Patho Colloquium 1 2023/2024
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Questions and Answers

What is a characteristic feature of granulation tissue that distinguishes it from other tissue types?

  • Presence of fibroblasts, loose connective tissue, new capillaries, and inflammatory cells (correct)
  • Presence of epithelial cells and giant cells
  • Presence of macrophages M2, ECM, MMP, TIMP, and mature blood vessels
  • Presence of neutrophils, macrophages M1, B cells, and chemokines

Which of the following is NOT a typical change associated with cell aging?

  • Decrease in the amount of DNA
  • Increase in the number of lysosomes
  • Shortening of telomeres
  • Activation of tumor suppressor genes (correct)

Which of the following pathological changes is characteristic of myocardial infarction?

  • Coagulative necrosis (correct)
  • Fibrosis
  • Apoptosis of muscle cells
  • Ischemic atrophy

What is a hallmark characteristic associated with Lynch syndrome?

<p>Increased colorectal cancer (C)</p> Signup and view all the answers

Which of the following factors is associated with the development of atherosclerosis?

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

Which statement accurately describes the role of miRNA in gene regulation?

<p>They participate in post-transcriptional regulation of gene expression and can influence the invasiveness of cancer cells (B)</p> Signup and view all the answers

Cushing's ulcer is commonly associated with which condition?

<p>Brain injury (C)</p> Signup and view all the answers

What are the key goals of tissue fixation in microscopy?

<p>To preserve tissue structure, prevent decay, and prepare it for microscopic examination and molecular analysis (B)</p> Signup and view all the answers

Which of the following is the most common component of an embolus?

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

Which of the following statements accurately describes autoinflammatory diseases?

<p>Their development is driven by NOD-like receptors and inflammasome products. (B), They can be triggered by innocuous stimuli, such as temperature changes. (D)</p> Signup and view all the answers

The Gleason grading system for prostate adenocarcinoma is based on:

<p>Assessment of tubular architecture (A), Assessment of nuclear morphology (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic feature of pulmonary embolism?

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

What is the primary goal of tissue fixation in the preparation of a tissue sample for microscopic examination?

<p>Slowing down tissue metabolism and cellular activities (C)</p> Signup and view all the answers

Which of the following describes characteristics of a good fixative?

<p>Fast tissue penetration, quick reaction, minimal structure alteration, safe to use, low cost (C)</p> Signup and view all the answers

The primary purpose of dehydration in tissue preparation is to:

<p>Replace water in the tissue with nonpolar substances (C)</p> Signup and view all the answers

Which of the following is NOT a morphological feature of respiratory distress syndrome (RDS)?

<p>Prominent neutrophilic inflammatory infiltrate in pulmonary parenchyma (A)</p> Signup and view all the answers

Caseous necrosis is typically seen in which of the following conditions?

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

In the context of spontaneous pulmonary emphysema, the cardiac muscle undergoes:

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

Which of the following is a correct statement about formalin-buffered solutions used for tissue preservation?

<p>A 10% formalin-buffered solution should have a pH range of 7.2 to 7.4 to ensure the stability of the fixative and effective tissue preservation. (A)</p> Signup and view all the answers

Which of these factors does NOT influence tissue fixation?

<p>Cost of the fixative (B)</p> Signup and view all the answers

What is the main purpose of the dehydration process in tissue preparation?

<p>To replace water in tissues with non-polar substances. (C)</p> Signup and view all the answers

What is the primary purpose of using intermediate fluids in tissue preparation?

<p>To facilitate the transition from dehydration to paraffin infiltration. (C)</p> Signup and view all the answers

Which of the following is NOT a secondary hypercoagulable state?

<p>Vitamin K deficiency (A)</p> Signup and view all the answers

Which of these is most commonly associated with a KRAS mutation?

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

Which of the following is NOT a risk factor for Acute Respiratory Distress Syndrome (ARDS)?

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

What is the characteristic feature of "nutmeg liver"?

