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PAS 525 Test With 100% Complete Solution

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PAS 525 Test With 100% Complete Solution ...

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PAS 525 Test With 100% Complete Solution


What are the cellular systems and processes prone to injury? - ANSWER -Cell
membrane integrity

-Aerobic respiration

-Enzyme & structural protein synthesis

-Nuclear integrity

What are the important biochemical themes common to cell injury and death? - ANSWER
-Changes in membrane permeability

-ATP depletion

-O2 & O2 derived free radicals

-Changes in intracellular Ca2+ homeostasis

What are some cellular changes secondary to cellular injury? - ANSWER -Changes in
membrane permeability

-Cellular swelling and changes in membrane function

-Changes in nuclei

What is thrombosis? What is the most common cause of it? - ANSWER -Blood clot
formation on intimal lining of blood vessels or heart

-Most commonly caused by intimal disruption exposing sub-endothelial collagen

What is an embolism? What is the most common source? - ANSWER -Free floating
particle in blood stream lodges in blood vessel and occludes blood flow

-Most common source is a thrombus

What three things cause cellular swelling? - ANSWER -Hypoxia

-Decreased ATP production secondary to decreased Na-K ATPase pump activity

-Alterations in plasma membrane permability

What are the two abnormal pigmentation accumulations discussed? Describe each. -
ANSWER -Lipofuscin: yellowish discoloration of skin secondary to free radicals & lipid
peroxidation. The most commonly effected tissues are chronically injured cells.

-Hemosiderin: insoluble form of Fe in tissue, abnormal accumulations stain tissue a
brownish color. Example: chronic venous stasis ulcers

,Where does calcification occur? What diagnostic tool can we use to visualize this? -
ANSWER -Calcium may precipitate in areas of chronic inflammation, dead/degenerating
tissue

-Can identify on xray

What is hyaline infiltration? - ANSWER -Abnormal protein deposits in tissue that make
them hard and non functional. Happens secondary to long lasting hypertension and
diabetes

What is atrophy? What are the two different types? - ANSWER -Decrease in cell size
secondary to decreased workload, decreased innervation, decreased blood supply, or
decreased nutrition/hormone stimulation

-Physiologic (due to age) & disuse (due to decreased use)

What is hypertrophy? What is a common cardiac disease involving hypertrophy? Which
valvular disease is this typical of? - ANSWER -Increased cell size secondary to
increased workload

-Left ventricular hypertrophy

-Aortic stenosis

What is the difference between neoplasia & anaplasia? - ANSWER -Neoplasia is
excessive uncontrolled clonal cell proliferation (can be benign or malignant)

-Anaplasia is abnormal appearing cells lacking differentiation (young cells that don't
mature properly) --> equated with undifferentiated malignant neoplasms

What is apoptosis? What is the main enzyme involved in this process? - ANSWER -Highly
controlled & orderly process of cellular destruction

-Caspases

What is infarction? Define the two types. - ANSWER -Localized area of tissue death
secondary to decreased blood flow

-Red (hemorrhagic) infarction & Pale infarction

What is necrosis? What are the three types? - ANSWER -Cell or tissue death with
morphologic evidence of death

-Coagulative (fibrinous) necrosis, liquefactive necrosis, and gangrenous negrosis

Which type of necrosis do you get when there is a homogenous mass deprived of blood?
- ANSWER -Coagulative (fibrinous) necrosis

Which type of necrosis do you see due to autolysis or bacterial breakdown? - ANSWER
-Liquefactive necrosis

, What are the different types of gangrenous necrosis? - ANSWER -"Dry": loss of blood
flow

-"Wet": with liquefaction

-"Gas": specific due to Clostridia infections

What is ground substance made of? - ANSWER -Glycoproteins & Proteoglycans

What are fibroblasts? - ANSWER -Connective tissue cells that produce collagen

What are the main function of Glycosaminoglycans (GAGS)? What proteins are they
attached to? - ANSWER -Bind water, help tissues fill up space and retain water

-Proteoglycans

Which WBC responds in the first 24 hours? They express receptors for? - ANSWER
-Neutrophils (PMNs): non specific phagocytes

-C3b, C5a

Which type of WBC are "pre-committed" in their immune specificity before interactions
with antigens? - ANSWER -Lymphocytes

What are they two different types of lymphocytes? What are the differences between
them? - ANSWER -T cells and B cells

-B cells account for small number overall (10%), T cells account for 75%

-B cells are responsible for humoral immunity, T cells are responsible for cellular
immunity

-B cells' membrane receptors are immunoglobulins that are antigen specific, T cells do
not have membrane receptors. T cells have CD molecules that mature in the thymus
gland

-B cells differentiate into plasma cells which produce antibodies

What are the cardinal signs of acute inflammation? - ANSWER -Rubor (redness)

-Calor (heat)

-Dolor (pain)

-Tumor (swelling)

-(loss of function)

What are the different types of chemotaxic factors? - ANSWER -Bacterial products

-Complement components

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