Pathology Random Facts Flashcards

(54 cards)

1
Q

What does FGF do?

A

Stimulates angiogenesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does EGF do?

A

Stimulates cell growth via tyrosine kinases (e.g., EGFR, as expressed by ERB2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What causes keloid scars?

A

Persistently elevated TGF-beta causing increased fibroblast proliferation and activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Difference between coagulative and liquefactive necrosis?

A

Coagulative is caused by ischemia/infarcts in most tissues except the brain, which is liquefactive. In coagulative, proteins denature, then enzymes are degraded. In liquefactive, enzymes are degraded first, then proteins denature.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does hypoxic ischemic encephalopathy affect?

A

Pyramidal cells of hippocampus and Purkinje cells of cerebellum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where does calcium normally deposit in metastatic calcification and why?

A

In interstitial tissues of kidney, lung, and gastric mucosa, because these tissues lose acid quickly and increased pH favors deposition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the steps and molecules in leukocyte extravasation

A
  1. Margination and rolling- E/P-selectin with Sialyl-Lewis, 2. Tight-binding- ICAM1/VCAM1 with CD11/18 interns or VLA-4 integrin, 3. Diapedesis PECAM-1 on both, 4. Migration- C5a, chalkier, LTB4, IL-8, platelet-activating factor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What type of collagen is involved in wound healing?

A

Initially type III, which is replaced by type I collagen, which increases the tensile strength of the tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What cells and factors are involved in granulomas?

A

Th1 cells secrete IFN-gamma, which activates macrophages, and IL-2. TNF-alpha from macrophages induces and maintains granuloma formation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are some diseases that could cause a decreased ESR?

A

Sickle cell anemia (altered shape), polycythemia (increased RBCs “dilute” aggregation factors), HF, microcytosis, hypofibrinogenemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Primary amyloidosis

A

AL, deposition of Ig light chains

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Secondary amyloidosis

A

AA, seen in chronic inflammatory conditions, fibrils composed of serum Amyloid A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cause of dialysis-related amyloid

A

Beta-2-microglobulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cause of heritable amyloidosis

A

Transthyretin gene mutation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cause of age-related (senile) amyloidosis

A

Deposition of normal (wild-type) transthyretin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Thyroid gland amyloid

A

Calcitonin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Alzheimers amyloid

A

beta-amyloid (from APP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pituitary amyloid

A

Prolactin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Pancreas amyloid

A

Amylin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Amyloid in DM2

A

Islet amyloid polypeptide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is lipofuscin

A

A yellow-brown “wear and tear” pigment associated with normal aging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is p-glycoprotein?

A

AKA multi drug resistance protein 1. Used to pump out toxins, including chemotherapeutic agents. Classically in adrenal cell carcinoma

23
Q

What is desmoplasia?

A

Fibrous tissue formation in response to neoplasm (eg, linitis plastica in diffuse stomach cancer)

24
Q

What is choristoma

A

Normal tissue in a foreign location

25
What cancer is dermato- and polymyositis associated with?
Predispose to visceral malignancies, particularly GI
26
What should you think of with sudden multiple seborrheic keratoses?
GI, breast, lung, and lymphoid malignancies
27
Mutation in Li Fraumenti syndrome
p53
28
What do autoimmune diseases predispose you to?
Lymphoma
29
What is alkaline phosphatase a tumor marker for?
Metastases to bone or liver, Paget disease of bone, summon (placental ALP)
30
What is alpha-fetoprotein a tumor marker for?
Hepatocellular carcinoma, hepatoblastoma, yolk sac tumor, mixed germ cell tumor
31
What is beta-HCG a tumor marker for?
Hydatidiform moles and Choriocarcinoma, testicular cancer, mixed germ cell tumor
32
What is CA 15-3/CA 27-29 a tumor marker for?
Breast cancer
33
What is chromogranin a tumor marker for?
Neuroendocrine tumors/carcinoid
34
What is S100 a tumor marker for?
Melanoma
35
What is the associated cancer for HTLV-1?
Adult T-cell leukemia/lymphoma
36
What is the associated tumor or the liver fluke (Clonorchis sinensis)
Cholangiocarcinoma
37
When do you see Psammoma bodies?
Papillary carcinoma of thyroid, serous papillary cystuadenocarcinoma of ovary, meningioma, and malignant mesothelioma
38
Which carcinomas spread hematogenously?
RCC, HCC, follicular carcinoma of the thyroid, and choriocarcinoma
39
Classic finding in carbon monoxide poisoning
Cherry red skin
40
Which form of iron cannot bind oxygen
Fe 3+
41
Cyanosis with chocolate-colored blood
Methemoglobinemia
42
Treatment for methemoglobinemia
Methylene blue, which helps reduce Fe3 back to Fe2+
43
What causes fat necrosis?
Fatty acids released by trauma (eg to breast) or lipase (eg, pancreatitis) join with calcium via a process called saponification
44
What does calcium deposit on in dystrophic calcification?
Necrotic tissue!
45
What breaks down the DNA in apoptosis?
Endonucleases
46
What is the intrinsic and extrinsic pathway of apoptosis?
Intrinsic-inactivation of Bcl2 allows cytochrome c to leak from the inner mitochondrial matrix into the cytoplasm and activate cascades; extrinsic- FAS ligand binds FAS death receptor (CD95) activating caspases, OR TNF binding
47
What leads to a continued rise in cardiac enzymes after reperfusion of infarctes myocardial tissue?
Return of blood results in production of O2 derived free radicals causing tissue damage
48
How is arachidonic acid released from the cell membrane?
Phospholipase A2
49
Which complement parts are anaphylatoxins?
C3b and c5a
50
What is Hageman factor?
Factor XII. Activates coagulation, complement, and kinin system
51
How is fever caused?
Pyrogens (eg LPS from bacteria) cause macrophages to release IL-1 and TNF, which increase cyclooxygenase activity in peri vascular cells of the hypothalamus. Increased PGE2 raises temp set point
52
What causes leukocyte adhesion deficiency?
Most commonly and autosomal recessive defect of integrins (CD18 subunit)
53
How is Bcl-2 anti-apoptotic
Prevents cytochrome C release by binding and inhibiting Apaf-1. Apaf normally induces the activation of caspases
54
What is fibrinoid necrosis?
Immune complexes combine with fibrin and cause vessel wall damage