Pathology Overview and Cell Adaptation
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Questions and Answers

What is the primary purpose of cellular adaptation?

  • To promote cell proliferation at all costs
  • To induce irreversible injury
  • To enhance apoptosis in response to stress
  • To alter homeostasis and maintain viability (correct)

Which type of cellular adaptation results in an increase in cell size and is often seen in affected organs?

  • Hypertrophy (correct)
  • Metaplasia
  • Atrophy
  • Hyperplasia

Which type of cell is considered nondividing and unable to proliferate?

  • Myogenic cells
  • Permanent cells (correct)
  • Labile cells
  • Stable cells

What distinguishes pathologic cellular adaptation from physiologic adaptation?

<p>Pathologic adaptation results in dysfunction and mortality (A)</p> Signup and view all the answers

Which cellular adaptation is characterized by a decrease in cell size?

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

What factors influence whether a stress leads to adaptation or injury?

<p>Nature and severity of the stress and cell-specific variables (D)</p> Signup and view all the answers

What is the main difference between labile and stable cells?

<p>Labile cells are continuously dividing, while stable cells are quiescent (C)</p> Signup and view all the answers

Which term describes the abnormal proliferation of cells, often seen in dysplasia?

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

What is the appearance of caseous necrosis commonly described as?

<p>Cheese-like (D)</p> Signup and view all the answers

Gangrenous necrosis is most often associated with which condition?

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

What causes fibrinoid necrosis?

<p>Immune-mediated vascular damage (D)</p> Signup and view all the answers

Which type of necrosis is associated with pancreatic enzymes damaging fat?

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

Gummatous necrosis is primarily related to which type of infection?

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

Which type of necrosis is characterized by bright pink deposits in H&E stains?

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

What triggers apoptosis in cells?

<p>A tightly regulated suicide program (A)</p> Signup and view all the answers

Haemorrhagic necrosis occurs as a result of what?

<p>Blockage of venous drainage (A)</p> Signup and view all the answers

What is the primary mechanism leading to metaplasia?

<p>Re-programming of stem cells (D)</p> Signup and view all the answers

Which type of metaplasia is characterized by squamous cells replacing columnar cells?

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

Dysplasia is characterized by which of the following features?

<p>Atypical proliferation with large nuclei (D)</p> Signup and view all the answers

What is a key difference between hyperplasia and metaplasia?

<p>Hyperplasia involves cell size change, while metaplasia involves cell type change (D)</p> Signup and view all the answers

Which condition is characterized by undifferentiated cells with a high number of mitotic figures?

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

What characterizes hypertrophy?

<p>Enlarged cells due to increased structural proteins (A)</p> Signup and view all the answers

Which of the following is an example of physiologic hyperplasia?

<p>Endometrial thickening after menstruation (C)</p> Signup and view all the answers

Which statement is true about atrophy?

<p>It results from loss of substance in cells. (D)</p> Signup and view all the answers

What is the major difference between hypertrophy and hyperplasia?

<p>Hypertrophy involves enlargement of existing cells; hyperplasia involves an increase in cell number. (B)</p> Signup and view all the answers

What causes pathologic hypertrophy?

<p>Increased cellular demands, such as from hypertension (A)</p> Signup and view all the answers

Which condition is an example of pathologic atrophy?

<p>Marasmus or cachexia due to nutritional loss (B)</p> Signup and view all the answers

Which of the following processes may coexist with hypertrophy?

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

What is metaplasia?

<p>Replacement of one type of adult cell with another (C)</p> Signup and view all the answers

What is primarily deposited in smooth muscle cells and macrophages in atherosclerotic plaques?

<p>Cholesterol and cholesterol esters (A)</p> Signup and view all the answers

Which term describes a cluster of foamy cells found in the skin and tendons?

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

What does cholesterosis refer to?

<p>Accumulations of cholesterol-laden macrophages in the gallbladder (C)</p> Signup and view all the answers

What is the appearance of hyaline change in histologic sections?

<p>Homogeneous, glassy, pink appearance (D)</p> Signup and view all the answers

Which of the following is an example of intracellular hyaline change?

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

In what form is glycogen primarily stored in healthy cells?

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

What type of change occurs in the walls of arterioles due to long-standing hypertension?

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

Which protein accumulation is specifically associated with α1 antitrypsin deficiency?

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

Flashcards

Etiology of disease

The cause of a disease, e.g., infections or genetics.

Pathogenesis

How a disease develops.

Cellular adaptations

Changes cells undergo in response to stress, maintaining viability.

Labile cells

Cells that continuously divide (e.g., skin, blood).

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Stable cells

Cells that divide when needed (e.g., liver, fibroblasts).

