Cell Response to Injury Quiz

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Questions and Answers

Which type of necrosis is characterized by a glassy and homogeneous appearance due to the loss of glycogen?

  • Caseative necrosis
  • Fibrinoid necrosis
  • Coagulative necrosis (correct)
  • Liquefactive necrosis

Apoptosis is the death of a large group of cells.

False (B)

What is the process by which solid debris is engulfed by macrophages during necrosis?

Phagocytosis

In necrosis, large areas of cell death can lead to __________ calcification.

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

Match the types of necrosis to their characteristics:

<p>Caseative = Often associated with tuberculosis Coagulative = Occurs after ischemia or infarction Fibrinoid = Deposits of fibrin in blood vessel walls Liquefactive = Transformation into a viscous fluid</p> Signup and view all the answers

What is one of the causes of apoptosis?

<p>Normal cell turnover (A)</p> Signup and view all the answers

Apoptosis can be observed with the naked eye during the process.

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

What occurs during the microscopic phase of apoptosis?

<p>Cell shrinkage and formation of membrane-bound apoptotic bodies.</p> Signup and view all the answers

Apoptosis is characterized by _________ of apoptotic cells by macrophages.

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

Match each feature to its corresponding description of apoptosis:

<p>Cell shrinkage = Density of cytoplasm increases Cytoplasmic blebs = Formation of bubbles on cell surface Apoptotic bodies = Membrane-bound structures containing organelles Phagocytosis = Engulfment of apoptotic cells by macrophages</p> Signup and view all the answers

Which of the following is NOT a cause of cell injury?

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

Reversible cell injury can lead to necrosis.

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

What is a common characteristic of cloudy swelling in reversible cell injury?

<p>Swelling of the cells due to water accumulation</p> Signup and view all the answers

Hydropic swelling is a type of ______ cell injury.

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

What primarily causes ATP depletion in cell injury?

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

Match the following types of cell injury with their characteristics:

<p>Cloudy swelling = Cells swell due to water accumulation Necrosis = Irreversible cessation of cell function Apoptosis = Programmed cell death Fatty change = Accumulation of fat within cells</p> Signup and view all the answers

Increased intracellular calcium is a mechanism of cell injury.

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

Name one factor that affects the extent of cell injury.

<p>Nature of the injury</p> Signup and view all the answers

What causes fatty change in cells?

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

What is the primary cause of cloudy swelling?

<p>Accumulation of lactic acid (C)</p> Signup and view all the answers

Fatty change can occur due to normal fat metabolism.

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

What happens to fat produced or carried to injured cells when there is diminished enzyme activity?

<p>It accumulates in the cytoplasm.</p> Signup and view all the answers

Hydropic swelling can lead to irreversible injury if the cell injury continues.

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

Patchy examples of fatty change can include __________.

<p>chronic venous congestion</p> Signup and view all the answers

Name one type of cell where hydropic swelling can be observed.

<p>Liver cells</p> Signup and view all the answers

What is one fate of cells after an injury?

<p>They can proceed to irreversible injury. (C), They return to normal function. (D)</p> Signup and view all the answers

Cloudy swelling is characterized by increased intracellular __________ load.

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

Match the following conditions with their associated effects:

<p>Cloudy swelling = Decreased contractility Hydropic swelling = Ballooning degeneration Fatty change = Excess fat accumulation Irreversible injury = Permanent cell damage</p> Signup and view all the answers

Match the types of nuclear changes in necrosis with their definitions:

<p>Pyknosis = Nuclear shrinkage with dense chromatin Karyorrhexis = Fragmentation of the pyknotic nucleus Karyolysis = Dissolution of the nucleus with failed staining</p> Signup and view all the answers

Which organ is least likely affected by cloudy swelling?

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

Describe necrosis.

<p>It is the local death of large groups of cells or tissues within the living body.</p> Signup and view all the answers

Cytoplasmic eosinophilia in necrosis is caused by an increase in hemoglobin.

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

Reversible cell injury always leads to cell death.

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

What is the characteristic morphological change in cells undergoing hydropic swelling?

