> Signup and view all the answers

Which condition is associated with physiologic apoptosis during developmental processes?

<p>Loss of growth factor signaling (C)</p> Signup and view all the answers

What triggers apoptosis in leukocytes at the end of inflammatory responses?

<p>Loss of survival signals (B)</p> Signup and view all the answers

Which of the following conditions can lead to pathologic apoptosis due to DNA damage?

<p>Activation of proapoptotic BH3-only proteins (A)</p> Signup and view all the answers

How does the decline in hormone levels affect hormone-dependent tissues?

<p>Decreases survival signals (B)</p> Signup and view all the answers

What is the effect of strong recognition of self antigens on lymphocytes?

<p>Induces apoptosis (D)</p> Signup and view all the answers

What type of proteins are activated during infections to induce apoptosis in host cells?

<p>Proapoptotic proteins (C)</p> Signup and view all the answers

Which mechanism is presumed to play a role in the turnover of proliferative tissues like intestinal epithelium?

<p>Loss of growth factor signaling (B)</p> Signup and view all the answers

How is aging primarily reflected in cellular responses?

<p>Reduced response to growth factors (D)</p> Signup and view all the answers

What is an observed characteristic of necrotic cell death compared to apoptosis?

<p>Causes inflammation (A)</p> Signup and view all the answers

What term is used to describe the appearance of lipid vacuoles in the cytoplasm of injured cells?

<p>Fatty change (B)</p> Signup and view all the answers

Which alteration is associated with the plasma membrane during cell injury?

<p>Blebbing (B)</p> Signup and view all the answers

What change occurs in the cytoplasm of injured cells that is characterized by red staining?

<p>Eosinophilia (C)</p> Signup and view all the answers

What is a common feature seen in the mitochondria of injured cells?

<p>Swelling (A)</p> Signup and view all the answers

Which change in the endoplasmic reticulum is associated with cell injury?

<p>Dilation with ribosome detachment (D)</p> Signup and view all the answers

Which of the following describes a change in nuclear appearance during cellular injury?

<p>Clumping of chromatin (D)</p> Signup and view all the answers

What does the presence of myelin figures in the cytoplasm indicate?

<p>Cellular damage (A)</p> Signup and view all the answers

What is the effect of intracytoplasmic vacuoles in nonlethal injury?

<p>Reversible injury (B)</p> Signup and view all the answers

What is the primary function of proteins that leak from necrotic cells into the blood?

<p>They serve as markers of tissue-specific necrosis. (C)</p> Signup and view all the answers

Which protein is specifically associated with cardiac muscle and is used as a marker for necrosis?

<p>Troponin (C)</p> Signup and view all the answers

What occurs during the process of apoptosis?

<p>Cells activate enzymes to degrade their own components. (D)</p> Signup and view all the answers

Which characteristic is associated with apoptotic cells?

<p>Formation of membrane blebs (C)</p> Signup and view all the answers

What does not occur in cells undergoing apoptosis?

<p>Swelling due to cellular stress (D)</p> Signup and view all the answers

What is the primary consequence of plasma membrane damage in cells?

<p>Loss of osmotic balance and influx of fluids (D)</p> Signup and view all the answers

What type of injury can lead to increased degradation of cellular membranes?

<p>Decreased phospholipid biosynthesis (C)</p> Signup and view all the answers

Which of the following is a key factor contributing to lysosomal membrane injury?

<p>Increased intracellular calcium (A)</p> Signup and view all the answers

What is a significant outcome of lysosomal membrane damage?

<p>Release of cellular contents (C)</p> Signup and view all the answers

What role do mutations play in cancer development?

<p>They are central to cancer development. (D)</p> Signup and view all the answers

Which of the following is a major cause of cell injury?

<p>Protein-calorie insufficiency (B)</p> Signup and view all the answers

Which event occurs during increased signaling from IRE1 due to cellular stress?

<p>Activation of protein degradation (C)</p> Signup and view all the answers

How can excessive dietary intake impact health?

<p>It can result in obesity. (C)</p> Signup and view all the answers

What triggers the activation of caspases in cells?

<p>Increased levels of misfolded proteins (C)</p> Signup and view all the answers

How does oxidative stress (ROS) primarily damage cellular membranes?

<p>By oxidative modifications to lipids (C)</p> Signup and view all the answers

What are some physical agents that can damage cells?

<p>Trauma and radiation (A)</p> Signup and view all the answers

What is the basis of all diseases?

<p>Cell injury (D)</p> Signup and view all the answers

What is the role of chaperones during cellular stress?

<p>To facilitate protein folding (C)</p> Signup and view all the answers

What happens during the sequence of events in cell injury?

<p>Cells undergo reversible injury and cell death. (B)</p> Signup and view all the answers

Which of the following conditions leads to irreversible cellular damage?

<p>Excessive lysosomal enzyme leakage (B)</p> Signup and view all the answers

What effect does increased degradation during calcium activation have on cellular membranes?

<p>Promotes membrane damage (D)</p> Signup and view all the answers

What does the deposition of abnormal substances affect?

<p>Various cells and tissues (C)</p> Signup and view all the answers

What are some consequences of cellular adaptations to stress?

