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Maryville University Advanced Pathophysiology Exam 1 Study Guide questions with verified detailed answers

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Maryville University Advanced Pathophysiology Exam 1 Study Guide questions with verified detailed answers

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Maryville University Advanced Pathophysiology Exam 1 || || || || || ||




Study Guide questions with verified detailed answers
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Describe the characteristics of apoptosis. - ✔✔cell death that is regulated or programmed
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Necrosis - ✔✔characterized by rapid loss of the plasma membrane structure, organelle
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swelling, mitochondrial dysfunction. Hypoxia is the #1 major cause of cellular injury
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leading to necrosis especially to the kidneys and heart. (Myocardial infarction)
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Page 52: What's new: Current research supports that after muscle heart injury that stem
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cells exist in the heart and differentiate into various cardiac cell lineages and is profoundly
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changing the understanding of myocardial biology!!!
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Atrophy: - ✔✔Physiologic: thymus gland atrophy (childhood)
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Hypertrophy - ✔✔(increase in size of cell) Another cellular adaptation that can actually be
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beneficial is hypertrophy of myocardial cells such as in endurance training - this is referred
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to as physiologic hypertrophy. Versus Pathologic hypertrophy that occurs secondary to HTN.
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Hyperplasia: (increase in # of cells) - ✔✔Compensatory: removal of 70% of liver - can
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regenerate in about 2 weeks. Pathological: endometrial hyperplasia
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Metaplasia - ✔✔(replacement of cells) normal columnar ciliated epithelial cells of the
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bronchial lining have been replaced by stratified squamous epithelial cells. Can be reversed
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if irritant stopped
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Cellular metabolism - ✔✔During ischemia, what effect does the loss of the adenosine
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triphosphate (ATP) level have on cells? || || || || ||

, 2


ATP=energy - ✔✔Needs Oxygen - aerobic metabolism || || || || || ||




A reduction in ATP levels causes the plasma membrane's sodium-potassium (Na+, K+)
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pump and sodium-calcium exchange to fail, which leads to an intracellular accumulation of
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sodium and calcium and diffusion of potassium out of the cell. (The Na+, K+ pump is
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discussed in Chapter 1.) Sodium and water then can enter the cell freely, and cellular
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swelling results. ||




What happens when oxygen reserves are depleted? - ✔✔Anaerobic metabolism (glycolysis)
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Free radicals play a major role in the initiation and progression of which diseases? - ✔✔A
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free radical is an electrically uncharged atom or group of atoms having an unpaired
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electron. Having one unpaired electron makes the molecule unstable; thus to stabilize, it
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gives up an electron to another molecule or steals one. Therefore, it is capable of injurious
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chemical bond formation with proteins, lipids, carbohydrates—key molecules in
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membranes and nucleic acids. || || ||




Cardiovascular, HTN, IHD. Emerging data indicate that reactive oxygen species play major || || || || || || || || || || || ||




roles in the initiation and progression of cardiovascular alterations associated with
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hyperlipidemia, diabetes mellitus, hypertension, ischemic heart disease, and chronic heart || || || || || || || || || ||




failure.



What is a consequence of leakage of lysosomes during chemical injury? - ✔✔:Enzymatic
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digestion of cellular organelles, including the nucleus and nucleolus, ensues, halting
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synthesis of DNA and ribonucleic acid (RNA). || || || || || ||




How does ethanol injure the cell? - ✔✔Liver enzymes metabolize ethanol to acetaldehyde
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which causes hepatic cellular dysfunction. Peroxisomes helps detoxify ethanol - if not
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functioning properly the ethanol is turned to Fat in the liver (Thus the term "Fatty Liver)
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Which cell component is the most vulnerable target of radiation? - ✔✔Deoxyribonucleic
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acid (DNA) ||

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