Chapter 1: Mechanisms of Disease, Diagnosis, and Treatment Flashcards

1
Q

the internal stability of the body is

A

homeostasis

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2
Q

objective findings; like fever

A

signs

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3
Q

subjective findings; like nausea

A

symptoms

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4
Q

collection of signs and symptoms that characterize a disorder or condition is termed

A

syndrome

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5
Q

development of disease occurs in stages, described as

A

pathogenesis

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6
Q

refers to an abrupt onset of more or less severe symptoms that run a brief course

A

acute

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7
Q

a disease develops slowly, or is intermittent, and lasts longer than six months

A

chronic

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8
Q

make a person or group more vulnerable to disease

A

predisposition facts (risk factors)

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9
Q

what are five predisposing factors

A

age, gender, lifestyle, environment, and heredity

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10
Q

what is an example of age as a risk factor

A

complications during pregnancy and maladies associated with aging

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11
Q

what is an example of gender as a risk factor

A

women-MS, osteoporosis; men- gout, Parkinson’s

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12
Q

what is an example of lifestyle as a risk factor

A

occupation habits, smoking, drinking, risk sexual behavior, etc.

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13
Q

what is an example of environment as a risk factor

A

air and water pollution.

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14
Q

what is an example of heredity as a risk factor

A

inheritance, family history

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15
Q

is a blood test marker used to detect inflammatory disorders, among other pathologies

A

C-reactive protein (CRP)

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16
Q

what are the 4 processes of inflammation

A

redness, heat, swelling, and pain

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17
Q

pertaining to the process of engulfing a cell.

A

phagocytic

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18
Q

a pus-containing fluid release

A

exudate

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19
Q

signs of local infection are

A

redness, swelling, heat, pain, fever, pus, enlarged lymph glands, and red streaks

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20
Q

signs of widespread infection are

A

fever, headache, body aches, weakness, fatigue, loss of appetite, and delirium

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21
Q

how do pathogens cause disease

A

invasion and local destruction of living tissue

intoxication or production of substances that are poisonous to the body

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22
Q

origination within the body

A

endogenous

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23
Q

originating outside the body

A

exogenous

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24
Q

4 pathogenic agents can include

A

bacteria, viruses, fungi, and protozoa

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25
Q

asymptomatic persons or animals that harbor in their bodies pathogens that can be transferred to others

A

carriers

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26
Q

what are the three defense systems against infection

A

natural mechanical and chemical barriers, such as skin, cilia, body pH
the inflammatory response
the immune response

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27
Q

new, virulent antibiotic-resistant strains of bacteria

A

superbugs

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28
Q

MRSA

A

methicillin-resistant Staphylococcus aureus

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29
Q

pair of genetic information arrange in 23 pairs

A

chromosomes

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30
Q

X and Y chromosomes are known as

A

sex chromosomes (23rd pair)

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31
Q

first 22 chromosome pair are known as

A

homologous chromosomes; autosomes

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32
Q

genetic code is referred to as

A

genotype

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33
Q

is an ordered arrangement of photographs of a full chromosome set

A

karyotype

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34
Q

the basic unit of hereditary , are small stretches of DNA

A

genes

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35
Q

what are the 4 characteristics or genetic diseases

A

abnormality in, or a mutation of, the genetic code in a single gene
several abnormal genes (polygenic disease)
abnormal presence or absence of an entire chromosome
alteration in the structure of chromosomes

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36
Q

changes in the genetic code are called

A

mutations

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37
Q

agents known to disrupt normal sequence of DNA units

A

mutagens

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38
Q

what are the three main modes of inheritance

A

autosomal dominent
autosomal recessive
X-linked (sex-linked) recessive

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39
Q

gene in question is located on an autosome and the mutant phenotype is seen even if a normal gene is present on the other chromosome in the pair

A

autosomal dominent

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40
Q

the gene is located on an autosome but is insufficient to produce the mutant phenotype in the presence of the normal gene on the paired chromosome

A

autosomal recessive

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41
Q

gene is located only on the X chromosome. males are more commonly affected by the diseases than females

A

X-linked (sex-linked) recessive

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42
Q

who only have one copy of a recessive gene and appear outwardly normal are known as

A

carriers

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43
Q

tumors are also called

A

neoplasms

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44
Q

what are the two characteristics of tumors

A

benign

malignant

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45
Q

what are the general types of cancer

A
carcinoma 
sarcoma
lymphoma 
leukemia
melanoma
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46
Q

cancer of the epithelial cells

A

carcinoma

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47
Q

cancer of the supportive tissues of the body (bone and muscle)

A

sarcoma

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48
Q

cancer arising from the lymph nodes and tissues of the immune system

A

lymphoma

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49
Q

cancer of blood cells precursors

A

leukemia

50
Q

cancer of the melanin-producing cells of the body

A

melanoma

51
Q

develop slowly and can arise from any tissue. remain encapsulated and do not infiltrate surrounding tissue

A

benign tumors

52
Q

bening tumor cells are well differentiated–they resemble the tissue of origin

A

FREEBEE

53
Q

variable in appearance and disorderly (anaplastic) with irreversible changes in structure. invade surrounding tissue

A

malignant tumors

54
Q

poorly differentiated and do not resemble the tissue of origin

A

FREEBEE

55
Q

makes the neoplasm more difficult to eradicate from the body. spreading of the cells

A

metastasis (metastases)

56
Q

What is the mode of growth for benign tumors

A

slow growth; encapsulated; adhere to each other

57
Q

what is the mode of growth for malignant tumors

A

rapid growth; surrounding tissue by infiltration

58
Q

what do the cells of benign tumors look like under microscopic examination

A

tissue of origin; well differentiated; appear normal

59
Q

what do the cells of malignant tumors look like under microscopic examination

A

do not resemble tissue of origin; vary in size and shape; abnormal appearance

60
Q

How do benign tumors spread

A

remain localized

61
Q

how do malignant tumors spread

A

metastasis; carried by blood and lymphatics to other locations; secondary tumors

62
Q

what is the pathogenesis of benign tumors

A

relate to location with obstruction and compression to tissue or organs

63
Q

what is the pathogenesis of malignant tumors

A

cachexia; pain; fatal if not controlled.

