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General Histology for Dental Medicine

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A student is reviewing how connective tissue structure correlates to function of an organ. Which of the following might be the source of the tissue in the figure below?

image

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A 62-year-old man has a red, warm, painful lesion on his skin that

extends across his calf from the popliteal fossa to the ankle. This condition

is diagnosed as cellulitis, a bacterial infection of the deeper layers of the

skin. The red colour, increased temperature, and pain of the affected area are

due to an inflammatory response to the infection. In the patient, this

inflammatory reaction is largely caused by the release of pro-inflammatory

substances from the cells of the immune system, which are abundant in the

connective tissue. Which of the following cell types are involved?

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A 17-year-old female patient has gradually developed symptoms such as fatigue, weakness, dyspnea on exertion and impaired

performance over several months. These symptoms gradually worsen over the last

year or so. She now comes for intense right hip pain. On further questioning,

she indicates frequent epistaxis (nosebleeds) and easy development of bruises.

During the physical examination, the physician notes striking pallor of the

skin and mucous membranes, tachycardia as well as hepatomegaly (enlargement of the

liver) and splenomegaly (enlargement of the spleen). Laboratory findings

confirm the presence of anemia and thrombocytopenia. A special finding is the

picture of the so-called Erlenmeyer flask deformity of the diaphyses of the

femurs. This sign is already suggestive to the physicians and the determination

of low activity of the enzyme β-glucocerebrosidase in isolated leukocytes

confirms the diagnosis of Gaucher disease. Gaucher disease is an inherited

lysosomal storage disease that is caused by a genetic defect in the lysosomal

enzyme glucocerebrosidase. This enzyme is responsible for the hydrolytic

cleavage of glucosylceramide to glucose and ceramide. What is the function of

lysosomes? What will their failure lead to in the cell?

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Arrhythmia, i. e. irregularity of the heart rhythm, can be caused, for

example, by a high or low level of certain ions. Heart muscle cells

(cardiomyocytes) can exchange these ions with each other to maintain

homeostasis. Cardiomyocytes are connected by intercalated discs. What type of

intercellular junction is part of the intercalated discs and used for ion

exchange?

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A

48-year-old woman presents with blisters on her trunk that have been there for 3 days. The blisters are large, turbid, and flaccid, and are located within the superficial epidermis. She

reports painful oral blisters that preceded the cutaneous lesions by a week. Which of the following would be targets for autoantibodies in her serum?

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A 54-year-old man has

had issues with increased urinary frequency. More recently, he reports that he

has blood in his urine. Imaging shows a mass growing into the lumen of the

bladder, which is biopsied. Normal tissue adjacent to the mass will be of which

type of epithelium?

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The student is asked about the difference

between the basement membrane and the basal lamina during the histology exam.

Until now, he thought that the two terms were identical. Could you advise him

what the difference is between these two structures?

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A 19-year-old student

comes to the eye clinic with a very common problem today. He suffers from

cutting and burning eyes, the feeling of a foreign body in the eye, pressure,

and the feeling of tired eyes. The eyes are red. He is diagnosed with dry eye

syndrome. This can have many causes, and one of them is low tear production,

for example, as a result of taking certain medications. Tears are produced by

the lacrimal gland. The lacrimal gland is an exocrine gland. Its cells have a

basophilic cytoplasm and a round nucleus located in the basal third of the

cell. The basal part of the cells shows significant basophilia due to the

accumulation of polyribosomes and granular endoplasmic reticulum for the

production of proteins that are part of the produced secretion. The cells

contain zymogen granules, which are mostly released in a merocrine manner. What

type of gland is a lacrimal gland?

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A 30-year-old patient underwent a biopsy of the

submandibular salivary gland in the ENT department due to significant swelling

of unclear origin. This eventually proves to be histologically normal. What is

this sample most likely to look like?

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A 17-year-old female patient has gradually developed symptoms such as fatigue, weakness, dyspnea on exertion and impaired

performance over several months. These symptoms gradually worsen over the last

year or so. She now comes for intense right hip pain. On further questioning,

she indicates frequent epistaxis (nosebleeds) and easy development of bruises.

During the physical examination, the physician notes striking pallor of the

skin and mucous membranes, tachycardia as well as hepatomegaly (enlargement of the

liver) and splenomegaly (enlargement of the spleen). Laboratory findings

confirm the presence of anemia and thrombocytopenia. A special finding is the

picture of the so-called Erlenmeyer flask deformity of the diaphyses of the

femurs. This sign is already suggestive to the physicians and the determination

of low activity of the enzyme β-glucocerebrosidase in isolated leukocytes

confirms the diagnosis of Gaucher disease. Gaucher disease is an inherited

lysosomal storage disease that is caused by a genetic defect in the lysosomal

enzyme glucocerebrosidase. This enzyme is responsible for the hydrolytic

cleavage of glucosylceramide to glucose and ceramide. What is the function of

lysosomes? What will their failure lead to in the cell?

View this question

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