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Medical Pathology
Lecture 1, 2, 3
202
Pathology
Graduate
09/05/2012

Additional Pathology Flashcards

 


 

Cards

Term
the 3 -poiesis are ...
Definition

erythropoiesis

lymphopoiesis

mylopoiesis

Term
erythropoiesis is regulated by ... and is stimulated by ...
Definition

oxygen levels in blood

hypoxia

Term
... cells of the ... produce erythopoietin
Definition

peritubular

kidney

Term
erythropoietin induces ... production in the  ...
Definition

RBC

bone marrow

Term
t/f  erythrocytes have a nucleus
Definition
false, also don't have mitochondria
Term
erythrocytes are removed by ... and ... system
Definition

spleen

mononuclear phagocyte

Term
erythrocytes require what 3 nutrients?
Definition
iron, protein, vitamins
Term
... test counts the % of RBCs in blood
Definition
hematocrit
Term
... is reduced oxygen carrying capacity
Definition
anemia
Term
the 2 types of anemia are ... and ...
Definition

hypoproliferative

hemolytic

Term
--ocytic refers to erythrocyte ...
Definition
size
Term
--ochromic refers to erythrocyte ...
Definition
hemoglobin content
Term
sickle cell disease is known as a ... anemia
Definition
normochromic, it's just that the normal sized cells are the wrong shape
Term
with anemia, you get ... heart rate
Definition
increased, trying to get more blood and oxygen to body
Term
t/f  you can have dyspnea with anemia
Definition
true
Term
anemia can be a cause of ... degeneration
Definition
myelin
Term
... anemias are the most common anemias
Definition
hypoproliferative
Term
... is the most common hypoproliferative anemia
Definition
iron deficiency
Term
iron deficiency can cause ..., ... erythrocytes
Definition

hypochromic

microcytic

Term
megaloblastic anemia is known as a .... anemia and is caused by ...
Definition

hypoproliferative

nutritional deficiency

it is a disease of the elderly

Term
... anemia causes impaired DNA synthesis
Definition
megaloblastic
Term
... anemia is the premature destruction of RBCs
Definition
hemolytic
Term
jaundice or red-brown urine are caused by ... anemia
Definition
hemolytic, too much RBC destroying, caused too much bilirubin to build up
Term
... anemias are caused by inherited RBC deficiencies and enzyme defects
Definition
hemolytic
Term
TTP is a form of ... anemia
Definition
hemolytic
Term
in ... platelet thrombi aggregate in the arterioles of various organs and cause RBC  fragmentation
Definition
TTP
Term
in TTP you might see a focal ... of the ...
Definition

occlusion

choriocapillaris

Term
aplastic anemia is a form of ... anemia, and is associated with ...
Definition

hypoproliferative

bone marrow damage

Term
... anemia occurs in healthy, young individuals
Definition
aplastic
Term
normocytic or macrocytic RBCs (but low counts) are characteristic of ... anemia
Definition
aplastic
Term
in ... anemia you have a very low reticulocyte count
Definition
aplastic
Term
the drug ... can cause aplastic anemia
Definition
chloramphenicol
Term
... inhibits heme and globin synthesis
Definition
lead poisoning
Term
lead poisoning is a ..., ... anemia
Definition

hypochromic

microcytic

Term
t/f  in lead poisoning, lethargy is an early symptom
Definition
false, it's late--irritability is early
Term
an ocular manifestation of anemia is ..., where the red blood cell count is 50% of normal
Definition
conjuctival pallor
Term
in ... retinopathy, you can see ...-shaped or ... hemorrhages
Definition

anemia

flame

dot-blot

Term
Roth's spot is a sign of ..., and are intraretinal ... surrounding a ...
Definition

anemic retinopathy

hemorrhages

white center

Term
cotton-wool spots are a sign of ...
Definition
acute or extremely severe anemia
Term
cotton-wool spots are ... infarcts
Definition
NFL
Term
only ...% of anemic-only people exhibit anemic retinopathy with hemorrhages
Definition
10
Term
40-70% of people with ... exhibit retinal hemorrhaging
Definition
anemia with thrombocytopenia
Term
to see a person with ... alone that has retinal hemorrhaging is ...
Definition

