Pathology · USMLE Step 1

USMLE Pathology: General Principles

Cell injury, inflammation, wound healing, and neoplasia vocabulary that underlies every organ-specific pathology topic, one concept per card.

39 cards · basic cards · AI-written, checked twice. Edit anything.

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What is the earliest reversible morphologic change in cell injury caused by ATP depletion?
Cellular (hydropic) swelling
Which type of necrosis is typical of ischemic infarction in most organs except the brain?
Coagulative necrosis
Which type of necrosis is characteristic of brain infarcts and bacterial abscesses?
Liquefactive necrosis
What type of necrosis produces a cheese-like appearance and is classically seen in tuberculosis granulomas?
Caseous necrosis
What type of necrosis occurs in acute pancreatitis when lipases break down peripancreatic fat?
Fat necrosis
What process forms chalky white deposits during fat necrosis?
Saponification, calcium binding to released fatty acids
What type of necrosis involves fibrin-like protein deposition in vessel walls and is seen in vasculitis or malignant hypertension?
Fibrinoid necrosis
By what mechanism do free radicals damage cell membranes?
Lipid peroxidation
What term describes additional cell damage caused by free radicals when blood flow is restored after ischemia?
Reperfusion injury
Cyanide causes cell injury by inhibiting which mitochondrial enzyme complex?
Cytochrome c oxidase (Complex IV)
What are the five cardinal signs of acute inflammation?
Redness, heat, swelling, pain, and loss of function
Which leukocyte predominates in the first 24 to 48 hours of acute inflammation?
Neutrophils
Which two cell types predominate in chronic inflammation?
Macrophages and lymphocytes
What is the correct order of steps in leukocyte extravasation from blood vessels?
Margination, rolling, adhesion, transmigration
Which adhesion molecules mediate the rolling of leukocytes along endothelium?
Selectins

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