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Permanent cells

Cells that don't divide (e.g., neurons, cardiac muscle).

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Hypertrophy

Increase in cell size (e.g., heart in high blood pressure).

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Hyperplasia

Increase in cell number (e.g., pregnancy).

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Atrophy

Shrinkage of cells (e.g., lack of use).

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Metaplasia

One cell type replaces another.

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Dysplasia

Abnormal cell changes, precancerous.

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Caseous necrosis

Cheese-like tissue death (e.g., tuberculosis).

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Gangrenous necrosis

Tissue death from lack of blood flow, often in limbs.

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Fibrinoid necrosis

Necrosis in blood vessel damage.

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Fat necrosis

Fat tissue death (e.g., from pancreatic injury).

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Apoptosis

Programmed cell death.

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Neoplasia

New growth.

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Aplasia

Complete lack of tissue development.

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Hypoplasia

Incomplete tissue development (reduced size).

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Hyaline change

Glassy appearance in tissue.

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Glycogen accumulation

Glycogen storage in cells.

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Benign tumor

Non-invasive tumor.

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Malignant tumor

Invasive tumor.

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Study Notes

Pathology Overview

  • Pathology studies disease, emphasizing etiology (causes such as infections or genetic factors) and pathogenesis (progression of disease).
  • It encompasses molecular and morphologic changes and focuses on clinical manifestations (signs and symptoms).

Cell Injury and Adaptation

  • Cells are structural and functional units of tissues and organs; they adapt to physiologic or pathologic stress through changes in function and structure.
  • This adaptation creates a new steady state while preserving cell viability.

Types of Cells by Proliferation

  • Labile cells: continuously dividing (e.g., epithelium, bone marrow).
  • Stable cells: quiescent, capable of division when stimulated (e.g., hepatocytes, fibroblasts).
  • Permanent cells: non-dividing (e.g., neurons, cardiac muscle).

Types of Cellular Adaptations

  • Hypertrophy: Increase in cell size due to increased workload (e.g., cardiac muscle hypertrophy in hypertension).
  • Hyperplasia: Increase in the number of cells in response to stimuli (e.g., breast enlargement during pregnancy).
  • Atrophy: Shrinkage of cells due to loss of substance; involves decreased protein synthesis and increased degradation.
  • Metaplasia: Replacement of one adult cell type by another, often as an adaptive response to stress.
  • Dysplasia: Atypical changes in cell size and shape; considered a premalignant condition.

Hypertrophy

  • Involves the enlargement of existing cells without new cell formation.
  • Usually reversible if the causal factors are removed.

Hyperplasia

  • Involves increased cell division leading to an increase in tissue or organ size.
  • Can be physiologic (normal levels) or pathologic as seen in abnormal hormonal responses.

Atrophy

  • Results from decreased workload, denervation, ischemia, malnutrition, and hormonal changes.
  • Cells undergo protein degradation leading to shrinkage, but retain some viability.

Metaplasia and Dysplasia

  • Metaplasia is reversible, while dysplasia may lead to malignancy if persistent.
  • Chronic inflammation or irritation often triggers dysplastic changes.

Caseous Necrosis

  • Characterized by a cheese-like appearance, often associated with tuberculosis lesions.

Patterns of Necrosis

  • Gangrenous necrosis: Often seen in distal limbs due to ischemia and can be dry (coagulative) or wet (liquefactive).
  • Fibrinoid necrosis: Occurs in immune-mediated vascular damage.
  • Fat necrosis: Results from pancreatic injury or trauma leading to necrosis of adipose tissue.

Apoptosis

  • A controlled and gene-regulated process of programmed cell death, leading to formation of apoptotic bodies that are phagocytized without inflammation.

Neoplasia

  • Refers to "new growth" or tumors, which can be benign (non-invasive) or malignant (cancerous).

Other Cellular Changes

  • Aplasia: Complete failure of cell production leading to absence of an organ.
  • Hypoplasia: Incomplete development resulting in reduced organ size; less severe than aplasia.

Intracellular Changes

  • Hyaline change: Refers to glassy, homogeneous appearance in tissues; can reflect intracellular or extracellular alterations.
  • Glycogen accumulation: Indicates energy source storage within healthy cells, appearing as granules in the cytoplasm.

Summary

  • Adaptations in cells (hypertrophy, hyperplasia, atrophy, metaplasia, dysplasia) are crucial for maintaining homeostasis under stress but can lead to pathological conditions and tumor formation if dysregulated.

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Description

This quiz covers the fundamentals of pathology, focusing on disease etiology, pathogenesis, and the adaptation of cells to stress. It includes the classification of cells by proliferation and various types of cellular adaptations. Test your understanding of these critical concepts in pathology!

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