thrombocytopenia

rare

Term
pernicious anemia is a ...-... anemia
Definition
macrocytic-normochromic
Term
folate deficiency anemia is a ...-... anemia
Definition
macrocytic-normochromic
Term
... anemia is more common than folate deficiency anemia
Definition
pernicious
Term
.... .... atrophy leads to decreased production of intrinsic factor in ... anemia
Definition

gastric mucosal

pernicious

Term
folate is a ... involved with DNA synthesis in RBCs
Definition
coenzyme
Term
low ... is associated with neural tube defects in fetuses
Definition
folate
Term
t/f  folate deficiency anemia cannot be cured
Definition
false, treated with oral supplements
Term
iron deficiency anemia is a ...-... anemia
Definition
microcytic-hypochromic
Term
sideroblastic anemia is a congenital dysfunction of ... in erythroblasts
Definition
iron metabolism
Term
sideroblastic anemia is a ...-... anemia
Definition
microcytic-hypochromic
Term
thalassemia is a congenital defect of ... synthesis
Definition
globin
Term
thalassemia is a ...-... anemia
Definition
microcytic-hypochromic
Term
... anemia is the most common type of anemia worldwide
Definition
iron deficiency
Term
reversible sideroblastic anemia is associated with ...
Definition
alcohol abuse
Term
sideroblastic anemia is too much ... buildup that gives you ... skin
Definition

iron

bronze

Term
signs of sideroblastic anemia include ... in bone marrow
Definition
"ringed" nuclei
Term
aplastic anemia is a ...-... anemia
Definition
normocytic-normochromic
Term
posthemorrhagic anemia is a ...-... anemia
Definition
normocytic-normochromic
Term
hemolytic anemia is a ...-... anemia
Definition
normocytic-normochromic
Term
anemia of chronic inflammation is a ...-... anemia
Definition
normocytic-normochromic
Term
t/f  hemolytic anemia can be either congenital or acquired
Definition
true, either the RBCs have molecular irregularities or a drug activates the immune system to respond to the RBCs
Term
... anemia is the second most common anemia
Definition
chronic disease
Term
sickle cell trait is autosomal ...
Definition
dominant
Term
in order to have the sickle cell trait, you have to be ... for the sickle cell gene
Definition
heterozygous
Term
sickle cell anemia is a ...-... anemia
Definition
normocyitc-normochromic
Term
sickle cell anemia is autosomal ... and is a hemolytic/hypoproliferative anemia?
Definition

recessive

hemolytic

Term
sickle cell anemia results from a point mutation in the ... gene, forming Hb..
Definition

beta-globulin

S

Term
there are ... proliferative sickle cell anemia retinopathy stages, which are ...
Definition

5

(i)peripheral arteriolar occlusions

(ii)peripheral AV anastomoses

(iii)"sea-fan" neovascularization

(iv)vitreous hemorrhage

(v)traction or retinal detachment

Term
thalassemia is a ...-... anemia
Definition
microcytic-hypochromic
Term
the two thalassemias are ... and ..., which ... being the more severe
Definition

beta-thalassemia major

alpha-thalassemia

beta-thalassemia major

Term
... is an increase in RBC mass, and has ... types, which are ...
Definition

polycythemia

3

(i)relative polycythemia

(ii)primary polycythemia

(iii)secondary polycythemia (the altitude one)

Term
quantitative disorders of leukocyte function are ... and ..., with ... always being abnormal
Definition

leukocytosis

leukopenia

leukopenia

Term
the only qualitative disorder of leukocyte function is ...
Definition
disruption of cellular function
Term
... is a malignant disorder of the blood and blood-forming organs
Definition
leukemia
Term
leukemia can either be ... or ...
Definition

acute

chronic

Term
... is fine pin-point bleeds
Definition
petechiae
Term
... are larger bleeds
Definition
purpura
Term
... is a fancy word for "bruise"
Definition
ecchymosis
Term
acute leukemia tends to have closer to/further from progenitor cells?
Definition
closer to, because acute involves the presence of undifferentiated or immature cells
Term
... is the most common childhood leukemia
Definition
acute lymphoblastic leukemia
Term
... is the most common adult leukemia, and is treated with which 2 rounds of chemotherapy?
Definition

