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Questions and Answers
Which of the following laboratory tests would best indicate poor peripheral tissue perfusion in the patient with left ventricular aneurysm?
Which of the following laboratory tests would best indicate poor peripheral tissue perfusion in the patient with left ventricular aneurysm?
- Elevated troponin I
- Increased hematocrit
- Elevated lactate (correct)
- Increased sodium
What cellular process is most likely to occur in the myocardium following administration of tPA in the patient with cardiac arrest?
What cellular process is most likely to occur in the myocardium following administration of tPA in the patient with cardiac arrest?
- Apoptosis
- Reperfusion injury (correct)
- Autophagy
- Squamous metaplasia
In the patient with left ventricular aneurysm and worsening CHF, which of the following options is NOT a typical cause of myocardial damage?
In the patient with left ventricular aneurysm and worsening CHF, which of the following options is NOT a typical cause of myocardial damage?
- Elevated lactate
- Elevated troponin I
- Increased sodium (correct)
- Increased sedimentation rate
What cellular process is characterized by programmed cell death and is often seen in the setting of ischemic heart disease?
What cellular process is characterized by programmed cell death and is often seen in the setting of ischemic heart disease?
Which of the following laboratory tests would be most helpful in identifying ongoing myocardial damage following the administration of tPA?
Which of the following laboratory tests would be most helpful in identifying ongoing myocardial damage following the administration of tPA?
What is the most likely pathologic alteration in the brain from a thrombus in a dilated left atrium?
What is the most likely pathologic alteration in the brain from a thrombus in a dilated left atrium?
What cellular abnormalities are most likely to result in a wedgeshaped splenic lesion with base on the capsule?
What cellular abnormalities are most likely to result in a wedgeshaped splenic lesion with base on the capsule?
Which type of cell death involves the orderly dismantling of cell components and packaging them into apoptotic bodies?
Which type of cell death involves the orderly dismantling of cell components and packaging them into apoptotic bodies?
What type of necrosis is characterized by dissolution of dead cells with preservation of cellular outline?
What type of necrosis is characterized by dissolution of dead cells with preservation of cellular outline?
Which enzyme is most specific for myocardial damage and is commonly elevated in acute coronary syndromes?
Which enzyme is most specific for myocardial damage and is commonly elevated in acute coronary syndromes?
What type of necrosis is characterized by the presence of fibrin and 'immune complexes' in the walls of arteries?
What type of necrosis is characterized by the presence of fibrin and 'immune complexes' in the walls of arteries?
Which of the following biomarkers is specific for detecting necrosis of cardiac muscle?
Which of the following biomarkers is specific for detecting necrosis of cardiac muscle?
In the case of the 73-year-old man who suffered a stroke, what is the most likely type of cell death occurring in the affected brain region?
In the case of the 73-year-old man who suffered a stroke, what is the most likely type of cell death occurring in the affected brain region?
Which of the following laboratory tests would be most useful in detecting necrosis of hepatocytes (liver cells)?
Which of the following laboratory tests would be most useful in detecting necrosis of hepatocytes (liver cells)?
What is the characteristic histological appearance of necrosis in breast tissue?
What is the characteristic histological appearance of necrosis in breast tissue?
Which of the following statements about apoptosis is correct?
Which of the following statements about apoptosis is correct?
Which type of necrosis is typically seen in the brain tissue with liquefaction?
Which type of necrosis is typically seen in the brain tissue with liquefaction?
What type of necrosis is characterized by a combination of coagulative and liquefactive necroses?
What type of necrosis is characterized by a combination of coagulative and liquefactive necroses?
Which type of necrosis is commonly associated with tuberculosis infection in the lungs?
Which type of necrosis is commonly associated with tuberculosis infection in the lungs?
What type of necrosis is often observed in the pancreas following acute pancreatitis?
What type of necrosis is often observed in the pancreas following acute pancreatitis?
In which type of necrosis does the affected tissue appear as a black, dry, mummified, and coagulated mass?
In which type of necrosis does the affected tissue appear as a black, dry, mummified, and coagulated mass?
Which type of necrosis is characterized by the presence of chalky-white areas in affected tissue?
Which type of necrosis is characterized by the presence of chalky-white areas in affected tissue?
What is the characteristic histological appearance of fat necrosis?
What is the characteristic histological appearance of fat necrosis?
Which type of necrosis is associated with tuberculosis and often has a soft, crumbly, and cheese-like appearance?
Which type of necrosis is associated with tuberculosis and often has a soft, crumbly, and cheese-like appearance?
What type of necrosis is characterized by the dissolution of dead cells with preservation of cellular outline?
What type of necrosis is characterized by the dissolution of dead cells with preservation of cellular outline?
Which type of necrosis is often associated with ischemic conditions and is characterized by a dry, dark, and shrunken appearance with a firm, leathery texture?
Which type of necrosis is often associated with ischemic conditions and is characterized by a dry, dark, and shrunken appearance with a firm, leathery texture?
