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32 Cards in this Set

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What are 3 different mechanisms of apoptosis
1. Intrinsic - damage or hormore induction causes an increase in mitochondrial permeability and release of CYTOCHROME C

2. Extrinsic - Fas-L binds with Fas receptor (CD95)

3. Extrinsic - T killer cell releases PERFORIN and GRANZYME B that leads to cell breakdown
Coagulative necrosis typically occurs in what organs?
heart, liver, kidney
Caseous necrosis can result from what?
TB or systemic fungi
Fatty necrosis typically occurs in what organ(s)?
pancreas
BAX is a _ factor. What does it do?
pro-apoptotic, it causes release of Cytochrome C from the Mitochondris
BCL-2 is a _ factor
anti-apoptotic factor

Low levels of BCL2 trigger the release of cytochrome C from the mitochondria
Red infarcts occur in _ tissues, such as _, _, _, and occur after _
occur in loose tissues with collaterals, such as Liver, lungs, or intestine. Occur after Reperfusion

REd=REperfusion
Pale Infarcts occur in _ tissues, such as _, _, and _
solid tissues (with single blood supply), such as heart, kidney, and spleen
Acute inflammation is mediated by _
neutrophils, eosinophils, and antibodies.
Chronic Inflammation is mediated by _
mononuclear cells.
A granuloma results from _, and is characterized by _
chronic inflammation

epithelioid macrophages and giant cells
Neutrophils exit from blood vessels at sites of tissue injury in 4 steps. What are they?
1. Rolling
2. Tight binding (dt ICAM 1 and LFA 1)
3. Diapedesis
4. Migration
Free radicals can be eliminated by _
catalase, superoxide dismutase, glutathione peroxidase, antioxidants
On a cellular lever, what causes granulomatous diseases?
Th1 cells secrete gamma interferon which activated macrophages. Macrophages release TNF alpha which induce and maintain granuloma formation
Sickle cell, polycythemia, and CHF will result in an ESR that is _ than normal
less
An increased ESR can be due to _
Infections, inflammation, cancer, pregnancy, or SLE
(T/F) Cardiac muscle undergoes hyperplasia when it undergoes an increase in stress, such as systemic hypertension
False.

Permanent tissues such as cardiac, skeletal muscle, and nerve cannot undergo hyperplasia, and only undergo hypertrophy in response to increased stress
Regarding atrophy: a decrease in cell number occurs via _, and a decrease in cell size is due to _
apoptosis

Ubiquitin - proteosome degradation of cytoskeleton and autophagy of cellular components
_ is failure of cell production during embryogenesis
aplasia

(ie unilateral renal agenesis)
_ is a decrease in cell production during embryogeneis, resulting in a small organ
Hypoplasia (streak ovary in Turners)
_ is a low partial pressure of oxygen in the blood. This can be due to _, _, _, _
hypoxemia

high altitude, hypoventilation, diffusion defect, V/Q mismatch
In CO poisoning, PaO2 is _, and SaO2 is _. The classic clinical finding of CO poisoning is _
normal
decreased

cherry red skin. early sign of exposure is headache
In methemoglobinemia, PaO2 is _, and SaO2 is _. The classic finding is _, and treatment is _
normal, decreased

cyanosis with chocolate colored blood

IV methylene blue, which helps reduce Fe3+ back to Fe2+
The hallmark of reversible cell injury is _
cellular swelling
Cytochrome C leaking into the cytosol triggers _
apoptosis
The morphological hallmark of cell death is loss of the nucleus, which occurs via _, _ and _.
nuclear condensation (pyknosis), fragmentation (karyorrhexis), and dissolution (karyolysis)
Classic coagulative necrosis appears _
wedge shaped with a pale area in the middle
Apoptosis is mediated by _ that activate _ and _
caspases that activate proteases and endonucleases.
The intrinsic pathway of apoptosis involves cellular injury, dna damage or loss of hormonal stimulation that leads to inactivation of _.
bcl2

lack of bcl2 allows cytochrome c to leak from the inner mitochondrial membrane into the cytoplasm
What happens to the cell when FAS ligand bind CD95?
It leads to apoptosis (activates caspases
Cytotoxic T cells can trigger apoptosis by doing what?
releasing perforins that create pores in the membranes,
Nephrotic syndrome, restrictive cardiomyopathy or arrhythmia, and tongue enlargement are clinical findings of what disorder
systemic amyloidosis