Test 1 Flashcards

(51 cards)

1
Q

Disease =

A

An impairment of normal physiological function of a part, organ, or system of an organism resulting from various causes (such as infection, inflammation, environmental factors, or genetic defect) and characterized by an identifiable group of signs or symptoms.

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2
Q

Aetiology =

A

the underlying cause of a disease

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3
Q

Carrier =

A

an individual who harbours the disease-causing entity but has no symptoms of disease

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4
Q

Epidemiology =

A

The study of how often diseases occur in different groups of people

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5
Q

Genotype =

A

The precise gene sequence in the DNA of an organism.

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6
Q

Incidence =

A

The rate at which a particular event or disease arises in a population (# incidents/time)

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7
Q

Idiopathic =

A

Disease of unknown aetiology

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8
Q

Morbidity =

A

State of ill-health produced by a disease

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9
Q

Mortality rate =

A

The per capita death rate caused by a disease in a population

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10
Q

Pathogen =

A

A disease causing organism such as bacteria or virus

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11
Q

Pathogenesis =

A

The manor by which a disease develops

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12
Q

Phenotype =

A

Observable characteristics of an organism (typically linked with other information regarding that organism, e.g. genetics, environmental conditions).

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13
Q

Prevalence =

A

The proportion of the population affected by a disease at a particular time.

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14
Q

Prognosis =

A

Probable outcome of a disease (e.g. in terms of severity/timing).

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15
Q

Symptom =

A

Subjective manifestation, such as weakness or pain, in an affected individual. (Objective manifestations detectable by a clinician are usually referred to as signs or physical findings)

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16
Q

Diseases are caused by…

A

a combination of both genetic and environmental factors

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17
Q

Hereditary =

A

derived from one´s parent

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18
Q

Familial =

A

transmitted through generations and affecting several members of a family

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19
Q

Congenital =

A

present at birth

not all genetic disorders are congenital (Huntington disease: 3rd-4th decade)

not all congenital diseases are of genetic origin (congenital syphylis, toxoplasmosis)

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20
Q

Autosomal dominant:

A

One mutated copy of the gene in each cell is sufficient for a person to be affected

Typically - an affected person inherits the condition from an affected parent

Occasionally - the condition may result from a new mutation in the gene and occur in people with no history of the disorder in their family

Examples: Huntington’s disease, Marfan syndrome

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21
Q

Autosomal recessive:

A

Both copies of the gene have mutations in affected individuals.

The parents of an individual with an autosomal recessive condition each carry (at least) one copy of the mutated gene, but they (typically) do not show signs and symptoms of the condition.

Examples: Cystic Fibrosis, sickle cell disease

22
Q

X-Linked dominant:

A

A mutation in one copy of the gene in each cell is sufficient for a person to be affected.

Both genders are affected, but males are typically more severely affected in females, due to X chromosome inactivation (lyonisation). Fathers do not pass on the affected allele to sons (no male-to-male transmission).

Example: Fragile X syndrome

23
Q

X-linked recessive:

A

All copies of the gene have mutations in affected individuals (one in males, two in females).

These diseases occur predominantly in males because it is less likely that a female will inherit two copies (or that selective X-inactivation would occur favouring the non-mutated allele). Fathers do not pass on the affected allele to sons (no male-to-male transmission).

Examples: Hemophilias, Fabry disease

24
Q

Y-linked:

A

Caused by of the gene mutations on the Y chromosome. Occurs only in males.

