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Flashcards in PP Deck (158)
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1

Are pale cells or pink cells alive or dead?

Pale cells are alive, pink cells are dead (have taken up eosin stain)

2

Name free radicals and how they cause damage

Superoxide, OH-
Damage cell membranes by stealing electrons from neighbours

3

How do anti-oxidants work

vits ACE donate an electron

4

Name three things that can happen to a nucleus in necrosis

Pyknosis- nucleus shrinks and dark
Karyorrhexis- breaks into bits
Karyolysis- nucleus dissolves

5

Describe features of a dying cell

Swollen, chromatin clumps, blebs, ER and mito swell, ribosomes detach

6

Difference between oncosis and necrosis

Oncosis is process of dying, necrosis is changes after death 12-24hours

7

4 types of necrosis

Coagulative (e.g. heart, kidney), liquefactive (brain), caseous (TB), fat (breast)

8

Describe how to prepare slides

Add formalin to prevent auto lysis, put in casettes, processor adds water and paraffin wax, blocking, microtome cuts 3-4microns thick, float on warm water bath to remove creases, stain, mount on medium

9

Explain dystrophic and metastatic calcification

Dystrophic- localised calcium crystals from dying/damaged tissue e.g. athero plaques, TB LNs. Crunchy. Normal Ca metabolism
Metastatic- systemic abnormal Ca metabolism e.g. increased breakdown of bone from excess PTH or destruction of bone e.g. Paget's disease of bone, immobilisation

10

What is mallory's hyaline?

Keratin clumps in alcholic liver disease

11

What do HSPs do?

Fix misfolded proteins e.g. ubiquitin

12

Apoptosis definition and process

programmed cell death with shrinkage, membrane integrity maintained. p53 activated and outer membrane becomes leaky, cytochrome C released from mito which activates caspases (or TNFa from Tc binds to death R to activate caspases), apoptotic bodies made which express surface proteins, no inflam

13

Define gangrene (and dry, wet, gas)

Gangrene is visible necrosis. Dry is exposed to air, wet is infection, gas is infection with anaerobes (soil e.g. motorbike accident)

14

What are red and white infarcts?

White: in solid organs with occluded end artery
Red: in loose tissues with collateral circulation, or if re-perfused or haemorrhage

15

What's ischaemia-reperfusion injury?

Reperfusion can make it worse as brings ROS, brings neuts (inflam and damage), and increases complement

16

Give examples of when K, enzymes, and myoglobin are released from damaged cells

K in MI, AST and ALT in liver damage, myoglobin in rhabdomyolysis

17

Stem cells show ____ replication and are __potent

Asymmetrical replication (one stays a stem cell) and unipotent

18

Describe process of repair/resolution

Healing by secondary intention
Haemostasis
Acute inflam
Chronic inflam
Granulation tissue (new capillaries from endo cell prolif, fibroblasts make ECM and myofibroblasts contract)
Early scar (can't lay down elastin, no melanocyte regen)
Scar maturation

19

Compare healing by primary and secondary intention

Primary is incised, non-infected wound with minimal tissue loss, low granulation tissue, v minimal scar. Basal epidermal cells creep and deposit BM to undermine scab
Secondary is excisional, large tissue loss, or infected, lots of granulation tissue, leaves scar, takes longer, needs big contraction

20

Components of granulation tissue?

Fibroblasts, myofibroblasts, endothelial cells (angiogenesis), macrophages

21

What cell connecting molecules are there?

Cell:cell is cadherin, cell:ECM is integrins

22

What are the principles of haemostasis?

Vasoconstriction, platelet plug blocks, blood coag and fibrin clot (makes clot stable), fibrinolysis

23

Haemostasis =

stopping bleeding whilst maintaining fluidity of blood

24

What normally inhibits coagulation in blood

Endothelial prostacyclin and NO inhibit platelet aggregation
Plus nothing for platelets to bind to: vWF not expressed

25

How do platelets work?

Block the hole- have cytoskeleton proteins to change shape, have pseudopodia to help sealing. Release granules. Have a fibrin R to cross-link with other platelets

26

What granules do platelets have?

Dense: adrenaline, ATP, ADP, calcium, 5HT
Alpha: fibrinogen, thromboxane A2 (vasoconstricts and platelet aggregation)

27

Describe the fibrinolytic system

Plasminogen ---TPA---> plasmin which breaks down fibrin. Protein C (protein S is a cofactor) decreases fibrin formation, antithrombin III and TFPI

28

What are PT and APTT?

PT is extrinsic, APTT intrinsic + common

29

What do D-dimers measure

Released from fibrin of clot as it hardens

30

What does thrombin time measure

Fibrinogen --> fibrin