<p>Central necrosis with peripheral fatty change (D)</p> Signup and view all the answers

What is the primary cause of the erythema observed immediately after a mosquito bite?

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

Which staining technique is commonly used for cytological purposes?

<p>Papanicolaou stain (PAP stain) (B)</p> Signup and view all the answers

Which of the following is NOT a cardinal sign of inflammation?

<p>Color (change in skin pigmentation) (A)</p> Signup and view all the answers

What is the process by which neutrophils actively move towards a chemotactic gradient?

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

Which of these factors can contribute to chronic inflammation?

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

Which of these is NOT a characteristic feature of a granuloma?

<p>Plasma cell infiltrate (C)</p> Signup and view all the answers

What is the most common cause of death in children under one year old?

<p>Congenital malformations (C)</p> Signup and view all the answers

Which of the following statements about the RB1 gene is TRUE?

<p>The RB1 gene is responsible for the production of a protein involved in cell cycle regulation. (D)</p> Signup and view all the answers

Which of these is associated with gene rearrangement and is a hallmark feature of Chronic Myeloid Leukemia (CML)?

<p>BCR-ABL fusion protein (D)</p> Signup and view all the answers

Flashcards

Granulation tissue components

Includes fibroblasts, loose connective tissue, new capillaries, and inflammatory cells.

Cell aging change

Cell aging is typically marked by the shortening of telomeres.

Myocardial infarction characteristic

Pathological view of myocardial infarction shows coagulative necrosis.

Lynch syndrome

Lynch syndrome is characterized by an increased risk of colorectal cancer.

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Atherosclerosis factor NOT associated

A high HDL level is NOT associated with the development of atherosclerosis.

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False statement regarding miRNA

miRNA do not encode proteins; they regulate gene expression instead.

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Cushing's ulcer association

Cushing's ulcer is commonly associated with brain injury.

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Goals of tissue fixation

Goals include preserving tissue structure, preventing decay, and facilitating examination.

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Composition of emboli

The majority of emboli are composed of thrombus.

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Autoinflammatory diseases

These diseases are caused by disorders in the innate immune response.

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Symptoms of autoinflammatory diseases

Can be triggered by innocent stimuli like temperature changes.

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Prostate adenocarcinoma grading

Grading is based on assessment of nuclear morphology and tubular architecture.

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Pulmonary embolism characteristics

Not characterized by prominent neutrophilic infiltrate but by obstruction in the lungs.

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Characteristics of good fixative

Good fixative should have rapid penetration and minimal structure alteration.

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Purpose of dehydration in tissue prep

To replace water and tissue with nonpolar substances for better preservation.

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Caseous necrosis association

Commonly occurs in tuberculosis.

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Primary risk factor for skin cancer

The main risk factor is exposure to UV radiation.

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10% formalin-buffered solution pH

A pH of 7.2 to 7.4 is essential for proper tissue preservation and stability of the fixative.

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Factors affecting tissue fixation

Tissue fixation is influenced by time, temperature, material type, and chemical properties of the fixative.

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Dehydration process purpose

Dehydration replaces water in tissues with non-polar substances to facilitate further processing.

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Intermediate fluids in tissue preparation

Intermediate fluids facilitate the transition from dehydration to paraffin infiltration during tissue preparation.

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Cardinal signs of inflammation

The cardinal signs are calor (heat), rubor (redness), tumor (swelling), dolor (pain), and functio laesa (loss of function).

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Chemotaxis

The active transport of neutrophils through a chemical gradient towards sites of inflammation.

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Granuloma composition

Granulomas consist of epithelioid cells, giant cells, and may show caseous necrosis, often in response to infections.

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Phimosis

A condition where the prepuce cannot be easily retracted over the glans penis.

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Hypospadias

An abnormal urethral opening found on the ventral aspect of the penis.

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Epispadias

An abnormal urethral orifice on the dorsal aspect of the penis.

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Lesch-Nyhan syndrome

A disorder caused by mutation in the HPRT1 gene, affecting males primarily and leading to a buildup of uric acid.

