Pathology Questions Flashcards

(40 cards)

1
Q

what term is used to describe the parenchymal cells of the heart?

A

cardiomyocytes

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2
Q

what term best described the proliferative capacity of the heart?

A

permanent - terminally differentiated cells

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3
Q

what macromolecules stain purple with hemotoxylin

A

nucleic acid

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4
Q

What effect can infection have on healing of wounds?

A

more tissue damage which leads to a bigger wound area and healing by second intention

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5
Q

How does an infection cause a fever?

A

Pyrogens

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6
Q

What are the pathological effects of systemic inflammation?

A

erythrocyte sedimentation rate, CRP, neutrophilia, eosinophilia, SAA, fibrinogen

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7
Q

what term is used to describe an inflammatory exudate composed of neutrophils, liquefactive necrosis and edema?

A

suppurative (pus)

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8
Q

what two cell types interact to cause chronic inflammation?

A

macrophages and lymphocytes

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9
Q

How does central tolerance identify T-cells that recognise peripheral antigens?

A

expression of peripheral antigen genes by the autoimmune regulator (AIRE)

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10
Q

what is peripheral tolerance - anergy?

A

self-reactive T-cells are not activated in the absence of costimulation by innate immune cells

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11
Q

what is peripheral tolerance - deletion?

A

self-reactive T-cells undergo apoptosis in the presence of cognate antigen

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12
Q

what is peripheral tolerance - regulation?

A

activation of self-reactive T-cells is inhibited by regulatory T-cell that recognises the same antigen

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13
Q

why does B-cell tolerance not need to be as successful as the elimination of self-reactive T-cells?

A

because they would need help from auto-reactive CD4+ T-cells (what are the chances the B and T cell will have the same antigen binding receptor)

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14
Q

what is peripheral tolerance - ignorance?

A

self-reactive B-cells are unable to see cognate antigen (only going to see extracellular receptors therefore can make nuclear antibodies that won’t be dangerous)

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15
Q

What are the genetic factors that can predispose an individual to an immune disease?

A

HLA polymorphisms, lymphocyte activation, AIRE, apoptosis, clearance

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16
Q

What are the environmental factors that can trigger an autoimmune disease?

A

Inflammation, modification by drugs and toxins, microbiome, tissue injury and molecular mimicry

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17
Q

What donor antigen is recognised by CD8+ T-cells in graft rejection and where are these antigens expressed in the graft?

A

MHC class I on all nucleated cells

18
Q

What environmental factor provides co-stimulation signals for T-cell activation in graft rejection?

19
Q

what is a delayed type hypersensitivity reaction

20
Q

what hypersensitivity reaction is caused by IgE recognition of an environmental antigen?

21
Q

what hypersensitivity occurs when immune complexes are deposited in blood vessels

22
Q

what hypersensitivity reaction is caused by IgG recognition of fixed endogenous antigens

23
Q

what cells of the innate immune response recognize Fc portion of IgG?

A

neutrophils, dendritic cells, macrophages

24
Q

what is the name of the receptor that recognises IgG

25
to what organs are immune complexes usually taken for removal?
liver and spleen
26
why are immune complexes deposited in the kidney and joints?
to be filtered
27
what term describes occlusion of a blood vessel
ischemia
28
what type of injury can be caused by occlusion of a blood vessel
hypoxia
29
what term is used to describe irreversible injury of cells caused by occlusion of a blood vessel
infarction
30
what are some examples of regulated cell growth?
replication of labile cell population in response to growth factors, replication of endothelial cells in response to injury, replication of hepatocytes following liver resection, replication of milk duct epithelial cells during puberty, replication of hepatocytes in a cirrhotic liver, replication of milk duct epithelial cells in an individual who inherited a BRCA1 mutation, replication of myometrium (muscle layer of the uterus) during pregnancy, replication of the endometrium in endometriosis
31
what term best describes poorly differentiated cells
anaplastic
32
what term best describes cells that differ in size and shape
pleiomorphic
33
what term best describes cells that have unorganised growth
lost polarity
34
what term best describes cells that resemble the tissue of origin
well differentiated
35
what term best describes a neoplasm composed of well differentiated cells
benign
36
what term best describes a tumor that has not invaded surrounding tissue
benign
37
what term best describes a tumor that has spread to a distant site
malignant/metastatic
38
what term best describes a tumor composed of many cells undergoing mitosis
malignant
39
what term best describes a tumor with cells with large (relative to cytoplasm) hyperchromatic nuclei
dysplastic
40