Pathology First Exam 2024 Material

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Questions and Answers

What is the definition of incidence in a population?

  • The number of new cases arising in a population during a specified time. (correct)
  • The total number of existing cases of a disease.
  • The number of deaths caused by a disease over a certain period.
  • The number of people affected by a disease at a specific point in time.

Which type of adaptation involves an increase in the size of cells?

  • Atrophy
  • Hypertrophy (correct)
  • Metaplasia
  • Hyperplasia

What does morbidity statistics provide information about?

  • The functional effect of a disease on a person’s life. (correct)
  • The total population affected by a disease at a specific point.
  • The number of deaths caused by a disease.
  • The number of new cases of a disease in a population.

Which type of hypertrophy results from increasing functional demand or hormonal stimulation?

<p>Adaptive hypertrophy (A), Compensatory hypertrophy (B), Physiologic hypertrophy (D)</p> Signup and view all the answers

What is the term for the steady state maintained by cells?

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

What defines pathologic adaptations in cells?

<p>Responses to stress that allow cells to escape injury. (D)</p> Signup and view all the answers

Which of the following best describes reversible cell injury?

<p>An injury that allows cells to recover and return to normal function. (C)</p> Signup and view all the answers

Which type of hypertrophy occurs due to disease conditions, such as hypertension?

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

What defines a congenital condition?

<p>A defect that is present at birth. (D)</p> Signup and view all the answers

What does pathogenesis refer to?

<p>The sequence of events leading to disease expression. (B)</p> Signup and view all the answers

Which statement about morphology is true?

<p>It encompasses both gross and microscopic changes. (B)</p> Signup and view all the answers

What best describes clinical manifestations of a disease?

<p>They include both signs and symptoms of the disorder. (D)</p> Signup and view all the answers

What distinguishes symptoms from signs in a clinical context?

<p>Symptoms are experienced by the patient, while signs are noted by an observer. (B)</p> Signup and view all the answers

Which of the following is true regarding syndromes?

<p>They consist of a combination of signs and symptoms that characterize a condition. (B)</p> Signup and view all the answers

How can acquired defects be best described?

<p>Defects that occur due to environmental exposure after birth. (D)</p> Signup and view all the answers

What is the main purpose of a diagnosis?

<p>To identify the cause of the disease. (C)</p> Signup and view all the answers

What does hyperplasia refer to in cellular biology?

<p>Increase in the number of cells in an organ or tissue (B)</p> Signup and view all the answers

Which type of hyperplasia occurs in response to hormonal stimulation?

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

What is a common cause of cellular atrophy?

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

How does atrophy primarily occur at the cellular level?

<p>Increased protein degradation (D)</p> Signup and view all the answers

What distinguishes hyperplasia from cancerous growth?

<p>Hyperplasia is a reversible process (D)</p> Signup and view all the answers

Which condition is NOT typically associated with atrophy?

<p>Increased physical activity (D)</p> Signup and view all the answers

What process describes the mechanism by which atrophied cells may still retain some level of function despite their size reduction?

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

Which factor influences the response of myocardial cells to injury or adaptation?

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

Which of the following chemicals is NOT mentioned as harmful to cells?

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

What is one of the first ways lead toxicity affects the body?

<p>Inactivation of enzymes for hemoglobin synthesis (D)</p> Signup and view all the answers

Which mechanism is NOT associated with biological injury from microorganisms?

<p>Excessive nutrient absorption (A)</p> Signup and view all the answers

What cellular effect results from hypoxia?

<p>Decreased ATP production (C)</p> Signup and view all the answers

Which type of vitamin imbalance can lead to cell injury?

<p>Starvation-induced deficiency (D)</p> Signup and view all the answers

Which of the following statements about free radicals is NOT true?

<p>They are always beneficial to cells. (B)</p> Signup and view all the answers

Which organ is NOT majorly targeted by lead toxicity?

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

What is a common outcome of diets high in animal fat?