In which type of necrosis would you expect to find an inflammatory infiltrate and calcium deposits?
In which type of necrosis would you expect to find an inflammatory infiltrate and calcium deposits?
Which type of necrosis is often associated with vascular occlusion and is characterized by a soft, crumbly, and cheese-like appearance?
Which type of necrosis is often associated with vascular occlusion and is characterized by a soft, crumbly, and cheese-like appearance?
Which type of necrosis is commonly seen in foci of tuberculous infection?
Which type of necrosis is commonly seen in foci of tuberculous infection?
What characteristic appearance does fat necrosis often present as?
What characteristic appearance does fat necrosis often present as?
Which pattern of necrosis results in the transformation of tissue into a liquid viscous mass?
Which pattern of necrosis results in the transformation of tissue into a liquid viscous mass?
What is the distinctive feature of caseous necrosis under microscopic examination?
What is the distinctive feature of caseous necrosis under microscopic examination?
What term is commonly used when a limb has lost its blood supply and undergone coagulative necrosis?
What term is commonly used when a limb has lost its blood supply and undergone coagulative necrosis?
Which type of necrosis can be associated with acute pancreatitis?
Which type of necrosis can be associated with acute pancreatitis?
Which type of necrosis can be seen in bacterial abscesses and appears as creamy yellow material due to dead leukocytes?
Which type of necrosis can be seen in bacterial abscesses and appears as creamy yellow material due to dead leukocytes?
Which cellular injury process is characterized by the presence of chalky-white areas in affected tissue?
Which cellular injury process is characterized by the presence of chalky-white areas in affected tissue?
What is the distinctive histological appearance of caseous necrosis?
What is the distinctive histological appearance of caseous necrosis?
What type of cellular injury results in reversible cell changes such as cell swelling?
What type of cellular injury results in reversible cell changes such as cell swelling?
What major cellular adaptation occurs in response to stress and results in increased cell size?
What major cellular adaptation occurs in response to stress and results in increased cell size?
Which of the following is a characteristic feature of fat necrosis under microscopic examination?
Which of the following is a characteristic feature of fat necrosis under microscopic examination?
What histological feature is characteristic of fat necrosis?
What histological feature is characteristic of fat necrosis?
Which of the following is a common cause of irreversible cell injury?
Which of the following is a common cause of irreversible cell injury?
In reversible cell injury, what is the first manifestation of almost all forms of injury to cells?
In reversible cell injury, what is the first manifestation of almost all forms of injury to cells?
Which type of injury may lead to irreversible cell injury and ultimately cell death?
Which type of injury may lead to irreversible cell injury and ultimately cell death?
Which cellular change is observed with failure of energy-dependent ion pumps in the plasma membrane?
Which cellular change is observed with failure of energy-dependent ion pumps in the plasma membrane?
What is a common characteristic of adaptations in response to physiologic states?
What is a common characteristic of adaptations in response to physiologic states?
Which cellular adaptation is characterized by increased cell and organ size in response to increased workload?
Which cellular adaptation is characterized by increased cell and organ size in response to increased workload?
What is the hallmark of irreversible cell injury?
What is the hallmark of irreversible cell injury?
Which cellular adaptation involves the replacement of one cell type with another, better suited to altered local environmental conditions?
Which cellular adaptation involves the replacement of one cell type with another, better suited to altered local environmental conditions?
What nuclear change in necrosis is characterized by dark shrunken mass and increased basophilia?
What nuclear change in necrosis is characterized by dark shrunken mass and increased basophilia?
What enzyme is responsible for the digestion of DNA during karyolysis in necrotic cells?
What enzyme is responsible for the digestion of DNA during karyolysis in necrotic cells?
Which type of necrosis is often associated with vascular occlusion and appears as a dry, dark, and shrunken mass?
Which type of necrosis is often associated with vascular occlusion and appears as a dry, dark, and shrunken mass?
Which of the following nuclear changes is indicative of irreversible cell injury?
Which of the following nuclear changes is indicative of irreversible cell injury?
Which pattern of necrosis is characterized by the preservation of tissue architecture, with eosinophilic, anucleate cells persisting for days or weeks?
Which pattern of necrosis is characterized by the preservation of tissue architecture, with eosinophilic, anucleate cells persisting for days or weeks?
What is the characteristic gross appearance of caseous necrosis?
What is the characteristic gross appearance of caseous necrosis?
Which of the following is a common cause of irreversible cell injury?
Which of the following is a common cause of irreversible cell injury?
Which of the following is a characteristic morphological feature of apoptosis?
Which of the following is a characteristic morphological feature of apoptosis?
What is the hallmark of irreversible cell injury?
What is the hallmark of irreversible cell injury?
What is the characteristic feature of gangrene?
What is the characteristic feature of gangrene?
What is the most likely pathologic consequence of inadequate autophagy when a cell is under stress?
What is the most likely pathologic consequence of inadequate autophagy when a cell is under stress?