Example: Y-chromosome infertility

25
Examples of genetically determined diseases...
congenital and hereditary = Duchenne Muscular Dystrophy (Recessive X-linked form of muscular dystrophy) hereditary = Huntington’s disease (Autosomal dominant progressive brain disorder)
26
Examples of diseases caused by genetic and environmental factors...
epilepsy = environmentally caused by head injury or malnutrition, some genetic influence bipolar disorder = 60-80% caused by genetics, environmentally caused by stressful childhood events
27
Inflammation =
A protective response involving host cells, blood vessels, and proteins and other mediators that is intended to eliminate the initial cause of cell injury, as well as the necrotic cells and tissues resulting from the original insult, and to initiate the process of repair
28
Acute wound healing -
inflammatory response is initiated by release of cytokines and growth factors = vasodilation = increased in blood flow to site of injury
29
Chronic wound healing -
inflammatory response is persistent localised thrombosis and vasoconstriction lead to tissue hypoxia
30
Homeostasis and thrombosis:
Platelets prevent blood loss (haemostasis) and promote tissue repair
31
Reduced platelet activation…
Hemorrhage Inadequate wound repair
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Enhanced platelet activation…
causes decreased blood flow Risk of... Thrombosis Stroke Heart failure
33
Response to tissue damage:
Vascular o Thrombus o Altered vascular o Permeability Skin o Scar o Altered vascular permeability CNS o Glial reaction o Effects on blood-brain barrier
34
Degenerative Diseases:
Multiple sclerosis (MS) is an autoimmune disease characterised by inflammatory demyelination and neurodegeneration throughout the CNS Alzheimer’s disease is a chronic neurodegenerative disease accounting for about 70% of cases of dementia. Huntington’s disease is a hereditary, degenerative brain disorder Degenerative phenomena in tinnitus
35
Degenerative Muscle Diseases:
Degenerative muscle diseases cause progressive damage and loss of muscle cells with associated weakness. Duchenne muscular dystrophy = degenerative disease characterised by progressive weakness. Myasthenia gravis = degenerative muscle disease where muscles show a measurable decline in strength upon use. With rest, the muscles return to pre-use strength only to rapidly fatigue again when used.
36
Diseases have effects at multiple sites and levels in the body…
molecular (susceptibility genes, protein folding, transcription) organelles cellular (cell growth, survival, death) tissue system behavioural
37
Haemostasis =
arrest of bleeding to prevent blood loss
38
alpha granules =
secrete adhesion molecules such as fibrinogen which allow platelets to interact and bind with each other
39
dense granules =
secrete platelet agonists (ATP, ADP, Serotonin) which activates the platelet from which they were secreted and nearby platelets
40
Thrombosis (block of circulation)…
- Too many platelets - Excessive platelet activation - Excessive coagulation
41
Bleeding (excessive = haemorrhage)…
- Low platelet count - Insufficient platelet activation - Inadequate coagulation
42
Platelets are manufactured by...
megakaryocytes
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These specialisation of megakaryocytes is stimulated by...
the cytokine thrombopoietin (through the activation of the c-Mpl receptor (via the JAK & STAT signalling pathways).
44
As platelet count decreases...
free thrombopoietin levels will increase… therefore more thrombopoietin will be able to diffuse into the marrow = more megakaryocyte devolvement = more platelet production
45
Disorders of platelet production...
- Excessive platelet numbers: thrombocythemia (also known as, thrombocytosis): o many are cancer-related (excess megakaryocyte development) or loss of spleen function Reduced platelet numbers: thrombocytopenia: o reduced production…due to ↓MK development or ↓ proplatelet formation or excessive clearance by spleen/liver Production of abnormal platelets (e.g. platelets lacking granules or altered density of an important platelet protein)
46
Treatment of thrombocytopenia:
- Splenectomy (removal of spleen) - Thrombopoietin mimetics to stimulate platelet production (e.g. Romiplostim) - If immune-based disease - reduce platelet clearance: e.g. corticosteroid treatment (suppresses macrophage activity) - Platelet transfusion to replace platelets – need to be careful of immune reaction - Stem cell transplant (donated or autologous after gene therapy) - Platelet donation… by apheresis (remove only platelets) or separation from donation of whole blood o Platelets cannot be frozen (irreversibly activate due to cytoskeletal change)… donated samples have a limited lifespan: 5-7 days
47
PGI2 and Nitric oxide =
elevate cAMP and cGMP, inhibiting Ca2+ signalling
48
CD39 =
an enzyme which clears away spontaneously produced ATP and ADP (which would activate platelet formation)
49
platelets produce a number of agonists...
o ATP and ADP are secreted from dense granules o ThromboxaneA2 is produced form lipids o Thrombin is produced via the coagulation system
50
Fibrinogen =
allows platelets to bind to each other
51
GPIb-IX-V receptor ...
interacts through a linker protein = von Willebrand factor (vWF)