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129 Cards in this Set

  • Front
  • Back

[OPP Structural Screening]

What does a static structural screening exam provide details for?

the presence of a somatic dysfunction

does not identify the dysfunction, just that one is present

[OPP Structural Screening]

What are the lateral anatomical aspects of the optimal gravitational line?
Anterior aspect of the lateral malleolus
middle of the tibial plateau
greater trochanter
body of L3 (center of the body mass)
middle of the humeral head
external auditory meatus
[OPP Structural Screening]

What are the posterior anatomical aspects of the optimal gravitational line?
Popliteal creases
greater trochanter
iliac crests
inferior angles of the scapula
acromion processes
mastoid processes
[OPP Structural Screening]


Interpret positive hip drop test
–ask the standing patient to bend one knee
–this causes the hip on that side to drop toward the floor
–this induces the lumbar spine to bend in the opposite direction to keep the eyes level
–the hip usually drops >=25 degrees
–if less drop = positive test
positive hip drop test = restricted lumbar side–bending on OPPOSITE SIDE
[OPP Structural Screening]


Interpret positive hip drop test
–stand behind the patient & stabilize the head & shoulder with one arm
–use the other arm to push the shoulder inferiorly & medially
–this induces sidebending in the thoracic spine
–comparing the sides = the side w more resistance indicates restricted thoracic sidebending
[OPP Structural Screening]


Discus the treatment of a patient with short leg syndrome (unlevel sacral base)
OMT
Exercise
PT
heel–lift on side w depressed sacral base
[OPP Structural Screening]

Properly name a scoliotic curve
Major double scoliosis
single scoliosis
junctional scholiosis
[OPP Structural Screening]

List some risk factors associated with the presence & severity of scoliotic curves
Females: 3–5 times more likely
Bone Maturity
Initial curve magnitude
– smaller curves in mature patients = lower risk of progression
– > 45 deg curves in growing patients or >50 deg curves in mature will progress over time
[OPP Structural Screening]

What are the causes of scoliosis?
Idiopathic! (70–90% nfc)
[OPP Structural Screening]

Differentiate between structural & functional scholiosis
If patient sidebends towards convexity (toward rib hump)

functional – hump diminishes/disappears
Structural – does not reduce
[OPP Structural Screening]

Describe the utilization of the Adam's Test to screen for scholiosis
method: patient bends forward = presents a rib hump
Rib hump on right, rotation to right
Rib hump on left, rotation to left
[OPP Structural Screening]

Classify scoliosis based on the degree of deviation found by the Cobb method of measuring scoliotic curves
mild = 10–15 degrees

moderate = 20–45 degrees

severe > 50 degrees
[OPP Structural Screening]

Describe at what scoliotic angle you will encounter impaired respiratory function
> 50 degrees deviation
[OPP Structural Screening]

Describe at what scoliotic angle you will encounter impaired cardiovascular function
> 75 degrees deviations
[OPP Structural Screening]

What are the three etiological classifications of scoliosis
Congenital
Neuromuscular
Idiopathic
[OPP Structural Screening]


Describe the Congenital classification of scoliosis
Failure of formation

failure of segmenetation

mixed
[OPP Structural Screening]


Describe the Neuromuscular classification of scoliosis
Neuropathic

Myopathic

mixed
[OPP Structural Screening]


Describe the Idiopathic classification of scoliosis
Infantile – birth to 3y

Juvenile – 4–9y

Adolescent – >10y
[OPP Structural Screening]


Detail the heel lift protocol
flexible pt = 1/8" lift, no more than 1/16" q2wk

fragile pt = 1/16" lift, no more than 1/16" q2wk

injured – full amount immediately
[OPP Structural Screening]


Define kyphosis
excessive outward curvature of the spine, causing hunching of the back.
[OPP Structural Screening]


Define Lordosis
a posture assumed by some female mammals during mating, in which the back is arched downward.
[intro to epidemiology]

