Introduction to Pathology

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Questions and Answers

Which of the following is a symptom associated with adult mixedema?

  • Elevated heart rate
  • Increased respiratory rate
  • Cold intolerance (correct)
  • Weight loss

Which condition is characterized by impaired physical growth and mental development in newborns?

  • Secondary hyperparathyroidism
  • Cretinism (correct)
  • Hyperthyroidism
  • Hypoparathyroidism

What is a major cause of hyperthyroidism?

  • Autoimmune disease resulting in hypocalcaemia
  • Graves' thyroiditis (correct)
  • Parathyroid carcinoma
  • Hypopituitarism

What is the effect of tertiary hyperparathyroidism?

<p>Development of an autonomous nodule (B)</p> Signup and view all the answers

What can lead to hypoparathyroidism?

<p>Surgical removal of the parathyroid (B)</p> Signup and view all the answers

What is a common consequence of chronic inflammation in the gastrointestinal tract?

<p>Intestinal metaplasia and dysplasia (D)</p> Signup and view all the answers

Which condition is linked to autoimmune gastritis and often leads to a vitamin B12 deficiency?

<p>Pernicious anemia (C)</p> Signup and view all the answers

What primary factor contributes to the development of peptic ulcer disease?

<p>Helicobacter pylori infection (C)</p> Signup and view all the answers

Which of the following tumors is categorized as a neuroendocrine tumor?

<p>Carcinoid tumor (C)</p> Signup and view all the answers

What is the primary treatment approach for eradicating Helicobacter pylori infection?

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

What triggers thrombosis in about 25% of Acute Coronary Syndrome cases?

<p>Rupture of plaque (D)</p> Signup and view all the answers

Which mechanism causes the majority of Acute Coronary Syndrome cases?

<p>Fissuring of plaque and intraplaque haemorrhage (C)</p> Signup and view all the answers

What characterizes unstable angina as opposed to stable angina?

<p>Chest pain occurring even at rest (B)</p> Signup and view all the answers

What is a possible consequence of prolonged ischemia during a heart attack?

<p>Permanent damage to heart muscle cells (A)</p> Signup and view all the answers

What is NOT a factor that may prevent significant permanent damage in some cases of ACS?

<p>Severe ischemic conditions (A)</p> Signup and view all the answers

Which of the following mechanisms leads to a transient reduction in blood flow?

<p>Coronary artery spasm (D)</p> Signup and view all the answers

Which statement about myocardial infarction is true?

<p>It results in abnormal function of surviving heart muscle cells. (A)</p> Signup and view all the answers

What might develop if collateral vessels are present during an ACS event?

<p>Decreased myocardial necrosis (C)</p> Signup and view all the answers

What type of stroke is primarily associated with chronic hypertension?

<p>Hemorrhagic stroke (C)</p> Signup and view all the answers

What happens to blood vessels in the brain due to chronic hypertension?

<p>They weaken and may rupture. (B)</p> Signup and view all the answers

What defines hypotension?

<p>Abnormally low blood pressure (C)</p> Signup and view all the answers

Which of the following is a cause of hypotension?

<p>Severe hemorrhage (C)</p> Signup and view all the answers

What is the primary characteristic of labile cells?

<p>Constantly dividing with high turnover (B)</p> Signup and view all the answers

Which of the following is an example of permanent cells?

<p>Neurons (B), Cardiac muscle cells (D)</p> Signup and view all the answers

What is the process called that refers to the formation of organs during embryonal development?

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

What triggers postural hypotension?

<p>Rapid standing up (B)</p> Signup and view all the answers

What is a common sign of hypocalcemia?

<p>Tetany or involuntary muscular contractions (C)</p> Signup and view all the answers

Which condition leads to respiratory acidosis?

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

Which of the following is associated with metabolic alkalosis?

<p>Excessive loss of acids or excessive HCO3- production (B)</p> Signup and view all the answers

Which factor can lead to secondary hyperparathyroidism?

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

Which condition is a result of insufficient blood supply to meet the heart's needs?

