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PATHOPHYSIOLOGY: EXAM 1 STUDY GUIDE, Exams of Pathophysiology

PATHOPHYSIOLOGY: EXAM 1 STUDY GUIDE

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2024/2025

Available from 07/08/2025

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PATHOPHYSIOLOGY: EXAM 1
STUDY GUIDE
WEEKLY OBJECTIVES
1. Introduce pathophysiologic concepts and principles.
2. Understand and use medical terminology when discussing pathophysiologic conditions.
3. Discuss normal cell and tissue development and disease progression.
4. Explain carcinogenesis, risk factors, stages of tumor development, and preventive strategies.
5. Describe the process of cellular development and alterations based on external environmental
and genetic factors.
6. Explain how fluids and electrolytes are used by the body to adapt and maintain
physiologic homeostasis.
7. Apply growth and development principles as they relate to the impact of aging on
normal pathophysiologic changes.
8. Discuss the role genetics and aging plays in the process of cellular adaptation, mutation,
and dysplasia.
9. Understand inflammation, healing, infection, immunity, and neoplasms and cancer.
10. Apply growth and development principles as they relate to the impact of aging on
the pathophysiologic changes.
11. Compare and contrast processes of inflammatory and healing processes, alterations in
immune responses, and pathological processes of the immune system.
12. Apply understanding of alterations in inflammatory and healing processes and across the lifespan
to formulate care priorities.
13. Describe how genetics influence pathophysiological alterations in healing, immunologic
responses, and integumentary system.
14. Explain carcinogenesis, risk factors, stages of tumor development, and preventive strategies.
CHAPTER OBJECTIVES
1. Explain the role of Pathophysiology in the diagnosis and treatment of disease
Pathophysiology is the study of physical and biological abnormalities occurring
due to disease. It is important to the diagnosis and treatment of a disease
because you can easily see the clinical manifestations, easily diagnose, and the
risk factors.
2. Use appropriate terminology for pathophysiology
3. Describe common cellular changes and adaptations with possible reasons for occurrence
Atrophy: decrease in cellular size
Hypertrophy: increase in cell size
Hyperplasia: increase in cell number
Metaplasia: one mature cell is replaced by different another mature cell
Dysplasia: abnormal change in size, shape, and organization of mature cells,
cells vary in size and shape
Neoplasia: new tumor growth
4. List common causes of cell injury
Ischemia
Physical agents: excessive temperatures, radiation exposure
Mechanical agents: pressure/tearing of tissue
Chemical toxins
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PATHOPHYSIOLOGY: EXAM 1