Describe the useful aspects of epidemiology
–to study the history of the disease
–community diagnoses
–determine risk for individuals, groups, populations
–assessment, evaluations, research
–Identification of syndromes
–Determine causes of disease, sources of disease, & effective tx for disease
[intro to epidemiology]

Define ENDEMIC
A disease or pathogen present or usually Prevalent in a given population or geographic region at all times.
[intro to epidemiology]

Define EPIDEMIC
A disease occurring suddenly in numbers far exceeding those attributable to ENDEMIC disease, occurring suddenly in numbers clearly in excess of normal expectancy.
[intro to epidemiology]

Define PANDEMIC
A widespread epidemic distributed or occurring widely throughout a region, country, continent or globally.
[intro to epidemiology]

Define INCIDENCE
The rate of occurrence of an event, the number of NEW cases of disease occurring over a specified period of time; may be expressed per a known population size.

[intro to epidemiology]

Define PREVALENCE

The number of cases of disease occurring within a population at any one given point in time.

[intro to epidemiology]

Define Primary Prevention

involves halting any occurrence of a disease or disorder before it happens.


(1) Immunizations


(2) Smoking Cessation


(3) Weight loss


(4) Physical fitness activities


(5) Nutrition


(6) Sun exposure limitation

[intro to epidemiology]

Define Secondary Prevention

Health Screening and Detection activities.


(1) Breast self exam, Mammography


(2) Prostate exam, PSA


(3) Stool Hemocult, Colonoscopy


(4) Blood Pressure Screening


(5) Periodic blood tests – glucose, lipids, others

[intro to epidemiology]

Define Tertiary Prevention

preventing complications in those who have developed disease/illness and have been diagnosed.


(1) CVA (stroke rehabilitation)


(2) Cardiac rehabilitation, following MI


(3) Post knee/hip replacement Physical Therapy


(4) Diabetic foot exams

[intro to epidemiology]

Describe the types of studies useful to epidemiology
Cohort study
Case Control Study
Occupational Epidemiology study
Cross–sectional study
Clinical trial study

[intro to epidemiology]

Describe the Clinical trial study...

(a) Study pointed at development of new preventive strategies and new treatments for disease.


(b) Also called Randomized Clinical trials.

[DS – Intro to Immunology]

Describe the non–specific or innate defense system
–is always prepared, responding immediately to protect the body from all foreign substances
–First–line of defense within nonspecific immune system includes the body membranes (skin & mucosae) that prevent entry of MOs
–Second–line of defense within the nonspecific immune system is the chemical signals released when the external defenses are penetrated, using antimicrobial proteins as well as phagocytes & other defense cells to inhibit the spread of foreign bodies
[DS – Intro to Immunology]

Describe the specific (or adaptive) defense system
performs the attack against foreign substances & provides a 3rd line of defense for the body.
– the adaptive defense system is a functional system that is made of individual immune cells (lymphocytes), which inhabit lymphatic tissues & circulate in the body fluids, & a diverse array of molecules.
–the immune system protects the body from most infectious MOs, cancer cells, & transplanted organs/grafts. The immune system will directly attack foreign bodies & indirectly attack by releasing mobilizing chemicals & protective antibody molecules. Immunity is a high resistance to disease.
[DS – Intro to Immunology]

Describe the major features & characteristics of adaptive immune systems
– It is antigen specific: recognizes and is directed against particular antigens, against pathogens or foreign substances that stimulate the immune response
– It is systemic: Immunity is not restricted to the initial infection site
– It has memory: After an initial exposure, it recognizes and mounts even stronger attacks on the previously encountered pathogens
[DS – Intro to Immunology]

Compare & contrast active immunity & passive immunity
– Active Immunity: Naturally acquired active immunity occurs when the person is exposed to a live pathogen, develops the disease, and becomes immune as a result of the primary immune response.
– Artificially acquired active immunity can be induced by a vaccine, a substance that contains the antigen.
Passive Immunity: –Artificially acquired passive immunity is a short–term immunization by the injection of antibodies. Naturally acquired passive immunity occurs during pregnancy, in which certain antibodies are passed from the maternal into the fetal bloodstream.
[DS – Intro to Immunology]

