Pathophysiology Exam 3 Review

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Questions and Answers

What is the primary focus of pathophysiology?

  • Learning cellular respiration mechanisms
  • Understanding normal bodily functions
  • Studying the effects of alterations in body functions (correct)
  • Examining how the body processes nutrients

What is NOT a core concept that should be reviewed for understanding how the body responds to injury?

  • Cellular response to stress
  • Inflammatory processes
  • Genetic mutations (correct)
  • Tissue repair mechanisms

Which of the following is a fundamental aspect of the immune response?

  • Recognition and elimination of pathogens (correct)
  • Decreased white blood cell production
  • Immediate tissue repair without inflammation
  • Increase in metabolic rate

When studying diseases, what is crucial to remember about real diagnoses?

<p>They contain signs, symptoms, and treatments that relate to basic concepts (C)</p> Signup and view all the answers

Which process is characteristic of tissue repair after injury?

<p>Formation of scar tissue, if necessary (C)</p> Signup and view all the answers

What common misconception might students have regarding inflammation?

<p>Inflammation is always harmful and should be avoided (A)</p> Signup and view all the answers

Which of the following should be supplemented for effective studying?

<p>Notes from pre-lecture readings (D)</p> Signup and view all the answers

In terms of cellular response to stress, which outcome is typically seen?

<p>Cells can adapt through physiological processes (C)</p> Signup and view all the answers

How does the body typically respond to infections?

<p>By increasing blood flow and recruiting immune cells (D)</p> Signup and view all the answers

Which condition is characterized by alterations in bowel motility and can be diagnosed through stool analysis?

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

What is a common treatment approach for type 2 diabetes that differs from type 1?

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

Which of the following is a potential long-term complication directly associated with hyperglycemia?

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

In diabetic ketoacidosis (DKA), which metabolic disturbance is most commonly observed?

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

Which phenomenon is associated with a rebound effect leading to morning hyperglycemia in diabetic patients?

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

What differentiates gestational diabetes from type 1 and type 2 diabetes?

<p>It only occurs during pregnancy (C)</p> Signup and view all the answers

Which of the following statements is true regarding the pathophysiology of type 1 diabetes?

<p>Beta-cell destruction is an autoimmune process (C)</p> Signup and view all the answers

What is a serious complication of diabetes characterized by high blood glucose levels without the presence of ketones?

<p>Hyperglycemic hyperosmolar nonketotic syndrome (B)</p> Signup and view all the answers

What is the primary mechanism by which insulin lowers blood glucose levels?

<p>Enhances glucose uptake in adipose and muscle tissues (B)</p> Signup and view all the answers

Which of the following is a notable difference in diagnosis between type 2 diabetes and type 1 diabetes?

<p>Presence of autoantibodies (D)</p> Signup and view all the answers

What is the primary consequence of a serum pH level falling outside the physiological range?

<p>Altered function of enzymes and proteins (B)</p> Signup and view all the answers

Which buffer system is NOT one of the three primary systems used by the body to maintain pH balance?

<p>Lipid buffer system (C)</p> Signup and view all the answers

What is a significant manifestation of benign versus malignant tumors?

<p>Benign tumors usually have well-defined borders. (A)</p> Signup and view all the answers

Which process primarily describes how genetic mutations can occur?

<p>Exposure to environmental carcinogens (C)</p> Signup and view all the answers

What is a characteristic of neoplastic cells that distinguishes them from normal cells?

<p>Autonomy in growth and proliferation (D)</p> Signup and view all the answers

Which type of aging change is considered a normal physiological alteration rather than a pathological one?

<p>Diminished skin elasticity (D)</p> Signup and view all the answers

What role does the nephron play in the urinary system?

<p>Reabsorbing electrolytes and excreting waste (D)</p> Signup and view all the answers

What defines the progression stage in the carcinogenesis process?

<p>Expansion of mutated cells into a tumor (C)</p> Signup and view all the answers

What is a typical manifestation found in cases of altered urinary elimination?

