Kaaj Pala
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Cell injury and reversible effects on cells.

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Kaaj Pala
Created by Kaaj Pala about 7 years ago
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203: LECT 6

Question 1 of 19

1

Which features of ionising radiation is incorrect?

Select one of the following:

  • X/gamma rays have energy to break bonds.

  • Damage to DNA bases.

  • Water is the main target for ionising radiation.

  • Water breaks into H and OH radical with OH and ionising radiation go on to break DNA strands.

Explanation

Question 2 of 19

1

What are all the effects of death of endothelial cells

Select one or more of the following:

  • Ulceration

  • Scarring

  • Atrophy (shrinkage) of surrounding tissue

  • Inflammation and chronic pain

Explanation

Question 3 of 19

1

Which is not a feature of UV radiation to damage of DNA?

Select one of the following:

  • Damage to DNA bases where adjacent C-T become linked.

  • The DNA strand will break.

  • Misrepair generates C to T point mutations leading to cancer development

  • More damage leads to death of keratinocytes (peeling sunburn)

Explanation

Question 4 of 19

1

The chemical factor to damage to DNA -Alkylation is:

Select one or more of the following:

  • Fungal product aflatoxin B1 accumulates in poorly stored food (in underdeveloped countries).

  • Metabolites react covalently (alkylate) with proteins to cause liver injury ; acutely at high doses.

  • Metabolites alkylate DNA hence G to T mutations = liver cancer= chronic and low doses.

  • Folic acid further damages the DNA.

  • The crystals puncture the membranes.

Explanation

Question 5 of 19

1

Which is a feature of biological dietary deficiency - DNA?

Select one of the following:

  • Autoimmune gastritis lack intrinsic factor prevents B12 absorption.

  • Proteins cause liver injury acutely

  • Inflammasomes generate severe inflammation.

  • Hydrogen peroxide will be detoxifed to catalase to oxygen and water.

Explanation

Question 6 of 19

1

Which is not a feature of chemical damage to lipids?

Select one of the following:

  • Cells take up crystals into lysosomes.

  • Crystals puncture lysosome membrane.

  • Damaged mitochondria cannot reduce oxygen completely.

  • Inflammasomes activated.

Explanation

Question 7 of 19

1

ROS and RNS are not free radicals?

Select one of the following:

  • True
  • False

Explanation

Question 8 of 19

1

Which is not an oxidative reaction in the chemical factor of damage to lipids?

Select one of the following:

  • Superoxide (O2-) - detoxed by superoxide dismutase

  • Hydrogen peroxide - detoxed by catalase

  • Oxygen therapy - exposure to premature babies

  • Hydroxyl radical - OH.

Explanation

Question 9 of 19

1

Which of these does not contribute to injury of cell via ROS?

Select one of the following:

  • Oxygen therapy

  • Inflammation

  • Megablastic anaemia

  • Damaged mitochondria

  • UV radiation

  • Radiotherapy

Explanation

Question 10 of 19

1

How does acute haemorrhagic pancreatitis occur?
Biological lipase factor

Select one of the following:

  • Proteolytic cleavage of ECM proteins

  • The p53 transcription factor

  • Damage to exocrine cells which synthesise digestive enzymes or block ducts that these enzymes travel to duodenum by

  • Prolonged heat exposure

Explanation

Question 11 of 19

1

Which is not a consequence of heat exposure in proteins?

Select one of the following:

  • High fever

  • Heat stroke

  • Malignant hyperthermia

  • Acute haemorrhagic pancreatitis

Explanation

Question 12 of 19

1

Is the Maillard reaction the enzymatic addition of sugars to proteins?

Select one of the following:

  • True
  • False

Explanation

Question 13 of 19

1

Which of the following is not a result of the reaction occurring between reducing sugars and amino groups?

Select one of the following:

  • Reversible early stage Schiff bases

  • Irreversible rearrangements to Amadori products.

  • Further rearrangements to advanced glycation end products (AGE).

  • Nrf transcription factors.

Explanation

Question 14 of 19

1

How do AGE injure cells?

Select one or more of the following:

  • Inhibit protein function

  • Cross linking and precipitating proteins (blocking axon transport in neurons)

  • Generating ROS

  • Binding to receptors of AGE (RAGE) on vascular and inflammatory cells that reduce blood flow and cause inflammation.

  • The enzymatic addition of sugars to proteins.

Explanation

Question 15 of 19

1

Does AGE accumulate during ageing, diabetes, and chronic inflammation?

Select one of the following:

  • True
  • False

Explanation

Question 16 of 19

1

When and where does proteolytic cleavage occur during inflammation when proteins are damaged?
Biological factor

Select one of the following:

  • Collagen in arthritis

  • Elastin in emphysema

  • Laminin during cancer invasion

  • Blood vessel damage behind eye during retinopathy

Explanation

Question 17 of 19

1

Which factor does acute intracellular oedema (hydropic change) not affect the cells regulation of ion concentration in cytoplasm?

Select one of the following:

  • Plasma membranes permeable to Na+ hence K+ leaks out (Na+ in) hence cell swells.

  • ATP synthesis disrupted, Na+/K+ ATPase inhibited

  • Na+ pump damaged

  • Cell shrinks due to excess water loss

Explanation

Question 18 of 19

1

Does abnormalities in capacity of cells to recycle components result in the non-accumulation of products such as fat and glycogen?

Select one of the following:

  • True
  • False

Explanation

Question 19 of 19

1

When there are fatty changes in liver cell what does not happen when the triglycerides accumulate?

Select one of the following:

  • In normal liver cells they cannot metabolise increased fatty acids conc. coming from adipose tissue (diabetes)

  • In abnormal liver cells they have a decreased ability to oxidise fatty acids (alcohol damage)

  • In abnormal liver cells have decreased ability to export triglycerides compounded with lipid-acceptor proteins i.e. VLDL leading to malnutrition, kwashiorkor - not enough proteins and more fat.

  • In normal liver cells they cannot transport more of the fat from the tissue to urine and therefore leading to blockage.

Explanation