Describe the primary immune response
– constitutes cellular proliferation and differentiation, occurs on the first exposure to a particular antigen.
i)
[DS – Intro to Immunology]

Describe the secondary immune response
occurs during a re–exposed to the same antigen; short lag phase, increased immune response
[DS – Intro to Immunology]

Describe the major functions of the B–Cells
lymphocytes that oversee humoral immunity; B–cells can be distinguished from other lymphocytes, such as T–cells and natural killer cells (NK cells), by the presence of a protein on the B–cell's outer surface known as a B–cell receptor (BCR). This specialized receptor protein allows a B–cell to bind to a specific antigen.
[DS – Intro to Immunology]

Describe the major functions of the T–Cells
a type of lymphocyte (itself a type of white blood cell) that play a central role in cell–mediated immunity. They can be distinguished from other lymphocytes, such as B cells and natural killer cells (NK cells), by the presence of a T–cell receptor (TCR) on the cell surface. They are called T–cells because they mature in the thymus (although some also mature in the tonsils).[1][2] There are several subsets of T cells: Helper, Cytotoxic, Memory, Regulatory, Natural Killer, and Mucosal Associated Invariant T Cells.
[DS – Intro to Immunology]

List the major Antigen–Presenting Cells
Dendritic Cells

Macrophages

B–Lymphocytes
[DS – Intro to Immunology]

Describe the APC aspect of the dendritic cell
process antigen material and present it on the cell surface to the T cells of the immune system.
They act as messengers between the innate and the adaptive immune systems.
Dendritic cells are present in those tissues that are in contact with the external environment, such as the skin
Once activated, they migrate to the lymph nodes where they interact with T cells & B cells to initiate and shape the adaptive immune response.
[DS – Intro to Immunology]

Describe the APC aspect of the Macrophage
are a type of WBC that engulf & digest cellular debris, foreign substances, microbes, and cancer cells in phagocytosis
[DS – Intro to Immunology]

Describe the APC aspect of the B–lymphocyte
principal functions of B–cells are to make antibodies against antigens, to perform the role of antigen–presenting cells (APCs), and to develop into memory B–cells after activation by antigen interaction. B–cells also release cytokines (proteins), which are used for signaling immune regulatory functions.
[DS – Intro to Immunology]

Explain the role of Naive Lymphocytes
– A naive T–cell is considered mature and unlike activated T cells or memory T cells it has not encountered its cognate antigen within the periphery.
– A naive B–cell has not been exposed to an antigen. Once exposed, it either becomes a memory B cell or a plasma cell that secretes antibodies specific to the antigen that was originally bound. Plasma cells do not last long in the circulation, this is in contrast to memory cells that last for very long periods of time. Memory cells do not secrete antibody until activated by their specific antigen.
[DS – Intro to Immunology]

Explain the role of Effector Lymphocytes
– Effector cells are the relatively short–lived activated cells that defend the body in an immune response.
– Effector B cells are called plasma cells and secrete antibodies
– Activated T cells include cytotoxic T–cells & helper T–cells, which carry out cell–mediated responses.
[DS – Intro to Immunology]

Explain the role of Memory Lymphocytes
– Memory T cells have become "experienced" by having encountered antigen during a prior infection, cancer, or vaccination. At a second encounter with the invader, memory T–cells can reproduce to mount a faster & stronger immune response than the first time the immune system responded to the invader.
– Memory B cells are a B–cell sub–type that are formed within germinal centers following primary infection and are important in generating an accelerated and more robust antibody–mediated immune response in the case of re–infection
[DS – Intro to Immunology]

List the primary immunologic organs & tissues
Thymus gland

Bone Marrow
[DS – Intro to Immunology]

List the secondary immunologic organs & tissues
Spleen
Lymph Nodes
Lymphoid Tissues
[DS – Intro to Immunology]