<p>Ischaemic Heart Disease (C)</p> Signup and view all the answers

What is Chvostek’s sign indicative of?

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

What leads to metabolic acidosis?

<p>Excessive production of acids or inadequate excretion of acids (C)</p> Signup and view all the answers

What is the normal range of pH in the human body?

<p>7.35 - 7.45 (A)</p> Signup and view all the answers

What is the main characteristic of hypertrophy?

<p>Increase in the size of cells (B)</p> Signup and view all the answers

Which of the following is an example of physiological hyperplasia?

<p>Uterine growth during pregnancy (C)</p> Signup and view all the answers

What type of atrophy occurs due to prolonged immobilization?

<p>Pathological Atrophy (C)</p> Signup and view all the answers

Which condition is associated with an increase in cell size without cell division?

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

What is the primary factor regulating differentiation in cells?

<p>Genetic instructions (C)</p> Signup and view all the answers

Which of the following statements about hyperplasia is true?

<p>It requires mitosis for cell division. (A)</p> Signup and view all the answers

Hypoplasia is primarily caused by which of the following?

<p>Defective morphogenesis (C)</p> Signup and view all the answers

Which of the following correctly describes pathological hypertrophy?

<p>Enlargement due to high blood pressure (A)</p> Signup and view all the answers

Flashcards

Hypothyroidism

A state of low thyroid hormone activity, leading to various symptoms including weight gain, lethargy, and cold intolerance.

Hyperthyroidism

A condition caused by excessive thyroid hormone levels, resulting in a hyperactive metabolism and symptoms like increased heart rate, weight loss, and nervousness.

Graves' Disease

A type of hyperthyroidism caused by an overactive thyroid gland, often due to an autoimmune response.

Hyperparathyroidism

A condition where the parathyroid glands produce too much parathyroid hormone (PTH), causing increased calcium levels in the blood.

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Hypoparathyroidism

A state of low parathyroid hormone (PTH) production, leading to low calcium levels in the blood.

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Hypocalcaemia

A condition characterized by low blood calcium levels. Common causes include intestinal malabsorption, vitamin D deficiency, reduced vitamin D production, and inhibition of bone resorption.

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Tetany

Involuntary muscle contractions that can be triggered by low calcium levels. It can manifest as laryngospasm, bronchospasm, and tetany.

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Chvostek's Sign

A clinical sign of hypocalcaemia where tapping on the facial nerve anterior to the ear causes twitching of the circumoral muscles.

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Trousseau's Sign

A clinical sign of hypocalcaemia where inflation of a blood pressure cuff induces carpal spasm.

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Acidosis

A condition characterized by a pH below 7.35. Can be caused by an imbalance in the body's acid-base balance.

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Alkalosis

A condition characterized by a pH above 7.45. Due to the buildup of base in the body.

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Respiratory Acidosis

Type of acidosis caused by an inadequate elimination of CO2 from the lungs.

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Ischemic Heart Disease (IHD)

A condition characterized by insufficient blood supply to meet the heart's metabolic needs.

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What is Acute Coronary Syndrome (ACS)?

A sudden occurrence of heart problems caused by reduced blood flow to the heart. It can happen in people with existing heart issues or those without any prior symptoms.

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What is Plaque Rupture?

The most common cause of ACS, where a plaque buildup in a coronary artery ruptures, triggering blood clot formation and obstructing blood flow.

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What is Fissuring of Plaque and Intraplaque Haemorrhage?

A less common cause of ACS where a plaque buildup weakens and bleeds or bleeds through its outer layer, causing it to bulge and obstruct blood flow.

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What is Coronary Artery Spasm?

A temporary constriction of a coronary artery, reducing blood flow. It can be triggered by factors like drugs, stress, or cold.

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What is Stable Angina?

A type of chest pain that occurs predictably with exertion and resolves with rest. It indicates a partial blockage in a coronary artery, but not a full-blown heart attack.

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What is Unstable Angina?

A more serious form of chest pain that can occur even at rest or with minimal exertion. It represents a greater obstruction of blood flow and is a warning sign of an impending heart attack.

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What is a Myocardial Infarction (Heart Attack)?