<p>Presence of blood in urine (B)</p> Signup and view all the answers

Which characteristic is NOT typical of cancer cells?

<p>Controlled cell-to-cell communication (D)</p> Signup and view all the answers

Flashcards

Physiologic pH

The normal pH range for human blood, essential for proper cell function. If it goes out of range, cells and tissues can malfunction and die.

Carcinogenesis

The process that transforms a normal cell into a cancerous cell through multiple steps involving genetic mutations and changes in cell behavior.

Nephron

The basic unit of kidney function, responsible for filtering blood, reabsorbing useful substances, and excreting waste products.

Leukemia

A type of cancer that affects the blood-forming tissues, usually in the bone marrow.

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Differentiation

The process by which a cell becomes specialized, taking on a unique function and structure.

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Genetic Mutation

A change in the DNA sequence, which can lead to abnormal cell behavior and potentially cancer development.

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Metastasis

The process by which cancer cells spread to distant sites in the body from the original tumor.

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Carcinogens

Factors or substances that increase the risk of cancer development.

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Neoplasm

The uncontrolled and abnormal growth of cells, forming a mass or tumor. It can be benign (non-cancerous) or malignant (cancerous).

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Angiogenesis

The process by which cancer cells induce the formation of new blood vessels to supply them with nutrients and oxygen, enabling their growth and spread.

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Inflammation

The body's response to injury or stress, characterized by redness, swelling, heat, pain, and loss of function.

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Tissue Repair

The process by which damaged tissues are repaired, restoring structure and function.

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Immune Response

The body's defense system against foreign invaders like bacteria and viruses, involving a complex network of cells and proteins.

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Infection

The process by which pathogens enter the body and cause illness. This includes the mechanisms of pathogen entry, spread, and multiplication.

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Pathophysiology

The study of how diseases affect the body and its functions.

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Cellular Response to Stress

Cells' response to stress can vary depending on the type of stress and the cell's ability to adapt. Common responses include atrophy, hypertrophy, hyperplasia, metaplasia, and dysplasia.

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Adaptation

The body's ability to adapt to stress within certain limits. Beyond these limits, the body may experience injury or disease.

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Homeostasis

The complex process by which the body's various systems work together to maintain a stable internal environment.

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Altered Function

When the body's normal functions are disrupted, leading to signs and symptoms of illness. Understanding this helps us diagnose and treat diseases.

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Real Diagnosis

A specific example of a disease or condition that we learn about in class. It helps us understand the underlying pathophysiology and apply it to real-life scenarios.

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Type 1 Diabetes

Type 1 diabetes is an autoimmune disorder where the body's immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body cannot produce insulin, leading to high blood sugar levels.

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Type 2 Diabetes

Type 2 diabetes is characterized by insulin resistance, where cells become less responsive to insulin. The pancreas may initially produce more insulin to compensate. However, over time, the pancreas may not be able to produce enough insulin, leading to high blood sugar levels.

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Gestational Diabetes

Gestational diabetes occurs during pregnancy due to hormonal changes that make cells less sensitive to insulin, potentially leading to high blood sugar levels. Usually resolves after delivery, but increases risk of type 2 diabetes later.

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Diabetic Ketoacidosis (DKA)

Diabetic ketoacidosis (DKA) is a serious complication of diabetes that occurs when the body produces ketones as a fuel source due to insufficient insulin. This leads to acidic blood, potentially life-threatening.

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Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNK)

Hyperglycemic hyperosmolar nonketotic syndrome (HHNK) is a serious complication of diabetes characterized by extremely high blood sugar levels without the presence of ketones. Dehydration is common, potentially leading to coma.

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Somogyi Effect

Somogyi effect refers to a rebound rise in blood sugar in the morning following a period of low blood sugar during the night (hypoglycemia). This happens when the body releases hormones, like glucagon, to counter the low sugar, leading to a spike.

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Dawn Phenomenon

Dawn phenomenon is a natural rise in blood sugar levels in the early morning hours due to hormonal changes that occur during sleep. This is normal, but in diabetes, it might need additional insulin adjustment.