STUDY GUIDE

WEEKLY OBJECTIVES

  1. Introduce pathophysiologic concepts and principles.
  2. Understand and use medical terminology when discussing pathophysiologic conditions.
  3. Discuss normal cell and tissue development and disease progression.
  4. Explain carcinogenesis, risk factors, stages of tumor development, and preventive strategies.
  5. Describe the process of cellular development and alterations based on external environmental and genetic factors.
  6. Explain how fluids and electrolytes are used by the body to adapt and maintain physiologic homeostasis.
  7. Apply growth and development principles as they relate to the impact of aging on normal pathophysiologic changes.
  8. Discuss the role genetics and aging plays in the process of cellular adaptation, mutation, and dysplasia.
  9. Understand inflammation, healing, infection, immunity, and neoplasms and cancer.
  10. Apply growth and development principles as they relate to the impact of aging on the pathophysiologic changes.
  11. Compare and contrast processes of inflammatory and healing processes, alterations in immune responses, and pathological processes of the immune system.
  12. Apply understanding of alterations in inflammatory and healing processes and across the lifespan to formulate care priorities.
  13. Describe how genetics influence pathophysiological alterations in healing, immunologic responses, and integumentary system.
  14. Explain carcinogenesis, risk factors, stages of tumor development, and preventive strategies. CHAPTER OBJECTIVES
  15. Explain the role of Pathophysiology in the diagnosis and treatment of disease
  • Pathophysiology is the study of physical and biological abnormalities occurring due to disease. It is important to the diagnosis and treatment of a disease because you can easily see the clinical manifestations, easily diagnose, and the risk factors.
  1. Use appropriate terminology for pathophysiology
  2. Describe common cellular changes and adaptations with possible reasons for occurrence
  • Atrophy: decrease in cellular size
  • Hypertrophy: increase in cell size
  • Hyperplasia: increase in cell number
  • Metaplasia: one mature cell is replaced by different another mature cell
  • Dysplasia: abnormal change in size, shape, and organization of mature cells, cells vary in size and shape
  • Neoplasia: new tumor growth
  1. List common causes of cell injury
  • Ischemia
  • Physical agents: excessive temperatures, radiation exposure
  • Mechanical agents: pressure/tearing of tissue
  • Chemical toxins
  1. Define Apoptosis and Necrosis
  1. List the elements of the immune system and purpose of each
    • Antigens o Self: HLA proteins label cells of the individual, immune system ignores self-cells o Non-self: immune system recognizes specific non-self-antigens as foreign, development of a specific response to that particular antigen (what we develop an immunity against), memory cells produced to respond quickly to antigen o Usually exogenous substances, proteins polysaccharides, glycoproteins (cell surface antigens), MHC= genes inherited from parents that code self- antigens on plasma membranes, activate and regulate the immune response
    • Cells o Macrophages: initiation of immune response, develop from monocytes, part of the mononuclear phagocytic system, engulf foreign material, secrete chemicals (monokines, interleukins), present throughout the body
  2. Explain the four methods of acquiring immunity(SEE 12)
  3. Describe the mechanism and clinical effects of each of the four types of hypersensitivity reactions
    • Type I Hypersensitivity —allergic reactions i. Most Common 1. Caused by allergen 2. Skin rashes 3. Hay fever (allergic rhinitis) ii. Causative mechanism
      1. Exposure to allergen
      2. Development of IgEs after 1 st^ exposure
      3. Mast cells (histamine rxn) iii. Complications
  4. Mild to severe
  5. Anaphylaxis a. Highly sensitized b. Systemic reaction
  6. Treat the clinical manifestations - Type II Hypersensitivity i. Antigen is present on cell membrane a. May be normal body component or exogenous ii. Circulating IgGs react with antigen a. Destruction by phagocytosis or cytolytic enzymes

iii. Example a. Response to incompatible blood transfusion

  • Type III Hypersensitivity i. Antigen combines with antibody a. Forms immune complexes, deposited in tissue b. Activation of complement system c. Involves IgG & IgM d. Antigen = Antibody ii. Process causes inflammation and tissue destruction iii. Examples: a. Glomerulonephritis b. Rheumatoid arthritis
  • Type IV Hypersensitivity i. Delayed response by sensitized T lymphocytes a. Delayed response of immune system ii. Release of lymphokines iii. Inflammatory response iv. Destruction of the antigen v. Examples: a. Tuberculin test b. Contact dermatitis c. Allergic skin rash
  1. Discuss the mechanism of autoimmune disorders
  • Development of antibodies against own cells or tissues.
  • Autoantibodies are antibodies formed against self-antigens- loss of self-tolerance
  • Disorder can affect single organs or tissues or can be generalized
  • Ex: hashimoto’s thyroiditis, rheumatic fever, systemic lupus erythematosus
  1. Explain the effects of anaphylaxis
  • Severe, life threatening
  • Systemic hypersensitivity reaction
  • Decreased blood pressure caused by release of histamine
  • Airway obstruction
  • Severe hypoxia
  1. Review of normal cell behaviors
  • Require growth factors: grow and repair
  • Contact inhibition allows them to be orderly
  • Require firm surface attachment to grow (petri dish)
  • May be used alone or combined with other therapies
  • Ionizing radiation damages cell o Causes mutations or alterations in target DNA o External sources or brachytherapy o Damages blood vessels that supply tumor ▪ Damage normal “healthy” cells
  • Most effective in rapidly dividing cells
  • Some types of cancers are radioresistant.
  • May be used as an adjuvant therapy prior to surgery to shrink tumor
  • Preventative : colon polyps
  • Dx : biopsy & staging
  • Debulking surgery o Remove as much as possible chemo/radiation to work o Palliative
  • Removal of tumor and surrounding tissue
  • Lymph node sampling o Sentinel nodes
  • Removal of adequate surrounding tissue may result in changes in function.
  • Radiofrequency ablation (RFA) o Alternative surgery for small single tumors in solid or fluid-filled organs, but not the lungs
  • Nutrition o Advanced CA ▪ Malnourished ⟶ Change in taste sensation ⟶ Anorexia ⟶ Vomiting/diarrhea ⟶ Sore mouth/loss of teeth ⟶ Pain/fatigue ⟶ Malabsorption caused by inflammation in digestive tract