Contrast Cell–Mediated Immunity with Humoral Immunity
– Cell–Mediated Immunity does not involve antibodies, but rather involves the activation of phagocytes, antigen–specific cytotoxic T–lymphocytes, and the release of various cytokines in response to an antigen.
– Humoral Immunity: called the antibody–mediated immune system, is the aspect of immunity that is mediated by macromolecules (as opposed to cell–mediated immunity) found in extracellular fluids such as secreted antibodies, complement proteins and certain antimicrobial peptides. Humoral immunity is so named because it involves substances found in the humours, or body fluids.
[Intro to Immunology]

Compare & contrast the innate defenses & the adaptive/acquired immune response
Innate: body's natural barrier/defenses, non–specific, cells use pattern–recognition receptors to recognize pathogen–associated molecular patterns
Adaptive: antigen–specific, clonal response, Memory, Lymphocytes use antigen–specific receptors that recognize specific epitopes
[Intro to Immunology]

What are PRRs?
Pattern–recognition Receptors
[Intro to Immunology]

What are PAMPs?
Pathogen–associated Molecular Patterns
[Intro to Immunology]

What are the Mechanical, Chemical, and Microbiological mechanisms of defense in the

SKIN
– Epithelial cells joined by tight junctions
– Flow of fluid, perspiration, sloughing off of skin
– Sebum (fatty acids, lactic acid, lysozyme)
– Antimicrobial peptides (defensins)
– Normal flora
[Intro to Immunology]

What are the Mechanical, Chemical, and Microbiological mechanisms of defense in the

GI tract
– Epithelial cells joined by tight junctions
– Flow of fluid, mucus, food, saliva
– acidity, enzymes (proteases)
– Antimicrobial peptides (defensins)
– Normal flora
–vomit, diarrhea
[Intro to Immunology]

What are the Mechanical, Chemical, and Microbiological mechanisms of defense in the

Respiratory Tract
– Epithelial cells joined by tight junctions
– Flow of fluid, mucus, (cilia, air flow)
– lysozyme in nasal secretions
– Antimicrobial peptides (defensins)
– Normal flora
– cough, sneeze
[Intro to Immunology]

What are the Mechanical, Chemical, and Microbiological mechanisms of defense in the

Urogenital Tract
– Epithelial cells joined by tight junctions
– Flow of fluid, urine, mucus, sperm
– Acidity in vaginal secretions, spermine & zinc in semen
– Antimicrobial peptides (defensins)
– Normal flora
[Intro to Immunology]

What are the Mechanical, Chemical, and Microbiological mechanisms of defense in the

Eyes
– Epithelial cells joined by tight junctions
– Flow of fluid, tears
– lysozyme in tears
– Antimicrobial peptides (defensins)
– Normal flora
[Intro to Immunology]

Compare & contrast the innate immunity & adaptive immunity

[think: summary table of differences]
Innate: recognition, rapid response (hours), fixed spectrum, limited # of specificities, constant during response

Adaptive: recognition, slow response (days to wks), variable spectrum, numerous highly selective specificities, improves during response
[Intro to Immunology]

List the basic principles of the clonal selection mechanism of lymphocyte activations
1. Lymphocytes clone with diverse receptors arise in generative lymphoid organs
2. Clones of mature lymphocytes specific for many antigens enter lymphoid tissues
3. antigen–specific clones are activated/selected by antigens
4. antigen specific immune responses occur
[Intro to Immunology]

Given, clonal selection, why do we still have infections?
– The initial attack that bypasses the primary defense will trigger the adaptive the second defenses.
– These need to initially learn to identify the foreign substance which take time (1–3 wks).
– Subsequent invasions will trigger a 2–3 day response instead due to memory cells
[Intro to Immunology]

Define immunologic memory
long–lived lymphocyte clones that derive from contact with the antigen
virus inhaled/inoculated > innate/barrier defenses > virus attaches to cell > innate cellular defenses > "foreign" antigen presented to immune system > activation of naive lymphocyte > expansion & differentiation of lymphocytes > lymphocyte effector function > Memory
[Intro to Immunology]

Define specificities
ensures that distinct antigens elicit responses that target those antigens
[Intro to Immunology]