64
Q

reflects tumor size and the extent of tumor spreading

A

staging

65
Q

tumor cells secrete substances that can be used to identify them

A

tumor markers

66
Q

how does TNM staging assess tumors

A

three areas:
the size or extent of tumor (T)
extent of regional lymph node involvement by tumor (N)
number of distant metastases (M)

67
Q

grade of tumor that have a greater number of mitoses and are associated with poorer survival

A

high-grade tumors

68
Q

is performed to relieve troublesome symptoms such as an obstruction

A

palliative surgery

69
Q

involves the use of medicines to destroy cancer cells

A

chemotherapy

70
Q

involves the use of monoclonal antibodies that are designed to target certain products of cancer cells that are not found in normal cells

A

immunotherapy

71
Q

describes a unique concept of care developed to help patients and their families deal with life-threatening illnesses. terminally ill patients

A

hospice

72
Q

growth of new blood vessels

A

angiogenesis

73
Q

are tumor suppressor genes are proposed targets for therapy

A

oncogenes

74
Q

immune disorders may generate

A

hypersensitivity
autoimmune diseases
immunodeficiency disorders

75
Q

is hypersensitivity of the body to a substance (allergen) ordinarily considered harmless

A

allergy, allergic disease

76
Q

a substance that causes the allergic response

A

antigen

77
Q

severe manifestations of allergic responses

A

anaphylaxis

78
Q

large group of disorders marked by an inappropriate or excessive response of the body’s defense system that allows the immune system to become self-destructive

A

autoimmune diseases

79
Q

result from a depressed or absent immune response

A

immunodeficiency disorders

80
Q

determine the priorities of care

A

triage

81
Q

gradual deterioration of the functions of the immune system

A

immunosenescence

82
Q

what are the stages of anxiety

A

shock, denial, anger, withdrawal, and depression

83
Q

first step of diagnosis involves

A

obtaining medical history: risk factors, allergies, etc.

84
Q

second step of diagnosis is

A

perform physical examination: inspection, auscultation, palpation, percussion

85
Q

third step of diagnosis is

A

obtain lab tests if needed

or go straight to comparison with normal findings

86
Q

fourth step of diagnosis is

A

integrate and interpret results

87
Q

fifth step of diagnosis is

A

formulate diagnosis, treatment, prognosis, prevent.

88
Q

Last step in diagnosis is

A

provide patient teaching

89
Q

what are parts of the healing process

A

love, humor, hope, and enthusiasm

90
Q

what are parts of the illness process

A

hostility, anger, fear, grief, rage, shame, and greed

91
Q

what are the five points of a human being from the holistic approach

A

spiritual, emotional, physical, social, and cognitive.

92
Q

recognition of the cultural diversity of patients

A

holistic medicine

93
Q

experimental intervention of adding, repairing, or blocking the expression of specific genes to treat a disease

A

gene therapy

94
Q

ex vivo

A

outside the body

95
Q

in vivo

A

inside the body

96
Q

cells to modified are removed from the body, modified, and returned to the patient

A

ex vivo

97
Q

treat patient with gene delivery vehicle that will target the desired cells for the gene modification

A

in vivo

98
Q

study stem cells to investigate their potential to repair damaged tissue in a filed called

A

regenerative medicine

99
Q

is an unspecialized cell that has the potential to give rise to cells specialized for any tissue in the body

A

stem cell

100
Q

can only give rise to other specialized cells

A

specialized cells

101
Q

subjective, individualized, and perceived only by the individual experiencing it

A

pain

102
Q

how is musculoskeletal pain described

A

dull and aching

103
Q

how is nerve pain described

A

burning

104
Q

how is abdominal-visceral pain described

A

cramping

105
Q

how is head pain described

A

throbbing

106
Q

specialized nerve endings that detect the stimulation of pain

A

nociceptors

107
Q

what three types of stimulus do pain receptors respond to

A

temperature extremes; mechanical damage; dissolved chemicals

108
Q

what is referred pain?

A

neurons from specific organs travel a parallel pathway along the spinal cord to the brain

109
Q

area on the skin that a nerve innervates

A

dermatome

110
Q

usually generated by nerve damage or cancer, is debilitating and can cause depression; type of pain

A

chronic intractable pain

111
Q

comes and goes, usually has a brief duration, and often is not significant; type of pain

A

transient

112
Q

described as being located on the body surface; type of pain

A

superficial pain

113
Q

refers to pain that is usually correlated with muscles, joints, or tendons; type of pain

A

deep pain

114
Q

attributed to internal organs; type of pain

A

visceral pain

115
Q

how is acute pain treated

A

narcotics or opioid-related drugs

116
Q

how is chronic pain treated

A

acetaminophen, antiprostaglandins, steroids, anti-inflammatory agents.

117
Q

the brain’s own natural opioids

A

endorphins

118
Q

hospital-acquired infections are called

A

nosocomial infections

119
Q

diseases or conditions that are a result of medial procedures or treatment

A

iatrogenic disorders

120
Q

most widely accepted form of alternative medicine

A

osteopathy

121
Q

two main fears of those with life-threatening illness

A

being in pain and becoming a burden to others