acute myelogenous leukemia

(i)induction

(ii)maintenance

Term
in ... leukemias, the predominant cell is mature but does not function normally
Definition
chronic
Term
the 2 types of chronic leukemias are ... and ...
Definition

chronic myelogenous leukemia

chronic lymphocytic leukemia

Term
chronic myelogenous leukemia is treated with ...
Definition
bone marrow transplant
Term
chronic ... leukemia leads to lymphadenopathy and suppression of ... immunity
Definition

lymphocytic

humoral

Term
leukemia shows in the eye as retinal ... and ...
Definition

infiltrates (Roth's spots, cotton-wool spots)

ONH edema

Term
lymphadenopathy can be caused by ... disease, or by endocrine disorders or lipid storage diseases
Definition
neoplastic (cancer, like lymphoma)
Term
englarged spleen indicates ... disease
Definition
lymphoproliferative
Term
t/f  hodgkin's lymphoma is painful and tender
Definition
false, painless and non-tender in neck
Term
hodgkin's lymphoma is characterized by ... cells
Definition
Reed-Sternberg
Term
t/f  non-hodgkin's lymphoma is more common than hodgkin's
Definition
true
Term
which lymphoma has no Reed-Sternberg cells and is more likely to affect noncontiguous lymph nodes?
Definition
non-hodgkin's lymphoma
Term
a "fish-flesh" lesion is an ocular manifestation of ...
Definition
lymphoma
Term
... is the most common malignancy that infiltrates the optic nerve
Definition
lymphoma
Term
... is the most commom primary bone cancer and occurs most frequently in ... people
Definition

multiple myeloma

elderly

Term
... is a malignant proliferation of plasma cells, which can be found as ... in bone marrow or ...
Definition

multiple myeloma

nodular masses

hypogammaglobulinemia

Term
t/f  renal failure is common in multiple myeloma, which is treated with ... chemo
Definition

true

high dose

Term
hemophilia is ...-linked, and has greatest expression in ...
Definition

x

males

Term
hemophilia is a ... and an cause ... occlusion
Definition

coagulopathy

central retinal artery

Term
DIC is a ... and results in widespread ... and ... occuring at the same time
Definition

coagulopathy

clotting

hemorrhage

Term
multiple myeloma is known for ... proteins
Definition
Bence-Jones
Term
vitamin ... deficiency is a coagulpathy
Definition
K
Term
hemophilia A is a factor ... deficiency, whereas hemophila B is a factor ... deficiency
Definition

VIII

IX

Term
... x ... = cardiac output
Definition

stroke volume

heart rate

Term
... - ... = stroke volume
Definition
EDV-ESV
Term
the process of delivering blood to a tissue is ...
Definition
perfusion
Term
the leading cause of death in CVD is ...
Definition
coronary artery disease
Term
atherosclerosis is a chronic inflammatory disorder of the ...
Definition
tunica intima
Term
LDL filtering into the tunica intima in atherosclerosis is known as ...
Definition
insudation
Term
the 5 phases of atherosclerosis are ...
Definition

(i)injury to the intima

(ii)insudation

(iii)oxidation

(iv)foam cell accumulation

(v)fatty streaks gradually transform into fibrous plaques

Term
70-75% obstruction of the artery is known as ...
Definition
critical stenosis
Term
ischemia of myocardium is ...
Definition
angina pectoris, if acute is treated with nitroglycerin
Term
... is known to be "extra-nodal"
Definition
lymphoma, because it's not always involved in lymph nodes in the eye
Term
with lymphoma, ocular lesions can be ...
Definition
anywhere
Term
there are ... types of hemophilia, known as ... and ..., with ... being more common in males
Definition

