Emphysema Pathogenesis Quiz
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Questions and Answers

What is the primary pathogenic mechanism underlying the development of emphysema?

  • Decreased activity of proteolytic enzymes like elastase
  • Destruction of alveolar walls due to elastase activity (correct)
  • Increased mucus production in the airways
  • Increased production of alpha-1 antitrypsin

Which of the following is a common complication of emphysema in COPD?

  • Lung abscess
  • Interstitial emphysema (correct)
  • Interstitial fibrosis
  • Pulmonary edema

What is the primary cause of alpha-1 antitrypsin deficiency, which can lead to panacinar emphysema?

  • Variants in the pi (proteinase inhibitor) gene on chromosome 14 (correct)
  • Chronic exposure to cigarette smoke
  • Increased production of proteolytic enzymes
  • Autoimmune destruction of alveolar walls

Which of the following is a characteristic feature of bronchiectasis?

<p>Production of copious purulent sputum (A)</p> Signup and view all the answers

Which of the following is a common comorbidity associated with emphysema in COPD?

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

What is the primary histologic characteristic of chronic bronchitis in COPD?

<p>Increased mucus-secreting goblet cells (A)</p> Signup and view all the answers

What is the histologic characteristic associated with centriacinar emphysema?

<p>Dilatation of respiratory bronchioles (B)</p> Signup and view all the answers

Which type of emphysema is strongly associated with cigarette smoking?

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

What is the clinical presentation specifically associated with chronic bronchitis in COPD?

<p>Chronic cough with excessive mucus production (C)</p> Signup and view all the answers

Which type of emphysema is associated with loss of elasticity and sometimes deficiency of alpha 1 antitrypsin?

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

What microscopically distinguishes chronic obstructive pulmonary disease (COPD) III - Emphysema from other types of emphysema?

<p>Alveolar spurs and compressed alveolar capillaries (A)</p> Signup and view all the answers

Which type of emphysema tends to localize subjacent to the pleura and inter-lobar septa?

<p>Para-septal emphysema (B)</p> Signup and view all the answers

Which of the following is a typical histologic characteristic of chronic bronchitis in COPD?

<p>Marked hyperplasia of mucus-secreting submucosal glands (D)</p> Signup and view all the answers

Which of the following is a complication of chronic bronchitis in COPD?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is NOT a clinical presentation of chronic bronchitis in COPD?

<p>Reduced total vital capacity (D)</p> Signup and view all the answers

Which of the following is a characteristic of emphysema in COPD?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a clinico-pathological characteristic of emphysema in COPD?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a radiographic finding in emphysema in COPD?

<p>All of the above (D)</p> Signup and view all the answers

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