Patho exam #1

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marshenski
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200081
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Patho exam #1
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2013-02-12 19:22:02
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Boston College CRNA Pathophysiology
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Flash cards for 1st Patho exam
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  1. What are the mechanisms of edema?
    • Increases capillary filtration pressure
    • Decreased capillary colloidal osmotic pressure
    • Increased capillary permeability
    • Obstruction of  lymph flow
  2. What is the function of the Cell (plasma membrane?
    • Dynamic and fluid structure consisting of organized arrangement of lipids, carbohydrates, and proteins; separates ICF and ECF compartments.
    • o   Main structural component is the lipid bilayer (hydrophilic exterior and hydrophobic interior), which is relatively impermeable to all but lipid-soluble substances
    • o   Destruction of cell/plasma membrane = death of cell
    • o   Cell surface surrounded by cell coat (glycocalyx)
    • §  Can regenerate
    • §  Necessary for cell recognition (e.g. blood cells, ABO)
    • §  Channel proteins – assist molecules that are not lipid soluble (e.g. electrolytes) in moving across cell membrane
    • §  Peripheral proteins bind to cell membrane temporarily to assist with molecule transport
  3. What is cromatin?
    complex structure of DNA and associated proteins in the nuclear matrix
  4. What is cilia?
    hair-like process projecting for a cell, composed of microtubules; beat rhythmically to move the cell around in its environment or to move mucus/fluids over the surface
  5. What are free ribosomes?
    sites of protein synthesis, mainly of enzymes that aid in the control of cell function
  6. What is the Golgi apparatus?
    stacks of thin, flattened vesicles or sacs; found near the nucleus and function in association with the endoplasmic reticulum; modifies substances produced in the ER and packages them into secretory granules or vesicles; produces large carbohydrate molecules
  7. What is a lysosome?
    digestive system of the cell; membrane-enclosed sacs containing hydrolytic enzymes; produced by the Golgi apparatus
  8. What are microtubules?
    long, stiff, hollow cylinders formed from protein subunits called tubulin; able to rapidly disassemble in one location and reassemble in another; involved in development and maintenance of cell form and participate in intracellular transport mechanisms
  9. What is cellular respiration?
    The mitochondria of the cell transforming organic substances into energy for the cell
  10. What are peroxisomes?
    membrane-bound organelles that contain a special enzyme to degrade peroxides; self-replicating, NOT formed by Golgi apparatus
  11. What is the rough ER?
    system of paired membranes and flat vesicles that connect various parts of the inner cell; studded with ribosomes (attached to specific binding sites) which translate mRNAs that code for proteins secreted from the cell or stored within it
  12. What Specific protien is sythsised in the RER and nowhere else?
    synthesis of lysosomal enzymes.
  13. What is the SER?
    continuous with the rough ER, but does not participate in protein synthesis; its enzymes are involved in the synthesis of lipid molecules, regulation of intracellular calcium, and metabolism and detoxification of certain hormones and drugs.
  14. What is an embyronic stem cell?
    Pluripotent cells derived from inner cell mass of blastocyst stage of embryo

    All cells differentiate from pluripotent embryonic stem cells
  15. What is an adult stem cell?
    • (AKA Somatic stem cells)
    • Found in bone marrow, peripheral blood, umbilical cord blood, some organs

    Contribute to tissue regeneration and replacement of cells lost to cell death
  16. What is diffusion?
    free movement of small particles (solute) across a permeable membrane from an area of higher concentration to an area of lower concentration (down a gradient)
  17. What is Filtration?
    movement of a fluid due to hydrostatic pressure differences
  18. What is Osmosis?
    movement of water through a selectively permeable membrane, from a less concentrated solution to a more concentrated solution (up concentration gradient)
  19. What is facilitated diffusion?
    Facilitated Diffusion (passive) – specific transport protein in the cell membrane binds a substance and transports it across the cell membrane down the concentration gradient
  20. What is active transport?
    “pumps” against concentration gradient, always requires energy (such as ATP); common example is Na/K ATPase pump that accounts for the high concentration of Na outside the cell and high concentration of K inside the cell.
  21. What are two examples of transport by vesicles?
    Endocytosis:membrane enfolds a substance and incorporates it into a vesicle

    Exocystosis – mechanism for the secretion of intracellular substances into the extracellular spaces; important in removing cellular debris and releasing substance.
  22. What is Mitosis?
    • Prophase – chromatin condenses into chromosomes; nuclear envelope disappears
    • Metaphase – chromosomes align at equatorial plate
    • Anaphase – sister chromatids separate; centromeres divide
    • Telophase – chromatin expands; cytoplasm disappears
    • Occurs in somatic cells
    • Results in 2 genetically identical offspring
  23. What is Meiosis?
    Occurs in gamete producing organs (cell division that produces germ cells; involves reduction in amount of genetic material)

    • Process that converts a diploid cell to a haploid gamete and causes a change in the genetic information  increases diversity in the offspring
    • Haplid (n) = one set of chromosomes
    • Diploid (2n) = two sets of chromosomes
    • Results in 4 genetically different offspring
    • Crossover = sharing of genetic information
  24. What can cause cell damage?
    • Hypoxia
    • Physical agents (mechanical, temp extremes, electrical, radiation)
    • Chemical agents
    • Microorganisms
    • Genetic defects
    • Nutrition imbalances
    • Immunologic reactions
  25. What is a free radical?
    Atoms or groups of atoms with an unpaired electron, which makes the molecule unstable
  26. How does a free radical cause damage?
    Causes cell damage by forming injurious chemical bonds
  27. Where do free radical come from?
    Generated by the body during normal metabolism (especially in mitochondrial oxidative phosphorylation) or in response to injurious energy sources (e.g. UV, Xrays, chemicals)
  28. What are some examples of antioxidants and what do they do?
    vitamins A, E, C, zinc, bind free radicals
  29. What are the outcomes of cell injury?
    • Reversible injury
    • Apoptosis
    • Cell death and necrosis
  30. What is apoptosis?
    Programmed cell death, can be initiated by extrinsic or intrinsic pathways.
  31. What determines the acid/base balance in the body?
    relative proportion of bases and acids in the blood
  32. What is the buffer system of the body?
    • Carbonic acid or H2CO3
    • Bicarbonate or HCO3
  33. What are the controls of the pH in the body?
    • Kidneys and the Lungs.
    • Kidneys retain or excrete bicarbonate to compensate for respiratory CO2imbalances, very SLOW
    • Lungs retain or excrete CO2 to compensate for metabolic acid imbalances
  34. What is DNA?
    Consists of a sugar-phosphate backbone with paired nucleotide bases: Thymine / Adenine and Cytosine / Guanine  (T and C are pyrimidines; A and G are purines)
  35. What bonds makes DNA stable?
    Hydrogen
  36. What types of damage can occur to DNA?
    base pair skipped, replaced by different or wrong base pair during DNA duplication (copying of DNA) or mRNA transcription (protein synthesis), etc. Generally referred to as mutations.

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