A serious consequence of ACS where prolonged blockage leads to heart muscle cell death, causing permanent damage to the heart.

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What are the consequences of heart muscle cell survival after a heart attack?

Heart muscle cells that survive a heart attack may not function properly, leading to reduced heart pump capacity and potential heart failure.

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Hypertension and Stroke

High blood pressure that significantly increases the risk of a blood vessel in the brain rupturing, causing bleeding.

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Hemorrhagic Stroke

Bleeding within the brain (intracerebral) or surrounding spaces (subarachnoid) due to a ruptured blood vessel.

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Retinal Exudates

Deposits of lipids or proteins that leak into retinal tissue, caused by damage to blood vessels due to chronic hypertension.

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Hypotension

Abnormally low blood pressure, often caused by blood loss, shock, or heart attack.

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Postural Hypotension

A sudden drop in blood pressure upon standing, often in the elderly, caused by delayed response of pressure receptors.

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Labile Cells

Cells that are constantly dividing with a high turnover rate and excellent regenerative ability.

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Stable Cells

Cells that have a low turnover rate but can regenerate if needed. Examples include liver, kidney, and pancreas.

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Permanent Cells

Cells that don't regenerate and are replaced by scar tissue if damaged. Examples include neurons and cardiac muscle cells.

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Hypertrophy

An increase in the size of cells without cell division. It occurs when cells grow larger due to increased workload or stimulation.

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Physiological Hypertrophy

A type of hypertrophy that occurs in response to normal physiological demands, like muscle growth after exercise.

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Pathological Hypertrophy

A type of hypertrophy that occurs abnormally, often due to disease or excessive stress. For example, when the heart works harder due to high blood pressure.

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Hyperplasia

An increase in the number of cells due to cell division. It can occur normally or abnormally.

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Physiological Hyperplasia

A type of hyperplasia that occurs normally during development or growth. For example, breast tissue growth during pregnancy.

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Pathological Hyperplasia

A type of hyperplasia that occurs abnormally, often due to disease. For example, an enlarged prostate in men.

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Atrophy

A decrease in the size of a tissue or organ due to a reduction in the size or number of cells.

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Hypoplasia

A developmental failure resulting in a smaller than normal organ or tissue. It's often due to problems during development.

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Intestinal Metaplasia

Chronic inflammation in the digestive tract, especially the stomach and intestines, can lead to precancerous changes, increasing the risk of cancer.

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Helicobacter pylori

A common bacterial infection that increases the risk of gastric cancer. It can be effectively treated with antibiotics.

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Autoimmune Gastritis

A type of gastritis caused by autoimmune reactions directed at the stomach lining. It often leads to vitamin B12 deficiency due to damage to parietal cells.

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Reactive/Chemical Gastritis

Inflammation of the stomach lining caused by factors like bile reflux or medication.

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Peptic Ulcer Disease

A condition characterized by ulcers in the lining of the stomach or duodenum, often caused by an imbalance between stomach acid and protective mechanisms. A common cause is H. pylori infection.

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Study Notes

Pathology

  • Pathology is the study of disease using scientific methods. It examines abnormal variations in body structure and function.
  • Disease is an abnormality of structure or function, stemming from either:
    • Primary genetic defects: Such as chromosome abnormalities and gene defects (e.g., haemophilia, cystic fibrosis).
    • Acquired defects: Due to environmental factors, influenced by genetic factors (e.g., malignant melanoma).
  • The disease process includes four core aspects:
    • Aetiology: The cause of a disease.
    • Pathogenesis: How the disease develops.
    • Morphology: Structural alterations that indicate disease (in DNA, organs, and cells).
    • Clinical Significance: Functional consequences of morphological changes, including symptoms, signs, course (acute, chronic, relapse), prognosis (recovery/mortality/morbidity).
  • Hypoxia is a decrease in oxygen in tissues, often due to loss of blood supply or reduced oxygen capacity in the blood (anaemia).
  • Psychogenic disorders are acquired mental illnesses stemming from substances like drugs, alcohol, and tobacco.

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