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Familial Mediterranean Fever

An autosomal dominant disorder causing recurrent fevers and risk of amyloidosis due to MEFV gene mutation.

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KRAS mutations

KRAS mutations are often found in pancreatic cancer, impacting cancer growth and signaling.

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Erythema from mosquito bite

Erythema (redness) observed after a mosquito bite is due to vasodilation in response to the bite.

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Nutmeg liver

A description of liver pathology showing central necrosis with peripheral fatty change, often due to congestion.

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Study Notes

Characteristic Components of Granulation Tissue

  • Granulation tissue is composed of fibroblasts, loose connective tissue, new capillaries, and inflammatory cells.

Cell Aging

  • A characteristic change in cell aging is the shortening of telomeres.

Myocardial Infarction

  • Myocardial infarction, pathologically, involves coagulative necrosis.

Lynch Syndrome

  • Lynch syndrome is associated with an increased risk of colorectal cancer.

Atherosclerosis

  • High HDL levels are NOT associated with the development of atherosclerosis. Low LDL levels, tobacco smoking, and hypertension are associated risk factors.

MicroRNAs (miRNA)

  • MicroRNAs do not encode proteins.
  • They are involved in post-transcriptional gene regulation.
  • miRNA expression can affect the invasiveness of cancer cells.
  • Analyses of miRNA expression can be diagnostic and/or prognostic markers for some cancers.

Cushing's Ulcer

  • Cushing's ulcer is commonly associated with severe burns.

Tissue Fixation Goals

  • Tissue fixation aims to slow down cellular activity, preserve tissue structure, prevent decay, facilitate microscopic examination, prepare for molecular analysis, and enable archiving.

Good Fixative Characteristics

  • An ideal fixative penetrates rapidly, reacts swiftly, causes minimal structural alteration, is safe, and is inexpensive.

Formalin Buffer pH

  • A 10% formalin-buffered solution for tissue preservation should maintain a pH range of 7.2 to 7.4 to ensure stability and effective preservation.

Tissue Fixation Factors

  • Tissue fixation is affected by the duration of exposure, temperature, the type of tissue, and the fixative's chemical properties (pH).

Dehydration in Tissue Preparation

  • Dehydration in tissue preparation involves replacing water with non-polar substances to preserve structure and aid in staining.

Intermediate Fluids in Tissue Preparation

  • Intermediate fluids facilitate the transition from dehydration to paraffin infiltration during tissue preparation.

Secondary Hypercoagulable States

  • Factor V Leiden mutation is a secondary hypercoagulable state.

KRAS Location

  • KRAS is frequently found in pancreatic cancer.

Risk Factors for ARDS

  • A mature birth is NOT a risk factor for Acute Respiratory Distress Syndrome (ARDS).

Nutmeg Liver

  • A nutmeg liver shows central necrosis with peripheral fatty change.

Mosquito Bite Erythema

  • Erythema at the site of a mosquito bite is due to vasodilation.

Cytological Staining

  • Pap smear uses Pap/Papanicolaou stain for cytological purposes.

Acute Inflammation Exudate

  • Exudate is a sign of acute inflammation.

Neutrophil Movement

  • Chemotaxis drives the active transport of neutrophils along a chemical gradient.

Chronic Inflammation Causes

  • Prolonged exposure to harmful (exogenous or endogenous) factors can cause chronic inflammation.

Cardinal Signs of Inflammation

  • The cardinal signs of inflammation are local heat (calor), redness (rubor), swelling (tumor), pain (dolor), and loss of function (functio laesa).

Sex Cord Stromal Tumor

  • A Sertoli cell tumor is a type of sex cord stromal tumor.

Phimosis

  • Phimosis is a condition characterized by an inability to retract the prepuce easily over the glans penis.

Hypospadias

  • Hypospadias is a condition where the urethral opening is located on the ventral aspect of the penis.

Epispadias

  • Epispadias is characterized by an abnormal urethral opening on the dorsal aspect of the penis.

