NUR 2063 PATHOPHYSIOLOGY FINAL EXAM 100%
VERIFIED WITH CORRECT SOLUTIONS
What happens to the body during the sympathetic phase of the flight
... [Show More] or fight response? - Pupils dilate, salivation inhibited, increase in HR, bronchodilation of airway, increased respirations, glucose release, inhibit GI/GU.
What happens to the body during the parasympathetic phase of the flight or light response? - Rest and Digest. Pupils constrict, salivation occurs, decreased HR, bronchoconstriction,decreased respiration, GI/GU systems resume action
Explain the role of the nucleus - control center of the cell, where DNA and genes are stored, produces mRNA to help build body proteins
Explain the role of the mitochondria - Powerhouse of the cell. Provides energy in ATP, and has its own set of DNA
Explain the role of the ribosome - produces RNA to produce proteins through transcriptions of DNA and translation of RNA into a protein
Explain the role of the lysosomes - helps breakdown and digest dead cells, organelles, or tissues
Explain the role of the rough ER - folded membranes that move proteins around the cell. Has ribosomes attached to it and helps produce proteins for the cell membrane
Explain the role of the smooth ER - helps the Liver and kidney cells to detoxify, lipid metabolism, synthesis of hormones, and calcium storage
Explain the role of the peroxisome - membrane cells that contain oxidase and catalase to detoxify harmful chemicals, breakdown hydrogen peroxide and filter metabolic wastes
Explain the role of the Golgi body - stacked membranes that act as the sorter and packager for proteins from the ER. Helps move things in and out of cell
Explain passive immunity - the transfer of preformed antibodies against specific antigens from a protected or immunized individual to an unprotected or non immunized person. Provides immediate and short term protection. No memory cells are produced. IgA and IgE. Passes protection
What are examples of passive immunity? - mom to fetus through placenta or mom to infant through breast milk. Serotherapy
Explain active immunity - a protective state owing to the immune system response as a result of active infection or immunization. It has to be activated in the body and the body has to fight it to have long term immunity
What are examples of active immunity? - Vaccinations
Explain what edema is - accumulation of fluid in the interstitial space. Leads to tissue swelling
What are some causes of edema? - increase in the forces that move fluid from capillaries to interstitial compartments or decrease in the opposite.
What are factors that contribute to edema? - Increase in hydrostatic forces in the capillaries that increases the blood volume, increased capillary permeability, CHF, HYPTN, decrease in plasma proteins like albumin (causes liver to hold onto more water- ascites, cirrhosis), blockage of lymph drainage
What is a hypersensitivity? - an overreaction to antigens or allergens that is beyond the normal range, leading to damage
What is a type 1 hypersensitivity? - anaphylactic. Occurs within 2-30mins of exposure. Can be systemic or localized. Binds to IgE and mast cells that release histamine, leukotrienes, and prostaglandins to create inflammation
Mediating Factor for type 1 hypersensitivity - IgE
Examples of type 1 hypersensitivity - allergic reaction to dust. someone eats peanuts and breaks out in hives and runny nose
How do we treat type 1 hypersensitivity reactions? - antihistamines to block histamine, beta adrenergics to bronchodilator , corticosteroids, to decrease inflammation. IgE therapy, epinephrine given during anaphylaxis through IV or through IM in epipens
What are signs and symptoms of a type 1 hypersensitivity reaction? - hives, runny nose, eczema, throat constriction, ,localized edema, wheezing, tachycardia, anaphylaxis.
Explain Type 2 Hypersensitivity - The cells attack healthy organs and blood, causing symptoms
Mediating factor for type 2 hypersensitivity - cytotoxic- IgM/ IgG
Examples of type 2 hypersensitivity - Blood transfusions when wrong blood given, hemolytic disease of newborn, grans disease, myasthenia gravis
What is type 3 hypersensitivity? - The igG antibodies are stuck beneath the membranes of cells. Can activate immune responses that can damage tissues. Immune complex Mediating factor type 3 hypersensitivity - immune complexes
Examples type 3 hypersensitivity - RA, lupus
What is type 4 hypersensitivity? - there is a delayed cell reaction caused by the T cells. Antigens are phagocytized and are sensitized to receptors on the t cell. Reexposure causes the memory cells to release destructive cytokines.
Mediating factor type 4 hypersensitivity - delayed cell mediated
Examples type 4 hypersensitivity - TB test, contact dermatitis
Characteristics of benign tumors - Localized growth that is curable. They more closely resemble the original tissue type, they grow slowly, have little vascularity, rarely necrotic, and usually have similar function to the original cells. Can be fatal depending on the location (brain, heart,etc), usually grows at the original areas of the body. Encapsulated
Characteristics of malignant tumors - usually cancerous. They ignore growth controlling signals and replicate despite signals from the environment. They can escape signals and can die. they can also display different functions poorly or not at all related to the tissue. Greater degree of differentiation means that it is more aggressive. Can move around with a poor prognosis. Anaplasia, metastasis
S/S of peptic ulcer disease - epigastric burning pain that is usually relieved by food or antacids (gastric ulcers present on empty stomach but can be after food, duodenal ulcers present 2-3 hours after food and is relieved by food). Can also be life threatening as GI bleeding can occur without warning and cause a drop in H/H and dark tarry stools and hematemesis
What is H.pylori? - has a key role in prom
What [Show Less]