Practice question Flashcards

1
Q

Wound healing at 1 week, what is happening?

after then what happens?

when is wound strength at 80%?

A

granulation tissue is still present because wound healing isn’t complete

after that more collagen is synthesized.

wound strength at 80% is by 3 months

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2
Q

what’s another common place for liquefactive necrosis?

A

Fallopian tube I guess

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3
Q

a child has an insatiable appetite and is drinking tons of fluids, an extremely high serum glucose. what’s the inheritance pattern

A

multifactorial –> diabetes

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4
Q

What nodular deposits can lead to valvular stenosis? why isn’t it lipofuscin

A

lipofuscin is endogenous in the myocardial fibers, not valves, with aging

dystrophic calcium occurring in damaged tissues involving excessive wear and tear

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5
Q

What does activated protein C do? what does this ultimately inhibit the formation of and why?

A

inactivates 5 and 8

5 CATALYZES THE FORMATION OF PROTHROMBIN TO THROMBIN

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6
Q

Tenascin-X, a large multimeric protein of extracellular matrix does what?

so what is it associated with?

A

affects synthesis off irbil formation of type VI and I collagen.

EDS

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7
Q

Which COX is associated with inducible inflammation? what happens if you use medication with this?

A

COX2

stops inflammation –> mediates pain, fever, vasodilation

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8
Q

What interacts with extracellular matrix proteins that leads to focal adhesions where they can link to intracellular cytoskeletal elements?

what does it lead to?

A

integrin

intracellular signals modulating cell growth, differentiation, and migration during wound healing.

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9
Q

What are the 3 acute phase proteins, and what up regulates them?

what do they all do pretty much?

A

C reactive protein –> IL-6

SAA and Fibrinogen –> TNF and IL1

all are helping increase sedimentation rate (rouleaux) –> but particularly fibrinogen

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10
Q

Someone has S. aureus infection, they’re coughing up stuff but 10 days later they aren’t coughing.. but still have a fever. what’s going on?

A

liquefactive necrosis happened that resulted in an abscess

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11
Q

what are naturally occurring variations in DNA sequences that are found in introns and axons?

A

single nucleotide polymorphisms

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12
Q

What is the deficiency for someone who is complaining of cramping when working out

A

muscle phosphorylase

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13
Q

What cell type has the highest telomerase activity? what is special about these cells?

A

germ cells

the telomere length can be stabilized, hence why sperm lasts for a life time.

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14
Q

Hemophilia A is what kind of mutation? How can a girl get it?

A

X linked

Random X inactivation with the original one still intact

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15
Q

Where is lipofuscin found?

A

particularly in the liver and myocardium –> golden brown color.

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16
Q

What is released from dense body granules in platelets?

A

ADP only –> aggregation of platelets

17
Q

what do glucocorticoids do to wound healing?

A

inhibit collagen synthesis

18
Q

What mediates the formation of giant cells?

A

Interferon Gamma is released by macrophages, which mediates granulomatous inflammation

19
Q

dense collagen is seen at what phase of wound healing?

when are macrophages and granulation tissue seen on a wound?

neovascularization is when?

A

1 month

2-3 days post op

4-5 days post op

20
Q

where are all drugs metabolized? so if you want to measure metabolism what are you going to look for?

A

liver –> cytochrome P450

21
Q

Difference between ductal metaplasia and lobular metaplasia?

A

ductal metaplasia is pathologic, lobular is physiologic

22
Q

what do pyrogens do?

A

induce inflammatory cells to release TNF and IL1 which goes to the hypothalamus, reset it, and signal Prostaglandin synthesis

23
Q

Someone ingests a ton of iron. what is happening and what is damaging the person that has done this?

A

ferritin reaction, which is creating hydroxyl radicals.

24
Q

first thing that happens after shock after trauma usually?

A

shock lung –> diffuse alveolar damage

25
there's a picture showing 3 dots per cell on a FISH diagram and they note horseshoe kidney and an omphalocele. what should you be thinking?
Edwards
26
What's happening in the uterus when increasing in size?
hypertrophy mostly, but there's a thin wall on the outside that is involved in hyperplasia on the exam, just put hyperplasia
27
someone standing for long periods of times have swollen legs.. why?
increased hydrostatic pressure from standing
28
What depends on the hepatocyte's ability to regenerate?
depends on the viability of the supporting connective tissue framework --> if not injured, regeneration is all it needs.
29
someone hyper coagulates a lot.. organ failure happens, what organ is going to be spared?
liver
30
If there is something given to you that suggests trisomy 21, but the person only exhibits MILD mental retardation, what should you be thinking is the cause?
Mosaicism
31
pancytopenia, what should you be thinking
Nieman pick type A or Gaucher
32
Someone has a productive cough then goes away.. what probably happens?
resolution