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NBME PATHOLOGY EXAM NEWEST EXAM | QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | LATEST VERSION | VERIFIED ANSWERS | JUST RELEASED

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NBME PATHOLOGY EXAM NEWEST EXAM | QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | LATEST VERSION | VERIFIED ANSWERS | JUST RELEASED

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1|Page



NBME PATHOLOGY EXAM NEWEST EXAM |
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION | VERIFIED ANSWERS
| JUST RELEASED



A cellular adaptation characterized by increased gene activation leading to
increased numbers of structural proteins and organelles. - (answers)Hypertrophy



A cellular adaptation characterized by proliferation of stem cells leading to an
increased total number of cells. - (answers)Hyperplasia



A cellular adaptation characterized by a decrease in tissue mass due to decrease
size and/or number of cells. - (answers)Atrophy



Describe the cellular process of muscle atrophy? - (answers)Initially due to
decreased protein synthesis and loss of fibrills/cell mass.



Later stages there is apoptosis



A cellular adaptation characterized by replacement of one cell type with another
in response to stress. Reversible if stressor is removed. - (answers)Metaplasia



A cellular adaptation characterized by disordered cell growth with high malignant
potential. Reversible if stressor is removed. - (answers)Dysplasia

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What are the hallmarks of reversible cell injury? - (answers)Na/K ATPase
dysfunction

Membrane Blebbing

Chromatin Clumping

Decreased Protein synthesis (ribosome detachment)



What are the hallmarks of irreversible cell injury? - (answers)Membrane
Damage/Rupture



Rupture of Lysosomes



Leak of cytosolic enzymes into serum



Mitochondrial permeability (cytochrome C release and apoptosis)



Pyknosis-> Karyorrhexis -> Karyolysis



What is pyknosis? - (answers)Nucleus turns into blobs



"pick blobs"

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What is karyorrhexis? - (answers)nuclear fragmentation



What is Karyolysis? - (answers)dissolution of nucleus (sign of necrosis)



What is necrosis? - (answers)Disorganized cell death



This type of necrosis features cell shape and organ structure preservation due to
coagulation of proteins - (answers)Coagulative necrosis



Where is coagulative necrosis seen? - (answers)Wedge shaped infarcts of solid
organs



NOT the Brain or Pancreas



This type of necrosis features enzymatic lysis of cells and proteins due to release
of neutrophil enzymes - (answers)Liquefactive



When is liquefactive necrosis seen? - (answers)Brain infarcts



Abscesses



Pancreatitis

, 4|Page


This type of necrosis is characterized by a coagulative necrosis that resembles
tissue mummification (dry form), commonly involving the lower extremities and
GI tract.



Superimposed Liquefactive necrosis leads to the "wet" form. -
(answers)Gangrenous



This type of necrosis is a combination of coagulative and liquefactive necrosis that
results in a "cottage cheese" like appearance of the affected tissue. -
(answers)Caseous Necrosis



When is Caseous Necrosis seen? - (answers)Most characteristic of granulomatous
inflammation in the lungs due to TB or fungal infection



This form of necrosis leads to the chalky white appearance of adipose tissue due
to the deposition of calcium in saponified fat. - (answers)Fat necrosis



When is fat necrosis seen? - (answers)Trauma to the breast and Acute
Pancreatitis



This form of necrosis is characterized by leakage of protein into blood vessel
walls. - (answers)Fibrinoid



When is fibrinoid necrosis seen? - (answers)1. Malignant HTN

2. Vasculitis

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