Tissue Repair Factors

  • Factors impairing wound healing include infection, diabetes, and poor perfusion.

Infant Mortality

  • Congenital malformations are a leading cause of death in infants under one year of age.

Granulomas

  • Granulomas are characterized by epithelioid cells, giant cells, and often caseous necrosis.

RB1 Gene

  • RB1 is a tumor suppressor gene associated with retinoblastoma.

Gene Rearrangement

  • BCR-ABL is a gene rearrangement associated with chronic myeloid leukemia.

Familial Mediterranean Fever

  • Familial Mediterranean fever (FMF) is an autosomal dominant disorder.
  • Its most serious complication is progressive systemic amyloidosis, affecting kidney function.
  • Mutations in the MEFV gene lead to dysregulation of caspase-1 by the pyrin protein.

Lesch-Nyhan Syndrome

  • Lesch-Nyhan syndrome is linked to a mutation in the HPRT1 gene on the X chromosome, affecting males mostly.
  • Females carrying this mutation are typically asymptomatic.

Purulent Gallbladder Inflammation

  • Histological examination of a purulent gallbladder inflammation will not show a predominance of eosinophils in the inflammatory infiltrate.

Intestinal Anastomosis Leakage

  • Leakage of an intestinal anastomosis following surgical resection would cause an increase in heart rate, expression of selectins at the injured site, and possible disturbances of consciousness. Fibrous exudate would form at the perforation site. Increased vitamin C production in the liver is not a typical consequence.

Seminoma

  • Seminoma is the most common germ cell tumor of the testis, derived from germ cells. It's not associated with elevated hCG levels in all cases, and its precursor is not Bowen's disease.

Squamous Cell Carcinoma Location

  • Squamous cell carcinoma is commonly found in the penis and scrotum.

Acute Pulmonary Congestion

  • Interstitial fibrosis is NOT a feature of acute pulmonary congestion.

Pulmonary Embolus Composition

  • The vast majority of emboli are composed of thrombus. Other possibilities include air, amniotic fluid, and lipid droplets, but thrombus is most common.

Autoinflammatory Diseases

  • Autoinflammatory diseases are characterized by an unexpected inflammatory response to an innocent stimulus (e.g., a temperature change). The development of the symptoms involves NOD-like receptors and inflammasome products.

Prostate Adenocarcinoma Grading

  • Prostate adenocarcinoma grading is based on assessing nuclear morphology and tubular architecture.

Pulmonary Embolism Features

  • The given information is incomplete to determine which feature is NOT characteristic of pulmonary embolism.

Respiratory Distress Syndrome (RDS)

  • A prominent neutrophilic inflammatory infiltrate in pulmonary parenchyma, hyaline membranes in alveoli, atelectasis, and collapsed alveoli are features of RDS. Proliferation of type II pneumocytes is part of the repair process rather than an initial feature of RDS.

Caseous Necrosis

  • Caseous necrosis is found in tuberculosis.

Cardiac Muscle in Emphysema

  • Cardiac muscle in the course of spontaneous pulmonary emphysema undergoes hypertrophy.

Pancreatic Enzymatic Necrosis

  • Pancreatic enzymatic necrosis is marked by the enzymatic necrosis of adipose tissue.

Steatosis (Fatty Change)

  • Steatosis is observed as an accumulation of simple fats within the cytoplasm of cells, particularly in the liver. Hydrophobic degeneration of the liver, accumulation of fats in cardiomyocytes, and the replacement of pancreatic acinar tissue with fat are all instances of steatosis.

Skin Cancer Risk Factor

  • Exposure to UV radiation is the primary risk factor for skin cancer.

Chronic Inflammation Causes

  • Chronic inflammation is caused by long-term exposure to harmful exogenous and endogenous factors.

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Test your knowledge on various aspects of pathology and histology with this quiz. Questions cover topics such as granulation tissue, myocardial infarction, and tissue fixation techniques. Excel in understanding pathological changes and cellular aging.

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