Define Diversity
enables immune systems to respond to a large variety of antigens
[Intro to Immunology]

Define Memory
leads to rapid & enhanced responses to repeated exposures to the same antigens
[Intro to Immunology]

Define Clonal Expansion
increases the # of antigen–specific lymphocytes to keep pace with microbes
[Intro to Immunology]

Define Specialization
generates responses that are optimal for defense against different types of microbes
[Intro to Immunology]

Define Contraction & Homeostasis
allows immune systems to respond to newly encountered antigens
[Intro to Immunology]

Define Non–reactivity to self
prevents injury to the host during response to foreign antigens
[Intro to Immunology]

Describe the difference between (graph) the primary & secondary immunologic response (think vaccination)
//fce-study.netdna-ssl.com/2/images/upload-flashcards/32/03/12/6320312_m.jpg
[Intro to Immunology]

Describe the purpose of a vaccine

[think memory cells]
vaccination is the induction of a primary response to an organism in order to allow the creation of Memory B cells, so that when you encounter the actual disease, it induces the faster, secondary response.
[Intro to Immunology]

Compare & contrast antigen & antigenic determinant (epitope)
– an antigen is an agent of infection/disease

– the epitope is the piece of the antigen that the lymphocytes' receptors recognize
[Components of the Immune System]

What are the primary immune organs
where immune cells arise & mature

Thymus

Bone Marrow
[Components of the Immune System]

What are the secondary immune organs
Where immune cells get together to initiate adaptive immunity / released in an immune response

Lymph nodes, spleen, Waldeyer's Ring, lymphoid tissue, Peyer's Patch, MALT, Appendix
[Components of the Immune System]

Describe the thymus' involvement with T–Cells
Cortex – residence of immature T–cells

Medulla – residence of mature T–cells with forming/displayed receptors. ~5% survive & are released
[Components of the Immune System]

Describe the Bone marrow's involvement with lymphocytes
Formation of lymphocytes from stem cells

B–cells > create & mature in bone marrow into granulocytes & monocytes

T–cells > created & relocated to the thymus (thymocytes)
[Components of the Immune System]

What are the two parts to the Waldeyer's Ring?

Tonsils & adenoids

[Components of the Immune System]

Describe the shape & function of the lymph nodes
– bean–shaped, encapsulated, vascularized, secondary lymphoid organs clustered in groups around lymphatic channels.
– B–cells located mostly in the primary lymphoid follicles
– T–cells located mostly in the paracortical area
[Components of the Immune System]

Describe the Spleen in regards to the lymph system

–secondary lymphoid organ

–white–pulp surround arteries & in follicles; blood is filtered & antigens are presented to the lymphocytes (mostly B–cells)

[Components of the Immune System]

Describe the MALT

Mucosal–Associated Lymphoid Tissue (MALT)
– lymphoid cells & follicles in mucus membranes


– Respiratory, GI, urogenital

[Components of the Immune System]

Compare & contrast primary & secondary lymphoid Follicles

– A lymph follicle is a dense collection of lymphocytes, the number, size and configuration of which change in accordance with the functional state of the lymph node.
– primary – spherical aggregates of B–lymphocytes, both virgin & memory B–cells in the process of entering or leaving the node
– secondary – spherical aggregates of B–lymphocytes, both virgin & memory B–cells in the process of entering/leaving the node, Form only in response to an antigenic challenge. Germinal Centers – pale staining center where memory B cells & plasma cells are formed

[Components of the Immune System]

List the four classes of cells of the immune system
Lymphocytes
Antigen–presenting cells
Inflammatory Cells
Bridge Innate & Adaptive
[Components of the Immune System]

Describe the general function of the lymphocytes

[under 4 classes of cells associated with the immune system]
T–lymphocytes – regulators, helpers (for a proper B–cell antibody response, killers
B–lymphocytes – differentiate after encountering antigens into either a plasma cell or a memory cell
[Components of the Immune System]

Describe MHCs
Major Histocompatibility Complex – display peptides for T–cell activation, are responsible for self / non–self distinctions
[Components of the Immune System]