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Hypoglycemia

Hypoglycemia, or low blood sugar, is a potentially dangerous condition that can occur in people with diabetes when blood sugar levels fall too low. It can cause symptoms like confusion, dizziness, and even seizures or coma if untreated.

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Diverticular Disease

Diverticular disease refers to the formation of small pouches (diverticula) in the wall of the colon. Diverticulosis is the presence of these pouches without inflammation, whereas diverticulitis involves inflammation or infection of these pouches.

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Urolithiasis

Urolithiasis refers to the formation of kidney stones, which are hard deposits that can form in the kidneys and pass into the urinary tract. It can cause excruciating pain during passage.

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Study Notes

Exam 3 Review Topics

  • Exam 3 covers chapters 9, 19, 7, 18, and 20 of the textbook, specifically focusing on applied pathophysiology.

Chapter 9: Altered Acid-Base Balance

  • Understand acidosis and alkalosis identification via serum (blood) pH levels.
  • Know the importance of maintaining physiologic pH for cellular and tissue function.
  • Identify the three buffer systems in the body and their mechanisms for maintaining pH balance.

Chapter 19: Degenerative Changes in Aging

  • Compare normal aging to pathophysiological changes.
  • Understand the various manifestations of aging (refer to Figure 19.2 in the textbook).
  • Learn about osteoporosis and Alzheimer's disease as examples of aging-related conditions.

Chapter 7: Altered Cellular Proliferation and Differentiation

  • Differentiate between proliferation and differentiation, especially in relation to cancer.
  • Define cancer and neoplasms, and recognize the characteristics of neoplastic cells.
  • Explain carcinogenesis and the role of genetic mutations.
  • Identify factors that create a favorable environment for cancer formation (e.g., polymorphisms, epigenetic changes).
  • Understand the concept of initiation, promotion, and progression in cancer development.
  • Recognize characteristics of cancer cells, e.g., autonomy, anaplasia, changes in cell-to-cell communication, alterations in energy needs, and changes in cohesion and mobility.
  • Differentiate between benign and malignant cancers.
  • Understand methods of cancer spread.
  • Understand basics of naming and classifying cancers; whether higher numbers indicate better or worse prognosis.
  • Discuss general and localized manifestations of cancer.
  • Describe cancer diagnostics and treatments.
  • Note examples of cancer types, including lung, brain, colon, leukemia, and lymphomas.

Chapter 18: Altered Elimination

  • Explain the process of urine production and removal, including nephron function (glomerulus).
  • Describe the kidneys' roles in reabsorption and excretion.
  • Outline how urine is transported from the kidneys to the outside of the body.

Chapter 20: Integrated Pathophysiologic Concepts (Glucose Regulation and Diabetes)

  • Understand the role of glucose, energy, insulin, and the pancreas in regulating blood sugar levels.
  • Know what happens when the blood sugar regulating system malfunctions; specifically relevant to type 1, type 2, and gestational diabetes.
  • Describe causes, symptoms, diagnostics, and treatments for each type of diabetes, including non-pharmacological approaches.
  • Discuss the long-term complications of diabetes (microvascular and macrovascular).
  • Understand the dangers of hypoglycemia (low blood sugar).
  • Define diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNK).
  • Learn about the Somogyi effect and dawn phenomenon.
  • Review important diagnoses like metabolic acidosis and osteoporosis.

General Studying Advice

  • Use a combination of textbook, notes, pre-lecture study guides, and online videos during your study process.
  • Create visual aids (concept maps) if visual learning helps you.
  • Use the provided brain-based learning techniques.
  • Focus on the body's expected functions and how these can be disrupted (pathophysiology) in each chapter.
  • Do not solely rely on powerpoints, but try to supplement them with class notes and readings.
  • Note the concepts in the main topics of the review and think about the main foundational concepts.
  • Understand examples of real diagnoses, how their pathophysiology, signs, symptoms, diagnostic tests, and treatment/management.

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