Pathology Flashcards

(66 cards)

1
Q

Blebbing is a defined feature of what kind of cell death?

A

Apoptosis

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

Granulomas are characteristic of what type of hypersensitivity reaction?

A

Type IV - Delayed, T-cell mediated

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

What is this a description of?…The accumulation of modified macrophages called epithelioid cells arranged in clusters surrounded by a cuff of lymphocytes. Other cells may be present including fibroblasts, plasma cells and occasional neutrophils

A

Granuloma

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

Define necrosis

A

death of living tissue.
Cell death in living tissues by enzymatic degredation

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

Is apoptosis always pathological?

A

No, can be physiological e.g.
- during embryogenesis (e.g. removing webbing between fingers and toes)
- hormone-dependent evolution (removing mammary gland cells after lactation)
- elimination of harmful self-reactive lymphocytes (removal of inflammatory cells once infection cleared)
- cell death induced by cytotoxic t-cells (eliminates cells with irreparable DNA damage, prevening cancer)

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

Extrinsic pathway in apoptosis associated with what receptors?

A

TNF receptor
FAS

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

Intrinsic pathway in apoptosis involves enzymes being released from what part of the cell?

A

Mitochondria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Intrinsic apoptosis pathway can occur from loss of action of what gene?

A

Bcl-2
(anti-apoptotic gene)

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

What is the difference between wet and dry gangrene?

A

Wet gangrene - tissues undergo colliquative necrosis
Dry gangrene - tissues undergo coagulative necrosis

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

What species cause gas gangrene?

A

exotoxin- producing clostridial species (causes tissues to accumulate gas - seen as crepitations)

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

What type of necrosis would you see in a cerebral infarction?

A

Colliquative necrosis - liquefaction, tissue morphology lost

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

What type of necrosis do you see in myocardial infarction?

A

coagulative necrosis
- outline of tissue preserved because proteins stick together

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

Fat necrosis due to action of what enzyme?

A

lipase

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

What 4 organs is fat necrosis seen in?

A

pancreas, omentum, breast, skin

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

Necrosis of striated muscles is known as what?

A

Rhabdomyolysis

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

Necrosis occurs how many hours after insult?

A

4-12hrs

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

Define atrophy

A

Decrease in cell size

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

Define hypertrophy

A

increase in cell size

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

define hyperplasia

A

increase in number of cells

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

define metaplasia

A

when a cell is replaced by another cell type.
if stimuli persist, can induce cancer

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

define dysplasia/atypical hyperplasia

A

abnormal changes in cellular shape and size

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

In the process of inflammation, vasodilation is induced by action of what two chemicals?

A

Histamine
NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is Hageman factor/factor 12 and what two places is it produced in the body?

A

Chemical mediator of inflammation
liver and plasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What 4 systems does Hageman factor/factor 12 activate in inflammation?

A
  • Kinin system
  • Clotting system
  • Fibrinolytic system
  • Complement system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
3 hallmarks of cell injury
decreased oxidative phosphorylation depleted ATP Cellular swelling
26
2 hallmarks of cell death
mitochondrial damage loss of membrane permeability
27
Telomere shortening is a sign of what?
cellular ageing process
28
3 phases of wound healing
1. inflammatory 2. Proliferative 3. Remodelling
29
Difference between hypertrophic and keloid scar
Hypertrophic - excessive scar tissue that does not extend beyond boundaries of original wound. Keloid - excessive scar tissue that extends beyond boundaries of original wound, due to persistence of type 3 collagen
30
Malignancy of epithelial origin is known as what?
carcinoma
31
malignancy of mesenchymal origin known as what?
sarcoma
32
What is a teratoma?
A neoplasm containing more than one germ cell layer
33
What cells do not undergo telometric shortening?
cancer cells
34
What is meant by cells that are well differentiated?
Cells that resemble normal cells - e.g benign tumours are well differentiated because they are morphologically adn functionally similar to mature normal cells
35
What 2 cancers CANNOT metastasize
BCC Gliomas
36
BRCA-1 presdisposes to what 2 cancers
Breast Ovarian
37
BRCA-2 predisposes to what 4 cancers
Breast (including male breast cancer) Ovarian prostate pancreatic
38
Lifetime risk of ovarian cancer with BRCA-1 and BRCA-2?
BRCA-1 - 55% BRCA-2 - 25%
39
What type of genetic inheritance is HNPCC (Lynch syndrome)?
Autosomal dominant
40
HNPCC (Lynch syndrome) lifetime risk of colonic cancer
80%
41
HNPCC (Lynch syndrome) lifetime risk of endometrial cancer
30-50%
42
HNPCC (Lynch syndrome) lifetime risk of ovarian cancer
10%
43
hCG is a tumour marker for what 2 cancers?
Trophoblastic tumour (choriocarcinoma) Non-seminomatous germ cell tumour
44
AFP is tumour marker for what 2 cancers
hepatocellular non-seminomatous germ cell tumour
45
CA125 is tumour marker for what 2 cancers
ovarian primary peritoneal cancer
46
2 components of extrinsic pathway in coagulation cascade
Tissue factor Factor VII (tissue factor has 12 letters in it - factor VII)
47
Components of intrinsic pathway in coagulation cascade
XII XI IX VIII (It's cold so there are more factors "in"side than outside)
48
Common pathway begins with activation of what factor in clotting cascade
X to Xa
49
Factor Xa along with what factor converts prothrombin to thrombin
Factor Va
50
What effect does thrombin have in clotting cascade?
Converts fibrinogen into fibrin (stable clot)
51
What is funciton of Protein C and what is it activated by?
Physiological anticoagulant - degrates factor Va and VIIIa Activated by thrombin
52
What is protein S
an anticoagulant Cofactor with activated protein C for degradation of factor Va and VIIIa
53
What is factor V Leiden?
variant for factor V that cannot be inactivated by protein C - causes hypercoagulable state.
54
Mode of inheritance of factor V Leiden
autosomal dominant
55
What coagulation factors are increased in pregnancy?
All except factors XI and XIII
56
What does ITP stand for?
Immune thrombocytopenic purpura
57
What f/u required for woman with <5cm simple ovarian cyst on USS?
Nil - discharge and reassure - likely physiological and usually resolve within 3 menstrual cycles
58
What f/u required for women with 5-7cm simple ovarian cyst on USS?
yearly USS
59
cut off Risk of Malignancy Index (RMI) score for referral to cancer center?
>250
60
Women with DNA mismatch repair gene mutations are at increased risk of which type of ovarian malignancy?
clear cell adenocarcinomas (Lynch syndrome is a MMR gene mutation)
61
HPV +ve but normal cytology - what f/u?
repeat smear in 12 months
62
Which type of ovarian cancer occurs which BRCA 1 mutation
High grade serous and endometriod carcinomas. e.g. papillary serous cystadenocarcinoma
63
In lynch syndrome, lifetime risk of endometrial cancer?
40-60%
64
A neoplasm of the female genital tract occurring in an 18-year-old girl whose mother was treated with diethylstilbestrol during the pregnancy is likely to be what kind?
clear cell carcinoma of vagina
65
What anatomical location does vulval cancer normally present in?
labia majora
66
In addition to breast and ovaries, what other organs are women with BRCA mutation at greater risk of?
colon pancreas melanoma