Describe CD molecules
a nomenclature system for cell surface molecules

CD4
CD8
CD21
[Components of the Immune System]

What is the primary function of CD4, CD8, & CD21
CD4 – Helper T–cell – Adhesion
CD8 – Killer T–Cell – Activation
CD21 – B–Cell – Activation
[Components of the Immune System]

What are the antigen–presenting cells & why are they needed

[under 4 classes of cells associated with the immune system]
Dendritic Cells, Macrophages, B–Lymphocytes

T–cells need antigens presented on surface of another cell
[Components of the Immune System]

What are the types of Inflammatory Cells & their purpose

[under 4 classes of cells associated with the immune system]
Neutrophils – 40–60% of blood leukocytes –> phagocytize
Eosinophils – 1–3%, combat parasitic worms
Basophils – 0–1%, mediate allergic rxs
Mast Cells – ––– mediate allergic reactions
others: epithelial, endothelial, platelets, lymphocytes, monocytes
[Components of the Immune System]

What are the cell types that bridge the innate & adaptive systems

[under 4 classes of cells associated with the immune system]
NK – Natural killer cell – kills tumors & virus infected cells
NKT – natural killer T–cell – recognize glycolipids
gama–delta T–cells – recognize a range of molecular patterns
[Components of the Immune System]

Describe the general role of the MHC/HLA genes & proteins in the immune system
displays peptides for the T–cell activation & are responsible for self / non–self distinctions

HLA = Human version of MHC
[Components of the Immune System]

Describe the term complement with regards to an immune response

a system of plasma proteins & surface molecules that facilitate inflammation & can destroy pathogens

[Components of the Immune System]

Describe cytokines with regards to an immune response
Intracellular communication molecules
[Components of the Immune System]

Describe Immunoglobulin with regards to an immune response
Immunoglobulins = antibody – antigen specific receptors on B–cell surface or secreted
–antigen binding, neutralization of microbial toxins, inhibiting attachment of microbes, opsonization, activate the protein–complement systems, protection of developing fetus
[Components of the Immune System]

Define opsonization
facilitating phagocytosis = bind to surface of MOs, help phagocytic cell to phagocytize
[Fates of a Cell]

1. Define Pathology & its significance in medicine
Understanding the changes in cells helps us to recognize the disease process, to explain why patients present with certain symptoms to accurately diagnose normal & abnormal conditions in patients, & to adequately care for patients on a daily basis
[Fates of a Cell]

2. Describe cellular adaptations & their relations to disease processes

cellular adaptations adjust to new conditions/demands for optimal functioning, reversible

affect size/number/phenotype/metabolic activity and/or functions of cells

[Fates of a Cell]

2. Define Hypertrophy
increase in the size of the cells

cause an increase in organ size
[Fates of a Cell]

2. Define Hyperplasia
Increased # of cells in tissue & organs

cause an increase in organ size

uncontrolled hyperplasia ~ cancer
[Fates of a Cell]

2. Define Atrophy
decrease in cell size = decreased organ size
[Fates of a Cell]

2. Define Ischemic Atrophy
loss of oxygenated blood supply

always accompanies Hypoxia
[Fates of a Cell]

2. Define Hypoxia
lack of oxygen
[Fates of a Cell]

2. Define Nutritional Atrophy

– less available nutrients than metabolically necessary = cell shrinkage/death

causes inflammation disease & cancer because of cytokine TNF (tumor necrosis factor)

[Fates of a Cell]

2. Define Metaplasia
one differentiated cell type is replaced by another

Squamous > columnar
Columnar > squamous
[Fates of a Cell]

2. Define Dysplasia
disordered growth
sometimes in metaplastic epithelium
[Fates of a Cell]

2. Carcinoma in Situ means?
dysplasia but the basement membrane is intact = non–malignant
[Fates of a Cell]

3.What are the 5 types of cellular adaptions

(list)
Hypertrophy
Hyperplasia
Atrophy
Metaplasia
Dysplasia
[Fates of a Cell]

3.What are the typical causes of cellular injury?

