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A 2-day-old premature newborn develops a severe form of neonatal jaundice, which unfortunately has a serious complication, the so-called kernicterus. It is essentially damage of the brain nuclei, especially the basal ganglia, by a high concentration of a compound known as unconjugated bilirubin, which causes the aforementioned jaundice. This condition is caused by the immaturity of the blood-brain barrier, which is not yet able to fulfill its function as a barrier, and bilirubin reaches the nervous tissue through it. In older children and adults, this condition no longer occurs thanks to a mature and functional blood-brain barrier. What parts make up this barrier?
A 24-year-old man who lives in Africa presents with muscle weakness in his legs. His physical exam demonstrates muscle weakness in all limbs, but his legs are most affected. Testing (polymerase chain reaction, PCR) confirms poliovirus in his cerebrospinal fluid. Poliovirus mainly affects second motor neurons of the corticospinal tract and, therefore, will affect cells whose cell bodies are located in which of the following?
A group of students is reviewing muscle tissue before a test and come across a question on which they completely disagree. Can you help them sort out their disagreement? It is all about the statement that cardiomyocytes, the cells of the heart muscle, have only the classical ability to contract. Others claim that these cells have other functions in addition to this one. Which of these four statements is closest to the truth?
A 36-year-old woman comes to the emergency department because of a 4-week history of worsening headache, nausea, and vomiting. The headache is worse at night. A CT scan of the brain shows a mass of tissue in the third ventricle. The patient undergoes surgical excision of this structure. Pathologic examination of the surgical specimen confirms that the tumor originates from special cells lining the ventricle. How are these cells called?
A 30-year-old man is brought to the emergency department 15 minutes after he fell off the ladder. On arrival, he is unresponsive to verbal and painful stimuli. His pulse is 70/min and his blood pressure is 130/85 mmHg. A CT scan of the head shows a fracture in the anterior cranial fossa and a 1.5 cm laceration in the left anterior frontal gyrus. Which of the following would be the most common cell type in the scar at the injured region of the frontal lobe?
A 35-year-old woman comes to a neurologist because she is suspected of having multiple sclerosis. Unfortunately, further examination will confirm this diagnosis. Multiple sclerosis is an autoimmune disease affecting the central nervous system. This disease leads to loss of myelin in inflammatory areas and diffuse loss of axons. Which type of cell is responsible for the production of myelin and in which part of the central nervous system is it produced?
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