2

hemophilia A: factor VIII deficiency

hemophilia B; factor IX deficiency

hemo A

Term
treatment of hemophilia involves ... therapy
Definition
replacement
Term
... is the leading cause of death
Definition
acute myocardial infarction (heart attack)
Term
the female symptom that differs from men in heart attack is ...
Definition
shortness of breath, no chest pain
Term
vomiting would be a ... symptom of heart attack
Definition
parasympathetic
Term
the elevated blood indicators present in a heart attack are ...
Definition

total creatine kinase

cardiac creatine kinase

cardiac troponin

Term
the occlusion of a major coronary artery would be included in what type of heart attack?
Definition
transmural, affects complete thickness of heart wall
Term
a ... heart attack means that there is a particularly at-risk area
Definition
subendocardial
Term
... is the most important cause of death from MI
Definition
cardiac dysrhythmia, often reversible
Term
a ventricular failure refers to ... shock
Definition
cardiogenic
Term
a myocardial rupture is also known as a ...
Definition
pericardial tamponade
Term
.... is a delayed pericarditis following cardiac surgering or heart attack
Definition
Dressler Syndrome
Term
angioplasty involves a ..., which dilates and ruptures the atheromatous plaque with intracoronary stents
Definition
percutaneous coronary intervention
Term
if unbalanced, the electrolyte ... could cause cardiac dysrhythmia
Definition
potassium
Term
a ... is a regular, elevated rate (rare)
Definition
flutter, just one area or chamber of the heart
Term
a ... is a sporadic, quivering pattern of heart beat
Definition
fibrillation
Term
... fibrillation is lethal, whereas you could live with ... fibrillation
Definition

ventricular

atrial

Term
... is the most common reason for hospitalization in patients over 65
Definition
congestive heart failure
Term
in heart failure, you cannot increase ... as needed
Definition
cardiac output
Term
left-side heart failure involves ... and ...
Definition

tachynpea

cyanosis

Term
right-side heart failure involves ... and ...
Definition

hepatomegaly

ascites

Term
can you have right-side failure without left-side failure?
Definition
yes
Term
the compensatory mechanisms of heart failure are ...
Definition

increase sympathetic

renin stimulation

myocardial hypertrophy

Term
coronary artery disease is a type of ... cardiomyopathy
Definition
ischemic
Term
a non-ischemic cardiomyopathy would be ...
Definition
dilated cardiomyopathy, could be toxic (alcohol), metabolic, or infectious
Term
... valve ... is the most common valve disorder
Definition

mitral

regurgitation

Term
... is when the valve cannot open completely and puts extra ... work on the heart
Definition

stenosis

pressure

Term
... is when the valve cannot close completely, and puts extra ... work on the heart
Definition

regurgitation

volume

Term
calcification/aging is a major factor of ... disease
Definition
valvular
Term
mitral valve prolapse is universally present in ...
Definition
Marfan syndrome
Term
... is elongation of valve and chordae to balloon into the atrium during ...
Definition

mitral valve prolapse

systole

Term
... is a risk factor for the development of bacterial endocarditis
Definition
mitral valve prolapse, does central retinal artery/branch retinal artery occlusion, choroidal occlusion
Term
the 2 most common bacteria for infective endocarditis are ...
Definition

streptococcus

staphylococcus

Term
... develops weeks after group ... streptococcal pharyngitis or scarlet fever, and could lead to chronic valvular disease
Definition

rheumatic heart disease

A

this is a type II hypersensitivity reaction (antibodies)

Term
the ... is the first line of defense against infection and inflammation in the heart
Definition
pericardium
Term
uremia is a systemic association of ... disease
Definition
pericardial
Term
chronic pericarditis is also called ... pericarditis
Definition
constrictive
Term
... valve ... is the 2nd most common valve disorder, and is brought on by calcification and rheumatic fever
Definition

aortic

stenosis

Term
blood pressure is highly ... but closely ...
Definition

variable

regulated

Term
pitting edema is associated with ...-side heart failure
Definition
pitting
Term
blood pressure is taken at the ... artery, and pressure is higher/lower at aorta than downstream vessels
Definition

brachial

lower

Term
blood pressure has a ... variation, with it being ... at night
Definition

diurnal

lowest

Term
... is a heart rate lowering and elevating mechanism
Definition

arterial baroreflex

 

Term
... is a mechanism unique to BP lowering mechanisms
Definition
atrial naturetic peptide
Term
an appetite suppresant is a type of ...
Definition
sympathomimetic
Term
t/f  NSAIDs raise blood pressure
Definition
true
Term
risk of CVD doubles for every ... increase above 115/75
Definition
20/10
Term
... HTN has no underlying disease, a heterogeneous etiology
Definition
essential (primary)
Term
a ... is an adrenal tumor that secretes vasoconstrictive hormones in secondary hypertension
Definition
pheochromocytoma
Term
secondary HTN is involved in only ... of cases
Definition
5-10%
Term
goal BP for normal people is ..., but for patients with heart failure you start with 2 meds if BP is over ... above goal
Definition

