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Questions and Answers
What is the primary consequence of irreversible cell injury?
What is the primary consequence of irreversible cell injury?
- Apoptosis (correct)
- Equilibrium restoration
- Cellular repair
- Chronic inflammation
Which of the following best describes a potential effect of inappropriate adaptive efforts in cells?
Which of the following best describes a potential effect of inappropriate adaptive efforts in cells?
- Enhanced cellular growth
- Increased cellular resilience
- Inability to manage injury (correct)
- Improved enzymatic functions
Which type of agents can directly cause rupture or damage to the cell membrane?
Which type of agents can directly cause rupture or damage to the cell membrane?
- Immunological agents
- Biological agents
- Nutritional agents
- Physical agents (correct)
What is a potential outcome if toxic chemical agents accumulate in the body?
What is a potential outcome if toxic chemical agents accumulate in the body?
Which factor is NOT typically associated with causing cellular injury?
Which factor is NOT typically associated with causing cellular injury?
What immediate consequence does hypoxia lead to in cells?
What immediate consequence does hypoxia lead to in cells?
Which of the following best describes the process of hypertrophy?
Which of the following best describes the process of hypertrophy?
What is the primary effect of free radicals on cellular structures?
What is the primary effect of free radicals on cellular structures?
In response to chronic injury, what is metaplasia?
In response to chronic injury, what is metaplasia?
Which condition is characterized by the accumulation of lipid deposits in the brain?
Which condition is characterized by the accumulation of lipid deposits in the brain?
What is a common effect of excessive food intake of lipids?
What is a common effect of excessive food intake of lipids?
Which cellular adaptation involves the decrease in cell size?
Which cellular adaptation involves the decrease in cell size?
What disrupts the normal intracellular environment leading to cell injury?
What disrupts the normal intracellular environment leading to cell injury?
How does lactic acidosis affect the cell's environment?
How does lactic acidosis affect the cell's environment?
What is a significant consequence of impaired calcium homeostasis?
What is a significant consequence of impaired calcium homeostasis?
Which process indicates cellular injury through receptor dysfunction?
Which process indicates cellular injury through receptor dysfunction?
What condition results from the excess sodium accumulation inside cells?
What condition results from the excess sodium accumulation inside cells?
What is the role of ATP in cellular metabolism?
What is the role of ATP in cellular metabolism?
What characterizes dysplasia in cellular changes?
What characterizes dysplasia in cellular changes?
Which statement best describes the role of apoptosis in cellular health?
Which statement best describes the role of apoptosis in cellular health?
What is the outcome if necrosis occurs in living tissue?
What is the outcome if necrosis occurs in living tissue?
Which condition frequently requires the removal of necrotic tissue to prevent further complications?
Which condition frequently requires the removal of necrotic tissue to prevent further complications?
How does habitual cigarette smoking affect cellular changes?
How does habitual cigarette smoking affect cellular changes?
What cellular adaptation is characterized by an increase in the number of cells capable of dividing?
What cellular adaptation is characterized by an increase in the number of cells capable of dividing?
Which condition exemplifies pathologic hypertrophy that can lead to ineffective contraction of heart muscle?
Which condition exemplifies pathologic hypertrophy that can lead to ineffective contraction of heart muscle?
Which effect does chronic exposure to free radicals NOT typically cause in cells?
Which effect does chronic exposure to free radicals NOT typically cause in cells?
In which scenario does atrophy occur as a cellular adaptation?
In which scenario does atrophy occur as a cellular adaptation?
What is a potential consequence of metaplasia as a response to chronic irritation?
What is a potential consequence of metaplasia as a response to chronic irritation?
What physiological process can lead to cellular injury as a result of excessive exposure to ozone and pollution?
What physiological process can lead to cellular injury as a result of excessive exposure to ozone and pollution?
Which of the following conditions represents a normal response in the body, occurring during wound healing?
Which of the following conditions represents a normal response in the body, occurring during wound healing?
Which type of cellular adaptation is directly associated with aging and is characterized by a decrease in cell size?
Which type of cellular adaptation is directly associated with aging and is characterized by a decrease in cell size?
Which scenario best illustrates a situation leading to irreversible cell injury?
Which scenario best illustrates a situation leading to irreversible cell injury?
What distinguishes necrosis from apoptosis in cellular injury?
What distinguishes necrosis from apoptosis in cellular injury?
Which factor is primarily responsible for cellular changes resulting from chemical agents?
Which factor is primarily responsible for cellular changes resulting from chemical agents?
In which situation would removing the stimulus causing injury primarily enhance cellular repair?
In which situation would removing the stimulus causing injury primarily enhance cellular repair?