Oxygen deprivation
Physical Agents
Chemical Agents & drugs
Infectious Agents
Immunologic reactions
Genetic derangements
Nutritional Imbalances

[Fates of a Cell]

3.Cell Injury: describe oxygen deprivation
–ischemia
–cardiopulmonary failure
–Anemia / Carbon Monoxide / cyanide poisoning
–Severe blood loss
[Fates of a Cell]

3.Cell Injury: Describe Chemical Agents & drugs
–electrolyte imbalance
–oxygen toxicity
–toxins, industrial chemicals
–alcohol, recreational drugs, therapeutic drugs
[Fates of a Cell]

4. Describe cell death & the consequences
Necrosis is denaturing of intracellular proteins, enzymatic digestion of lethally injured cells, no membrane integrity
– contents leak out, inflammation results

Apoptosis = programmed cell death, plasma membrane remains intact
[Fates of a Cell]

What are the goals of cellular adaptation that reflect the dynamic ability of the cell to alter.
Gene transcription & translation (g1,g2)
Synthesis of new DNA/chromosomes (S)
Proliferation (M)
[Fates of a Cell]

What are the types of cells that undergo hypertrophy?
* usually in non–dividing cells, no new cells, only increase in the size & # of intracellular components

Cardiac muscle, Skeletal Muscle, Pregnant Uterus
[Fates of a Cell]

Fluff: What are the two biochemical pathways by which a cell will undergo hypertrophy
physiological = Phosphoinositide 3–kinase / Akt

pathological = signaling downstream of GPCRs
[Fates of a Cell]


What are the two stimuli causing cellular hypertophy
increased workload = muscles
increased hormonal stimulation = pregnancy
[Fates of a Cell]

What are the two mechanism/stimuli for hyperplasia?
increased growth factors

increased production of cells from tissue stem cells
[Fates of a Cell]

What are the types of pathologic hyperplasia?

– hormonal = increase the functional capacity (pregnancy)
– compensatory = increase tissue/organ mass after partial resection/damage (liver)

[Fates of a Cell]

What are the types of pathological
hyperplasia?
– excessive hormones & growth factors
endometrial hyperplasia & BPH
– viral infections = HPV
[Fates of a Cell]

What are the two types of hyperplasia
Controlled – no gene mutations, regression of hyperplasia if stimulation is removed

Uncontrolled – genetic aberrations occur, unrestrained proliferation, can become malignant
[Fates of a Cell]

Give examples of physiologic atrophy
embryonic structures – notochord

postpartum uterus
[Fates of a Cell]

Give examples of pathologic atrophy
Atrophy of disuse (use it or lose it)
Denervation atrophy (spinal cord injury)
Ischemic atrophy ( loss of blood)
nutritional atrophy (protein–calorie malnut.)
Endocrine atrophy (menopause)
Pressure atrophy (tourniquet)
[Fates of a Cell]

Define Marasmus & Cachexia

marasmus – profound protein–calorie malnutrition

Cachexia – marked muscle wasting

[Fates of a Cell]

Which atrophy is due to an overproduction of cytokine TNF
nutritional atrophy – cachexia
[Fates of a Cell]

Define cytokine TNF
TNF = tumor necrosis factor
[Fates of a Cell]

What are the mechanisms of atrophy
–Decreased protein synthesis
–increased protein degradation
–increased autophagy
[Fates of a Cell]

Describe autophagy
starved cells eat their own components

–autophagic vacuoles or residual bodies
[Fates of a Cell]

What is known as brown atrophy?

Lipofuscin granules

[Fates of a Cell]

Metaplasia: What is the cell type change in the respiratory tract due to smoking?
Columnar change to Squamous cells to resist physical damage from smoking
[Fates of a Cell]

Metaplasia: What is the cell type change in the esophagus due to GERD
squamous epithelial cells change to columnar in the esophagus to resist chemical damage
[Fates of a Cell]

What is barrets esophagus?

the change in the esophagus from squamous cell to columnar to resist chemical damage