<p>Development of obesity (D)</p> Signup and view all the answers

What is the primary consequence of mitochondrial membrane damage?

<p>Decreased ATP production (C)</p> Signup and view all the answers

What occurs as a result of plasma membrane damage?

<p>Loss of osmotic balance (B)</p> Signup and view all the answers

Which mechanism leads to necrosis following injury to lysosomal membranes?

<p>Leakage of lysosomal enzymes (A)</p> Signup and view all the answers

What is a common consequence of excessive DNA damage?

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

What is the primary consequence of ischemia compared to hypoxia?

<p>Faster and more severe tissue injury (D)</p> Signup and view all the answers

What triggers additional tissue injury during ischemia-reperfusion?

<p>Overproduction of reactive oxygen species (D)</p> Signup and view all the answers

Which type of cell injury is caused by toxic substances binding to cellular components?

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

What role do free radicals play in cellular injury?

<p>They lead to the accumulation of improperly folded proteins. (A)</p> Signup and view all the answers

What is the primary function of caspases in the process of apoptosis?

<p>To execute the process of apoptosis (A)</p> Signup and view all the answers

Which initiator caspase is activated by the extrinsic pathway?

<p>Caspase-8 (C)</p> Signup and view all the answers

In the intrinsic pathway, what is released from the mitochondria that triggers the activation of pro-caspases?

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

What defines neoplasia as compared to normal cellular growth processes?

<p>It is characterized by uncontrolled cell proliferation. (A)</p> Signup and view all the answers

What triggers the formation of a death-initiating complex in the extrinsic apoptosis pathway?

<p>Recognition of Fas-expressing cells by T cells (C)</p> Signup and view all the answers

What role do endonucleases play in the apoptosis process?

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

What characterizes the extrinsic pathway of apoptosis?

<p>Involves death receptor activation (D)</p> Signup and view all the answers

What distinguishes a tumor from a normal physiological swelling?

<p>Tumors are abnormal masses resulting from overgrowth. (A)</p> Signup and view all the answers

Flashcards

Congenital Condition

A defect present at birth, although it may not be noticeable until later in life.

Acquired Defect

A defect caused by events after birth.

Etiology

The cause of a disease, grouped as congenital or acquired.

Pathogenesis

The sequence of events from initial contact with a disease's cause to its manifestation.

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Morphology

The structural form of cells and tissues.

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Clinical Manifestations

Signs and symptoms of a disease.

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Symptoms

Subjective complaints felt by the patient, like pain or dizziness.

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Signs

Objective observations, such as a fever or rash, made by someone else.

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Incidence

The number of new cases of a disease in a population during a specific time period.

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Prevalence

The total number of cases (new and existing) of a disease in a population at a particular time.

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Mortality

Statistics on deaths from a particular disease during a specific time.

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Morbidity

Statistics on the functional effects of a disease on a person's life.

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Hypertrophy

Increase in the size of cells, leading to an increase in organ size, not cell count.

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Physiological Hypertrophy

Hypertrophy due to normal stimulation, like pregnancy.

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Pathological Hypertrophy

Hypertrophy caused by disease conditions, like high blood pressure.

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Homeostasis

Steady state that cells normally maintain.

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Chemical Injury

Damage to cells and tissues caused by exposure to harmful substances.

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Lead Toxicity

Harmful effects of lead buildup in the body, affecting red blood cells, digestive system, kidneys, and nervous system.

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Bacterial Infection

Invasion and harm caused by bacteria, often through toxins or cell destruction.

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Free Radicals

Unstable molecules that damage cells by stealing electrons, leading to cell injury.

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Hypoxia

Insufficient oxygen supply to cells, leading to energy depletion and potential cell death.

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Calcium Homeostasis Disruption

Imbalance in calcium levels within cells, leading to malfunction and potential damage.

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Nutritional Imbalance

Insufficient or excessive intake of nutrients, leading to various health problems.

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Vitamin Deficiency

Lack of essential vitamins, often due to poor diet or absorption issues.

