Hypertrophy vs Hyperplasia vs Atrophy Quiz
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Questions and Answers

What is the most common manifestation of reversible cell injury?

  • Cellular swelling (correct)
  • Cell death
  • Genetic derangement
  • Mitochondrial damage
  • Which of the following is the most common cause of cell injury according to the text?

  • Genetic derangement
  • Physical agents
  • Chemical agents/drugs
  • Hypoxia (correct)
  • What is the main consequence of mitochondrial damage in relation to energy loss?

  • Cellular swelling
  • Cell death
  • Increased ATP production
  • Reduced supply of O2 (correct)
  • Which of the following is NOT listed as a cause of cell injury in the text?

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

    What is the primary mechanism of ATP depletion in cell injury due to hypoxia?

    <p>Damaged mitochondria</p> Signup and view all the answers

    When does a cell lose function according to the text?

    <p>Before morphological manifestations</p> Signup and view all the answers

    What is the process characterized by an increase in cell number?

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

    Which process involves a decrease in organ size by reducing the number of cells?

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

    Which process is characterized by a change in cell type due to stress on organs?

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

    What involves disordered cellular growth and proliferation of precancerous cells?

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

    What is the term for failure of cell production during embryogenesis?

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

    What is the characteristic appearance of tissues affected by coagulative necrosis?

    <p>Firm texture with preserved architecture</p> Signup and view all the answers

    Which type of necrosis involves the digestion of dead cells, leading to the formation of a liquid viscous mass?

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

    What is the term used for a localized area of coagulative necrosis?

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

    Which organ is an example given for caseous necrosis occurring mainly in the center of a tuberculous granuloma?

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

    What is the color of pus, a characteristic feature of liquefactive necrosis?

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

    What causes gangrene according to the text?

    <p>Bacterial infections, arterial obstruction, and infection</p> Signup and view all the answers

    What is one of the hallmarks of irreversible cell injury?

    <p>Mitochondrial dysfunction</p> Signup and view all the answers

    Which organelle is an important target of all types of cell injury?

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

    What is the initial phase of cell injury that eventually leads to irreversibility?

    <p>Increase in cytosolic calcium and inorganic phosphate</p> Signup and view all the answers

    Which pattern is recognized under light microscopy as the first manifestation of almost all forms of cell injury?

    <p>Cellular swelling</p> Signup and view all the answers

    What term is used to describe the appearance of cytoplasmic lipid vacuoles in cells dependent on fat metabolism?

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

    In irreversible injury, what leads to the loss of structure and functions of the plasma membrane and intracellular membranes?

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

    What is the main cause of Enzymatic Fat Necrosis in adipose tissue?

    <p>Trauma to the pancreas</p> Signup and view all the answers

    Which type of gangrene involves necrosis complicated by secondary bacterial infection?

    <p>Wet gangrene</p> Signup and view all the answers

    What is the key difference between Dry Gangrene and Wet Gangrene?

    <p>Presence of edema</p> Signup and view all the answers

    Which condition is characterized by necrosis with superadded putrefaction?

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

    What causes the blackening of tissue in Wet Gangrene?

    <p>Formation of iron sulfide</p> Signup and view all the answers

    Which type of Fat Necrosis is most commonly seen in acute pancreatitis?

    <p>Enzymatic Fat Necrosis</p> Signup and view all the answers

    Study Notes

    Cell Injury

    • Cellular swelling is the most common manifestation of cell injury
    • Reversible injury occurs when cells are able to adapt to a new environment, while irreversible injury leads to cell death
    • Cells actively control their internal environment and maintain homeostasis within a narrow range of physiological parameters

    Causes of Cell Injury

    • Oxygen deprivation (hypoxia)
    • Physical agents
    • Chemical agents/drugs
    • Infectious agents
    • Immunological reactions
    • Genetic derangement
    • Nutritional imbalances
    • Cellular senescence
    • Idiopathic diseases

    Mechanisms of Cell Injury

    • Loss of energy due to hypoxic and chemical injuries
    • Mitochondrial damage leading to ATP depletion
    • Consequences of mitochondrial damage include hypertrophy, hyperplasia, atrophy, and metaplasia

    Cellular Responses to Injury

    • Hypertrophy: an increase in cell size, e.g., myometrial hypertrophy in gravid uterus
    • Hyperplasia: an increase in cell number, e.g., pubertal breast changes
    • Atrophy: a decrease in cell size or number, e.g., embryonic atrophy of notochord and thyroglossal duct
    • Metaplasia: a change in cell type, e.g., esophagus (squamous to columnar)

    Types of Cell Death

    • Coagulative necrosis: most common type, characterized by protein denaturation and preservation of cell outline
    • Liquefactive necrosis: involves digestion of dead cells, e.g., brain infarct
    • Caseous necrosis: a combination of coagulative and liquefactive necrosis, e.g., tuberculous granuloma

    Irreversible Cell Injury

    • Mitochondrial dysfunction leading to loss of ATP generation
    • Loss of plasma membrane and intracellular membrane structure and function
    • Loss of DNA and chromatin structural integrity

    Fatty Change and Fat Necrosis

    • Fatty change: seen in cells dependent on fat metabolism, characterized by cytoplasmic lipid vacuoles
    • Fat necrosis: occurs in two forms, enzymatic fat necrosis and traumatic fat necrosis

    Gangrene

    • Dry gangrene: secondary to slow occlusive vascular disease, characterized by gradual loss of arterial supply
    • Wet gangrene: results from severe bacterial infection superimposed on necrosis, characterized by edema and foul smell

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    Description

    This quiz covers the concepts of hypertrophy, hyperplasia, and atrophy in different physiological and pathological contexts. It includes examples such as myometrial hypertrophy in gravid uterus, endometrial hyperplasia, and mechanisms like gene activation, protein synthesis, and cell apoptosis.

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