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62 Cards in this Set

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Reversible changes during cell injury
Cellular swelling
Nuclear chromatin clumping
Dec ATP Synthesis
Ribosomal detachment
Glycogen depletion
Fatty change
Irreversible changes during cell injury
Plasma membrane damage
Lysosomal rupture
Ca2+ influx --> oxidative phosphorylation
Nuclear pyknosis (chromatin condensation)
Karyolysis (nuclear fragmentation)
Karyorrhexis (DNA fragmentation)
Mitochondrial permeability
Transudate
Hypocelleular
Protein poor
Specific gravity < 1.012
Due to:
- Inc hydrostatic or oncotic pressure
- Na retention
Exudate
Cellular
Protein rish
Specific gravity > 1.020
Due to
- lymphatic obstruction or inflammation
Protein in primary amyloidosis...
AL, derived from Ig light chains

seen in multiple myeloma
Protein in secondary amyloidosis
AA, derived from serum amyloid-associated SAA protein

Seen in chronic inflammatory disease
Protein in Senile cardiac amyloidosis
Transtheritin, derived from AF
Protein in DM type 2 amyloidosis
Amylin, derived from AE
Protein in Medullary carcinoma of the thyroid amyloidosis
A-CAL, derived from calcitonin
Protein in Alzheimer's disease amyloidosis
Amyloid precursor protein, derived from beta-amyloid
Protein found in dialysis-associated amyloidosis
beta2-microglobulin, derived from MHC class I proteins
Malignancy associated with Down's syndrome
ALL
AML
Malignancy associated with xeroderma pigmentosum, albinisum
Melanoma
basal cell carcinoma
esp squamous cell carcinomas of skin
Malignancy associated with chronic atrophic gastritis, pernicious anemia, postsurgical gastric remnants
Gastric adenocarcinoma
Malignancy associated with tuberous sclerosis

(facial angiofibroma, seizures, mental retardation)
Astrocytoma, angiomyolipoma and cardiac rhabdomoma
Malignancy associated with actinic keratosis
Squamous cell carcinoma of skin
Malignancy associated with Barrett's esophagus

(chronic GI reflux)
Esophageal adenocarcinoma
Malignancy associated with Plummer- Vinson syndrome

(atrophic glossitis, esophageal webs, anemia; all due to iron deficiency)
Squamous cell carcinoma of esophagus
Malignancy associated with cirrhosis

(alcoholic, hepatitis B or C)
Hepatocellular carcinoma
Malignancy associated with ulcerative colitis
Colonic adenocarcinoma
Malignancy associated with Immunodeficiency states
Malignant lymphomas
Malignancy associated with AIDS
Aggressive malignant lymphomas (non-Hodgkin's) and Kaposi's sarcoma
Malignancy associated with autoimmune disease
Benign and malignat lymphomas
Malignancy associated with acanthosis nigricans

(hyperpigmentation and epidermal thickening)
Visceral malignancy
(stomach, lung, breast, uterus
Malignancy associated with dysplastic nevus
Malignant melanoma
Malignancy associated with radiation exposure
Sarcoma
L-myc oncogene assoc with...
Lung tumor
N-myc oncogene assoc with...
Neuroblastoma
ret oncogene assoc with
MEN types II and III
c-kit oncongene assoc with
Gastrointestinal stromal tumor (GIST)
Tumor
Retinoblastoma, osteosarcoma
Gene

Rb
Chromosome

13q
Tumor

Breast and ovarian cancer
Gene

BRCA1
Chromosome

17q
Tumor

Breast cancer
Gene

BRCA2
Chromosome

13q
Tumor

Most human cancers, Li-Fraumeni syndrome
Gene

p53
Chromosome

17p
Tumor

Melanoma
Gene

p16
Chromosome

9p
Tumor

Colorectal Cancer
Gene

APC
Chromosome

5q
Tumor

Wilm's tumor
Gene

WT1
Chromosome

11p
Tumor

Neurofibromatosis type 1
Gene

NF1
Chromosome

17q
Tumor

Neurofibromatosis type 2
Gene

NF2
Chromosome

22q
Tumor

Pancreatic cancer
Gene

DPC
Chromosome

18q
Tumor

Colon Cancer
Gene

DCC

Deleted in colon cancer
Chromosome

18q
CEA tumor marker is for what?
Carcinoembryonic antigen.

Very nonspecific but produced by 70% of colorectal and pancreatic cancers; also produced by gastric and breast carcinomas
alpha-fetoprotein
Normally made by fetus.

Found in hepatocellular carcinomas.
Nonseminomatous germ cell tumors of the testis (yolk sac tumor)
S-100 tumor marker
Malanoma
Neural tumors
Astrocytomas
Alkaline phosphatase tumor marker
Metastasis to bone,
Obstructive biliary disease
Paget's disease of bone
Bombesin tumor marker
Neuroblastoma, lung and gastric cancer
TRAP tumor marker
Tartrate-resistant acid phosphatase

Hairy cell leukemia - B cell neoplasm
CA-19-9
Tumor marker for pancreatic adenocarcinoma
HTLV-1 is associated with what cancer?
Adult T-cell leukemia
Vinyl chloride exposure causes what?
angiosarcoma in the liver
Aflatoxin exposure causes what?
Hepatocellular carcinoma
CCl4 toxin causes what?
Liver - centrilobular necrosis, fatty change
Nitrosamines in smoked foods causes
Esophagus, stomach
Arsenic exposure
Skin (squamous cell carcinoma)
Naphthalene, aniline dye exposure
Bladder - transitional cell carcinoma
Alkylating agents
Blood - leukemia
Paraneoplastic effects of leukemias and lymphomas
Hyperuricemia due to excess nucleic acid turnover (cytotoxic therapy)

Results in gout, urate nephropathy
Paraneoplastic effects of Thymoma, small cell lung carcinoma
Antibodies against presynaptic Ca2+ channels at neuromuscular junction.

Results in Lambert-Eaton syndrome
Psammoma bodies are present in which cancers?
Papillary adenocarcinoma of thyroid
Serous papillary cystadenocarcinoma of ovary
Meningioma
Malignant mesothelioma
Primary tumors that metastasize to the brain
Lung
Breast
Skin (melanoma)
Kidney (renal cell carcinoma)
GI

Lots of Bad Stuff Kills Glia
Primary tumors that metastasize to the liver
Colon
Stomach
Pancreas
Breast
Lung

(in order of decreasing frequency)
Cancer Sometimes Penetrates Benign Liver
Primary tumors that metastasize to bone
Prostate (blastic)
Thyroid
Testes
Breast (lytic and blastic)
Lung (lytic)
Kidney