<p>Swelling and vacuoles in the cytoplasm</p> Signup and view all the answers

Flashcards

Cell injury causes

Cell injury can be caused by physical factors, infections, chemicals, hypoxia, and immunological responses.

Mechanisms of cell injury

Cell injury mechanisms include ATP depletion, membrane damage, increased intracellular calcium, and formation of oxygen-derived free radicals.

Hypoxia's role in cell injury

Hypoxia is a major cause of cell injury, often leading to ATP depletion.

Reversible cell injury

A temporary cell response to mild injury, not causing permanent damage. Examples include cloudy swelling and fatty change.

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Irreversible cell injury

Severe or prolonged injury leading to permanent damage and cell death (necrosis or apoptosis).

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Cloudy swelling

A form of reversible cell injury characterized by cellular swelling due to water accumulation, causing a granular cytoplasm.

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Necrosis vs. apoptosis

Necrosis involves uncontrolled cell death, while apoptosis is a programmed, controlled cell death process.

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Effect of injury factors

The effect of cell injury depends on the factors including the nature, duration, severity of the injury and the cell type involved.

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Hydropic Swelling

A reversible cell injury marked by cellular swelling and vacuoles, due to excess water accumulating in cells.

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Fatty Change

A reversible cell injury where excess fat accumulates within cells.

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Lactic Acid Accumulation

A cause of cellular swelling (cloudy swelling) as it affects the cell's osmotic balance.

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Osmotic Load

The added pressure put on the cell due to the accumulation of substances like lactic acid

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Organ Affected in Cloudy Swelling

Highly specialized parenchymal cells like liver, kidney and heart are affected with cloudy swelling.

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Injury Continues, hydropic swelling

Hydropic swelling that proceeds to eventual irreversible injury if the injury or stress is not resolved.

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Apoptosis

A form of programmed cell death that removes unwanted cells in a controlled manner, involving a series of biochemical events.

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Causes of Apoptosis

Apoptosis is triggered by various stimuli, including normal cell turnover, embryologic development, hormone-dependent involution, cells completing their function, DNA damage, and cell death in infections.

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Apoptosis Gross Appearance

Apoptosis is not visible to the naked eye, as the cells are removed efficiently and quietly.

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Apoptosis Microscopic Features

Apoptosis involves cell shrinkage, formation of surface blebs, and the formation of membrane-bound apoptotic bodies comprised of cytoplasm and organelles.

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Fate of Apoptotic Cells

Apoptotic cells or their bodies are engulfed and degraded by phagocytes, usually macrophages, using the lysosomal enzymes.

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Necrosis: Microscopic Appearance

Necrotic cells have a glassy, homogeneous appearance due to loss of glycogen, giving the cytoplasm a uniform look.

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Necrosis: Types Based on Cause

Different types of necrosis occur based on the cause of cell death, such as arterial supply issues, which lead to cells dying due to lack of blood flow.

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Necrosis: Types of Necrosis

Common types of necrosis include caseative (cheese-like), coagulative (solid), fat (fat tissue), fibrinoid (vessel wall), and liquefactive (liquefied).

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Necrosis: Fate of Necrotic Tissue

The fate of necrotic tissue depends on the size of the area. Small areas are cleaned up by macrophages, while larger areas form a fibrous capsule around the dead tissue.

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Apoptosis: Definition

Apoptosis is the programmed death of a single cell or a small group of cells, a controlled process that removes unwanted cells.

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Fatty Change Pathogenesis

Fat accumulates within cells because damaged cells lack the enzymes to break down the excess fat. This leads to the fat building up in the cytoplasm.

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Patchy Fatty Change

A localized accumulation of fat within cells, often seen in conditions like chronic venous congestion or anemia.

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Diffuse Fatty Change

A widespread accumulation of fat throughout cells, commonly observed in severe toxemia.

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Fate of Fatty Change

The outcome of fatty change depends on the severity and continuation of the underlying injury. If the injury stops, the cell can recover, but continued injury leads to irreversible damage.

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Necrosis Definition

The death of a group of cells or tissues within a living organism. This can happen directly or as a consequence of reversible cell injury.

