Cell Injury, Apoptosis, and Death II Quiz
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Questions and Answers

What is the process tightly regulated by an intracellular program involving the activation of enzymes that degrade the cell's own DNA and proteins?

  • Neoplasia
  • Necrosis
  • Apoptosis (correct)
  • Atrophy
  • Which characteristic is NOT associated with apoptotic cells?

  • Fragmentation of DNA
  • Loss of mitochondrial function
  • Nucleus enlargement (correct)
  • Degradation of the cytoskeletal framework
  • In a pathological event such as viral infection, what is the purpose of apoptosis?

  • To eliminate unwanted or potentially harmful cells (correct)
  • To promote mitochondrial function
  • To induce phagocytosis
  • To cause cell enlargement
  • What does excessive apoptosis result in?

    <p>Excessive cell loss e.g. atrophy</p> Signup and view all the answers

    Which type of necrosis is characteristic of focal bacterial infections?

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

    What is the defining feature of coagulative necrosis in the kidney?

    <p>Loss of nuclei and clumping of cytoplasm</p> Signup and view all the answers

    In which condition does fat necrosis typically occur?

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

    What distinguishes caseous necrosis in tuberculous infections?

    <p>Cheesy white gross appearance</p> Signup and view all the answers

    What is apoptosis (programmed cell death)?

    <p>Individual cell deletion in physiological growth control and in disease</p> Signup and view all the answers

    What results in the formation of creamy yellow pus in necrotic tissue?

    <p>Complete digestion of dead cells into a liquid viscous mass</p> Signup and view all the answers

    What are the early functional changes in reversible cell injury?

    <p>Decreased generation of ATP</p> Signup and view all the answers

    What are the ultrastructural changes associated with reversible cell injury?

    <p>Plasma membrane alterations such as blebbing and distortion of microvilli</p> Signup and view all the answers

    What are the morphological changes associated with irreversible injury?

    <p>Extensive damage to all cellular membranes</p> Signup and view all the answers

    What is necrosis in terms of cellular or tissue death?

    <p>Pathological cellular or tissue death irrespective of cause</p> Signup and view all the answers

    Which form of necrosis is characteristic of hypoxic death of cells in all tissues except the brain?

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

    What does apoptosis refer to?

    <p>Programmed cell death with specific morphological characteristics</p> Signup and view all the answers

    Coagulative necrosis results in the transformation of tissue into a liquid viscous mass.

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

    Liquefactive necrosis is characteristic of focal bacterial infections.

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

    Caseous necrosis is most often found in foci of parasitic infections.

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

    Fat necrosis typically occurs in acute pancreatitis due to the release of activated pancreatic lipases.

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

    Apoptosis is a form of cellular growth control that contributes to cell accumulation.

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

    Reversible and irreversible cell injury can both lead to morphological changes associated with necrosis.

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

    Apoptosis is tightly regulated by an extracellular program.

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

    Apoptotic cells retain an intact plasma membrane, facilitating phagocytosis.

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

    Necrosis and apoptosis both involve the fragmentation of DNA.

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

    Apoptosis is primarily triggered to eliminate irreversibly damaged cells in pathological events such as radiation and viral infection.

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

    Reversible cell injury is characterized by extensive damage to all cellular membranes.

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

    The morphology of reversible cell injury includes vacuolated mitochondria.

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

    Necrosis refers to physiological cellular or tissue death in a living organism, irrespective of cause.

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

    Caseous necrosis is characteristic of hypoxic death of cells in all tissues except the brain.

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

    Liquefactive necrosis is the most common form of necrosis.

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

    Fat necrosis typically occurs in conditions such as viral infection.

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

    Study Notes

    • Cell injury, apoptosis & death - II: A topic covering reversible and irreversible injury, morphology of cell injury and necrosis, and apoptosis.
    • Reversible injury: Early functional changes include decreased ATP generation, loss of cell membrane integrity, defects in protein synthesis, and cytoskeletal and DNA damage. Morphological changes include cellular swelling, plasma membrane alterations, mitochondrial swelling, and nuclear alterations.
    • Irreversible injury (necrosis): Extensive damage to all cellular membranes, swelling of lysosomes and mitochondria, extracellular calcium entry, intracellular calcium release, activation of enzymes that catabolize membranes, proteins, ATP, and nucleic acids, and nuclear changes (pyknosis, karyorrhexis, and karyolysis).
    • Different types of necrosis: Coagulative, liquefactive, caseous, and fat necrosis. Each type is characterized by specific morphologic changes and is seen in different tissues.
    • Apoptosis (programmed cell death): An individual cell deletion process in physiological growth control and disease. Activated or prevented by various stimuli, with reduced apoptosis contributing to cell accumulation (e.g., neoplasia) and increased apoptosis resulting in excessive cell loss (e.g., atrophy).
    • Tightly regulated by intracellular program, apoptosis involves pro-apoptotic cells activating enzymes that degrade the cell's own DNA and proteins. In normal situations, it eliminates unwanted or potentially harmful cells. In pathological events, it eliminates irreversibly damaged cells, particularly when the damage affects the cell's DNA.
    • Characteristics of apoptotic cells: Degradation of the cytoskeletal framework, fragmentation of DNA, loss of mitochondrial function, nucleus shrinkage (pyknosis) and fragmentation (karyorrhexis), and cell shrinkage with an intact plasma membrane.
    • In a case study, a patient with stroke symptoms underwent a CT scan showing cerebral infarction. Ten days after the onset of symptoms, the patient died, and an autopsy was performed. The pathologist is most likely to observe irreversible injury (necrosis) in the brain due to the prolonged duration since the onset of symptoms.

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    Description

    Test your knowledge on reversible and irreversible cell injury, the morphology of cell injury and necrosis, and the concept and characteristics of apoptosis. Explore the sequence of events in cell injury, differentiating between reversible and irreversible injury, describing the morphology of cell injury and necrosis, and understanding apoptosis.

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