Which of the following is a typical characteristic of necrosis compared to apoptosis?
Which of the following is a typical characteristic of necrosis compared to apoptosis?
Which injurious stimulus is commonly associated with reduced blood supply to tissues?
Which injurious stimulus is commonly associated with reduced blood supply to tissues?
In the context of cellular injury, what is a major mitochondrial perturbation seen in both ischemia and hypoxia?
In the context of cellular injury, what is a major mitochondrial perturbation seen in both ischemia and hypoxia?
Which of the following substances, if released into the cell cytosol, is most likely to trigger a pathologic process affecting tumor cells?
Which of the following substances, if released into the cell cytosol, is most likely to trigger a pathologic process affecting tumor cells?
What major form of injurious stimuli results in oxygen deficiency at the cellular level?
What major form of injurious stimuli results in oxygen deficiency at the cellular level?
What is the primary role of mitochondria in the intrinsic pathway of apoptosis?
What is the primary role of mitochondria in the intrinsic pathway of apoptosis?
Which of the following statements about autophagy is correct?
Which of the following statements about autophagy is correct?
Which of the following is a major form of injurious stimulus?
Which of the following is a major form of injurious stimulus?
Which of the following is an example of chemical (toxic) injury?
Which of the following is an example of chemical (toxic) injury?
What is a major biochemical perturbation seen in ischemia and hypoxia?
What is a major biochemical perturbation seen in ischemia and hypoxia?
What is a key factor in the pathophysiology of ischemia-reperfusion injury?
What is a key factor in the pathophysiology of ischemia-reperfusion injury?
What is the primary cause of cell injury and necrosis in ischemia?
What is the primary cause of cell injury and necrosis in ischemia?
What is the primary mechanism of ischemia-reperfusion injury?
What is the primary mechanism of ischemia-reperfusion injury?
What is the primary mechanism of chemical (toxic) injury to cells?
What is the primary mechanism of chemical (toxic) injury to cells?
What is the primary mechanism of action of autophagy?
What is the primary mechanism of action of autophagy?
What is the primary pathologic role of free radicals in the context of cellular injury?
What is the primary pathologic role of free radicals in the context of cellular injury?
Which of the following is a protective role of antioxidants in cellular health?
Which of the following is a protective role of antioxidants in cellular health?
What is the main function of enzymatic free radical scavenging systems in cells?
What is the main function of enzymatic free radical scavenging systems in cells?
In the context of cellular aging, what is a common morphologic feature seen in intracellular accumulations of substances like hemosiderin?
In the context of cellular aging, what is a common morphologic feature seen in intracellular accumulations of substances like hemosiderin?
Which pathophysiologic process is commonly associated with extracellular accumulations of substances in tissues?
Which pathophysiologic process is commonly associated with extracellular accumulations of substances in tissues?
What role do endogenous and exogenous substances like hemosiderin play in the pathogenesis of diseases?
What role do endogenous and exogenous substances like hemosiderin play in the pathogenesis of diseases?
Which of the following is a primary mechanism by which reactive oxygen species (ROS) cause cellular injury?
Which of the following is a primary mechanism by which reactive oxygen species (ROS) cause cellular injury?
Which of the following is an enzymatic free radical-scavenging system?
Which of the following is an enzymatic free radical-scavenging system?
Which of the following is a non-enzymatic antioxidant that scavenges free radicals?
Which of the following is a non-enzymatic antioxidant that scavenges free radicals?
Which of the following processes is associated with an increased production of reactive oxygen species (ROS)?
Which of the following processes is associated with an increased production of reactive oxygen species (ROS)?
Which of the following is a characteristic feature of free radicals?
Which of the following is a characteristic feature of free radicals?
Which of the following is a major source of free radicals and oxidative stress in cells?
Which of the following is a major source of free radicals and oxidative stress in cells?
What is the primary role of enzymatic antioxidants like superoxide dismutase and catalase?
What is the primary role of enzymatic antioxidants like superoxide dismutase and catalase?
Which of the following is a characteristic morphological feature of cellular aging?
Which of the following is a characteristic morphological feature of cellular aging?
Which of the following is an example of an intracellular accumulation of an endogenous substance?
Which of the following is an example of an intracellular accumulation of an endogenous substance?
Which of the following is an example of an exogenous pigment that can accumulate in cells?
Which of the following is an example of an exogenous pigment that can accumulate in cells?
What is the primary mechanism by which acetaminophen can cause liver injury?
What is the primary mechanism by which acetaminophen can cause liver injury?
Which of the following cellular adaptations involves the replacement of one cell type with another better suited to altered environmental conditions?
Which of the following cellular adaptations involves the replacement of one cell type with another better suited to altered environmental conditions?
What is the primary function of autophagy in cells?
What is the primary function of autophagy in cells?
Which of the following is a characteristic morphological feature of apoptosis?
Which of the following is a characteristic morphological feature of apoptosis?