What is a potential consequence of the exhaustion of adaptive efforts in cells?
What is a potential consequence of the exhaustion of adaptive efforts in cells?
When can a cell best adapt to injury rather than undergo irreversible changes?
When can a cell best adapt to injury rather than undergo irreversible changes?
Which of the following best describes an effect of physical agents causing cellular injury?
Which of the following best describes an effect of physical agents causing cellular injury?
In what manner can toxins, such as lead, lead to cellular injury?
In what manner can toxins, such as lead, lead to cellular injury?
What condition results from the accumulation of fat deposits leading to decreased blood flow, potentially causing heart attack or stroke?
What condition results from the accumulation of fat deposits leading to decreased blood flow, potentially causing heart attack or stroke?
Which mechanism primarily leads to decreased ATP generation in cells during inadequate oxygen supply?
Which mechanism primarily leads to decreased ATP generation in cells during inadequate oxygen supply?
What is the primary consequence of increased intracellular calcium levels in cells?
What is the primary consequence of increased intracellular calcium levels in cells?
What effect does impaired calcium homeostasis have on tissues?
What effect does impaired calcium homeostasis have on tissues?
In which physiological condition might lactic acidosis contribute to muscle soreness?
In which physiological condition might lactic acidosis contribute to muscle soreness?
What process leads to the development of cachexia, characterized by muscle and fat loss?
What process leads to the development of cachexia, characterized by muscle and fat loss?
Which type of disorder is characterized by an inability to metabolize a specific protein due to genetic defects?
Which type of disorder is characterized by an inability to metabolize a specific protein due to genetic defects?
What cellular dysfunction is indicative of changes to the cell membrane impacting permeability?
What cellular dysfunction is indicative of changes to the cell membrane impacting permeability?
Which type of microorganisms can directly interfere with cellular metabolism?
Which type of microorganisms can directly interfere with cellular metabolism?
What is the most common cause of cellular injury associated with insufficient blood oxygenation?
What is the most common cause of cellular injury associated with insufficient blood oxygenation?
What type of metabolic impairment occurs due to the accumulation of waste materials in the cytoplasm?
What type of metabolic impairment occurs due to the accumulation of waste materials in the cytoplasm?
What result can come from excessive food intake of lipids?
What result can come from excessive food intake of lipids?
What potential effect can occur due to the obstruction of receptor sites by waste products?
What potential effect can occur due to the obstruction of receptor sites by waste products?
How does increased cell permeability impact the risk of infection?
How does increased cell permeability impact the risk of infection?
Flashcards
Cell Damage Progression
Cell Damage Progression
Occurs when cells are unable to repair themselves due to excessive damage, leading to disease processes.
Necrosis
Necrosis
Involves cell death due to external factors like injury or toxins, causing cells to break down.
Apoptosis
Apoptosis
A controlled form of cell death initiated by the cell itself, often involving a sequence of steps to eliminate damaged or unwanted cells.
Adaptive Changes
Adaptive Changes
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Chemical Agents of Cell Injury
Chemical Agents of Cell Injury
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Cellular Injury
Cellular Injury
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Hypoxia
Hypoxia
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Lipid and Carbohydrate Accumulation
Lipid and Carbohydrate Accumulation
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Pathologic Calcification
Pathologic Calcification
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Disruption in Cell Membrane
Disruption in Cell Membrane
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Atrophy
Atrophy
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Hypertrophy
Hypertrophy
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Hyperplasia
Hyperplasia
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Metaplasia
Metaplasia
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Dysplasia
Dysplasia
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Cachexia
Cachexia
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Infectious Agents
Infectious Agents
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Inborn Problems of Metabolism
Inborn Problems of Metabolism
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Free Radical Effects
Free Radical Effects
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Cellular Adaptation
Cellular Adaptation
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What is apoptosis?
What is apoptosis?
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What is a cellular adaptation?
What is a cellular adaptation?
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What is dysplasia?
What is dysplasia?
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What happens when cellular adaptive processes are overwhelmed?
What happens when cellular adaptive processes are overwhelmed?
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What is necrosis?
What is necrosis?
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Cell Damage (or Cell Injury)
Cell Damage (or Cell Injury)
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Cell Damage Outcomes
Cell Damage Outcomes
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Irreversible Injury
Irreversible Injury
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Physical Agents of Cell Injury
Physical Agents of Cell Injury
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Free radicals
Free radicals
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Cell Injury
Cell Injury
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What is cachexia?
What is cachexia?
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What is Hypoxia?
What is Hypoxia?
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What is lipid and carbohydrate accumulation?
What is lipid and carbohydrate accumulation?
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What is pathologic calcification?
What is pathologic calcification?
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What is disruption in cell membrane?