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Necrosis Gross Appearance

Necrotic tissue often appears as a pale area surrounded by a red area due to inflammation.

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Necrosis Nuclear Changes

Necrotic cells display distinct changes in the nucleus. Pyknosis: shrinking nucleus, Karyorrhexis: fragmentation, Karyolysis: dissolution.

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Study Notes

Cell Response to Injury

  • Cell injury is a broad topic that encompasses various causes, mechanisms, and outcomes.
  • Factors like the nature, duration, and severity of the injury, as well as the specific cell type, all influence the response.
  • Learning outcomes include identifying causes and types of cell injury, understanding mechanisms, comparing reversible and irreversible damage, defining different injury types, describing gross and microscopic pictures, and explaining the fate of reversible cell injury.
  • Comparing necrosis and apoptosis, and distinguishing between necrosis types, are also key objectives.

Causes of Cell Injury

  • Several factors can cause cell injury, broken down into broad categories:
    • Physical: Mechanical trauma, extreme temperatures, electricity, radiation.
    • Chemical: Toxins, drugs, poisons.
    • Immunological: Autoimmune reactions, hypersensitivity.
    • Hypoxia: Lack of oxygen supply, often due to ischemia
    • Infection: Pathogens like bacteria, viruses, and fungi.

Mechanisms of Cell Injury

  • Mechanisms of cell injury frequently follow a common pathway. These include:
    • ATP depletion
    • Membrane damage
    • Increased intracellular calcium
    • Formation of oxygen-derived free radicals

Reversible Cell Injury

  • Mild and short-term injury can often result in reversible cell changes.
  • Types of reversible cell injury include cloudy swelling, hydropic swelling, and fatty change.

Types of Reversible Cell Injury

  • Cloudy Swelling: Characterized by swelling of cells and granularity of the cytoplasm due to water accumulation.
  • Hydropic Swelling: A form of reversible cellular injury where water accumulates inside the cells.
  • Fatty Change: An accumulation of fat within cells due to impaired fat metabolism.

Pathogenesis of Cloudy Swelling

  • Ischemia initiates a chain of events leading to increased intracellular water.
    • Reduced oxidative phosphorylation leads to ATP depletion.
    • Sodium-potassium pump dysfunction results in sodium influx and water accumulation.
  • Excess lactic acid elevates intracellular osmotic load, exacerbating swelling.

Gross and Microscopic Features of Cloudy Swelling

  • Gross: organs affected show edema.
  • Microscopic: cells may show swelling, loss of glycogen, and cellular disorganization.

Pathogenesis of Hydropic Swelling

  • Similar mechanisms to cloudy swelling, but more pronounced.
    • Sodium-potassium pump dysfunction leads to increased sodium entry, driving water accumulation further.

Mechanisms of Irreversible Cell Injury

  • Irreversible cell injury results in cell death, either through necrosis or apoptosis

Necrosis

  • Necrosis is a form of cell death characterized by cell breakdown triggered by injurious stimuli.
  • Broad causes of necrosis are hypoxia, infection, physical or chemical trauma
  • Microscopic characteristics include pyknosis, karyorrhexis, karyolysis, increased eosinophilia, and/or organelle degradation.
  • Types include:
    • Coagulative: Infarction (except brain)
    • Liquefactive: Brain infarction, bacterial abscesses.
    • Caseous: Tuberculosis
    • Fat: Trauma to fat tissue
    • Fibrinoid: Vasculitis

Apoptosis

  • Apoptosis is a regulated, programmed cell death.
    • Physiological role in development, cell turnover and involution.
    • Pathological roles include DNA damage, infections and atrophy

Apoptosis - Gross and Micro Features

  • Gross: usually not noticeable visually
  • Microscopic: Shrinking cells without inflammatory response, fragmentation into membrane-enclosed apoptotic bodies, typically detected by cellular changes.

Fate of Cell Injury

  • Reversible cell injury may resolve with resolution of the triggering event.
  • If injurious stimuli persist or become severe, irreversible cell injury and cell death (necrosis or apoptosis) can occur.

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