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Causes of Hypertrophy

Hypertrophy can be caused by increased workload, hormonal stimulation, and certain growth factors.

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Hyperplasia

An increase in the number of cells in an organ or tissue, usually occurring in tissues with cells that are capable of dividing.

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Types of Hyperplasia

Hyperplasia can be physiological (normal) or pathological (abnormal). Physiological hyperplasia includes hormonal hyperplasia and compensatory hyperplasia. Pathological hyperplasia is often caused by excessive hormonal or growth factor stimulation.

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Atrophy

A decrease in the size of cells and organs due to loss of cell substance. Atrophied cells are not dead but have diminished function.

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Causes of Atrophy

Common causes of atrophy include decreased workload, loss of innervation, diminished blood supply, inadequate nutrition, loss of endocrine stimulation, and aging.

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Mechanisms of Atrophy

Atrophy is caused by a combination of decreased protein synthesis and increased protein degradation. Autophagy (self-eating) also plays a role.

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Reversibly Injured Cells

Cells that have undergone changes but have the potential to recover if the stress or injury is removed.

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Apoptosis

Programmed cell death, a normal process that eliminates unwanted or damaged cells in a controlled manner.

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Extrinsic Pathway of Apoptosis

Apoptosis initiated by external signals like death receptors (TNF receptors, FasL receptors) on the cell surface.

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Intrinsic Pathway of Apoptosis

Apoptosis initiated by internal signals, primarily mitochondrial damage, leading to cytochrome c release.

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Caspases

Proteolytic enzymes (protein-cutting enzymes) essential for apoptosis, present in cells as inactive procaspases.

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Initiator Caspases

Caspases that activate the apoptotic cascade, like caspase-8 in the extrinsic pathway.

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Executioner Caspases

Caspases that carry out the final steps of apoptosis, like caspase-3, by cleaving proteins and dismantling the cell.

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Neoplasia

Uncontrolled cell growth and proliferation, leading to the formation of a tumor or neoplasm.

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Tumor

An abnormal mass of cells arising from uncontrolled overgrowth, typically due to neoplasia.

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Mitochondrial Membrane Damage

When the membrane surrounding the mitochondria is damaged, it impairs ATP production leading to cell death (necrosis).

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Plasma Membrane Damage

Damage to the outer layer of the cell disrupts osmotic balance, allows fluids and ions to enter uncontrollably, and leads to loss of valuable cellular components, causing cell death.

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Lysosomal Membrane Damage

Damage to lysosomes, which contain digestive enzymes, releases these enzymes into the cell, triggering the breakdown of cellular components and leading to cell death.

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Excessive DNA Damage

Causes like radiation and oxidative stress can damage DNA beyond repair, leading to cell death (apoptosis).

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Accumulation of Misfolded Proteins

Inherited mutations or external triggers like free radicals can cause protein misfolding. This build-up triggers cell death (apoptosis).

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Ischemia vs. Hypoxia

Ischemia refers to reduced blood flow, causing faster and more severe tissue damage than hypoxia, which is a lack of oxygen. Both lead to decreased ATP production and cellular death.

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Ischemia-Reperfusion Injury

Restoring blood flow to ischemic tissue can surprisingly lead to further cell death because of increased ROS production and inflammatory response.

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Chemical (Toxic) Injury

Chemicals can cause cell injury by directly binding to vital cell components or by generating damaging free radicals.

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Study Notes

Pathology First Exam 2024 Material

  • The material covers concepts of health and disease.
  • Topics include etiology, pathogenesis, morphology, clinical manifestations, diagnosis, and clinical course.

Concepts of Health and Disease

  • Health: Defined as a state of complete physical, mental, and social well-being, not merely the absence of disease.
  • Disease: An interruption or disorder in the function of a body organ or system, a physiological dysfunction. Each disease is characterized by recognizable etiologic agents, and identifiable signs, symptoms, or consistent anatomic alterations.

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