140/90

20/10

Term
regular aerobic exercise reduces ... pressure
Definition
arterial
Term
... is a target organ for HTN
Definition
retina
Term
initial signs of hypertensive retinopathy are alterations in ...
Definition
retinal vasculature
Term
retinal arteriolar sclerosis is a sign of ...
Definition
hypertensive retinopathy, it's copper or silver wiring
Term
acute, or ... HTN can involve cotton-wool spots, flame-shaped hemorrhages, optic nerve head edema and hard exudates in a ... configuration
Definition

malignant

macular star

Term
our circulatory system is a open/closed circulatory system with no leaks
Definition
closed
Term
inadequate tissue perfusion can bring about ...
Definition
shock
Term
the 5 types of shock are ...
Definition

septic

hypovolemic

anaphylactic (type I hypersensitivity)

neurogenic

cardiogenic

Term
hemorrhage is the most common type of ... shock
Definition
hypovolemic
Term
with septic shock, it's not the infection that kills you; it's the ...
Definition
vasodilation
Term
in septic shock, the causative organism is a ... that releases a ..., which causes a systemic ... response
Definition

gram (-) bacteria

endotoxin

inflammatory

Term
shock causes a body-wide shift to ...
Definition

anaerobic metabolism

which brings on lactic acidosis, ATP depletion--ion pump dysfunction, edema

Term
the seven stages of cell death are ...
Definition

normal cell

hypoxia/anerobic metabolism begins

ion shift occurs

cell swelling

mitochondrial swelling

intracellular disruption releases lysosomes

cell destruction--leads to tissue death

Term
what is the result of stimulating the renin-angiotensin system during shock?
Definition

increase blood volume

vasoconstriction

Term
the 3 stages of shock are ...
Definition

compensatory

progressive--fail--BP falls

refractory--death

Term
decreased skin perfusion (pale, blue nail bed) is a sign of compensatory ... shock
Definition
hypovolemic
Term
prolonged capillary refill is a sign of ... shock
Definition
progressive, the defense mechanisms are failing
Term
in HTN, reactive oxygen species create an elevated ...
Definition
vascular tone
Term
the goal of compensatory shock is to maintain ... and ... perfusion
Definition

cerebral

cardiac

Term
inflammatory destruction of the blood vessels is ...
Definition
vasculitis
Term
vasculitis is classified by the caliber of ...
Definition
affected vessels, can be primary or secondary (autoimmune)
Term
the blood marker that indicates acute inflammation is ...
Definition
C-Reactive Protein
Term
steroids and immunosuppression are effective in treating ...
Definition
vasculitis
Term
giant cell arteritis is a type of ... vasculitis that can be identified on a patient through ...
Definition
biopsy of temporal artery
Term
you can get giant cell arteritis in ... and ... vessels, like the ... artery or ... artery
Definition

large, medium

external carotid

ophthalmic

Term
associated with polymyalgia rheumatica, ... has symptoms of scalp tenderness, jaw claudication, and amaurosis fugax
Definition
giant cell arteritis
Term
granulomatosis with polyangiitis is also known as ...
Definition
Wegener's
Term
Wegener's (granulomatosis with polyangiitis) is found in ... and ... vessels, and targets which organs?
Definition

medium

small

Ears/nose/throat

lungs

kidneys

Term
some symptoms of granulomatosis with polyangiitis are saddle nose, bloody cough, ..., and is a ANCA (..) vasculitis
Definition

deafness

+

Term
polyarteritis nodosa is involved in ... and ... vessels, and is a ANCA (..) vasculitis
Definition

medium

small

-

Term
the primary vasculitis ... has characteristic sac-like aneurisms around the kidneys
Definition
polyarteritis nodosa
Term
the 2 vasculidities that can have a pseudotumor are ...
Definition

granulomatosis with polyangiitis

polyarteritis nodosa

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