Cell and Tissue Injury Flashcards

1
Q

__________ is growth of cells, while ___________ is increase in the number of cells. Both can be physiologic or pathologic.

A

Hypertrophy; hyperplasia

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2
Q

______ is the shrinkage of cells.

A

Atrophy

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3
Q

Metaplasia is the __________.

A

reversible change in which one adult/differentiated cell type is replaced by another adult/differentiated cell type.

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4
Q

The esophagus is usually _______ tissue, but can undergo metaplasia in response to reflux.

A

stratified squamous epithelium

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5
Q

Metaplasias are named for the ________.

A

tissues that they differentiate to, not the tissues they arose from

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6
Q

The two types of reversible cell injuries that we need to know are _________.

A

cellular swelling (from disrupted ion pumps) and fatty changes (accumulated lipid vacuoles, not adiopocytes)

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7
Q

The two types of irreversible cell injuries that we need to know are __________.

A

apoptosis and necrosis

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8
Q

Pyknosis is _____.

A

nuclear shrinkage and increased basophilia

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9
Q

Karyorrhexis is _________.

A

nuclear fragmentation

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10
Q

Karyolysis is __________.

A

nuclear dissolution

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11
Q

Coagulative necrosis is characterized by _______.

A

dead cells that are pale; architecture in place for several days; found in MIs

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12
Q

Liquefactive necrosis occurs when ________.

A

the cytolytic enzymes released by leukocytes in response to a bacterial or fungal infection digests surrounding tissue

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13
Q

Caseous necrosis is a result of ___________.

A

tuberculotic granulomas

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14
Q

Caseating necroses are distinguished from liquefactive necroses by the presence of ______ in caseating necroses.

A

necrotic debris

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15
Q

Activated pancreatic lipases reacting with fats to produce fatty acids that precipitate with calcium is a form of necrosis called ________.

A

fat necrosis

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16
Q

The mechanism of fibrinoid necrosis is characterized by _________.

A

complexes of antibodies getting stuck in vascular endothelium, which then reacts with fibrin

17
Q

Tissues with ___________ are better able to withstand ischemic injury.

A

greater glycolytic capacity

18
Q

List the six methods of cell injury listed on slide 41.

A

1) ATP depletion
2) Mitochondrial damage
3) Influx of calcium
4) ROS accumulation
5) Increased permeability of membrane
6) Accumulation of damaged DNA

19
Q

O2 is converted to H2O2 by _____.

A

SOD

20
Q

H2O2 is decomposed by _________.

A

glutathione peroxidase and catalase

21
Q

What are the pro-apoptotic enzymes in the intrinsic pathway?

A

BAX and BAK

22
Q

What are the anti-apoptotic enzymes in the intrinsic pathway?

A

BCL2, BCL-XL, and MCL1

23
Q

Mitochondrial apoptosis proceeds through caspase __, while extrinsic apoptosis goes through caspase ___.

A

9; 8

24
Q

Blood is considered a ______ tissue.

A

connective

25
Q

Increased calcium influx is an example of a _______ injury.

A

irreversible

26
Q

The uterus expands during pregnancy via _________.

A

hypertrophy

27
Q

What is steatosis?

A

Accumulation of triglycerides