<p>Morphological and functional changes (A)</p> Signup and view all the answers

Which is NOT a mechanism that injurious stimuli use to damage cells?

<p>Stimulating cell growth (C)</p> Signup and view all the answers

Which factor significantly contributes to common diseases like type 2 diabetes?

<p>Obesity (D)</p> Signup and view all the answers

What is a key characteristic of necrosis?

<p>Inability to restore mitochondrial function (B)</p> Signup and view all the answers

Which phenomenon is NOT associated with necrosis?

<p>Active regulation by hormonal signals (A)</p> Signup and view all the answers

What typically leads to necrosis in cells?

<p>Severe damage beyond repair (B)</p> Signup and view all the answers

What occurs to the plasma membrane during necrosis?

<p>It experiences loss of function (D)</p> Signup and view all the answers

Which type of injury is necrosis most commonly associated with?

<p>Ischemia and exposure to toxins (C)</p> Signup and view all the answers

What is indicated by irreversible cell injury during necrosis?

<p>Structural integrity of DNA is lost (C)</p> Signup and view all the answers

How is necrosis different from apoptosis?

<p>Necroris is often associated with inflammation (D)</p> Signup and view all the answers

What is a consequence of mitochondrial dysfunction in necrosis?

<p>Decreased oxidative phosphorylation (C)</p> Signup and view all the answers

During necrosis, how do intracellular membranes behave?

<p>They exhibit altered structures (A)</p> Signup and view all the answers

Which of the following accurately describes necrosis?

<p>It is characterized by unregulated cell death (A)</p> Signup and view all the answers

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Study Notes

Cell Injury

  • Cell injury is the root of disease.
  • Cell injury can be reversible or irreversible.
  • Irreversible cell injury leads to cell death.

Causes of Cell Injury

  • Hypoxia and ischemia
  • Toxins
  • Infections
  • Immune reactions
  • Genetic abnormalities
  • Nutritional imbalances
  • Physical agents

Mechanisms of Cell Injury

  • Biochemical and structural changes occur in most cell types.
  • Different stimuli cause injury through diverse biochemical mechanisms.

Cell Death

  • Cell death is a key event in the development of many diseases.
  • Apoptosis is a programmed cell death mechanism.
  • Apoptosis eliminates unwanted cells without causing harmful inflammation.

Apoptosis

  • Causes:

    • Loss of growth factors
    • Lack of survival signals
    • Decrease in hormone levels
    • DNA damage
    • Accumulation of misfolded proteins
    • Viral proteins
    • Cytotoxic T lymphocytes (CTLs)
  • Physiological Functions:

    • Embryonic development
    • Turnover of proliferative tissues (e.g., intestinal epithelium, lymphocytes)
    • Involution of hormone-dependent tissues (e.g., endometrium)
    • Removal of leukocytes after immune and inflammatory responses
    • Elimination of self-reactive lymphocytes (prevents autoimmune diseases)
  • Pathological Functions:

    • DNA damage
    • Accumulation of misfolded proteins
    • Viral infections

Cell Injury

  • Cell injury can be reversible or irreversible, which ultimately leads to cell death
  • Hydropic change or vacuolar degeneration are terms used to describe nonlethal injury
  • Fatty change is the appearance of lipid vacuoles in the cytoplasm
  • Eosinophilia is the staining of cytoplasm red by eosin dye, which is more pronounced in necrosis
  • Myelin figures are collections of phospholipids derived from damaged cellular membranes

Mechanisms of Cell Injury

  • Mitochondrial membrane damage disrupts oxidative phosphorylation and ATP generation
  • Plasma membrane damage causes loss of osmotic balance, leading to influx of fluids and ions
  • Lysosomal membrane damage releases lysosomal enzymes such as acid hydrolases into the cytoplasm
  • Increased intracellular calcium leads to activation of phospholipases, which degrade the membrane
  • Oxidative stress can cause direct damage to cell membranes

Necrosis

  • Necrosis is the inevitable end result of irreversible cell injury
  • Characteristics of necrosis:
    • inability to restore mitochondrial function
    • altered structure loss of function of the plasma membrane and intracellular membranes
    • loss of structural integrity of DNA and chromatin

Apoptosis

  • Apoptosis is a programmed cell death pathway
  • Apoptosis involves activation of enzymes that degrade nuclear DNA and proteins
  • Cells break down into fragments, giving the appearance of "falling off" which is the origin of the name

Cellular Adaptations to Stress

  • Cells adapt to stress through various mechanisms such as:
    • Atrophy: reduction in cell size
    • Hypertrophy: increase in cell size
    • Hyperplasia: increase in cell number
    • Metaplasia: replacement of one cell type by another

Depositions of Abnormal Substances

  • Amyloid: misfolded proteins that can accumulate in tissues
  • Hemosiderin: iron-containing pigment that can accumulate in tissues
  • Lipofuscin: pigment that is a sign of cellular aging and oxidative stress

Cell Aging

  • Cellular aging is a complex process characterized by:
    • reduced capacity for cell division
    • accumulation of cellular damage
    • increased susceptibility to disease
    • decreased ability to repair damaged DNA

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