What is disruption in cell membrane?
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What are infectious agents?
What are infectious agents?
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What are inborn problems of metabolism?
What are inborn problems of metabolism?
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What is the inability of a cell to process materials?
What is the inability of a cell to process materials?
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What is the Na+,K+-ATPase pump?
What is the Na+,K+-ATPase pump?
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What is inadequate oxygen in the blood?
What is inadequate oxygen in the blood?
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What is the effect of decreased oxygen on cells?
What is the effect of decreased oxygen on cells?
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What is atrophy?
What is atrophy?
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What is hypertrophy?
What is hypertrophy?
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What is hyperplasia?
What is hyperplasia?
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What is metaplasia?
What is metaplasia?
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Study Notes
Cellular Injury Mechanisms
- Cell injury, also called cell damage, results from various stressors impacting the cell, including physical, chemical, infectious, biological, nutritional, and immunological factors.
- These stressors can cause long-term damage or cell death.
- Adaptive changes can occur initially to ensure survival and maintain cellular function, but exceeding the cell's ability to adapt leads to damage and disease.
- Injury's severity determines whether the cell can recover or undergo irreversible damage.
Types of Cellular Injury
- Irreversible injury leads to necrosis (tissue/cell death), or apoptosis (programmed cell death).
- Removing the damaging stimulus can increase the chances of reversible injury.
Stimuli Causing Cellular Injury
- Physical Agents: Trauma, temperature changes, radiation, electrical stimulation cause direct cell rupture or membrane damage.
- Chemical Agents: These can damage cellular structures, block enzymatic pathways, disrupt osmotic balance, and cause blood coagulation issues (e.g., simple compounds like glucose, toxins, therapeutic agents).
- Therapeutic Agents: Drugs like Tylenol, chemotherapy, and ibuprofen can injure cells or tissues (e.g. Tylenol (liver), chemotherapy, ibuprofen (kidney)).
- Microorganisms: Infectious agents (viruses, bacteria, fungi) release toxins interfering with cellular metabolism.
- Genetic Defects/Disorders: Inherited metabolic problems, birth defects, or malformations cause issues (e.g., Tay-Sachs).
- Nutritional Imbalances: Vitamin and protein deficiencies or excessive food intake (especially lipids), lead to conditions like atherosclerosis and cachexia.
- Hypoxia: Inadequate oxygen in the blood (hypoxemia) deprives cells of oxygen (hypoxia).
- This decreases ATP production; anaerobic metabolism increases, lactic acid accumulates (sore muscles).
- Increased lactate lowers pH (lactic acidosis), damaging enzymes and potentially leading to cell death. -Reduced ATP also reduces tissue perfusion.
Intracellular Changes Responding to Stimuli
- Cells may accumulate waste materials and toxins.
- Metabolic processes slow down, ATP synthesis is impaired, and energy stores deplete (e.g., accumulation of waste materials/toxins in the cytoplasm).
- Accumulation of lipids and carbohydrates can cause problems (e.g., triglycerides).
- Example: Tay-Sachs disease leads to lipid accumulation in the brain, impacting brain function.
- Metabolic processes slow, resulting in impaired ability to synthesize adenosine triphosphate (ATP), and a depletion of energy stores.
- Pathologic calcification occurs due to calcium accumulation in injured cells affecting calcium homeostasis, damaging tissues and impairing functions.
Cell Membrane Disruption
- Cell membranes control the intracellular environment and selectively transport substances.
- Impaired transport processes lead to electrolyte imbalances and swelling.
- Failure of Na+/K+-ATPase pumps leads to sodium buildup inside cells and water influx, causing cell swelling.
- This swelling can also impact signaling and defenses.
Receptor Dysfunction
- Receptors can be damaged, blocked or destroyed by waste products which can lead to problems in communication between cells.
Free Radical Effects
- Unstable reactive chemicals like ozone, pollution, and smoke damage cellular components (phospholipids, proteins, and DNA), potentially causing various diseases.
Cellular Adaptations
- Atrophy: Decrease in cell size (e.g., disuse atrophy, aging).
- Hypertrophy: Increase in cell size, often caused by increased workload (e.g., weightlifting, left ventricular hypertrophy).
- Hyperplasia: Increase in cell number (e.g., hormone stimulation, wound healing, pregnancy).
- Metaplasia: One cell type replaced by another (e.g., smoking, chronic irritation).
- Dysplasia: Abnormal changes in cells (precursor to cancer with potential reversiblity).
Cell Death
- Apoptosis: Programmed cell death (normal, essential).
- Necrosis: Uncontrolled cell death in living tissues.
- Gangrene: Necrosis, typically of a considerable tissue mass.
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